Improvements of Vaginal Atrophy in Menopause with the Utilization of Natural Ingredients of Ambones Banana Blossom Extract (Musa acumintacolla) in Ovariectomy Rats
Main Article Content
Abstract
The menopausal period causes vagina atrophy due to a decrease in estrogen. This condition is associated with symptoms such as dryness, burning, irritation, discomfort, pain during sex, and impaired sexual function. The use of natural ingredients as therapy in menopause is currently being widely developed. Flavonoids can bind to estrogen receptors because they have a similar structure and activity to endogenous estrogens. Banana Ambones blossom (Musa acuminata Colla) contains flavonoid compounds that have phytoestrogenic activity. This study evaluated the improvement of vaginal atrophy with the use of natural ingredients in menopausal rats. This study used female Wistar rats aged 10-12 weeks, weighing 200-250 g, 25 rats were divided into 5 groups, and the rats were subjected to ovariectomy. The normal group (KN), and negative control group (K-) were given standard food and drinking water; the positive control group (K+) received 0.01125 mg/day of conjugated estrogen. The P1 group was given banana blossom extract 200 mg/kg b.w, and the P2 group was given banana blossom extract 400 mg/kg b.w. After 21 days, vaginal tissues were collected and examined immunohistochemically. The results showed that banana flowers (Musa acuminata Colla) increased the expression of actin (p=0.036), Claudin-1 (p=0.029), TGF-β (p = 0.018), and collagen (p=0.001). The use of natural ingredients as an alternative therapy to correct vaginal atrophy should be further developed because phytoestrogens can reduce the negative effects of synthetic estrogen use which adversely affects health during menopause.
Downloads
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
How to Cite
References
Talaulikar V. Menopause transition: Physiology and symptoms. Best Pract Res Clin Obstet Gynaecol. 2022; 81(5):3–7.
Santoro N, Roeca C, Peters BA, Neal-Perry G. The Menopause Transition: Signs, Symptoms, and Management Options. J Clin Endocrinol Metab. 2021;106(1):1–15.
Gimenez C, Alperin M, Vita R De. The Effect of Menopause on Vaginal Tissue Mechanics : A Brief Review. 2024;146:15–20.
Jafarzade A, Mungan T, Aghayeva S, Baydemir BY, Ekiz OU, Biri A. A comparison of hyaluronic acid and estradiol treatment in vulvovaginal atrophy. Eur Rev Med Pharmacol Sci. 2024;28(2):571-576.
Valadares ALR, Junior JK, Paiva LHS da C, Nasser EJ. Genitourinary Syndrome of Menopause. 2022;(3):319-324.
Marino JM. Genitourinary Syndrome of Menopause. J Midwifery Women’s Health. 2021;1(11):1-11.
Blaskewicz CD, Pudney J, Anderson DJ. Structure and function of intercellular junctions in human cervical and vaginal mucosal epithelia. Biol Reprod. 2011;85(1):97–104.
Kyung, Lee HS, Ahn K, Park K. Estrogen Modulates Expression of Tight Junction Proteins in Rat Vagina. Biomed Res Int. 2016;2016:1–6.
Montoya TI, Maldonado PA, Acevedo JF, Word RA. Effect of vaginal or systemic estrogen on dynamics of collagen assembly in the rat vaginal wall. Biol Reprod. 2015;92(2):1–9.
Panahipour L, Kargarpour Z, Luza B, Lee JS, Gruber R. TGF-β Activity Related to the Use of Collagen.pdf. Int J Mol Sci. 2020;21(6636):1–10.
Lephart ED, Naftolin F. Menopause and the Skin: Old Favorites and New Innovations in Cosmeceuticals for Estrogen-Deficient Skin. Dermatol Ther (Heidelb). 2021;11(1):53–69.
Kiyama R. Estrogenic flavonoids and their molecular mechanisms of action. J Nutr Biochem. 2023;114(109250):1–50.
Canivenc, L MC, Bennetau PC. Phytoestrogens and Health Effects. Nutrients. 2023;15(317):1–44.
Poerba YS, Martanti D, Ahmad F, Herlina. Description of Banana Collection from the Biology Research Center (LIPI). Vol. 1. Jakarta: LIPI Press; 2018. 1–312 p.
Soni D, Saxena G. Complete nutrient profile of Banana flower: A review. J Plant Sci Res. 2021;37(2):263-267.
Afolayan AJ. Comparative and Correlational Evaluation of the Phytochemical Constituents and Antioxidant Activity of Musa sinensis L . and Musa paradisiaca L . Fruit Compartments ( Musaceae ). Sci World J. 2020;1–12.
