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Table 1 Basic information of the included studies

From: Efficacy of natural products on premature ovarian failure: a systematic review and meta-analysis of preclinical studies

Study (year)

Natural product (type active ingredient study)

Species (age model group (n)/ treatment group (n) weight)

Experimental model method

Natural product intervention (dose duration route)

Outcomes

Potential mechanisms

Mobasher et al. 2023 [30]

Plant, phytochemicals

polyphenol, resveratrol

Wistar rats (12–16 weeks, 7/7, 200–240 g)

Intraperitoneal injection daily of Cy for 15 days (200 mg/kg + 8 mg/kg/d)

10 mg/kg/d, 3 weeks, via p.o

(8), (9), (10), (11), (13), (14), (16), (23)

Role of iNOS/Caspase-3 Pathway

Luo et al. 2023 [31]

Marine species

marine chemicals

peptides,

sea cucumber peptide

ICR mouse (8–10 weeks, 3–8/3–8, 30 ± 2 g)

A combined intraperitoneal injection of Cy and BU for 1 day (40 mg/ml + 2.4 mg/ml)

0.6 mg/g/d, 5 weeks, via gavage

(6), (7), (8), (9), (11), (12), (20), (21), (22)

Upregulation the expression of Mapk1, Esr1, Gnrh, StAR, Fshr, and Cyp19a1 due to the activation of the cAMP-related signaling pathways

Moradi et al. 2023 [32]

Plant, phytochemicals

alkaloid, capsaicin

Wistar rats (12–16 weeks, 6/6, 210 ± 10 g)

Intraperitoneal injection daily of Cy for 4 days (200 mg/kg + 8 mg/kg/d)

0.5 mg/kg/d, 2 weeks, via i.p

(2), (4), (6), (7), (10), (11), (20), (21)

Upregulation the expression of BAX gene and decrease the expression of apoptosis inducing genes (BCL-2 and P53).

Moradi et al. 2023 [32]

Plant, phytochemicals

Flavonol, quercetin

View full size image

Wistar rats (12–16 weeks, 6/6, 210 ± 10 g)

Intraperitoneal injection daily of Cy for 4 days (200 mg/kg + 8 mg/kg/d)

100 mg/kg/d, 2 weeks, via i.p

(2), (4), (6), (7), (10), (11), (20), (21)

Upregulation the expression of BAX gene and decrease the expression of apoptosis inducing genes (BCL-2 and P53).

Ä°lgen et al. 2023 [33]

Plant, phytochemicals

quaternary ammonium salt of an isoquinoline alkaloid, berberine

View full size image

Wistar rats (not mention, 7/7, 180–220 g)

Intraperitoneal injection daily of Cy for 15 days (50 mg/kg + 8 mg/kg/d)

200 mg/kg/d, 2 weeks, via gavage

(1), (2), (3), (23), (24), (25)

Protective and/or therapeutic effects of reduction proinflammatory cytokines (TNF-α, IL-1, and IL-6)

Xin et al. 2023 [34]

Plant, phytochemicals

biphenyls, honokiol

C57BL/6 mice (7 weeks, 5/5, 16–19 g)

A single dose of whole-body gamma radiation (3.2 Gy, XCELL 160) with a dose rate of 0.4975 Gy/min

10 mg/kg/d, 1 week, via i.p

(1), (4), (5), (6), (7), (13), (18), (19), (20), (21), (22), (24)

Inhibition apoptosis and pyroptosis by enhancing HO-1 and Nrf2 expression and nucleus translocation

Wang et al. 2023 [35]

Plant, phytochemicals

imidazolidine-2,4-dione, allantoin

Sprague-Dawley rats (not mention, 3–10/3–10, 180–220 g)

Intraperitoneal injection daily of Cy for 21 days (75 mg/kg/d)

140 mg/kg/d, 3 weeks, not mention

(7), (8), (9), (20), (21), (24)

Attenuation of the apoptosis, autophagy, and pyroptosis

Zhang et al. 2022 [36]

Plant, phytochemicals

coumarine, daphnetin

C57BL/6 mice (6–8 weeks, 5/5, not mention)

