Skip to main content
Top
Published in: Reproductive Biology and Endocrinology 1/2021

Open Access 01-12-2021 | Insulins | Review

A comprehensive insight into effects of green tea extract in polycystic ovary syndrome: a systematic review

Authors: Vahid Maleki, Ehsaneh Taheri, Parisa Varshosaz, Fatemeh Pourteymour Fard Tabrizi, Jalal Moludi, Hamed Jafari-Vayghan, Mahdi Shadnoush, Seyed Hossein Yahyazadeh Jabbari, Mehri Seifoleslami, Mohammad Alizadeh

Published in: Reproductive Biology and Endocrinology | Issue 1/2021

Login to get access

Abstract

Background

Polycystic ovary syndrome (PCOS), as the most common endocrine disorder in reproductive-aged women, is characterized by oxidative stress and ovarian tissue inflammation. Green tea extract (GTE) potentially possesses therapeutic effects for PCOS because of the antioxidant and anti-inflammatory compounds. This systematic review evaluates the potential roles of GTE on metabolic variables, hormone levels, and ovarian function in PCOS.

Methods

A systematic review was conducted of published studies reporting the effects of GTE on PCOS. Several major databases, including PubMed, SCOPUS, and Google Scholar, were searched up from inception to April 2021. Clinical trials and animal studies that assessed the effects of GTE on PCOS were eligible for inclusion.

Results

Of 314 articles found in the search, four human studies and four animal studies were included. All studies in humans showed the effects of GTE on weight loss. GTE’s effect on decreasing testosterone levels in humans and LH levels in animals were also reported. In addition, increases in FSH and progesterone levels in animal models were observed. Although GTE improved fasting blood sugar and insulin levels, the effect of GTE on inflammatory parameters, such as TNF-alpha and IL-6 and antioxidant status, was limited to animal studies.

