Effects of Citrus on oxidative stress and lipid metabolism modulation: its potential for improving female reproductive health.

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Abstract

Citrus, which has been consumed internationally for a long time, is widely used as a health food. Citrus and its active components exert significant effects on oxidative stress and lipid metabolism, which are closely associated with female reproductive health. Studies suggest that citrus-derived compounds may alleviate oxidative stress by activating signaling pathways such as nuclear factor erythroid 2-related factor 2 (Nrf2) and Sirtuin 1 (SIRT1), and improve lipid metabolism through the activation of pathways such as peroxisome proliferator-activated receptor α (PPARα). This review focuses on the effects of Citrus on oxidative stress and lipid metabolism, aiming to provide new insights for promoting female reproductive health; however, further work is needed to elucidate the mechanisms involved and validate the therapeutic potential of Citrus's bioactive components in clinical settings.
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Abstract

Citrus, which has been consumed internationally for a long time, is widely used as a health food. Citrus and its active components exert significant effects on oxidative stress and lipid metabolism, which are closely associated with female reproductive health. Studies suggest that citrus-derived compounds may alleviate oxidative stress by activating signaling pathways such as nuclear factor erythroid 2-related factor 2 (Nrf2) and Sirtuin 1 (SIRT1), and improve lipid metabolism through the activation of pathways such as peroxisome proliferator-activated receptor α (PPARα). This review focuses on the effects of Citrus on oxidative stress and lipid metabolism, aiming to provide new insights for promoting female reproductive health; however, further work is needed to elucidate the mechanisms involved and validate the therapeutic potential of Citrus’s bioactive components in clinical settings. 摘要 柑橘在国际上拥有悠久的食用历史, 广泛被用作健康食品。 柑橘及其活性成分对氧化应激和脂质代谢具有显著的调节作用, 这些因素与女性生殖健康密切相关。 研究表明, 柑橘来源的化合物可能通过激活 Nrf2 和 SIRT1 等信号通路缓解氧化应激, 并通过激活包括 PPARα 在内的信号通路改善脂质代谢。 本文综述了柑橘对氧化应激和脂质代谢的影响, 旨在为促进女性生殖健康提供新思路。 然而, 仍需进一步的研究明确其作用机制, 且柑橘活性成分的临床治疗潜力仍有待验证。 Similar content being viewed by others

References

Abo-Zaid OAR, Moawed FSM, Ismail ES, et al., 2023. β-Sitosterol attenuates high-fat diet-induced hepatic steatosis in rats by modulating lipid metabolism, inflammation and ER stress pathway. BMC Pharmacol Toxicol, 24:31. https://doi.org/10.1186/s40360-023-00671-0 Agarwal A, Gupta S, Sharma RK, 2005. Role of oxidative stress in female reproduction. Reprod Biol Endocrinol, 3:28. https://doi.org/10.1186/1477-7827-3-28 Alam F, Mohammadin K, Shafique Z, et al., 2022. Citrus flavonoids as potential therapeutic agents: a review. PhytotherRes, 36(4):1417–1441. https://doi.org/10.1002/ptr.7261 Alam MA, Subhan N, Rahman MM, et al., 2014. Effect of citrus flavonoids, naringin and naringenin, on metabolic syndrome and their mechanisms of action. Adv Nutr, 5(4):404–417. https://doi.org/10.3945/an.113.005603 Alimohammadi M, Mohammad RN, Rahimi A, et al., 2022. The effect of immunomodulatory properties of naringenin on the inhibition of inflammation and oxidative stress in autoimmune disease models: a systematic review and meta-analysis of preclinical evidence. Inflamm Res, 