Mechanistic Insights into the Anti-Inflammatory and Anti-Proliferative Effects of Selected Medicinal Plants in

Oliwia Burdan1, Natalia Picheta1, Julia Piekarz1

  • 1Students Scientific Association-I Chair and Department of Gynaecological Oncology and Gynaecology, Medical University of Lublin, Staszica 16 Str., 20-081 Lublin, Poland.

Insights

This review explores how four medicinal plants, including turmeric and ginger, can target inflammation and oxidative stress in endometriosis. These natural compounds offer complementary approaches to traditional hormonal therapies for managing endometriosis.

Area of Science:

  • Phytochemistry and Molecular Biology
  • Endocrinology and Reproductive Medicine

Background:

  • Endometriosis is characterized by estrogen-dependent inflammation and abnormal endometrial tissue growth.
  • Current hormonal therapies primarily suppress systemic estrogen, often failing to address local inflammatory and oxidative stress pathways.
  • There is a need for therapeutic strategies that target localized molecular signaling in endometriosis.

Purpose of the Study:

  • To synthesize molecular evidence on four FDA-recognized medicinal plants for endometriosis.
  • To highlight the capacity of phytochemicals from Curcuma longa, Zingiber officinale, Glycyrrhiza glabra, and Silybum marianum to modulate key intracellular pathways implicated in endometriosis.
  • To provide a mechanistic framework for integrating phytotherapy into endometriosis management.

Main Methods:

  • Review of molecular evidence on the mechanisms of action of phytochemicals from selected medicinal plants.
  • Analysis of how these phytochemicals interact with intracellular pathways such as NF-κB, COX-2, PI3K/Akt, Nrf2/ARE, and ERβ.
  • Examination of the impact on cytokine secretion, apoptosis, angiogenesis, and redox balance in endometrial lesions.

Main Results:

  • Curcumin (Curcuma longa) downregulates COX-2 and aromatase, activating Nrf2 signaling.
  • Shogaol (Zingiber officinale) suppresses prostaglandin synthesis and induces apoptosis.
  • Isoliquiritigenin (Glycyrrhiza glabra) inhibits HMGB1-TLR4-NF-κB activation, and silymarin (Silybum marianum) reduces IL-6 and miR-155 while enhancing antioxidant capacity.
  • These phytochemicals target local inflammatory and oxidative circuits, complementing hormonal agents.

Conclusions:

  • Phytochemicals from turmeric, ginger, liquorice, and milk thistle demonstrate pharmacodynamic complementarity with hormonal therapies.
  • These natural compounds target local inflammatory and oxidative signaling pathways, rather than systemic endocrine axes.
  • Redox-inflammatory signaling nodes represent promising future targets for endometriosis treatment.