Reacción a "Malaria compound to treat polycystic ovary syndrome"
Cristina Carrasco Romero
Substitute lecturer and researcher at the Department of Physiology, Faculty of Medicine and Health Sciences of the University of Extremadura
This research demonstrates the effectiveness of the therapeutic application of compounds derived from the Artemisia plant, known as artemisinins, in polycystic ovary syndrome (PCOS). This is one of the most common endocrine disorders in women of reproductive age, which impairs their quality of life and even their reproductive capacity. Generally, it is characterized by an excess of male hormones or androgens, which are primarily responsible for some of the typical symptoms, such as ovulation disturbances, numerous cysts in the ovaries, and, in some cases, metabolic problems. Currently, available therapeutic options are scarce, limited to alleviating symptoms, and have undesirable side effects. Hence the importance of finding new effective and safe treatments that directly address androgen overproduction.
In this interesting study published by the journal Science, the research team explores in depth the physiological effect of artemisinins and their derivatives, not only in isolated cells and animal models of this syndrome but also in patients. Through successive meticulously conducted experiments, they precisely identify the therapeutic target of these compounds, ruling out any effect on the levels of other hormones or proteins involved in the process, or on the androgen-producing cells themselves. Thus, the results show that artemisinins are capable of reducing the levels of the enzyme responsible for the first step in androgen synthesis, called CYP11A1. Specifically, these plant derivatives act as a 'molecular glue' between this enzyme and the LONP1 protein, located in the mitochondria and responsible for its degradation, ultimately inhibiting ovarian androgen overproduction, such as testosterone. Following these molecular findings, the researchers conducted a pilot study in 19 women with polycystic ovary syndrome that confirmed the effectiveness of oral artemisinin administration for 12 weeks, reducing serum androgen levels, improving the morphology of polycystic ovaries, and restoring menstrual cycles in 63% of the patients.
It is worth noting that this would be the first study on the potential therapeutic application of artemisinins, widely recognized as a treatment for malaria, in polycystic ovary syndrome. However, as with all research, there are certain limitations that could influence the results obtained. In this regard, the authors point out that it is necessary to develop animal models that accurately reproduce the pathology in women to extrapolate the experimental evidence and determine both the optimal dose and long-term effects.
In summary, this brilliant research reinforces the promising future in the research, development, and clinical application of plant extracts in female reproductive disorders, which experimentally show greater efficacy and safety than conventional treatments. In this case, we would also be talking about the repositioning of an antimalarial drug for use in women's health. Undoubtedly, more scientific studies like this one are needed to expand our knowledge about the pathophysiology of highly prevalent diseases among women, as an essential step for successful treatment in all aspects.