71(10–11):1127–1142. https://doi.org/10.1007/s00011-022-01599-7 Amini L, Chekini R, Nateghi MR, et al., 2021. The effect of combined vitamin C and vitamin E supplementation on oxidative stress markers in women with endometriosis: a randomized, triple-blind placebo-controlled clinical trial. Pain Res Manag, 2021:5529741. https://doi.org/10.1155/2021/5529741 Anandakumar P, Kamaraj S, Vanitha MK, 2021. d-Limonene: a multifunctional compound with potent therapeutic effects. J Food Biochem, 45:e13566. https://doi.org/10.1111/jfbc.13566 Annunziata F, Pinna C, Dallavalle S, et al., 2020. An overview of coumarin as a versatile and readily accessible scaffold with broad-ranging biological activities. Int J Mol Sci, 21(13):4618. https://doi.org/10.3390/ijms21134618 Ashrafizadeh M, Ahmadi Z, Mohammadinejad R, et al., 2020. Tangeretin: a mechanistic review of its pharmacological and therapeutic effects. J Basic Clin Physiol Pharmacol, 31(4):20190191. https://doi.org/10.1515/jbcpp-2019-0191 Bedaiwy MA, Falcone T, 2003. Peritoneal fluid environment in endometriosis. Clinicopathological implications. Minerva Ginecol, 55(4):333–345. Bhatt-Wessel B, Jordan TW, Miller JH, et al., 2018. Role of DGAT enzymes in triacylglycerol metabolism. Arch Biochem Biophys, 655:1–11. https://doi.org/10.1016/j.abb.2018.08.001 Bougarne N, Weyers B, Desmet SJ, et al., 2018. Molecular actions of PPARa in lipid metabolism and inflammation. Endocr Rev, 39(5):760–802. https://doi.org/10.1210/er.2018-00064 Burke AC, Telford DE, Edwards JY, et al., 2019. Naringenin supplementation to a chow diet enhances energy expenditure and fatty acid oxidation, and reduces adiposity in lean, pair-fed Ldlr−/− mice. Mol Nutr Food Res, 63(6):1800833. https://doi.org/10.1002/mnfr.201800833 Cajas YN, Canon-Beltrán K, de Guevara ML, et al., 2020. Antioxidant nobiletin enhances oocyte maturation and subsequent embryo development and quality. Int J Mol Sci, 21(15):5340. https://doi.org/10.3390/ijms21155340 Chen HF, Zhang WG, Yuan JB, et al., 2012. Simultaneous quantification of polymethoxylated flavones and coumarins in Fructus aurantii and Fructus aurantii immaturus using HPLC-ESI-MS/MS. J Pharm Biomed Anal, 59:90–95. https://doi.org/10.1016/j.jpba.2011.10.013 Chen XL, Wei W, Li YZ, et al., 2019. Hesperetin relieves cisplatin-induced acute kidney injury by mitigating oxidative stress, inflammation and apoptosis. Chem Biol Interact, 308:269–278. https://doi.org/10.1016/j.cbi.2019.05.040 Chen Y, Zhao Y, Miao CY, et al., 2022. Quercetin alleviates cyclophosphamide-induced premature ovarian insufficiency in mice by reducing mitochondrial oxidative stress and pyroptosis in granulosa cells. J Ovarian Res, 15:138. https://doi.org/10.1186/s13048-022-01080-3 Chhikara N, Kour R, Jaglan S, et al., 2018. Citrus medica: nutritional, phytochemical composition and health benefits—a review. Food Funct, 9(4):1978–1992. https://doi.org/10.1039/c7fo02035j Cushnie TPT, Lamb AJ, 2005. Antimicrobial activity of flavonoids. Int J Antimicrob Agents, 26(5):343–356. https://doi.org/10.1016/j.ijantimicag.2005.09.002 da Cruz LF, de Figueiredo GF, Pedro LP, et al., 2020. Umbelliferone (7-hydroxycoumarin): a non-toxic antidiarrheal and antiulcerogenic coumarin. Biomed Pharmacother, 130:110843. https://doi.org/10.1016/j.biopha.2020.110432 Dabravolski SA, Nikiforov NG, Eid AH, et al., 2021. Mitochondrial dysfunction and chronic inflammation in polycystic ovary syndrome. Int J Mol Sci, 