Subcutaneous injection daily of D-gal for 42 days (600 mg/kg/d)

30 mg/kg/d, 6 weeks, via i.p

(1), (2), (3), (4), (5), (7), (8), (14), (16), (18), (19)

Activation of the antioxidant and anti-senescent signaling pathways

Li et al. 2022 [37]

Plant, phytochemicals

flavone, chrysin

View full size image

C57BL/6 mice (7–8 weeks, 20/20, not mention)

Subcutaneous injection daily of D-gal for 42 days (200 mg/kg/d)

144.4 mg/kg/d, not mention, not mention

(2), (3), (4), (6), (7), (8), (10), (11), (13), (14), (17), (20), (21), (22), (23), (24), (25)

Reduction of inflammation and oxidative stress; inhibition of cell apoptosis

Zhao et al. 2022 [38]

Marine species

marine chemicals

peptides,

tilapia skin peptides

C57BL/6 mice (7–8 weeks, 3–15/3–15, not mention)

Intraperitoneal injection daily of Cy for 14 days (10 mg/kg/d)

1000 mg/kg/d, 4 weeks, via gavage

(1), (2), (3), (4), (5), (7), (8), (9), (10), (11), (12), (13), (14), (18), (19), (20), (21), (22)

Inhibition of oxidative stress; regulation Bcl-2/Bax/caspase-3 apoptosis pathway; enhancement of the Nrf2/HO-1 signaling pathway

Wu et al. 2022 [3]

Plant, phytochemicals

quaternary ammonium salt of an isoquinoline alkaloid, berberine

View full size image

Sprague–Dawley rats (not mention, 6/6, 250 g)

Intraperitoneal injection daily of Cy for 15 days (50 mg/kg + 8 mg/kg/d)

400 mg/kg/d, 4 weeks, via gavage

(6), (7), (8), (9), (12)

Inhibition of the PTEN/AKT1/FoxO1 signaling pathway

Barberino et al. 2022 [39]

Plant, phytochemicals

flavane, EGCG

View full size image

Swiss mice (8 weeks, 5/5, 30–35 g)

Intraperitoneal injection singly of Cy for 1 day (200 mg/kg)

50 mg/kg/d, 3 days, via i.p

(1), (2), (5), (16)

Suppression of inflammation and apoptosis; regulation of the Akt/FOXO3a/rpS6 signaling pathway

Zheng et al. 2022 [40]

Plant, phytochemicals

Flavonol, quercetin

View full size image

Sprague-Dawley rats (12 weeks, 15/15, 260 ± 20 g)

Intraperitoneal injection singly of Cy for 1 day (100 mg/kg)

100 mg/kg/d, 6 weeks, via gavage

(1), (2), (3), (4), (5), (6), (7), (8), (9), (12), (13), (14), (15), (17)

Inhibition of oxidative stress level and regulation of the PI3K/Akt/FoxO3a signalling pathway

Ibrahim et al. 2021 [41]

Plant, phytochemicals

polyphenol, resveratrol

Wistar rats (12–14 weeks, 8/8, 180–200 g)

Intraperitoneal injection singly of CDDP for 1 day (7 mg/kg)

10 mg/kg/d, 4 weeks, via gavage

(7), (8), (10), (13), (14), (15), (16), (23), (24), (25)

Attenuation of oxidative stress, inflammation and apoptosis

Chen et al. 2021 [42]

Plant, phytochemicals

isoflavone, puerarin

View full size image

Kunming mice (8 weeks, 10/10, 25–30 g)

A combined intraperitoneal injection of Cy and BU for 1 day (120 mg/kg + 30 mg/kg)

200 mg/kg/d, 4 weeks, via gavage

(1), (2), (3), (4), (5), (18), (20), (21)

Involvement of the Wnt/β-catenin signaling pathway, as well as relief of oxidative stress

Jiang et al. 2019 [43]

Plant, phytochemicals

polyphenol, resveratrol

Kunming mice (6 weeks, 6/6, not mention)

A combined intraperitoneal injection of Cy and BU for 1 day (120 mg/kg + 30 mg/kg)

