Resveratrol-βCD inhibited premature ovarian insufficiency progression by regulating granulosa cell autophagy

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The ovarian environment of premature ovarian insufficiency (POI) patients exhibits immune dysregulation, which leads to excessive secretion of numerous proinflammatory cytokines that affect ovarian function. An abnormal level of macrophage polarization directly or indirectly inhibits the differentiation of ovarian granulosa cells and steroid hormone production, ultimately leading to POI. Resveratrol, as a health supplement, has been widely recognized for its safety. There is a substantial amount of evidence indicating that resveratrol and its analogs possess significant immune-regulatory functions. It has also been reported that resveratrol can effectively inhibit the progression of POI. However, the underlying immunological and molecular mechanisms through which resveratrol inhibits the progression of POI are still unclear.

The preliminary reports have shown that resveratrol-βCD, the beta-cyclodextrin complex of resveratrol, significantly enhances the stability of resveratrol. Resveratrol-βCD could regulate the dysfunctional immune status of macrophages and T cells in the tumor microenvironment. In this study, busulfan and cyclophosphamide (B/C)-treated mice, which were used as a POI model, were treated with resveratrol-βCD. After resveratrol-βCD treatment, the levels of IL-6 in the ovaries were significantly increased, and the progression of POI was suppressed. IL-6 activated granulosa cells through soluble IL-6R (sIL-6R), promoting autophagy in granulosa cells. Resveratrol-βCD and IL-6 had a synergistic effect on enhancing autophagy in granulosa cells and promoting E2 secretion.

Hu, B., Zheng, X. & Zhang, W. Resveratrol-βcd inhibited premature ovarian insufficiency progression by regulating granulosa cell autophagy. J Ovarian Res 17, 18 (2024). https://doi.org/10.1186/s13048-024-01344-0

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