A comparative analysis of phytochemicals vs synthetic drugs/nanomedicines in the treatment of Uterine Fibroid: A Systematic Review

In: Research Square · 2023 · doi:10.21203/rs.3.rs-2615175/v1 · W4323310836
review OA: green CC0
AI-generated summary by claude@2026-06, 2026-06-07

This review analyzes phytochemicals like curcumin and resveratrol, finding they potentially treat uterine fibroids by modulating key pathways involved in proliferation, inflammation, angiogenesis, and fibrosis.

One-sentence paraphrase of the abstract; not a substitute for reading it. No clinical advice. How this works

AI-generated deep summary by claude@2026-06, 2026-06-07 · read from full text

This systematic review compared phytochemicals with synthetic drugs/nanomedicines for treating uterine fibroids (leiomyoma), summarizing proposed mechanisms from available experimental evidence, focusing on botanical compounds with reported anti-fibroid efficacy. The authors report that dehydroxyelephantopin, butein, capsaicin, fisetin, kaempferol, resveratrol, silibinin, and curcumin can modulate key fibroid processes—including proliferation, inflammation, angiogenesis, and fibrosis—by regulating signaling pathways such as Smad 2/3, PI3K/AKT/mTOR, ERK1/2, and β-catenin across different experimental setups. A major caveat is that the work is a preprint that has not undergone peer review, and the conclusions are based on summarized mechanistic findings rather than a stated clinical evidence synthesis. This paper does not explicitly discuss endometriosis or adenomyosis; it was included in the corpus via a keyword match in the upstream search index.

Read from the paper's body, not the abstract. Not a substitute for reading the paper. No clinical advice. How this works