Budiarto D, Wijianto B, IH H. Study of Anthocyanin Molecule Blocking as Anti-Hypertensive through the Pathway of the Renin-Angiotensin-Aldosterone System (RAAS). Indo J Chem Res. 2023;11(1):49–58.
Calfío C, Donoso F, Huidobro-Toro JP. Anthocyanins activate membrane estrogen receptors with nanomolar potencies to elicit a nongenomic vascular response via no production. J Am Heart Assoc. 2021;10(16):1–22.
Yu L, Rios E, Castro L, Liu J, Yan Y, Dixon D. Genistein : Dual Role in Women ’ s Health. 2021;13(3048):1–23.
Kossakowski K, Pawełczyk A, Zaprutko L. Genistein – Characterization of the Molecule, Similarity To Estradiol, and Pharmacological Potential. Acta Pol Pharm - Drug Res. 2023;80(2):193–205.
Ogunlakin AD, Sonibare MA, Ojo OA. Review on Effect of Medicinal Plants on Female Reproductive System. Trop J Nat Prod Res. 2023;7(3):2473–83.
Shen N, Wang T, Gan Q, Liu S, Wang L, Jin B. Plant flavonoids: Classification, distribution, biosynthesis, and antioxidant activity. Food Chem. 2022;383(132531):1–13.
Dias MC, Pinto DCGA, Silva AMS. Plant flavonoids: Chemical characteristics and biological activity. Molecules. 2021;26(17):1–16.
Chavda VP, Chaudhari AZ, Balar PC, Gholap A, Vora LK. Phytoestrogens : Chemistry , potential health benefits , and their medicinal importance. Jhon Wiley Sons Ltd. 2024;1–20.
Kwon S, Kim KS. Qualitative analysis of contribution of intracellular skeletal changes to cellular elasticity. Cell Mol Life Sci. 2020;77(7):1345-1355.
Gorodeski GI. Estrogen modulation of epithelial permeability in cervical-vaginal cells of premenopausal and postmenopausal women. Menopause. 2007;14(6):1012-1019.
Szyma JK. Vaginal Aging — What We Know and What We Do Not Know. Int J Environ Res Public Health. 2021;18(4935):1–10.
Bhat AA, Syed N, Therachiyil L, Nisar S, Hashem S, Muralitharan S,. Claudin-1 , A Double-Edged Sword in Cancer. 2020;21(569):1–24.
Tsukita S, Tanaka H, Tamura A. The Claudins: From Tight Junctions to Biological Systems. Trends Biochem Sci. 2019;44(2):141-152.
Grund S, Grümmer R. Direct Cell – Cell Interactions in the Endometrium and in Endometrial Pathophysiology. Int J Mol Sci. 2018;19(2227):1–22.
Li S, Herrera GG, Tam KK, Lizarraga JS, Beedle M thanh, Winuthayanon W. Estrogen Action in the Epithelial Cells of the Mouse Vagina Regulates Neutrophil Infiltration and Vaginal Tissue Integrity. Sci Rep. 2018;8(1127):1–13.
Ruiz, Z AM, Heinz A, Kerkhof MH, van de Westerlo-Van Rijt C, Schmelzer CEH, Stoop R, et al. Extracellular matrix stiffness and composition regulate the myofibroblast differentiation of vaginal fibroblasts. Int J Mol Sci. 2020;21(13):1–15.
Ghomi R, Erfan, Nourbakhsh N, Akbari Kenari M, Zare M, Ramakrishna S. Collagen-based biomaterials for biomedical applications. J Biomed Mater Res - Part B Appl Biomater. 2021;109(12):1986-1999.
Wańczyk-Baszak J, Woźniak S, Milejski B, Paszkowski T. Genitourinary syndrome of menopause treatment using lasers and temperature-controlled radiofrequency. Prz Menopauzalny. 2018;17(4):180-184.
Abdi F, Rahnemaei FA, Roozbeh N, Pakzad R. Impact of phytoestrogens on treatment of urogenital menopause symptoms: A systematic review of randomized clinical trials. Eur J Obstet Gynecol Reprod Biol. 2021; 261:222–235.
Fithri AN, Yueniwati Y, Arsana IW, Khotimah H, Nurwidyaningtyas W. The Potential Health Benefit of Cowpea Estrogen-like Activity to Restore Vaginal Epithelial Cells Thinning Due to Menopausal Syndrome. Trop J Nat Prod Res. 2024; 8(3):6624-6630.