22(8):3923. https://doi.org/10.3390/ijms22083923 Dosoky NS, Setzer WN, 2018. Biological activities and safety of Citrus spp. essential oils. Int J Mol Sci, 19(7):1966. https://doi.org/10.3390/ijms19071966 Dubey P, Reddy S, Boyd S, et al., 2021. Effect of nutritional supplementation on oxidative stress and hormonal and lipid profiles in PCOS-affected females. Nutrients, 13(9):2938. https://doi.org/10.3390/nu13092938 El-Saad AMA, Abdel-Wahab WM, 2020. Naringenin attenuates toxicity and oxidative stress induced by lambda-cyhalothrin in liver of male rats. Pak J Biol Sci, 23(4):510–517. https://doi.org/10.3923/pjbs.2020.510.517 Fugh-Berman A, Myers A, 2004. Citrus aurantium, an ingredient of dietary supplements marketed for weight loss: current status of clinical and basic research. Exp Biol Med, 229(8):698–704. https://doi.org/10.1177/153537020422900802 Gao TH, Jiang MY, Deng B, et al., 2021. Aurantii Fructus: a systematic review of ethnopharmacology, phytochemistry and pharmacology. Phytochem Rev, 20(5):909–944. https://doi.org/10.1007/s11101-020-09725-1 Garg SS, Gupta J, Sahu D, et al., 2022. Pharmacological and therapeutic applications of esculetin. Int J Mol Sci, 23(20):12643. https://doi.org/10.3390/ijms232012643 Ge MX, Shao RG, He HW, 2019. Advances in understanding the regulatory mechanism of cholesterol 7α-hydroxylase. Biochem Pharmacol, 164:152–164. https://doi.org/10.1016/j.bcp.2019.04.008 Guan GQ, Chen YX, Dong YL, 2025. Unraveling the AMPK-SIRT1-FOXO pathway: the in-depth analysis and breakthrough prospects of oxidative stress-induced diseases. Antioxidants, 14(1):70. https://doi.org/10.3390/antiox14010070 Gunasekaran B, Shukor MY, 2020. HMG-CoA reductase as target for drug development. In: Labrou NE (Ed.), Targeting Enzymes for Pharmaceutical Development. Humana, New York, p.245–250. https://doi.org/10.1007/978-1-0716-0163-1_16 Günenc AN, Graf B, Stark H, et al., 2022. Fatty acid synthase: structure, function, and regulation. In: Harris JR, Marles-Wright J (Eds.), Macromolecular Protein Complexes IV. Springer, Cham, p.1–33. https://doi.org/10.1007/978-3-031-00793-4_1 Gungor ANC, Gencer M, Karaca T, et al., 2014. The effect of hesperetin on ischemia-reperfusion injury in rat ovary. Arch Gynecol Obstet, 290(4):763–769. https://doi.org/10.1007/s00404-014-3267-8 Guo F, Gong ZT, Fernando T, et al., 2022. The lipid profiles in different characteristics of women with PCOS and the interaction between dyslipidemia and metabolic disorder states: a retrospective study in Chinese population. Front Endocrinol, 13:892125. https://doi.org/10.3389/fendo.2022.892125 Haaz S, Fontaine KR, Cutter G, et al., 2006. Citrus aurantium and synephrine alkaloids in the treatment of overweight and obesity: an update. Obes Rev, 7(1):79–88. https://doi.org/10.1111/j.1467-789X.2006.00195.x Harris HR, Eke AC, Chavarro JE, et al., 2018. Fruit and vegetable consumption and risk of endometriosis. Hum Reprod, 33(4):715–727. https://doi.org/10.1093/humrep/dey014 Hosseinimehr SJ, Tavakoli H, Pourheidari G, et al., 2003. Radioprotective effects of citrus extract against γ-irradiation in mouse bone marrow cells. J Radiat Res, 44(3):237–241. https://doi.org/10.1269/jrr.44.237 Hu XY, Wang WY, Su XH, et al., 2023. Comparison of nutritional supplements in improving glycolipid metabolism and endocrine function in polycystic ovary syndrome: a systematic review and network meta-analysis. PeerJ, 11:e16410. https://doi.org/10.7717/peerj.16410 