Abstract

Abstract Uterine fibroids (UFs) or leiomyoma is the most common gynaecological disorder affecting 70% of premenopausal women and one of the leading causes of infertility. To date, there is no specific therapy available except surgical intervention including hysterectomy or myomectomy. However, to manage UFs, lot of high cost medications are prescribed although they have serious side effects on women’s reproductive health. Recently an increasing trend has been seen on consuming dietary phytochemicals to control diverse gynaecological ailments. This review's goal is to provide a summary of the knowledge that is currently available regarding the mechanisms of action of various botanical medications with anti-uterine fibroid efficacy. The present results showed that dietary phytocompounds (Dehydroxyelephantopin, Butein, Capsaicin, Fisetin, Kaempferol, Resveratrol, Silibinin and Curcumin) could probably be effective as therapeutic compounds for uterine leiomyoma. These phytochemicals indicated their capability to regulate main fibroid promoting and initiating events for instance, proliferation, inflammation, angiogenesis and fibrosis in various experimental setup through modulating various signalling pathways, such as Smad 2/3, PI3K/AKT/mTOR, ERK 1/2 and β-catenin indicating that they could serve as targets for prevention and/or treatment of ULM. This review provides key molecular insights for development of phytochemical based novel personalized therapy for non-surgical management of ULMs which may help to avoid hysterectomy.
Full text 15,682 characters · extracted from preprint-html · click to expand
A comparative analysis of phytochemicals vs synthetic drugs/nanomedicines in the treatment of Uterine Fibroid: A Systematic Review | Research Square window.SnipcartSettings = { analytics: { enabled: false } }; (function() { var accessVector = localStorage.getItem('access_vector') || ''; window.dataLayer = window.dataLayer || []; if (accessVector) { window.dataLayer.push({ user: { profile: { profileInfo: { snid: accessVector } } } }); } })(); (function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start':new Date().getTime(),event:'gtm.js'});var f=d.getElementsByTagName(s)[0],j=d.createElement(s),dl=l!='dataLayer'?'&l='+l:'';j.async=true;j.src='https://www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f);})(window,document,'script','dataLayer','GTM-K279D39R'); Browse Preprints In Review Journals COVID-19 Preprints AJE Video Bytes Research Tools Research Promotion AJE Professional Editing AJE Rubriq About Preprint Platform In Review Editorial Policies Our Team Advisory Board Help Center Sign In Submit a Preprint Cite Share Download PDF Research Article A comparative analysis of phytochemicals vs synthetic drugs/nanomedicines in the treatment of Uterine Fibroid: A Systematic Review Sonal Upadhyay, Ravi Bhushan, Vivek Pandey, Anima Tripathi, Alakh N. Sahu, and 4 more This is a preprint; it has not been peer reviewed by a journal. https://doi.org/ 10.21203/rs.3.rs-2615175/v1 This work is licensed under a CC BY 4.0 License Status: Posted Version 1 posted You are reading this latest preprint version Abstract Uterine fibroids (UFs) or leiomyoma is the most common gynaecological disorder affecting 70% of premenopausal women and one of the leading causes of infertility. To date, there is no specific therapy available except surgical intervention including hysterectomy or myomectomy. However, to manage UFs, lot of high cost medications are prescribed although they have serious side effects on women’s reproductive health. Recently an increasing trend has been seen on consuming dietary phytochemicals to control diverse gynaecological ailments. This review's goal is to provide a summary of the knowledge that is currently available regarding the mechanisms of action of various botanical medications with anti-uterine fibroid efficacy. The present results showed that dietary phytocompounds (Dehydroxyelephantopin, Butein, Capsaicin, Fisetin, Kaempferol, Resveratrol, Silibinin and Curcumin) could probably be effective as therapeutic compounds for uterine leiomyoma. These phytochemicals indicated their capability to regulate main fibroid promoting and initiating events for instance, proliferation, inflammation, angiogenesis and fibrosis in various experimental setup through modulating various signalling pathways, such as Smad 2/3, PI3K/AKT/mTOR, ERK 1/2 and β-catenin indicating that they could serve as targets for prevention and/or treatment of ULM. This review provides key