Conclusion

Therefore, this review suggests that GTE could be considered a potential agent to attenuate PCOS complications mainly due to its effect on weight loss and glycemic levels. However, more studies are needed to formulate conclusions about the effects and mechanisms of GTE in PCOS.
Literature
1.
go back to reference Azziz R, Carmina E, Chen Z, Dunaif A, Laven JS, Legro RS, et al. Polycystic ovary syndrome. Nat Rev Dis Primers. 2016;2:16057.PubMedCrossRef Azziz R, Carmina E, Chen Z, Dunaif A, Laven JS, Legro RS, et al. Polycystic ovary syndrome. Nat Rev Dis Primers. 2016;2:16057.PubMedCrossRef
2.
go back to reference Trikudanathan S. Polycystic ovarian syndrome. Med Clin. 2015;99:221–35. Trikudanathan S. Polycystic ovarian syndrome. Med Clin. 2015;99:221–35.
3.
go back to reference Dumitrescu R, Mehedintu C, Briceag I, Purcarea V, Hudita D. The polycystic ovary syndrome: an update on metabolic and hormonal mechanisms. J Med life. 2015;8:142.PubMedPubMedCentral Dumitrescu R, Mehedintu C, Briceag I, Purcarea V, Hudita D. The polycystic ovary syndrome: an update on metabolic and hormonal mechanisms. J Med life. 2015;8:142.PubMedPubMedCentral
4.
go back to reference Adams JM, Taylor AE, Crowley WF Jr, Hall JE. Polycystic ovarian morphology with regular ovulatory cycles: insights into the pathophysiology of polycystic ovarian syndrome. J Clin Endocrinol Metab. 2004;89:4343–50.PubMedCrossRef Adams JM, Taylor AE, Crowley WF Jr, Hall JE. Polycystic ovarian morphology with regular ovulatory cycles: insights into the pathophysiology of polycystic ovarian syndrome. J Clin Endocrinol Metab. 2004;89:4343–50.PubMedCrossRef
5.
go back to reference Catteau-Jonard S, Dewailly D. Pathophysiology of polycystic ovary syndrome: the role of hyperandrogenism. In: Polycystic ovary syndrome, vol. 40: Karger Publishers; 2013. p. 22–7. Catteau-Jonard S, Dewailly D. Pathophysiology of polycystic ovary syndrome: the role of hyperandrogenism. In: Polycystic ovary syndrome, vol. 40: Karger Publishers; 2013. p. 22–7.
6.
go back to reference Baskind NE, Balen AH. Hypothalamic–pituitary, ovarian and adrenal contributions to polycystic ovary syndrome. Best Pract Res Clin Obstet Gynaecol. 2016;37:80–97.PubMedCrossRef Baskind NE, Balen AH. Hypothalamic–pituitary, ovarian and adrenal contributions to polycystic ovary syndrome. Best Pract Res Clin Obstet Gynaecol. 2016;37:80–97.PubMedCrossRef
7.
go back to reference Amato M, Vesco R, Vigneri E, Ciresi A, Giordano C. Hyperinsulinism and polycystic ovary syndrome (PCOS): role of insulin clearance. J Endocrinol Investig. 2015;38:1319–26.CrossRef Amato M, Vesco R, Vigneri E, Ciresi A, Giordano C. Hyperinsulinism and polycystic ovary syndrome (PCOS): role of insulin clearance. J Endocrinol Investig. 2015;38:1319–26.CrossRef
8.
go back to reference Rosenfield RL, Ehrmann DA. The pathogenesis of polycystic ovary syndrome (PCOS): the hypothesis of PCOS as functional ovarian hyperandrogenism revisited. Endocr Rev. 2016;37:467–520.PubMedPubMedCentralCrossRef Rosenfield RL, Ehrmann DA. The pathogenesis of polycystic ovary syndrome (PCOS): the hypothesis of PCOS as functional ovarian hyperandrogenism revisited. Endocr Rev. 2016;37:467–520.PubMedPubMedCentralCrossRef
10.
go back to reference Namita P, Mukesh R, Vijay KJ. Camellia sinensis (green tea): a review. Glob J Pharmacol. 2012;6:52–9. Namita P, Mukesh R, Vijay KJ. Camellia sinensis (green tea): a review. Glob J Pharmacol. 2012;6:52–9.
11.
go back to reference Ananingsih VK, Sharma A, Zhou W. Green tea catechins during food processing and storage: a review on stability and detection. Food Res Int. 2013;50:469–79.CrossRef Ananingsih VK, Sharma A, Zhou W. Green tea catechins during food processing and storage: a review on stability and detection. Food Res Int. 2013;50:469–79.CrossRef
12.