40 mg/kg/d, 4 weeks, via gavage

(1), (2), (3), (4), (5), (11), (12), (13), (14), (15), (23), (25)

Relief of oxidative stress and inflammation; involvement of the Hh signaling pathway

Li et al. 2020 [44]

Marine species

marine chemicals

peptides,

oyster polypeptides

C57BL/6 mice (7–8 weeks, 6–10/6–10, 18–22 g)

Subcutaneous injection daily of D-gal for 42 days (200 mg/kg/d)

1000 mg/kg/d, 6 weeks, via gavage

(1), (2), (3), (4), (5), (6), (8), (9), (10), (13), (14), (22)

Rescue of ovarian oxidative damage; reduction of apoptosis

Delkhosh et al. 2019 [45]

Coenzyme

in vivo chemicals

benzoquinone

coenzyme Q10

NMRI mice (8–10 weeks, 8/8, 20–25 g)

Intraperitoneal injection daily of Cy for 21 days (20 mg/kg/d)

22 mg/kg every other day, 3 weeks, via i.p

(1), (2), (4)

Exertion the antioxidant and proliferative properties

Mahran et al. 2019 [46]

Plant, phytochemicals

monoterpenoid, carvacrol

Wister rats (23 days, 5–6/5–6, not mention)

A single dose of whole-body gamma radiation (3.2 Gy, LD20) with a doserate of 0.48 Gy/min

80 mg/kg/d, 5 days, via i.p

(6), (7), (8), (12), (23)

Counteraction of oxidative stress and dysregulation of the cross-talk between IGF-1 and TNF-α

Mahran et al. 2019 [46]

Plant, phytochemicals

monoterpenoid, thymol

Wister rats (23 days, 5–6/5–6, not mention)

A single dose of whole-body gamma radiation (3.2 Gy, LD20) with a dose rate of 0.48 Gy/min

80 mg/kg/d, 5 days, via i.p

(6), (7), (8), (12), (23)

Counteraction of oxidative stress and dysregulation of the cross-talk between IGF-1 and TNF-α

Li et al. 2019 [47]

Plant, phytochemicals

glycosyloxyflavone

icariin

View full size image

C57BL/6 mice (not mention, 10/10, not mention)

Subcutaneous injection daily of D-gal for 42 days (200 mg/kg/d)

100 mg/kg/d, 6 weeks, via i.p

(1), (2), (3), (4), (5), (6), (7), (8), (9)

Promotion of DNA damage repair and attenuation ovarian injury

Mantawy et al. 2019 [27]

Plant, phytochemicals

flavone, chrysin

View full size image

Sprague–Dawley rats (3 weeks, 5–12/5–12, 40–50 g)

A single dose of whole-body gamma-radiation (3.2 Gy, LD20) with a dose rate of 0.48 Gy/min

50 mg/kg/d, 17 days, via p.o

(1), (4), (5), (7), (12), (23)

Downregulation of the TGF-β/MAPK signaling pathway and hinder of inflammatory and apoptotic signal transduction pathways

Yan et al. 2018 [48]

Plant, phytochemicals

polyphenol, curcumin

C57BL/6 mice (7–8 weeks, 8–10/8–10, not mention)

Subcutaneous injection daily of D-gal for 42 days (200 mg/kg/d)

100 mg/kg/d, 6 weeks, via i.p

(1), (2), (3), (4), (5), (7), (8), (9), (10), (13), (14), (18), (19), (22)

Inhibition of oxidative stress and apoptosis; regulation of the Nrf2/HO-1 and the PI3K/Akt signaling pathways

Melekoglu et al. 2018 [49]

Plant, phytochemicals

polyphenol, curcumin

Wister rats (3–4 months, 10/10, not mention)

Intraperitoneal injection daily of Cy for 15 days (200 mg/kg + 8 mg/kg/d)

100 mg/kg/d, 2 weeks, not mention

(6), (7), (8), (9), (13), (14), (15), (16)

Improvement of oxidative stress marker levels and ovarian reserve marker levels

Melekoglu et al. 2018 [49]

Plant, phytochemicals

polyphenol, capsaicin

Wister rats (3–4 months, 10/10, not mention)