molecular insights for development of phytochemical based novel personalized therapy for non-surgical management of ULMs which may help to avoid hysterectomy. Uterine Leiomyoma Therapeutics Signaling Cascades Phytochemicals Figures Figure 1 Figure 2 Figure 3 Figure 4 Full Text Additional Declarations No competing interests reported. Tables 1 and 2 are available in the Supplementary Files section. Supplementary Files Table.docx Cite Share Download PDF Status: Posted Version 1 posted You are reading this latest preprint version Research Square lets you share your work early, gain feedback from the community, and start making changes to your manuscript prior to peer review in a journal. As a division of Research Square Company, we’re committed to making research communication faster, fairer, and more useful. We do this by developing innovative software and high quality services for the global research community. Our growing team is made up of researchers and industry professionals working together to solve the most critical problems facing scientific publishing. Also discoverable on Platform About Our Team In Review Editorial Policies Advisory Board Help Center Resources Author Services Accessibility API Access RSS feed Manage Cookie Preferences © Research Square 2026 | ISSN 2693-5015 (online) Privacy Policy Terms of Service Do Not Sell My Personal Information {"props":{"pageProps":{"initialData":{"identity":"rs-2615175","acceptedTermsAndConditions":true,"allowDirectSubmit":true,"archivedVersions":[],"articleType":"Research Article","associatedPublications":[],"authors":[{"id":179965043,"identity":"6075ba43-9631-4c51-92fe-918f44c65aa3","order_by":0,"name":"Sonal Upadhyay","email":"","orcid":"","institution":"Banaras Hindu University","correspondingAuthor":false,"prefix":"","firstName":"Sonal","middleName":"","lastName":"Upadhyay","suffix":""},{"id":179965044,"identity":"7e3e1679-5e19-4b45-8db8-148248764e09","order_by":1,"name":"Ravi Bhushan","email":"","orcid":"","institution":"Banaras Hindu University","correspondingAuthor":false,"prefix":"","firstName":"Ravi","middleName":"","lastName":"Bhushan","suffix":""},{"id":179965045,"identity":"d547a0dd-8553-4403-a1f5-b4ad4830a15c","order_by":2,"name":"Vivek Pandey","email":"","orcid":"","institution":"Banaras Hindu University","correspondingAuthor":false,"prefix":"","firstName":"Vivek","middleName":"","lastName":"Pandey","suffix":""},{"id":179965046,"identity":"97719f46-89fb-4181-980a-ba204d6c3ee7","order_by":3,"name":"Anima Tripathi","email":"","orcid":"","institution":"MMV, Banaras Hindu University","correspondingAuthor":false,"prefix":"","firstName":"Anima","middleName":"","lastName":"Tripathi","suffix":""},{"id":179965049,"identity":"d56c487e-7303-4854-933b-f685612f2c40","order_by":4,"name":"Alakh N. Sahu","email":"","orcid":"","institution":"IIT-BHU","correspondingAuthor":false,"prefix":"","firstName":"Alakh","middleName":"N.","lastName":"Sahu","suffix":""},{"id":179965051,"identity":"05d54a17-3395-49b6-9951-1c13a3cbdc9b","order_by":5,"name":"Anjali Rani","email":"","orcid":"","institution":"Banaras Hindu University","correspondingAuthor":false,"prefix":"","firstName":"Anjali","middleName":"","lastName":"Rani","suffix":""},{"id":179965052,"identity":"fb4f9c02-0bcc-498c-b26a-796be650d8d4","order_by":6,"name":"Amita Diwakar","email":"","orcid":"","institution":"Banaras Hindu University","correspondingAuthor":false,"prefix":"","firstName":"Amita","middleName":"","lastName":"Diwakar","suffix":""},{"id":179965053,"identity":"9d904961-2ba8-4696-901a-fd4be702390c","order_by":7,"name":"Rashmi Gupta","email":"","orcid":"","institution":"Banaras Hindu University","correspondingAuthor":false,"prefix":"","firstName":"Rashmi","middleName":"","lastName":"Gupta","suffix":""},{"id":179965054,"identity":"d2de93ae-2589-448b-8a24-869f576e20db","order_by":8,"name":"Pawan K. Dubey","email":"data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAZAAAAAyAQMAAABI0h/eAAAABlBMVEX///8AAABVwtN+AAAACXBIWXMAAA7EAAAOxAGVKw4bAAAAwUlEQVRIiWNgGAWjYDACHgYDZiAlZyAB4xOrxZh0LYkbJIh1lznP4W3SBRWH07dL9xgw/KhhkDEnpMWyt61MesaZw7k755wxYOw5xsBj2UBAi8F5HjNp3rbDuRtu5Bgw8DYw8BgcIErLv8PpBkAtjH+J0nK2B6il4XACSAszUbZY9hwrtp5xLN1w54y0gsMyxyQIazHnSd54u6DGWt5cInnjwzc1NvaEHQahmsEkUDERsQPVUkdY5SgYBaNgFIxcAAAfwjwEQw30LgAAAABJRU5ErkJggg==","orcid":"","institution":"Banaras Hindu University","correspondingAuthor":true,"prefix":"","firstName":"Pawan","middleName":"K.","lastName":"Dubey","suffix":""}],"badges":[],"createdAt":"2023-02-22 