Astaxanthin as a potential therapeutic agent in polycystic ovary syndrome: a review of its antioxidant, anti-inflammatory, and metabolic mechanisms - Summary - MDSpire

Astaxanthin as a potential therapeutic agent in polycystic ovary syndrome: a review of its antioxidant, anti-inflammatory, and metabolic mechanisms

  • By

  • Jialai Wang

  • Ying Yang

  • Ziwei Wang

  • Chengdong Liu

  • Yanhua Han

  • Xiaoke Wu

  • Hui Chang

  • July 13, 2026

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Objective:

To systematically evaluate the therapeutic potential of astaxanthin for PCOS and its mechanisms of action.

Approach:
  • Literature Search: A comprehensive literature search was performed across PubMed, Web of Science, and Scopus for relevant studies published between January 2020 and March 2026.
  • Inclusion Criteria: Retrieved records were screened based on predefined inclusion and exclusion criteria.
  • Mechanistic Analysis: Included studies were subjected to mechanistic analysis to evaluate the effects of astaxanthin.
Key Findings:
  • Astaxanthin exhibits significant antioxidant, anti-inflammatory, anti-proliferative, and anti-apoptotic activities.
  • It enhances insulin sensitivity and activates the Nrf2 antioxidant pathway.
  • Astaxanthin inhibits the NF-κB inflammatory signaling pathway and modulates cellular apoptosis.
Interpretation:

Astaxanthin may serve as a potential adjuvant therapy for PCOS by improving symptoms through its antioxidant and anti-inflammatory properties.

Limitations:
  • Existing pharmacological treatments for PCOS have limitations in efficacy and safety.
  • The heterogeneity of the PCOS population complicates targeted treatment strategies.
Conclusion:

Astaxanthin shows promise as a dietary supplement for improving PCOS symptoms, warranting further investigation.

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