Ji MT, Deng Z, Rong XY, et al., 2023. Naringenin prevents oxidative stress and inflammation in LPS-induced liver injury through the regulation of lncRNA-mRNA in male mice. Molecules, 28(1):198. https://doi.org/10.3390/molecules28010198 Jomova K, Alomar SY, Alwasel SH, et al., 2024. Several lines of antioxidant defense against oxidative stress: antioxidant enzymes, nanomaterials with multiple enzyme-mimicking activities, and low-molecular-weight antioxidants. Arch Toxicol, 98(5):1323–1367. https://doi.org/10.1007/s00204-024-03696-4 Karabiyikli S, Degirmenci H, Karapinar M, 2014. Inhibitory effect of sour orange (Citrus aurantium) juice on Salmonella Typhimurium and Listeria monocytogenes. LWT-Food Sci Technol, 55(2):421–425. https://doi.org/10.1016/j.lwt.2013.10.037 Kelebek H, Selli S, 2011. Determination of volatile, phenolic, organic acid and sugar components in a Turkish cv. Dortyol (Citrus sinensis L. Osbeck) orange juice. J Sci Food Agric, 91(10):1855–1862. https://doi.org/10.1002/jsfa.4396 Khan V, Najmi AK, Akhtar M, et al., 2012. A pharmacological appraisal of medicinal plants with antidiabetic potential. J Pharm Bioall Sci, 4(1):27–42. https://doi.org/10.4103/0975-7406.92727 Koncz D, Tóth B, Bahar MA, et al., 2022. The safety and efficacy of Citrus aurantium (bitter orange) extracts and p-synephrine: a systematic review and meta-analysis. Nutrients, 14(19):4019. https://doi.org/10.3390/nu14194019 Kuo PC, Liao YR, Hung HY, et al., 2017. Anti-inflammatory and neuroprotective constituents from the peels of Citrus grandis. Molecules, 22(6):967. https://doi.org/10.3390/molecules22060967 Lan T, Wang W, Huang DL, et al., 2023. Essential oil extracted from Quzhou Aurantii Fructus prevents acute liver failure through inhibiting lipopolysaccharide-mediated inflammatory response. Nat Prod Bioprospect, 13:36. https://doi.org/10.1007/s13659-023-00398-9 Lankarani M, Valizadeh N, Heshmat R, et al., 2009. Evaluation of insulin resistance and metabolic syndrome in patients with polycystic ovary syndrome. Gynecol Endocrinol, 25(8):504–507. https://doi.org/10.1080/09513590902972083 Li JD, Wang TQ, Liu PP, et al., 2021. Hesperetin ameliorates hepatic oxidative stress and inflammation via the PI3K/AKT-Nrf2-ARE pathway in oleic acid-induced HepG2 cells and a rat model of high-fat diet-induced NAFLD. Food Funct, 12(9):3898–3918. https://doi.org/10.1039/d0fo02736g Li R, Zhang QF, Yang DZ, et al., 2013. Prevalence of polycystic ovary syndrome in women in China: a large community-based study. Hum Reprod, 28(9):2562–2569. https://doi.org/10.1093/humrep/det262 Liang YZ, Chen MP, Hu ZC, et al., 2023. Research progress on the application of Exocarpium Citri Grandis (ECG) in the field of medicine and food. Asia-Pac Tradit Med, 19(8):234–239 (in Chinese). https://doi.org/10.11954/ytctyy.202308049 Lin HY, Zhou ZT, Zhong WC, et al., 2017. Naringenin inhibits alcoholic injury by improving lipid metabolism and reducing apoptosis in zebrafish larvae. Oncol Rep, 38(5):2877–2884. https://doi.org/10.3892/or.2017.5965 Liu H, Zhao H, Che JJ, et al., 2022. Naringenin protects against hypertension by regulating lipid disorder and oxidative stress in a rat model. Kidney Blood Press Res, 47(6):423–432. https://doi.org/10.1159/000524172 Liu Y, Tang XH, Yuan HL, et al., 2024. Naringin inhibits macrophage foam cell formation by regulating lipid homeostasis and metabolic phenotype. Nutrients, 16(9):1321. https://doi.org/10.3390/nu16091321 