07:59:33","currentVersionCode":1,"declarations":"","doi":"10.21203/rs.3.rs-2615175/v1","doiUrl":"https://doi.org/10.21203/rs.3.rs-2615175/v1","draftVersion":[],"editorialEvents":[],"editorialNote":"","failedWorkflow":false,"files":[{"id":33849045,"identity":"9818cafd-2797-402c-aec8-742551a7bee6","added_by":"auto","created_at":"2023-03-06 15:55:53","extension":"png","order_by":1,"title":"Figure 1","display":"","copyAsset":false,"role":"figure","size":229036,"visible":true,"origin":"","legend":"\u003cp\u003ePhytochemicals targeting ERK1/2 and PI3K pathways through down-regulation of mTOR expression in Uterine Leiomyoma\u003c/p\u003e","description":"","filename":"1.png","url":"https://assets-eu.researchsquare.com/files/rs-2615175/v1/957023ba074c833df363e012.png"},{"id":33849910,"identity":"6a4e5395-6a1c-48ea-a2ad-30dded65a732","added_by":"auto","created_at":"2023-03-06 16:03:53","extension":"png","order_by":2,"title":"Figure 2","display":"","copyAsset":false,"role":"figure","size":209220,"visible":true,"origin":"","legend":"\u003cp\u003eTherapeutic role of Curcumin by targeting different signaling pathways/mehanism in Uterine Leiomyoma\u003c/p\u003e","description":"","filename":"2.png","url":"https://assets-eu.researchsquare.com/files/rs-2615175/v1/684cbd86aaa04c8e52329242.png"},{"id":33849046,"identity":"bf99feee-67a9-4180-8180-e0dbbb028596","added_by":"auto","created_at":"2023-03-06 15:55:53","extension":"png","order_by":3,"title":"Figure 3","display":"","copyAsset":false,"role":"figure","size":95048,"visible":true,"origin":"","legend":"\u003cp\u003eProposed mechanism of action of Deoxyelephantopin as therapeutic agent for uterine leiomyoma treatment\u003c/p\u003e","description":"","filename":"3.png","url":"https://assets-eu.researchsquare.com/files/rs-2615175/v1/7b277b359f28f5fbb48d386c.png"},{"id":33849047,"identity":"6dc37b24-8b63-4fbb-a1c8-196b8ae85aad","added_by":"auto","created_at":"2023-03-06 15:55:53","extension":"png","order_by":4,"title":"Figure 4","display":"","copyAsset":false,"role":"figure","size":234709,"visible":true,"origin":"","legend":"\u003cp\u003eProposed model diagram depicts possible mechanism of action of different plant extracts as an anti-apoptotic, antioxidant and anti-inflammatory agent for uterine leiomyoma treatment.\u003c/p\u003e","description":"","filename":"4.png","url":"https://assets-eu.researchsquare.com/files/rs-2615175/v1/78ab0f50325a795b24499607.png"},{"id":34811050,"identity":"22fd99f7-18d5-49a6-bda5-cce0e2a055fa","added_by":"auto","created_at":"2023-03-25 08:59:50","extension":"pdf","order_by":1,"title":"","display":"","copyAsset":false,"role":"manuscript-pdf","size":591778,"visible":true,"origin":"","legend":"","description":"","filename":"BMCwomensystematicreview.pdf","url":"https://assets-eu.researchsquare.com/files/rs-2615175/v1_covered.pdf"},{"id":33849043,"identity":"a155f9cd-19b7-4efb-8b83-62af33295d10","added_by":"auto","created_at":"2023-03-06 15:55:53","extension":"pdf","order_by":2,"title":"","display":"","copyAsset":false,"role":"manuscript-pdf","size":455500,"visible":true,"origin":"","legend":"","description":"","filename":"BMCwomensystematicreview.pdf","url":"https://assets-eu.researchsquare.com/files/rs-2615175/v1/5e8e65470237c59129342a87.pdf"},{"id":33849909,"identity":"4fd723ce-14f6-464e-8e3b-b948dfffb8d4","added_by":"auto","created_at":"2023-03-06 16:03:53","extension":"docx","order_by":1,"title":"","display":"","copyAsset":false,"role":"supplement","size":22653,"visible":true,"origin":"","legend":"","description":"","filename":"Table.docx","url":"https://assets-eu.researchsquare.com/files/rs-2615175/v1/9ef38d9d3ecaa56926e87788.docx"}],"financialInterests":"\u003cp\u003eNo competing interests reported.\u003c/p\u003e\n\u003cp\u003eTables 1 and 2 are \u0026nbsp;available in the Supplementary Files section.\u003c/p\u003e","formattedTitle":"A comparative analysis of phytochemicals vs synthetic drugs/nanomedicines in the treatment of Uterine Fibroid: A Systematic Review","fulltext":[],"fulltextSource":"","fullText":"","funders":[],"hasAdminPriorityOnWorkflow":false,"hasManuscriptDocX":false,"hasOptedInToPreprint":true,"hasPassedJournalQc":"","hasAnyPriority":false,"hideJournal":true,"highlight":"","institution":"","isAcceptedByJournal":false,"isAuthorSuppliedPdf":true,"isDeskRejected":"","isHiddenFromSearch":false,"isInQc":false,"isInWorkflow":false,"isPdf":true,"isPdfUpToDate":true,"isWithdrawnOrRetracted":false,"journal":{"display":true,"email":"[email protected]","identity":"researchsquare","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":true,"externalIdentity":"","sideBox":"","snPcode":"","submissionUrl":"/submission","title":"Research