go back to reference Kim H-S, Quon MJ, Kim J-A. New insights into the mechanisms of polyphenols beyond antioxidant properties; lessons from the green tea polyphenol, epigallocatechin 3-gallate. Redox Biol. 2014;2:187–95.PubMedPubMedCentralCrossRef Kim H-S, Quon MJ, Kim J-A. New insights into the mechanisms of polyphenols beyond antioxidant properties; lessons from the green tea polyphenol, epigallocatechin 3-gallate. Redox Biol. 2014;2:187–95.PubMedPubMedCentralCrossRef
14.
go back to reference Senanayake SN. Green tea extract: chemistry, antioxidant properties and food applications–a review. J Funct Foods. 2013;5:1529–41.CrossRef Senanayake SN. Green tea extract: chemistry, antioxidant properties and food applications–a review. J Funct Foods. 2013;5:1529–41.CrossRef
15.
go back to reference Huang J, Wang Y, Xie Z, Zhou Y, Zhang Y, Wan X. The anti-obesity effects of green tea in human intervention and basic molecular studies. Eur J Clin Nutr. 2014;68:1075.PubMedCrossRef Huang J, Wang Y, Xie Z, Zhou Y, Zhang Y, Wan X. The anti-obesity effects of green tea in human intervention and basic molecular studies. Eur J Clin Nutr. 2014;68:1075.PubMedCrossRef
16.
go back to reference Wang X, Tian J, Jiang J, Li L, Ying X, Tian H, et al. Effects of green tea or green tea extract on insulin sensitivity and glycaemic control in populations at risk of type 2 diabetes mellitus: a systematic review and meta-analysis of randomised controlled trials. J Hum Nutr Diet. 2014;27:501–12.PubMedCrossRef Wang X, Tian J, Jiang J, Li L, Ying X, Tian H, et al. Effects of green tea or green tea extract on insulin sensitivity and glycaemic control in populations at risk of type 2 diabetes mellitus: a systematic review and meta-analysis of randomised controlled trials. J Hum Nutr Diet. 2014;27:501–12.PubMedCrossRef
17.
go back to reference Bhardwaj P, Khanna D. Green tea catechins: defensive role in cardiovascular disorders. Chin J Nat Med. 2013;11:345–53.PubMed Bhardwaj P, Khanna D. Green tea catechins: defensive role in cardiovascular disorders. Chin J Nat Med. 2013;11:345–53.PubMed
18.
go back to reference Rashidi B, Malekzadeh M, Goodarzi M, Masoudifar A, Mirzaei H. Green tea and its anti-angiogenesis effects. Biomed Pharmacother. 2017;89:949–56.PubMedCrossRef Rashidi B, Malekzadeh M, Goodarzi M, Masoudifar A, Mirzaei H. Green tea and its anti-angiogenesis effects. Biomed Pharmacother. 2017;89:949–56.PubMedCrossRef
19.
go back to reference Hayakawa S, Saito K, Miyoshi N, Ohishi T, Oishi Y, Miyoshi M, et al. Anti-cancer effects of green tea by either anti-or pro-oxidative mechanisms. Asian Pac J Cancer Prev. 2016;17:1649–54.PubMedCrossRef Hayakawa S, Saito K, Miyoshi N, Ohishi T, Oishi Y, Miyoshi M, et al. Anti-cancer effects of green tea by either anti-or pro-oxidative mechanisms. Asian Pac J Cancer Prev. 2016;17:1649–54.PubMedCrossRef
20.
go back to reference Chen S-Q, Wang Z-S, Ma Y-X, Zhang W, Lu J-L, Liang Y-R, et al. Neuroprotective effects and mechanisms of tea bioactive components in neurodegenerative diseases. Molecules. 2018;23:512.PubMedCentralCrossRef Chen S-Q, Wang Z-S, Ma Y-X, Zhang W, Lu J-L, Liang Y-R, et al. Neuroprotective effects and mechanisms of tea bioactive components in neurodegenerative diseases. Molecules. 2018;23:512.PubMedCentralCrossRef
21.
go back to reference Sadoughi SD, Rahbarian R. Comparing the effect of aqueous extract of green tea and catechin on gonadotropins, β-estradiol, progesterone, testosterone and ovarian follicle in polycystic ovarian syndrome rat model. J Birjand Univ Med Sci. 2017;24:62–74. Sadoughi SD, Rahbarian R. Comparing the effect of aqueous extract of green tea and catechin on gonadotropins, β-estradiol, progesterone, testosterone and ovarian follicle in polycystic ovarian syndrome rat model. J Birjand Univ Med Sci. 2017;24:62–74.
22.
go back to reference Rahbarian R, Sadoughi SD. Effect of catechin on serum levels of inflammatory cytokines, antioxidant enzymes activity and DNA oxidative damage of ovarian tissue in polycystic ovarian syndrome rat model; 2017. Rahbarian R, Sadoughi SD. Effect of catechin on serum levels of inflammatory cytokines, antioxidant enzymes activity and DNA oxidative damage of ovarian tissue in polycystic ovarian syndrome rat model; 2017.