Lu XM, Zhao CY, Shi H, et al., 2023. Nutrients and bioactives in citrus fruits: different citrus varieties, fruit parts, and growth stages. Crit Rev Food Sci Nutr, 63(14):2018–2041. https://doi.org/10.1080/10408398.2021.1969891 Luchkova A, Mata A, Cadenas S, 2024. Nrf2 as a regulator of energy metabolism and mitochondrial function. FEBS Lett, 598(17):2092–2105. https://doi.org/10.1002/1873-3468.14993 Moazamiyanfar R, Rezaei S, Aliashrafzadeh H, et al., 2023. Nobiletin in cancer therapy; mechanisms and therapy perspectives. Curr Pharm Des, 29(22):1713–1728. https://doi.org/10.2174/1381612829666230426115424 Motallebi M, Bhia M, Rajani HF, et al., 2022. Naringenin: a potential flavonoid phytochemical for cancer therapy. Life Sci, 305:120752. https://doi.org/10.1016/j.lfs.2022.120752 Öner-İyidoǧan Y, Koçak H, Gürdöl F, et al., 2004. Indices of oxidative stress in eutopic and ectopic endometria of women with endometriosis. Gynecol Obstet Invest, 57(4):214–217. https://doi.org/10.1159/000076691 Pan GT, Zhang P, Chen AY, et al., 2023. Aerobic glycolysis in colon cancer is repressed by naringin via the HIF1A pathway. J Zhejiang Univ-Sci B (Biomed & Biotechnol), 24(3):221–231. https://doi.org/10.1631/jzus.B2200221 Peng J, Li QD, Li KY, et al., 2017. Quercetin improves glucose and lipid metabolism of diabetic rats: involvement of Akt signaling and SIRT1. J Diabetes Res, 2017:3417306. https://doi.org/10.1155/2017/3417306 Pyrzynska K, 2022. Hesperidin: a review on extraction methods, stability and biological activities. Nutrients, 14(12):2387. https://doi.org/10.3390/nu14122387 Ramírez-Pelayo C, Martínez-Quiñones J, Gil J, et al., 2019. Coumarins from the peel of citrus grown in Colombia: composition, elicitation and antifungal activity. Heliyon, 5(6):e01937. https://doi.org/10.1016/j.heliyon.2019.e01937 Roa Barrios M, Arata-Bellabarba G, Valeri L, et al., 2009. Relationship between the triglyceride/high-density lipoproteincholesterol ratio, insulin resistance index and cardiometabolic risk factors in women with polycystic ovary syndrome. Endocrinol Nutr, 56(2):59–65. https://doi.org/10.1016/s1575-0922(09)70553-4 Sadeghi Nejad Z, Kazemian S, Galedari A, et al., 2023. Naringenin mitigates reserpine-induced anxiety-like behavior, neurodegeneration, and oxidative stress in male rats. Neurosci Behav Physiol, 53(4):654–660. https://doi.org/10.1007/s11055-023-01401-z Salehi B, Upadhyay S, Orhan IE, et al., 2019. Therapeutic potential of α- and β-pinene: a miracle gift of nature. Biomolecules, 9(11):738. https://doi.org/10.3390/biom9110738 Samec M, Mazurakova A, Lucansky V, et al., 2023. Flavonoids attenuate cancer metabolism by modulating lipid metabolism, amino acids, ketone bodies and redox state mediated by Nrf2. Eur J Pharmacol, 949:175655. https://doi.org/10.1016/j.ejphar.2023.175655 Schieber M, Chandel NS, 2014. ROS function in redox signaling and oxidative stress. Curr Biol, 24(10):R453–R462. https://doi.org/10.1016/j.cub.2014.03.034 Scutiero G, Iannone P, Bernardi G, et al., 2017. Oxidative stress and endometriosis: a systematic review of the literature. Oxid Med Cell Longev, 2017:7265238. https://doi.org/10.1155/2017/7265238 Shahid R, Iahtisham-Ul-Haq, Mahnoor, et al., 2022. Diet and lifestyle modifications for effective management of polycystic ovarian syndrome (PCOS). J Food Biochem, 46(7):e14117. https://doi.org/10.1111/jfbc.14117 Shilpa VS, Shams R, Dash KK, et al., 