Square","twitterHandle":"researchsquare","acdcEnabled":true,"dfaEnabled":false,"editorialSystem":"","reportingPortfolio":"","inReviewEnabled":false,"inReviewRevisionsEnabled":true},"keywords":"Uterine Leiomyoma, Therapeutics, Signaling Cascades, Phytochemicals","lastPublishedDoi":"10.21203/rs.3.rs-2615175/v1","lastPublishedDoiUrl":"https://doi.org/10.21203/rs.3.rs-2615175/v1","license":{"name":"CC BY 4.0","url":"https://creativecommons.org/licenses/by/4.0/"},"manuscriptAbstract":"Uterine fibroids (UFs) or leiomyoma is the most common gynaecological disorder affecting 70% of premenopausal women and one of the leading causes of infertility. To date, there is no specific therapy available except surgical intervention including hysterectomy or myomectomy. However, to manage UFs, lot of high cost medications are prescribed although they have serious side effects on women’s reproductive health. Recently an increasing trend has been seen on consuming dietary phytochemicals to control diverse gynaecological ailments. This review's goal is to provide a summary of the knowledge that is currently available regarding the mechanisms of action of various botanical medications with anti-uterine fibroid efficacy. The present results showed that dietary phytocompounds (Dehydroxyelephantopin, Butein, Capsaicin, Fisetin, Kaempferol, Resveratrol, Silibinin and Curcumin) could probably be effective as therapeutic compounds for uterine leiomyoma. These phytochemicals indicated their capability to regulate main fibroid promoting and initiating events for instance, proliferation, inflammation, angiogenesis and fibrosis in various experimental setup through modulating various signalling pathways, such as Smad 2/3, PI3K/AKT/mTOR, ERK 1/2 and β-catenin indicating that they could serve as targets for prevention and/or treatment of ULM. This review provides key molecular insights for development of phytochemical based novel personalized therapy for non-surgical management of ULMs which may help to avoid hysterectomy.","manuscriptTitle":"A comparative analysis of phytochemicals vs synthetic drugs/nanomedicines in the treatment of Uterine Fibroid: A Systematic Review","msid":"","msnumber":"","nonDraftVersions":[{"code":1,"date":"2023-03-06 15:55:48","doi":"10.21203/rs.3.rs-2615175/v1","editorialEvents":[{"type":"communityComments","content":0}],"status":"published","journal":{"display":true,"email":"[email protected]","identity":"researchsquare","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":true,"externalIdentity":"","sideBox":"","snPcode":"","submissionUrl":"/submission","title":"Research Square","twitterHandle":"researchsquare","acdcEnabled":true,"dfaEnabled":false,"editorialSystem":"","reportingPortfolio":"","inReviewEnabled":false,"inReviewRevisionsEnabled":true}}],"origin":"","ownerIdentity":"4d18304c-5bbf-4d0b-9765-70d2e7c60267","owner":[],"postedDate":"March 6th, 2023","published":true,"recentEditorialEvents":[],"rejectedJournal":[],"revision":"","amendment":"","status":"posted","subjectAreas":[],"tags":[],"updatedAt":"2023-03-25T08:59:23+00:00","versionOfRecord":[],"versionCreatedAt":"2023-03-06 15:55:48","video":"","vorDoi":"","vorDoiUrl":"","workflowStages":[]},"version":"v1","identity":"rs-2615175","journalConfig":"researchsquare"},"__N_SSP":true},"page":"/article/[identity]/[[...version]]","query":{"redirect":"/article/rs-2615175","identity":"rs-2615175","version":["v1"]},"buildId":"B-jG_2CBjPDmsCi4Wdhf-","isFallback":false,"isExperimentalCompile":false,"dynamicIds":[84888],"gssp":true,"scriptLoader":[]}

Text is read by the "Ask this paper" AI Q&A widget below. Extraction quality varies by source — PMC NXML preserves structure cleanly, OA-HTML may include some navigation residue, and OA-PDF can have broken hyphenation. The publisher copy (via DOI) is the canonical version.

My notes (saved in your browser only)

Ask this paper AI returns verbatim quotes from the full text · source: preprint-html

Answers must be backed by verbatim quotes from this paper's full text. Hallucinated quotes are dropped automatically; if no verbatim passage answers the question, we say so. How this works

Condition tags

infertility

Citation neighborhood (sparse)

Too few in-corpus citations on either side for a chart; here are the lists.

Cites (3)

References (93)

Source provenance

europepmc
last seen: 2026-05-19T01:45:01.086888+00:00
openalex
last seen: 2026-06-10T17:14:06.276822+00:00
License: CC0 · commercial use OK