Evidence map›Paper›PMID 41870776›Full record

ArticleInflammopharmacology2026

Ursolic acid, a pentacyclic triterpene from Ochrosia elliptica Labill leaves and its role in the management of polycystic ovary syndrome (PCOS).

Shimaa R Emam, Marwa A Ibrahim, Fady Sayed Youssef, Marwa S Khattab, Riham A El-Shiekh, Rehab A Ghandour, Heba F Hozyen, Marwa Zakaria, Essam A Abdel-Sattar, Samar M Mouneir

Abstract read
In one paragraph

Article in Inflammopharmacology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Shimaa R EmamDepartment of Pharmacology, Faculty of Veterinary Medicine, Cairo University, Giza, 12211, Egypt.
Marwa A IbrahimDepartment of Biochemistry and Molecular Biology, Faculty of Veterinary Medicine, Cairo University, Giza, 12211, Egypt.
Fady Sayed YoussefDepartment of Pharmacology, Faculty of Veterinary Medicine, Cairo University, Giza, 12211, Egypt.
Marwa S KhattabDepartment of Pathology, Faculty of Veterinary Medicine, Cairo University, Giza, 12211, Egypt.
Riham A El-ShiekhDepartment of Pharmacognosy, Faculty of Pharmacy, Cairo University, El- Kasr El-Aini St, Cairo, 11562, Egypt.
Rehab A GhandourDepartment of Physiology, Faculty of Veterinary Medicine, Cairo University, Giza, 12211, Egypt.
Heba F HozyenAnimal Reproduction and Artificial Insemination Department, National Research Centre, Veterinary Research Institute, Tahrir Street, Dokki, Giza, 12622, Egypt.
Marwa ZakariaEducational Central Lab, Women College, Ain Shams University, Cairo, Egypt.
Essam A Abdel-SattarDepartment of Pharmacognosy, Faculty of Pharmacy, Cairo University, El- Kasr El-Aini St, Cairo, 11562, Egypt. essam.abdelsattar@pharma.cu.edu.eg.
Samar M MouneirDepartment of Pharmacology, Faculty of Veterinary Medicine, Cairo University, Giza, 12211, Egypt. samar_mounier@yahoo.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Ursolic Acid (UA), a naturally occurring pentacyclic triterpene, was isolated from Ochrosia elliptica. Polycystic Ovary Syndrome (PCOS) a prevalent endocrine disorder characterized by hyperandrogenism, insulin resistance, and chronic inflammation. In this study, we investigate the role of UA in alleviating the symptoms of PCOS, focusing on its biochemical, hormonal, and histopathological effects in a rat model. Using adult female Wistar Albino rats, PCOS was induced through letrozole administration. The rats were then treated with UA at two different doses (25 and 50 mg/kg), alongside a control group and a standard ovulation-inducing medication, clomiphene citrate (1 mg/kg). Biochemical analyses showed that PCOS induction significantly increased serum malondialdehyde (MDA) levels by approximately 1.21-fold, while markedly reducing superoxide dismutase (SOD) and catalase (CAT) activities (p ≤ 0.05) by approximately 0.48-fold, relative to negative control. Treatment with UA (50 mg/kg) dose-dependently restored oxidative balance, reducing MDA (~ 0.82-fold) and elevating SOD (~ 2.39-fold) and CAT (~ 2.11-fold) activities toward PCOS values (p ≤ 0.05). Hormonally, PCOS rats exhibited elevated luteinizing hormone (LH) and testosterone levels by approximately 1.70-fold, compared to the negative control (p ≤ 0.05). Both doses of UA significantly lowered LH and testosterone, with the 50 mg/kg dose achieving reductions comparable to clomiphene citrate (p ≤ 0.05). Histopathological examination showed improved ovarian morphology with reduced cystic follicles and increased corpus lutea in UA-treated groups. Furthermore, UA downregulated key genes involved in steroidogenesis and oxidative stress response, suggesting a multifaceted mechanism of action. The findings highlight UA's potential as a novel therapeutic option for managing PCOS symptoms, emphasizing the need for further research into its efficacy and safety in clinical applications.

Indexed as

Polycystic Ovary SyndromeTriterpenesAnimalsDisease Models, AnimalDose-Response Relationship, DrugFemaleMalondialdehydeOxidative StressPlant LeavesRatsRats, WistarSuperoxide DismutaseUrsolic AcidMalondialdehydeSuperoxide DismutaseTriterpenesUrsolic AcidBiochemical and hormonal biomarkersHistopathologyImmunohistochemistryOxidative stressPentacyclic triterpenePolycystic ovary syndrome (PCOS)Ursolic acid

Identifiers

PMID41870776
PMCPMC13083445

What Socratic holds

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LicenceCC BY
Read underepoch 390

Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.