2023. Phytochemical properties, extraction, and pharmacological benefits of naringin: a review. Molecules, 28(15):5623. https://doi.org/10.3390/molecules28155623 Siddiqui S, Mateen S, Ahmad R, et al., 2022. A brief insight into the etiology, genetics, and immunology of polycystic ovarian syndrome (PCOS). J Assist Reprod Genet, 39(11):2439–2473. https://doi.org/10.1007/s10815-022-02625-7 Sies H, 2015. Oxidative stress: a concept in redox biology and medicine. Redox Biol, 4:180–183. https://doi.org/10.1016/j.redox.2015.01.002 Spiteller G, 2006. Peroxyl radicals: inductors of neurodegenerative and other inflammatory diseases. Their origin and how they transform cholesterol, phospholipids, plasmalogens, polyunsaturated fatty acids, sugars, and proteins into deleterious products. Free Radical Biol Med, 41(3):362–387. https://doi.org/10.1016/j.freeradbiomed.2006.03.013 Spreen TH, Gao ZF, Fernandes W Jr, et al., 2020. Global economics and marketing of citrus products. In: Talon M, Caruso M, Gmitter FG Jr (Eds.), The Genus Citrus. Elsevier, Duxford, p.471–493. https://doi.org/10.1016/B978-0-12-812163-4.00023-1 Stohs SJ, Hartman MJ, 2015. A review of the receptor binding and pharmacological effects of N-methyltyramine. Phytother Res, 29(1):14–16. https://doi.org/10.1002/ptr.5231 Stohs SJ, Preuss HG, Shara M, 2012. A review of the human clinical studies involving Citrus aurantium (bitter orange) extract and its primary protoalkaloid p-synephrine. Int J Med Sci, 9(7):527–538. https://doi.org/10.7150/ijms.4446 Su DX, Liu HS, Qi XY, et al., 2019. Citrus peel flavonoids improve lipid metabolism by inhibiting miR-33 and miR-122 expression in HepG2 cells. Biosci Biotechnol Biochem, 83(9):1747–1755. https://doi.org/10.1080/09168451.2019.1608807 Su Z, 2011. Functional food is an important and realistic choice for the productization of Xinhui Chenpi. Proceedings of the Third China Xinhui Chenpi Industry Development Forum, Guangdong Jiangmen. p.51–52 (in Chinese). Sugino N, Karube-Harada A, Sakata A, et al., 2002. Nuclear factor-κB is required for tumor necrosis factor-α-induced manganese superoxide dismutase expression in human endometrial stromal cells. J Clin Endocrinol Metab, 87(8):3845–3850. https://doi.org/10.1210/jcem.87.8.8771 Sugino N, Karube-Harada A, Taketani T, et al., 2004. Withdrawal of ovarian steroids stimulates prostaglandin F2α production through nuclear factor-βB activation via oxygen radicals in human endometrial stromal cells: potential relevance to menstruation. J Reprod Dev, 50(2):215–225. https://doi.org/10.1262/jrd.50.215 Sun JH, Wang ZD, Chen L, et al., 2021. Hypolipidemic effects and preliminary mechanism of chrysanthemum flavonoids, its main components luteolin and luteoloside in hyperlipidemia rats. Antioxidants, 10(8):1309. https://doi.org/10.3390/antiox10081309 Taylor HS, Kotlyar AM, Flores VA, 2021. Endometriosis is a chronic systemic disease: clinical challenges and novel innovations. Lancet, 397(10276):839–852. https://doi.org/10.1016/s0140-6736(21)00389-5 Tempest N, Jansen M, Baker AM, et al., 2020. Histological 3D reconstruction and in vivo lineage tracing of the human endometrium. J Pathol, 251(4):440–451. https://doi.org/10.1002/path.5478 Uçar K, Göktaş Z, 2023. Biological activities of naringenin: a narrative review based on in vitro and in vivo studies. Nutr Res, 119:43–55. https://doi.org/10.1016/j.nutres.2023.08.006 Uyanikoglu H, Sabuncu T, Dursun H, et al., 