Gynecology and Reproductive Endocrinology

All submissions of the EM system will be redirected to Online Manuscript Submission System. Authors are requested to submit articles directly to Online Manuscript Submission System of respective journal.
Reach Us +1 (629)348-3199

Perspective - Gynecology and Reproductive Endocrinology (2024) Volume 8, Issue 5

Carnitine as a Potential Therapeutic Agent in PCOS: Impacts on Metabolism and Hormonal Balance

Ashraf Zanatta *

Department of Life, University of L'Aquila, Italy

*Corresponding Author:
Ashraf Zanatta
Department of Life, University of L'Aquila, Italy
E-mail: azanatta@uol.it.org

Received: 20-Aug-2024, Manuscript No. AAGGS-24-154852; Editor assigned: 21-Aug-2024, PreQC No. AAGGS-24-154852(PQ); Reviewed: 04-Sep-2024, QC No. AAGGS-24-154852Revised: 09-Sep-2024, Manuscript No. AAGGS-24-154852 (R); Published: 16-Sep-2024, DOI: 10.35841/aajnnr-8.5.222

Citation: : Zanatta A. Carnitine as a potential therapeutic agent in PCOS: Impacts on metabolism and hormonal balance. Gynecol Reprod Endocrinol.2024;8(5):222

Visit for more related articles at Gynecology and Reproductive Endocrinology

Introduction

Carnitine, a naturally occurring compound primarily involved in fatty acid metabolism, has garnered attention as a potential therapeutic agent in managing Polycystic Ovary Syndrome (PCOS), a common endocrine disorder affecting women of reproductive age [1]. PCOS is often characterized by insulin resistance, hormonal imbalances, and metabolic disturbances, which contribute to the disorder’s symptoms, including irregular menstrual cycles, infertility, and excessive androgen production [2]. The potential role of carnitine in mitigating some of these issues lies in its ability to improve metabolic function and restore hormonal balance [3].

Carnitine plays a pivotal role in the transport of long-chain fatty acids into mitochondria for beta-oxidation, thus facilitating energy production [4]. In women with PCOS, insulin resistance and obesity are common, leading to an increased risk of metabolic syndrome. Carnitine supplementation has shown promise in improving insulin sensitivity by enhancing glucose metabolism, a key factor in managing PCOS-related metabolic disturbances [5].

Studies have reported that carnitine supplementation can reduce insulin resistance and lower circulating insulin levels, which are typically elevated in women with PCOSarnitine has been observed to exert positive effects on hormonal balance, particularly in reducing elevated androgen levels, which are a hallmark of PCOS [6].

High androgen levels contribute to symptoms such as hirsutism, acne, and alopecia. Research suggests that carnitine’s ability to modulate hormonal profiles might be linked to its influence on lipid metabolism and oxidative stress reduction [7]. By decreasing oxidative stress and improving mitochondrial function, carnitine may help lower the production of excess androgens by the ovaries and adrenal glands. This reduction in androgen levels could, in turn, help alleviate some of the physical manifestations of PCOS [8].

Moreover, carnle in reducing oxidative stress is particularly important in PCOS, as women with the condition often exhibit elevated levels of reactive oxygen species (ROS), which contribute to cellular damage and exacerbate both metabolic and reproductive dysfunctions [9]. By acting as an antioxidant, carnitine helps mitigate this oxidative damage, potentially improving ovarian function and the overall reproductive health of women with PCOS [10].

Conclusion

Carnitine holds promise as a therapeutic agent in the management of PCOS by addressing both metabolic and hormonal imbalances. While further research is needed to fully understand its mechanisms and efficacy, the existing evidence supports the potential benefits of carnitine supplementation in improving insulin sensitivity, reducing oxidative stress, and normalizing androgen levels in women with PCOS.

References

  1. Majidi FZ, Rezaei N, Zare Z, et al. The protective effects of L-Carnitine and zinc oxide nanoparticles against diabetic injury on sex steroid hormones levels, oxidative stress, and ovarian histopathological changes in rat. Reprod Sci. 2021;28:888-96.
  2. Indexed at, Google Scholar, Cross Ref

  3. Zhu TW, Li XL. Berberine interacts with gut microbiota and its potential therapy for polycystic ovary syndrome. Clin Exp Pharmacol Physiol. 2023 Nov;50(11):835-43.
  4. Indexed at, Google Scholar, Cross Ref

  5. Papalou O, M. Victor V, Diamanti-Kandarakis E. Oxidative stress in polycystic ovary syndrome. Curr. Pharm. Des. 2016;22(18):2709-22.
  6. Google Scholar

  7. Zhou N, Lv W, Chen L, et al. Jujuboside A Attenuates Polycystic Ovary Syndrome Based on Estrogen Metabolism Through Activating AhR-mediated CYP1A2 Expression. Reprod Sci. 2024:1-2.
  8. Indexed at, Google Scholar, Cross Ref

  9. Batra M, Bhatnager R, Kumar A, et al. Interplay between PCOS and microbiome: The road less travelled. Am J Reprod Immunol. 2022;88(2):13580.
  10. Indexed at, Google Scholar, Cross Ref

  11. Begum RF, Mohan S. Insights into vitamin E with combined oral contraceptive on INSR gene in PCOS by integrating in silico and in vivo approaches. Appl Biochem Biotechnol. 2024;196(6):2990-3009.
  12. Indexed at, Google Scholar, Cross Ref

  13. Wal A, Dash B, Jaiswal V, et al. Role of inflammation, oxidative stress, and angiogenesis in polycystic ovary syndrome (PCOS): Current perspectives. Chronic diseases. Inflammation and oxidative stress. 2024:459-85.
  14. Google Scholar

  15. Jala A, Varghese B, Kaur G, et al. Implications of endocrine-disrupting chemicals on polycystic ovarian syndrome: A comprehensive review. Environ Sci Pollut Res Int. 2022;29(39):58484-513.
  16. Indexed at, Google Scholar, Cross Ref

  17. Diamanti-Kandarakis E, Papalou O, Kandaraki EA, et al. Mechanisms in endocrinology: nutrition as a mediator of oxidative stress in metabolic and reproductive disorders in women. European journal of endocrinology. 2017;176(2):R79-99.
  18. Indexed at, Google Scholar, Cross Ref

  19. Verrotti A, Mencaroni E, Cofini M, et al. Valproic acid metabolism and its consequences on sexual functions. Curr Drug Metab. 2016;17(6):573-81.
  20. Indexed at, Google Scholar, Cross Ref

Get the App