Marrubium vulgare L., commonly known as "horehound," is a plant species belonging to the
Lamiaceae family, native to North Africa, Western Asia, and Southern Europe. Historically, traditional medicine has utilized the blooming aerial parts and aqueous-methanol extracts of this plant to treat stomach problems and coughs, due to its calming and anti-inflammatory properties. The basic features of the plant are determined by its secondary metabolites (
1). A total of 54 secondary metabolites have been documented from horehound plants. Among these, marrubiin stands out as the principal bioactive compound isolated in the aerial parts of the horehound. The plant also contains other compounds, such as vitexin, luteolin, and apigenin (
2).
The blooming aerial parts of horehound and its aqueous-methanol extracts are commonly used in traditional medicine to treat stomach ailments and coughs due to their calming and anti-inflammatory properties. In addition, some investigations have explored the gastro-protective, anti-hypertensive, analgesic, hypoglycemic, and antispasmodic properties of these substances (
3-
5). Furthermore, compounds like premarrubenol, premarrubiin, and vulgarol have been isolated from horehound alongside various flavonoids, steroids, terpenoids, tannins, saponins, and essential oils (
6,
7).
Some important properties of marrubiin are its low turnover, high stability, and minimal catabolism. These characteristics make it desirable as a therapeutic compound and an economically valuable nutraceutical (
8). These features contribute to its healing effects on different body systems, such as reducing pain, protecting the heart, relaxing blood vessels, protecting the digestive system, reducing spasms, boosting the immune system, reducing swelling, mitigating inflammation, and preventing diabetes. Moreover, marrubiin is a promising precursor for potent active compounds, notably marrubiinic acid and marrubenol.
Marrubiinic acid exhibits antinociceptive effects, whereas marrubenol demonstrates vasorelaxant properties (
9). Horehound is also recognized for its anti-inflammatory characteristics. The disruption in homeostatic equilibrium between oxidants and antioxidants, induced by free radicals, amplifies oxidative stress mechanisms. Oxidative stress is identified as a primary contributor to aging and various human ailments such as cancer, diabetes, neurodegenerative conditions, and rheumatoid arthritis. Antioxidants are crucial in delaying, preventing, or inhibiting oxidative harm to target molecules (
6). The antioxidant properties of horehound methanol extracts were evaluated in vitro using a DPPH (2,2-diphenyl-1-picrylhydrazyl) free radical scavenging assay. The results indicated robust activity, with a half maximal inhibitory concentration (IC50) value ranging from 8.24 to 12.42 µg/mL (
10-
12). The antioxidant activity of horehound essential oil was also measured using the same method and found to have an IC50 value of 153.84 µg/mL. This is about twice as high as the antioxidant activity of butylated hydroxytoluene (BHT) (
13).
The Photochemiluminescence (PLC) assay was employed to assess the antioxidant activity of the compounds in the presence of superoxide anion radicals. The potent antioxidant effects of methanol and acetone horehound extracts (261.41 and 272.90 µmol TE/g, respectively) were determined, attributable to the reactive oxygen species (ROS) generated in the body. Conversely, we observed lower activity when investigating essential oil and isolated marrubium (
1).
Besides its anti-inflammatory properties, horehound extract effectively regulates hormones related to menstrual and women's health conditions. Estimates suggest that the population of menopausal women will grow by approximately 47,000 annually, and projections indicate that by 2030, there will be around 1.2 billion menopausal women worldwide (
1-
3). Eighty percent of these women encounter symptoms associated with the hormonal changes of menopause, including genitourinary symptoms, vasomotor symptoms, and cognitive problems. However, only 25% of them actively pursue medical aid for their grievances (
4-
6).
Premature ovarian failure (POF), occurring before the age of 40, affects approximately 1% of women. Autoimmune factors or genetic anomalies primarily cause the condition. Additionally, acquired forms of POF may result from treatments like chemotherapy, radiotherapy, or ovariectomy performed for ovarian cancer (
4,
7). The most prevalent form of ovarian dysfunction during the reproductive years is polycystic ovary syndrome (PCOS). This illness has important clinical ramifications, presenting with irregular menstrual cycles, excessive levels of male hormones, and the presence of many cysts on the ovaries. Additionally, PCOS is associated with disturbances in glucose (such as insulin resistance and poor glucose tolerance) and lipid metabolism, which are acknowledged as substantial risk factors for cardiovascular disease (
2,
8). Women diagnosed with PCOS have a fourfold higher likelihood of developing type 2 diabetes mellitus (DM) and a 2.8-fold increased risk of gestational diabetes mellitus (GDM) compared to those without the condition. Additionally, around 20% of women with PCOS experience the onset of DM before reaching 40 years of age (
3,
8).
Polycystic ovary syndrome impacts approximately 7% of women in their reproductive years. However, the wide range of clinical manifestations associated with PCOS likely leads to the underdiagnosis of 75% of these women during medical consultations (
9,
10). In obese women, the prevalence of PCOS is even higher, reaching 15 - 30% (
2). Mokhtari et al. investigated the levels of luteinizing hormone (LH), follicle-stimulating hormone (FSH), estradiol, and testosterone hormones in female rats with PCOS. Their findings suggest that the alcoholic extract of white horehound enhances hormonal parameters in polycystic ovarian syndrome (
11).