Anti-inflammatory effects of selected dietary components on endometriosis - review
DOI:
https://doi.org/10.12775/QS.2024.21.54047Keywords
endometriosis, pain, diet, polyphenols, resveratrol, curcumin, vitamin D3, OMEGA-3 acids, polyunsaturated acidsAbstract
Background: Endometriosis is a chronic inflammatory disorder that is among the most common gynaecological problems in women of reproductive age. The disease involves the presence of endometrial tissue outside the uterus, which manifests as pelvic pain and infertility. The main theory for its development suggests that endometrial cells move into the abdominal cavity during menstruation and implant there. This process leads to an increase in inflammatory cells and increased concentrations of cytokines, chemokines and prostaglandins, resulting in chronic inflammation.Objective: The aim of this work is to analyse in detail the available studies on the anti-inflammatory effects of selected dietary components such as polyphenols, vitamin D and omega-3 fatty acids. The work aims to evaluate their potential as future therapeutic options for the treatment of endometriosis, with a critical approach to their efficacy and possible application in the treatment of this disease.
Materials and methods: A review of the literature available in the PubMed database was conducted using the following phrases in English: endometriosis, pain, diet, polyphenols, resveratrol, curcumin, vitamin D3, OMEGA-3 acids, polyunsaturated acids
State of knowledge: Changing dietary patterns in patients with endometriosis may result in a reduction in levels of inflammatory markers, which are typically elevated in this disease. Polyphenols, such as resveratrol and curcumin, show anti-inflammatory effects and inhibit endometrial cell proliferation. Vitamin D3 shows anti-inflammatory effects and influences angiogenesis. Omega-3 fatty acids may reduce inflammation and endometrial proliferation.
Conclusions: The literature review indicates that polyphenols, vitamin D3 and omega-3 fatty acids offer promising therapeutic properties for the treatment of endometriosis, with anti-inflammatory and proliferative, pain-relieving effects. Despite these promising results, further clinical trials are needed.
References
Chapron C, Marcellin L, Borghese B, Santulli P. Rethinking mechanisms, diagnosis and management of endometriosis. Nat Rev Endocrinol. 2019 Nov;15(11):666-682. doi: 10.1038/s41574-019-0245-z. Epub 2019 Sep 5. PMID: 31488888.
Song SY, Jung YW, Shin W, Park M, Lee GW, Jeong S, An S, Kim K, Ko YB, Lee KH, Kang BH, Lee M, Yoo HJ. Endometriosis-Related Chronic Pelvic Pain. Biomedicines. 2023 Oct 23;11(10):2868. doi: 10.3390/biomedicines11102868. PMID: 37893241; PMCID: PMC10603876.
Binda MM, Donnez J, Dolmans MM. Targeting mast cells: a new way to treat endometriosis. Expert Opin Ther Targets. 2017 Jan;21(1):67-75. doi: 10.1080/14728222.2017.1260548. Epub 2016 Nov 28. PMID: 27841046.
Tassinari V, Smeriglio A, Stillittano V, Trombetta D, Zilli R, Tassinari R, Maranghi F, Frank G, Marcoccia D, Di Renzo L. Endometriosis Treatment: Role of Natural Polyphenols as Anti-Inflammatory Agents. Nutrients. 2023 Jun 30;15(13):2967. doi: 10.3390/nu15132967. PMID: 37447296; PMCID: PMC10343861.
Zhou Y, Zeng C, Li X, Wu PL, Yin L, Yu XL, Zhou YF, Xue Q. IGF-I stimulates ERβ and aromatase expression via IGF1R/PI3K/AKT-mediated transcriptional activation in endometriosis. J Mol Med (Berl). 2016 Aug;94(8):887-97. doi: 10.1007/s00109-016-1396-1. Epub 2016 Feb 22. PMID: 26899323
Matson BC, Quinn KE, Lessey BA, Young SL, Caron KM. Elevated levels of adrenomedullin in eutopic endometrium and plasma from women with endometriosis. Fertil Steril. 2018 Jun;109(6):1072-1078. doi: 10.1016/j.fertnstert.2018.02.004. Epub 2018 Jun 2. PMID: 29871794; PMCID: PMC6015786.
Markowska A, Antoszczak M, Markowska J, Huczyński A. The Role of Selected Dietary Factors in the Development and Course of Endometriosis. Nutrients. 2023 Jun 16;15(12):2773. doi: 10.3390/nu15122773. PMID: 37375677; PMCID: PMC10303755.
Gołąbek A, Kowalska K, Olejnik A. Polyphenols as a Diet Therapy Concept for Endometriosis-Current Opinion and Future Perspectives. Nutrients. 2021 Apr 18;13(4):1347. doi: 10.3390/nu13041347. PMID: 33919512; PMCID: PMC8074087.
Amaya, S.C.; Savaris, R.F.; Filipovic, C.J.; Wise, J.D.; Hestermann, E.; Young, S.L.; Lessey, B.A. Resveratrol and endometrium: A closer look at an active ingredient of red wine using in vivo and in vitro models. Reprod. Sci. 2014, 21, 1362–1369
Vallée, A.; Lecarpentier, Y. Curcumin and endometriosis. Int. J. Mol. Sci. 2020, 21, 2440.
Bruner-Tran KL, Osteen KG, Taylor HS, Sokalska A, Haines K, Duleba AJ. Resveratrol inhibits development of experimental endometriosis in vivo and reduces endometrial stromal cell invasiveness in vitro. Biol Reprod. 2011 Jan;84(1):106-12. doi: 10.1095/biolreprod.110.086744. Epub 2010 Sep 15. PMID: 20844278; PMCID: PMC3012565.
