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Articles

Efficacy and Clinical Significance of the Zuogui Pill on Premature Ovarian Failure via the GDF-9/Smad2 Pathway

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Pages 488-497 | Received 22 May 2022, Accepted 07 Sep 2022, Published online: 04 Oct 2022
 

Abstract

Our study aims to investigate the efficacy and clinical significance of the Zuogui pill (ZGP) on premature ovarian failure (POF) via the GDF-9/Smad2 pathway. Changes in clinical symptoms in the control group (treated with Femoston alone) and the treatment group (treated with ZGP combined with Femoston) were assessed before and after treatment. Sex hormone levels, serum inflammatory cytokine levels, and ultrasound parameters were measured before and after treatment. POF rat models were established using cyclophosphamide and the POF rats were treated with Femoston, or ZGP combined with Femoston. GDF-9 and Smad2 expression levels were determined by RT-qPCR. The follicle-stimulating hormone (FSH), luteinizing hormone (LH), interleukin (IL)-6, and IL-21 levels, and the pulsatility index (PI) and resistance index (RI) values were decreased, while the estradiol (E2) and anti-Mullerian hormone (AMH) levels, antral follicle count (AFC), ovarian volume (OV), mean ovarian diameter (MOD), and peak systolic velocity (PSV) values were increased in the treatment group compared to the control group. After treatment with ZGP combined with Femoston, GDF-9 and Smad2 expression in the ovarian tissues of POF rats increased. ZGP has a therapeutic effect on POF via modulation of the GDF-9/Smad2 pathway.

Authors’ Contributions

Xiaohui Yang finished study design, Su Cen and Xiaojun Qian finished experimental studies, Chunfang Wu finished data analysis, Xinya Xu and Xiaohui Yang finished manuscript editing. All authors read and approved the final manuscript.

Availability of Data and Material

The data that support the findings of this study are available from the corresponding author upon reasonable request.

Disclosure Statement

The authors declare no competing interests.

Additional information

Funding

The authors received no funding from an external source.

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