23.
go back to reference Ghafurniyan H, Azarnia M, Nabiuni M, Karimzadeh L. The effect of green tea extract on reproductive improvement in estradiol valerate-induced polycystic ovarian syndrome in rat. Iran J Pharm Res. 2015;14:1215.PubMedPubMedCentral Ghafurniyan H, Azarnia M, Nabiuni M, Karimzadeh L. The effect of green tea extract on reproductive improvement in estradiol valerate-induced polycystic ovarian syndrome in rat. Iran J Pharm Res. 2015;14:1215.PubMedPubMedCentral
24.
go back to reference Ghafurniyan H, Nabiuni M, Karimzadeh L. The effect of green tea on IL-6 and CRP level in model of polycystic ovary syndrome as an inflammation state. Int J Cell Molecular Biotech. 2014;2014:1–12.CrossRef Ghafurniyan H, Nabiuni M, Karimzadeh L. The effect of green tea on IL-6 and CRP level in model of polycystic ovary syndrome as an inflammation state. Int J Cell Molecular Biotech. 2014;2014:1–12.CrossRef
25.
go back to reference Mombaini E, Jafarirad S, Husain D, Haghighizadeh MH, Padfar P. The impact of green tea supplementation on anthropometric indices and inflammatory cytokines in women with polycystic ovary syndrome. Phytother Res. 2017;31:747–54.PubMedCrossRef Mombaini E, Jafarirad S, Husain D, Haghighizadeh MH, Padfar P. The impact of green tea supplementation on anthropometric indices and inflammatory cytokines in women with polycystic ovary syndrome. Phytother Res. 2017;31:747–54.PubMedCrossRef
26.
go back to reference Tehrani HG, Allahdadian M, Zarre F, Ranjbar H, Allahdadian F. Effect of green tea on metabolic and hormonal aspect of polycystic ovarian syndrome in overweight and obese women suffering from polycystic ovarian syndrome: a clinical trial. J Educ Health Promot. 2017;6:36.PubMedPubMedCentralCrossRef Tehrani HG, Allahdadian M, Zarre F, Ranjbar H, Allahdadian F. Effect of green tea on metabolic and hormonal aspect of polycystic ovarian syndrome in overweight and obese women suffering from polycystic ovarian syndrome: a clinical trial. J Educ Health Promot. 2017;6:36.PubMedPubMedCentralCrossRef
27.
go back to reference Allahdadian M, Ranjbar H, Ghasemi H, Janighorban M, Dadkhah A, Allahdadian F, et al. Exploring the effect of green tea on weight loss and serum hormone levels in overweight and obese patients with polycystic ovary syndrome. Avicenna J Clin Med. 2015;22:16–22. Allahdadian M, Ranjbar H, Ghasemi H, Janighorban M, Dadkhah A, Allahdadian F, et al. Exploring the effect of green tea on weight loss and serum hormone levels in overweight and obese patients with polycystic ovary syndrome. Avicenna J Clin Med. 2015;22:16–22.
28.
go back to reference Chan CC, Koo MW, Ng EH, Tang O-S, Yeung WS, Ho P-C. Effects of Chinese green tea on weight, and hormonal and biochemical profiles in obese patients with polycystic ovary syndrome—a randomized placebo-controlled trial. J Soc Gynecol Investig. 2006;13:63–8.PubMedCrossRef Chan CC, Koo MW, Ng EH, Tang O-S, Yeung WS, Ho P-C. Effects of Chinese green tea on weight, and hormonal and biochemical profiles in obese patients with polycystic ovary syndrome—a randomized placebo-controlled trial. J Soc Gynecol Investig. 2006;13:63–8.PubMedCrossRef
29.
go back to reference Barber TM, Dimitriadis GK, Andreou A, Franks S. Polycystic ovary syndrome: insight into pathogenesis and a common association with insulin resistance. Clin Med. 2016;16:262.CrossRef Barber TM, Dimitriadis GK, Andreou A, Franks S. Polycystic ovary syndrome: insight into pathogenesis and a common association with insulin resistance. Clin Med. 2016;16:262.CrossRef
30.
go back to reference Hamayeli H, Tahbaz F, Salehpour S. Changes in sex hormones in overweight and obese women with polycystic ovary syndrome after taking two low calorie diet. J Endocrinol Metab Iran. 2010;12:160–8. Hamayeli H, Tahbaz F, Salehpour S. Changes in sex hormones in overweight and obese women with polycystic ovary syndrome after taking two low calorie diet. J Endocrinol Metab Iran. 2010;12:160–8.