2017. Circulating levels of apoptotic markers and oxidative stress parameters in women with polycystic ovary syndrome: a case-controlled descriptive study. Biomarkers, 22(7):643–647. https://doi.org/10.1080/1354750x.2016.1265004 Vieira AJ, Beserra FP, Souza MC, et al., 2018. Limonene: aroma of innovation in health and disease. Chem-Biol Interact, 283:97–106. https://doi.org/10.1016/j.cbi.2018.02.007 Wang JX, Yin TL, Liu S, 2023. Dysregulation of immune response in PCOS organ system. Front Immunol, 14:1169232. https://doi.org/10.3389/fimmu.2023.1169232 Wang LQ, 2012. The Study of Antioxidant Health (Functional) Foods from Exocarpium Citri Grandis. MS Thesis, Guangzhou Univerity of Chinese Medicine, Guangzhou, China (in Chinese). Wang X, Huang JQ, Yin ZY, et al., 2023. Carotenoid components and their biosynthesis in a bud mutant of Shiranui mandarin (Citrus reticulata Blanco) with citrine flavedo. J Zhejiang Univ-Sci B (Biomed & Biotechnol), 24(1):94–100. https://doi.org/10.1631/jzus.B2200431 Wang Y, Liu XJ, Chen JB, et al., 2022. Citrus flavonoids and their antioxidant evaluation. Crit Rev Food Sci Nutr, 62(14):3833–3854. https://doi.org/10.1080/10408398.2020.1870035 Wong HS, Chen JH, Leong PK, et al., 2015. A cistanches herba fraction/β-sitosterol causes a redox-sensitive induction of mitochondrial uncoupling and activation of adenosine monophosphate-dependent protein kinase/peroxisome proliferator-activated receptor γ coactivator-1 in C2C12 myotubes: a possible mechanism underlying the weight reduction effect. Evid Based Complement Alternat Med, 2015:142059. https://doi.org/10.1155/2015/142059 Wong HS, Leong PK, Chen JH, et al., 2016. β-Sitosterol increases mitochondrial electron transport by fluidizing mitochondrial membranes and enhances mitochondrial responsiveness to increasing energy demand by the induction of uncoupling in C2C12 myotubes: a possible mechanism underlying the weight reduction effect. J Funct Foods, 23:253–260. https://doi.org/10.1016/j.jff.2016.02.045 Wu GA, Terol J, Ibanez V, et al., 2018. Genomics of the origin and evolution of Citrus. Nature, 554(7692):311–316. https://doi.org/10.1038/nature25447 Wu YX, Yang XY, Han BS, et al., 2022. Naringenin regulates gut microbiota and SIRT1/PGC-1α signaling pathway in rats with letrozole-induced polycystic ovary syndrome. Biomed Pharmacother, 153:113286. https://doi.org/10.1016/j.biopha.2022.113286 Yamaguchi M, Yoshihara K, Suda K, et al., 2021. Three-dimensional understanding of the morphological complexity of the human uterine endometrium. iScience, 24(4):102258. https://doi.org/10.1016/j.isci.2021.102258 Yang H, Yang TT, Heng C, et al., 2019. Quercetin improves nonalcoholic fatty liver by ameliorating inflammation, oxidative stress, and lipid metabolism in db/db mice. Phytother Res, 33(12):3140–3152. https://doi.org/10.1002/ptr.6486 Ye QH, Zeng XZ, Cai S, et al., 2021. Mechanisms of lipid metabolism in uterine receptivity and embryo development. Trends Endocrinol Metab, 32(12):1015–1030. https://doi.org/10.1016/j.tem.2021.09.002 Zarein M, Zarban A, Shoorei H, et al., 2023. The amelioration of ovarian dysfunction by hesperidin in malathion-treated mice through the overexpression of PCNA and FSHR proteins. Heliyon, 9(12):e22484. https://doi.org/10.1016/j.heliyon.2023.e22484 Zeng X, Huang Q, Long SL, et al., 2020. Mitochondrial dysfunction in polycystic ovary syndrome. DNA Cell Biol, 39(8):1401–1409. https://doi.org/10.1089/dna.2019.5172 