Resveratrol

DEFINITION: Resveratrol is a compound manufactured by plants as part of their defense mechanism against disease. These compounds belong to the stilbene chemical classification and are also known as polyphenolic phytoalexins. Resveratrol has become synonymous with cancer prevention and is thought to have protective antioxidant, anti-inflammatory, and life-extending properties.

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Delivery routes: Oral via food and dietary supplements; significant food sources include red grapes, red wines, red and purple grape juice, berries (including raspberries, blueberries, cranberries, and bilberries), peanuts, and peanut butter

How this substance works: Resveratrol is a stilbene compound manufactured by plants as a defense mechanism against diseases. It is primarily found in red grape skins, and laboratory experiments find that it functions as an antioxidant against cell-damaging free radicals. It has also been found to prevent some cancers, slow or halt the stages of cancer progression and metastasis, decrease inflammation and heart disease, and extend life span. Its chemical structure is very similar to estrogen, and it is considered a phytoestrogen compound. Continued studies in the second and third decades of the twenty-first century found resveratrol to be effective in influencing disease biomarkers of neurological disorders, cardiovascular diseases, and diabetes. However, its effectiveness in treating cancer has been less straightforward. While it has shown some promise in preventing estrogen-sensitive cancers, one study found that it stimulated the growth of breast cancer cells. Although the number of studies testing resveratrol in humans remained limited, initial results showed that the body rapidly metabolizes it. Thus, blood levels of resveratrol may not reach the protective levels that have been observed in the lab setting, and it may only provide limited health benefits to humans. More human studies remain necessary. Recommended doses for resveratrol have yet to be determined.

Side effects: Caution is advised for individuals with food allergies or sensitivities to resveratrol-containing foods. There have been no reported side effects or drug interactions, but women with a history of estrogen-sensitive cancers are advised to avoid resveratrol dietary supplements because of their estrogen-like chemical structure. Individuals taking anticoagulant, antiplatelet, or nonsteroidal anti-inflammatory drugs (NSAIDs) should also avoid dietary supplements, as high doses of resveratrol may increase the risk of bleeding. Unsafe intake of alcohol should be avoided, as it may increase cancer risk as well as other health risks.

Bibliography

Berman, Adi Y., et al. "The Therapeutic Potential of Resveratrol: A Review of Clinical Trials." Npj Precision Oncology, vol. 1, no. 1, 2017, pp. 1-9, doi:10.1038/s41698-017-0038-6. Accessed 16 June 2024.

Cho, William C. S. Cancer Chemoprevention and Treatment by Diet Therapy. Springer, 2013.

Kursvietiene, Lolita, et al. "Anti-Cancer Properties of Resveratrol: A Focus on Its Impact on Mitochondrial Functions." Antioxidants, vol. 12, no. 12, 2023, doi:10.3390/antiox12122056. Accessed 16 June 2024.

Patel, Ketan R., et al. "Sulfate Metabolites Provide and Intracellular Pool for Resveratrol Generation and Induce Autophagy with Senescence." Science Translational Medicine, vol. 5. no. 205, 2013, p. 133.

Patel, Ketan R., Edwina Scott, Victoria A. Brown, Andreas J. Gescher, William P. Steward, and Karen Brown. "Clinical Trials of Resveratrol." Annals of the New York Academy of Sciences, vol. 1215.1, 2011, pp. 161–69.

“Resveratrol.” Memorial Sloan Kettering Cancer Center, 17 Feb. 2023, www.mskcc.org/cancer-care/integrative-medicine/herbs/resveratrol. Accessed 16 June 2024.

Shankar, Sharmila, and Rakesh K. Srivastava. Nutrition, Diet and Cancer. Springer, 2012.

Subramanian, Lalita, et al. "Resveratrol: Challenges in Translation to the Clinic—A Critical Discussion." Clinical Cancer Research, vol. 16. no. 24, 2010, pp. 5942–48.