31.
go back to reference Chantre P, Lairon D. Recent findings of green tea extract AR25 (Exolise) and its activity for the treatment of obesity. Phytomedicine. 2002;9:3–8.PubMedCrossRef Chantre P, Lairon D. Recent findings of green tea extract AR25 (Exolise) and its activity for the treatment of obesity. Phytomedicine. 2002;9:3–8.PubMedCrossRef
32.
go back to reference Kao Y-H, Hiipakka RA, Liao S. Modulation of endocrine systems and food intake by green tea epigallocatechin gallate. Endocrinology. 2000;141:980–7.PubMedCrossRef Kao Y-H, Hiipakka RA, Liao S. Modulation of endocrine systems and food intake by green tea epigallocatechin gallate. Endocrinology. 2000;141:980–7.PubMedCrossRef
33.
go back to reference Auvichayapat P, Prapochanung M, Tunkamnerdthai O, Sripanidkulchai B-O, Auvichayapat N, Thinkhamrop B, et al. Effectiveness of green tea on weight reduction in obese Thais: a randomized, controlled trial. Physiol Behav. 2008;93:486–91.PubMedCrossRef Auvichayapat P, Prapochanung M, Tunkamnerdthai O, Sripanidkulchai B-O, Auvichayapat N, Thinkhamrop B, et al. Effectiveness of green tea on weight reduction in obese Thais: a randomized, controlled trial. Physiol Behav. 2008;93:486–91.PubMedCrossRef
34.
go back to reference Diepvens K, Kovacs EM, Nijs IM, Vogels N, Westerterp-Plantenga MS. Effect of green tea on resting energy expenditure and substrate oxidation during weight loss in overweight females. Br J Nutr. 2005;94:1026–34.PubMedCrossRef Diepvens K, Kovacs EM, Nijs IM, Vogels N, Westerterp-Plantenga MS. Effect of green tea on resting energy expenditure and substrate oxidation during weight loss in overweight females. Br J Nutr. 2005;94:1026–34.PubMedCrossRef
35.
go back to reference Matsumoto N, Ishigaki F, Ishigaki A, Iwashina H, Hara Y. Reduction of blood glucose levels by tea catechin. Biosci Biotechnol Biochem. 1993;57:525–7.CrossRef Matsumoto N, Ishigaki F, Ishigaki A, Iwashina H, Hara Y. Reduction of blood glucose levels by tea catechin. Biosci Biotechnol Biochem. 1993;57:525–7.CrossRef
36.
go back to reference Sarani Ali Abadi P, Nasrabadi T, Etemadi S. Green tea and its potential benefits for health. Adv Nurs Midwifery. 2013;22:61–71. Sarani Ali Abadi P, Nasrabadi T, Etemadi S. Green tea and its potential benefits for health. Adv Nurs Midwifery. 2013;22:61–71.
37.
go back to reference Witchel SF, Burghard AC, Tao RH, Oberfield SE. The diagnosis and treatment of PCOS in adolescents: an update. Curr Opin Pediatr. 2019;31(4):562–9.PubMedCrossRef Witchel SF, Burghard AC, Tao RH, Oberfield SE. The diagnosis and treatment of PCOS in adolescents: an update. Curr Opin Pediatr. 2019;31(4):562–9.PubMedCrossRef
38.
go back to reference Yu J, Song P, Perry R, Penfold C, Cooper AR. The effectiveness of green tea or green tea extract on insulin resistance and glycemic control in type 2 diabetes mellitus: a meta-analysis. Diabetes Metab J. 2017;41:251–62.PubMedPubMedCentralCrossRef Yu J, Song P, Perry R, Penfold C, Cooper AR. The effectiveness of green tea or green tea extract on insulin resistance and glycemic control in type 2 diabetes mellitus: a meta-analysis. Diabetes Metab J. 2017;41:251–62.PubMedPubMedCentralCrossRef
39.
go back to reference Thavanesan N. The putative effects of green tea on body fat: an evaluation of the evidence and a review of the potential mechanisms. Br J Nutr. 2011;106:1297–309.PubMedCrossRef Thavanesan N. The putative effects of green tea on body fat: an evaluation of the evidence and a review of the potential mechanisms. Br J Nutr. 2011;106:1297–309.PubMedCrossRef
40.
