Abstract

Resveratrol is a phenolic phytochemical, with a stilbene backbone, derived from edible plants such as grape and peanut. It is a bioactive molecule with physiological effects on multiple organ systems. Its effects range from the neuroprotective to the nephroprotective, including cardiovascular, neuronal, and antineoplastic responses as a part of its broad spectrum of action. In this review, we examine the effects of resveratrol on the following organ systems: the central nervous system, including neurological pathology such as Parkinson's and Alzheimer's disease; the cardiovascular system, including disorders such as atherosclerosis, ischemia-reperfusion injury, and cardiomyocyte hypertrophy; the kidneys, including primary and secondary nephropathies and nephrolithiasis; multiple forms of cancer; and metabolic syndromes including diabetes. We emphasize commonalities in extracellular matrix protein alterations and intracellular signal transduction system induction following resveratrol treatment. We summarize the known anti-inflammatory, antioxidative, and cytoprotective effects of resveratrol across disparate organ systems. Additionally, we analyze the available literature regarding the pharmacokinetics of resveratrol formulations used in these studies. Finally, we critically examine select clinical trials documenting a lack of effect following resveratrol treatment.

Highlights

  • Resveratrol is a polyphenolic phytochemical that is biosynthesized by certain edible plants such as grape, peanut, and berry in response to phytogenic insults or pathogens

  • Its biosynthetic pathway begins with coumaroyl-CoA and 3-malonyl CoA and involves the enzyme stilbene synthase, which leads to a general biological yield of 50 to 400 μg resveratrol per g wet weight of leaves [1, 2]

  • The high resveratrol level in red wine was postulated as a factor in the “French Paradox”, where epidemiological data revealed an apparent disconnect between French patterns of low rates of cardiovascular disease despite their high saturated fat consumption

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Summary

Introduction

Resveratrol is a polyphenolic phytochemical that is biosynthesized by certain edible plants such as grape, peanut, and berry in response to phytogenic insults or pathogens. Based on its function in plants, resveratrol may be classified in the general category of low molecular weight compounds known as phytoalexins, which are phytochemicals possessing an antimicrobial and antioxidant function. Of nano- and microemulsion-based formulation systems for resveratrol These pharmaceutical formulation techniques enhance the bioavailability of this drug and prolong its duration of action. This review focuses on providing a broad overview of the experimental studies and clinical trials conducted to analyze the systemic anti-inflammatory, antioxidative multiorgan protective effects of resveratrol. We substantiate this information by summarizing molecular pharmacology mechanisms and specific second messenger pathways, along with pharmacokinetic data with reference to resveratrol

SiRT1 and Resveratrol
Resveratrol in Kidney Disease
Resveratrol in CNS Disease
Resveratrol and Cancer
Resveratrol and Cancer Pathogenesis
Resveratrol and Metabolic Disorders
Resveratrol and Cardiovascular Disease
Pharmacokinetics of Resveratrol
Findings
Conclusion
Full Text
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