Kolahdouz-Mohammadi R, Shidfar F, Khodaverdi S, Arablou T, Heidari S, Rashidi N, Delbandi AA. Resveratrol treatment reduces expression of MCP-1, IL-6, IL-8 and RANTES in endometriotic stromal cells. J Cell Mol Med. 2021 Jan;25(2):1116-1127. doi: 10.1111/jcmm.16178. Epub 2020 Dec 15. PMID: 33325132; PMCID: PMC7812293.
Arablou T, Delbandi AA, Khodaverdi S, Arefi S, Kolahdouz-Mohammadi R, Heidari S, Mohammadi T, Aryaeian N. Resveratrol reduces the expression of insulin-like growth factor-1 and hepatocyte growth factor in stromal cells of women with endometriosis compared with nonendometriotic women. Phytother Res. 2019 Apr;33(4):1044-1054. doi: 10.1002/ptr.6298. Epub 2019 Mar 6. PMID: 30838714.
Maia H Jr, Haddad C, Pinheiro N, Casoy J. Advantages of the association of resveratrol with oral contraceptives for management of endometriosis-related pain. Int J Womens Health. 2012;4:543-9. doi: 10.2147/IJWH.S36825. Epub 2012 Oct 10. PMID: 23091400; PMCID: PMC3474155.
Khodarahmian M, Amidi F, Moini A, Kashani L, Salahi E, Danaii-Mehrabad S, Nashtaei MS, Mojtahedi MF, Esfandyari S, Sobhani A. A randomized exploratory trial to assess the effects of resveratrol on VEGF and TNF-α 2 expression in endometriosis women. J Reprod Immunol. 2021 Feb;143:103248. doi: 10.1016/j.jri.2020.103248. Epub 2020 Nov 13. PMID: 33387724.
Zhang Y, Cao H, Yu Z, Peng HY, Zhang CJ. Curcumin inhibits endometriosis endometrial cells by reducing estradiol production. Iran J Reprod Med. 2013 May;11(5):415-22. PMID: 24639774; PMCID: PMC3941414.
Chowdhury I, Banerjee S, Driss A, Xu W, Mehrabi S, Nezhat C, Sidell N, Taylor RN, Thompson WE. Curcumin attenuates proangiogenic and proinflammatory factors in human eutopic endometrial stromal cells through the NF-κB signaling pathway. J Cell Physiol. 2019 May;234(5):6298-6312. doi: 10.1002/jcp.27360. Epub 2018 Sep 27. PMID: 30259980; PMCID: PMC6344303.
Markowska A, Antoszczak M, Markowska J, Huczyński A. The Role of Selected Dietary Factors in the Development and Course of Endometriosis. Nutrients. 2023 Jun 16;15(12):2773. doi: 10.3390/nu15122773. PMID: 37375677; PMCID: PMC10303755.
Abramiuk M, Mertowska P, Frankowska K, Świechowska-Starek P, Satora M, Polak G, Dymanowska-Dyjak I, Grywalska E. How Can Selected Dietary Ingredients Influence the Development and Progression of Endometriosis? Nutrients. 2024 Jan 2;16(1):154. doi: 10.3390/nu16010154. PMID: 38201982; PMCID: PMC10781184.
Rashidi N, Arefi S, Sadri M, Delbandi AA. Effect of active vitamin D on proliferation, cell cycle and apoptosis in endometriotic stromal cells. Reprod Biomed Online. 2023 Mar;46(3):436-445. doi: 10.1016/j.rbmo.2022.11.009. Epub 2022 Nov 18. PMID: 36588053.
Mehdizadehkashi A, Rokhgireh S, Tahermanesh K, Eslahi N, Minaeian S, Samimi M. The effect of vitamin D supplementation on clinical symptoms and metabolic profiles in patients with endometriosis. Gynecol Endocrinol. 2021 Jul;37(7):640-645. doi: 10.1080/09513590.2021.1878138. Epub 2021 Jan 29. PMID: 33508990.
Piecuch M, Garbicz J, Waliczek M, Malinowska-Borowska J, Rozentryt P. I Am the 1 in 10-What Should I Eat? A Research Review of Nutrition in Endometriosis. Nutrients. 2022 Dec 11;14(24):5283. doi: 10.3390/nu14245283. PMID: 36558442; PMCID: PMC9783589.
Yalçın Bahat P, Ayhan I, Üreyen Özdemir E, İnceboz Ü, Oral E. Dietary supplements for treatment of endometriosis: A review. Acta Biomed. 2022 Mar 14;93(1):e2022159. doi: 10.23750/abm.v93i1.11237. PMID: 35315418; PMCID: PMC8972862.
Nodler JL, DiVasta AD, Vitonis AF, Karevicius S, Malsch M, Sarda V, Fadayomi A, Harris HR, Missmer SA. Supplementation with vitamin D or ω-3 fatty acids in adolescent girls and young women with endometriosis (SAGE): a double-blind, randomized, placebo-controlled trial. Am J Clin Nutr. 2020 Jul 1;112(1):229-236. doi: 10.1093/ajcn/nqaa096. PMID: 32453393; PMCID: PMC7326593.
Sienko A, Cichosz A, Urban A, Smolarczyk R, Czajkowski K, Sienko J. The effect of two anti-inflammatory dietary components, omega-3 and resveratrol, on endometriosis. Ginekol Pol. 2023 Sep 29. doi: 10.5603/gpl.97573. Epub ahead of print. PMID: 37768015.
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