Zhang CH, Liu XY, Wang J, 2023. Essential role of granulosa cell glucose and lipid metabolism on oocytes and the potential metabolic imbalance in polycystic ovary syndrome. Int J Mol Sci, 24(22):16247. https://doi.org/10.3390/ijms242216247 Zhang MJ, Su YQ, Sugiura K, et al., 2010. Granulosa cell ligand NPPC and its receptor NPR2 maintain meiotic arrest in mouse oocytes. Science, 330(6002):366–369. https://doi.org/10.1126/science.1193573 Zhang X, Deng Q, Wang WJ, et al., 2023. Epsilon-poly-l-lysine increases disease resistance of citrus against post-harvest green mold by activating amino acid metabolism and phenolic compounds biosynthesis. Food Qual Saf, 7:fyad010. https://doi.org/10.1093/fqsafe/fyad010 Zhang XH, Zhang YZ, Gao W, et al., 2021. Naringin improves lipid metabolism in a tissue-engineered liver model of NAFLD and the underlying mechanisms. Life Sci, 277:119487. https://doi.org/10.1016/j.lfs.2021.119487 Zhang YX, Chen XJ, Wang XX, et al., 2024. Hesperetin ameliorates spinal cord injury in rats through suppressing apoptosis, oxidative stress and inflammatory response. Eur J Pharmacol, 971:176541. https://doi.org/10.1016/j.ejphar.2024.176541 Zhao CY, Wang F, Lian YH, et al., 2020. Biosynthesis of citrus flavonoids and their health effects. Crit Rev Food Sci Nutr, 60(4):566–583. https://doi.org/10.1080/10408398.2018.1544885 Zhao P, Lu Y, Wang ZY, 2023. Naringenin attenuates cerebral ischemia/reperfusion injury by inhibiting oxidative stress and inflammatory response via the activation of SIRT1/FOXO1 signaling pathway in vitro. Acta Cir Bras, 38:e380823. https://doi.org/10.1590/acb380823 Zheng SY, Ma MY, Chen YX, et al., 2022. Effects of quercetin on ovarian function and regulation of the ovarian PI3K/Akt/FoxO3a signalling pathway and oxidative stress in a rat model of cyclophosphamide-induced premature ovarian failure. Basic Clin Pharmacol Toxicol, 130(2):240–253. https://doi.org/10.1111/bcpt.13696 Zhu Q, Han YS, He Y, et al., 2024. Quercetin inhibits neuronal Ferroptosis and promotes immune response by targeting lipid metabolism-related gene PTGS2 to alleviate breast cancer-related depression. Phytomedicine, 130:155560. https://doi.org/10.1016/j.phymed.2024.155560 Acknowledgments This work was supported by the National Natural Science Foundation of China (No. 82374510) and the General Scientific Research Project of the Education Department of Zhejiang Province (No. Y202455593), China. Author information Authors and Affiliations Contributions Jue ZHOU determined the topic of the article, proposed this program, and reviewed and revised the manuscript. Yiyan YANG collected the literature, wrote the manuscript, and summarized and drew the tables and figure. Both authors have read and approved the final manuscript. Corresponding author Ethics declarations Yiyan YANG and Jue ZHOU declare that they have no conflicts of interest. This article does not contain any studies with human or animal subjects performed by either of the authors. Rights and permissions About this article Cite this article Yang, Y., Zhou, J. Effects of Citrus on oxidative stress and lipid metabolism modulation: its potential for improving female reproductive health. J. Zhejiang Univ. Sci. B 26, 763–777 (2025). https://doi.org/10.1631/jzus.B2500127 Received: Accepted: Published: Version of record: Issue date: DOI: https://doi.org/10.1631/jzus.B2500127

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