go back to reference Collins QF, Liu H-Y, Pi J, Liu Z, Quon MJ, Cao W. Epigallocatechin-3-gallate (EGCG), a green tea polyphenol, suppresses hepatic gluconeogenesis through 5′-AMP-activated protein kinase. J Biol Chem. 2007;282:30143–9.PubMedCrossRef Collins QF, Liu H-Y, Pi J, Liu Z, Quon MJ, Cao W. Epigallocatechin-3-gallate (EGCG), a green tea polyphenol, suppresses hepatic gluconeogenesis through 5′-AMP-activated protein kinase. J Biol Chem. 2007;282:30143–9.PubMedCrossRef
41.
go back to reference Waltner-Law ME, Wang XL, Law BK, Hall RK, Nawano M, Granner DK. Epigallocatechin gallate, a constituent of green tea, represses hepatic glucose production. J Biol Chem. 2002;277:34933–40.PubMedCrossRef Waltner-Law ME, Wang XL, Law BK, Hall RK, Nawano M, Granner DK. Epigallocatechin gallate, a constituent of green tea, represses hepatic glucose production. J Biol Chem. 2002;277:34933–40.PubMedCrossRef
42.
43.
go back to reference De Leo V, Musacchio M, Cappelli V, Massaro M, Morgante G, Petraglia F. Genetic, hormonal and metabolic aspects of PCOS: an update. Reprod Biol Endocrinol. 2016;14:38.PubMedPubMedCentralCrossRef De Leo V, Musacchio M, Cappelli V, Massaro M, Morgante G, Petraglia F. Genetic, hormonal and metabolic aspects of PCOS: an update. Reprod Biol Endocrinol. 2016;14:38.PubMedPubMedCentralCrossRef
44.
go back to reference Zeng X, Xie Y-J, Liu Y-T, Long S-L, Mo Z-C. Polycystic ovarian syndrome: correlation between hyperandrogenism, insulin resistance and obesity. Clin Chim Acta. 2019;502:214–21. Zeng X, Xie Y-J, Liu Y-T, Long S-L, Mo Z-C. Polycystic ovarian syndrome: correlation between hyperandrogenism, insulin resistance and obesity. Clin Chim Acta. 2019;502:214–21.
45.
go back to reference Satoh K, Sakamoto Y, Ogata A, Nagai F, Mikuriya H, Numazawa M, et al. Inhibition of aromatase activity by green tea extract catechins and their endocrinological effects of oral administration in rats. Food Chem Toxicol. 2002;40:925–33.PubMedCrossRef Satoh K, Sakamoto Y, Ogata A, Nagai F, Mikuriya H, Numazawa M, et al. Inhibition of aromatase activity by green tea extract catechins and their endocrinological effects of oral administration in rats. Food Chem Toxicol. 2002;40:925–33.PubMedCrossRef
47.
go back to reference González F. Inflammation in polycystic ovary syndrome: underpinning of insulin resistance and ovarian dysfunction. Steroids. 2012;77:300–5.PubMedCrossRef González F. Inflammation in polycystic ovary syndrome: underpinning of insulin resistance and ovarian dysfunction. Steroids. 2012;77:300–5.PubMedCrossRef
48.
go back to reference Serban C, Sahebkar A, Antal D, Ursoniu S, Banach M. Effects of supplementation with green tea catechins on plasma C-reactive protein concentrations: a systematic review and meta-analysis of randomized controlled trials. Nutrition. 2015;31:1061–71.PubMedCrossRef Serban C, Sahebkar A, Antal D, Ursoniu S, Banach M. Effects of supplementation with green tea catechins on plasma C-reactive protein concentrations: a systematic review and meta-analysis of randomized controlled trials. Nutrition. 2015;31:1061–71.PubMedCrossRef
49.
go back to reference Haghighatdoost F, Hariri M. The effect of green tea on inflammatory mediators: a systematic review and meta-analysis of randomized clinical trials. Phytother Res. 2019;33:2274–87.PubMedCrossRef Haghighatdoost F, Hariri M. The effect of green tea on inflammatory mediators: a systematic review and meta-analysis of randomized clinical trials. Phytother Res. 2019;33:2274–87.PubMedCrossRef
Metadata
Title
A comprehensive insight into effects of green tea extract in polycystic ovary syndrome: a systematic review
Authors
Vahid Maleki
Ehsaneh Taheri
Parisa Varshosaz
Fatemeh Pourteymour Fard Tabrizi
Jalal Moludi
Hamed Jafari-Vayghan
Mahdi Shadnoush
Seyed Hossein Yahyazadeh Jabbari
Mehri Seifoleslami
Mohammad Alizadeh
Publication date
01-12-2021
Publisher
BioMed Central
Published in
Reproductive Biology and Endocrinology / Issue 1/2021
Electronic ISSN: 1477-7827
DOI
https://doi.org/10.1186/s12958-021-00831-z

Other articles of this Issue 1/2021

Reproductive Biology and Endocrinology 1/2021 Go to the issue