Intraperitoneal injection daily of Cy for 15 days (200 mg/kg + 8 mg/kg/d)

0.5 mg/kg/d, 2 weeks, not mention

(6), (7), (8), (9), (13), (14), (15), (16)

Improvement of oxidative stress marker levels and ovarian reserve marker levels

Wu et al. 2018 [50]

Plant, phytochemicals

polysaccharides, dendrobium officinal polysaccharides

Kunming mice (15 months, 6–14/6–14, not mention)

NA

70 mg/kg/d, 10 weeks, via p.o

(7), (11), (12), (13), (14), (17), (22), (23), (25)

Reduction of pro-inflammatory cytokines and oxidative stress levels; inhibition of the NF-κB/p53/Bcl-2 mediate signaling pathways; protection and increase of the numbers of mitochondria and endoplasmic reticulum

He et al. 2017 [51]

Plant, phytochemicals

Steroid glycosides and triterpene saponins,

ginsenoside Rg1

C57BL/6 mice (3 months, 25/25, not mention)

Subcutaneous injection daily of D-gal for 42 days (200 mg/kg/d)

20 mg/kg/d, 4 weeks, via s.c

(1), (3), (4), (6), (7), (8), (11), (13), (14), (17), (23), (24), (25)

Enhancement of the anti-inflammatory and antioxidant capacities; reduction of the expression of senescence signal pathway proteins

Soliman Said et al. 2016 [52]

Plant, phytochemicals

polyphenol, resveratrol

Sprague–Dawley rats (23 days, 6–12/6–12, 30–40 g)

A single dose of whole-body gamma-radiation (3.2 Gy, LD20) with a dose rate of 0.48 Gy/min

25 mg/kg/d, 17 days, via p.o

(1), (4), (5), (6), (11), (12)

Inhibition of NF-κB provoked inflammatory cytokines and diminishment of the ovarian inflammation; upregulation of the PPAR-γ and SIRT1 expression

  1. (1): counts of primordial follicles; (2): counts of primary follicles; (3): counts of secondary follicles; (4): counts of antral follicles; (5): counts of atretic follicles; (6): AMH; (7): E2; (8): FHS; (9): LH; (10): P; (11): body weight; (12): ovarian index; (13): MDA; (14): SOD; (15): CAT; (16): GSH; (17): GSH-Px; (18): Nrf2; (19): HO-1; (20): Bax; (21): Bcl-2; (22): GC’s apoptosis; (23): TNF-α; (24): IL-1β; (25): IL-6
  2. EGCG Epigallocatechin-3-gallate, AMH Anti miillerian hormone, E2 Estradiol, FSH Follicle-stimulating hormone, LH Luteinizing hormone, P Progesterone, MDA Malondialdehyde, SOD The activity of superoxide dismutase, CAT Catalase, GSH Glutathione, GSH-Px Glutathione peroxidase, Nrf-2 Nuclear factor-erythroid 2-related factor 2, HO-1 Hemeoxy genase-1, Bax Bcl-2-associated x, Bcl-2 B-cell lymphoma-2, GC Granulosa cell, TNF-α Tumor necrosis factor alpha, IL-1β Interleukin 1β, IL-6 Interleukin 6, D-gal D-galactose, Cy Cyclophosphamide, CDDP Cisplatin (CDDP), Bu Busulfan, GR Gamma radiation, Gy Gray, NA Natural aging, i.p. Intraperitoneal, p.o. Oral, s.c. Subcutaneous, FOXO1 Forkhead box O1, AKT1 AKT serine/threonine kinase 1, PTEN Phosphatase and tensin homologue, PI3K Phosphoinositide 3-kinase, Akt Protein kinase B; FoxO3a Forkhead box O3, RPS6 Ribosomal protein S6, Wnt Wingless/integrated signaling, β-catenin Beta-catenin, Hh Hedgehog, IGF-1 Insulin-like growth factor 1, TGF-β Transforming growth factor beta, MAPK Mitogen-activated protein kinase, NF-κB Nuclear factor kappa B, PPAR-γ Peroxisome proliferator-activated receptor-gamma, SIRT1 Sirtuin 1