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Short review of the resveratrol effects in clinical trials in patients suffering from type 2 diabetes mellitus, obesity, cardiovascular diseases (CVD) disease, skin disorders or cancer. 

Short review of the resveratrol effects in clinical trials in patients suffering from type 2 diabetes mellitus, obesity, cardiovascular diseases (CVD) disease, skin disorders or cancer. 

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Resveratrol could be beneficial to health and provides protection against a wide array of pathologies and age-associated problems, as evident from preclinical studies. However, a comparison of animal and human studies reveals that this dietary polyphenol cannot protect against metabolic diseases and their associated complications. The clinical outc...

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... Another hypothesis might point to the complex and, sometimes, even contradictory role of resveratrol on cognition and mood. On one hand, as stated before, this compound exerts several neuroprotective roles in neurodegenerative diseases (Wahab et al., 2017;Bastianetto et al., 2015) and chronic resveratrol intake reduces the oxidative stress and cell loss in the prefrontal cortex, hippocampus, and cerebellum of 20-month-old rats, together with improvement on short-and long-term recognition memory and locomotor behavior (Juarez et al., 2023). The mechanisms behind this finding seem to be the enhancement of cholinergic neurotransmission and of the expression of the brain-derived neurotrophic factor, as well as the promotion of β-amyloid peptide clearance and the antiamyloidogenic cleavage of the amyloid precursor protein, eventually reducing the neuronal apoptosis and increasing cell survival (Sousa et al., 2020). ...
... RV, chemically known as 3,4',5-trihydroxy-trans-stilbene is a non-flavonoid polyphenol that acts as a phytoestrogen with antioxidant, anti-inflammatory, cardioprotective, and anticancer properties [37]. RV is often referred to as a 'miracle' nutraceutical in advancing cancer therapy by mitigating cancer, along with possessing various bioactivities, including antidiabetic and antiaging activities [38,39]. RV effectively suppresses cancer cells [40] via inhibiting STAT3/SOCS-1 [41], NAF-1 [42], SIRT1/p38MAPK, and NO/DLC1 [43] signaling pathways. ...
... RV was selected in this study because of its efficient anti-oncogenic potential [38][39][40][42][43][44]. ...
... The compound RV was selected based on its high therapeutic values, as mentioned [38][39][40][41][42][43][44][45]49]. ...
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The increased metabolic activity in cancer cells often leads to higher levels of reactive oxygen species (ROS) compared to normal cells, which can cause damage to cellular components, including DNA. Cancer cells rely on MTH1 to maintain their DNA integrity and cellular function to counteract this damage. MTH1 is critical in sanitizing oxidized nucleotide pools by removing damaged nucleotides. Inhibition of MTH1 disrupts this repair process, leading to increased DNA damage and cell death in cancer cells. In this study, we present resveratrol (RV) as a potential MTH1 inhibitor. Docking and MD Simulations illustrated the effective binding of RV to the active site of the MTH1 protein, forming a notably stable complex. The fluorescence binding studies estimated a high binding affinity of RV with MTH1 ( K a − 6.2 x 10 ⁵ ), inhibiting MTH1 activity with IC 50 20.4µM. The inhibitory effects of RV on the proliferation of breast cancer cells revealed significant inhibition in cell growth, leading to apoptosis. RV significantly increases ROS production, inducing considerable oxidative stress and ultimately resulting in cell death. Our study offers a rationale for evaluating RV as an MTH1 inhibitor for potential anti-cancer therapy, particularly in breast cancer.
... Resveratrol is involved in slowing down cellular aging and strengthening the immune system and has anti-obesity effects by limiting calorie restriction. It also plays an important role in preventing or mitigating diseases such as diabetes, neurodegenerative and cardiovascular diseases, as we saw earlier (Wahab et al., 2017). With regard to its cancer-suppressive action, resveratrol acts as a chemo preventive agent during the four stages of carcinogenesis, from initiation to metastasis through promotion and progression (Jang et al., 1997;Rivera-Aguilar et al., 2023), demonstrating its effectiveness in both in vitro and in vivo studies in the treatment of cancer (Ren et al., 2021). ...
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Resveratrol is a natural polyphenol found in various plants and fruits such as blackberries, blueberries, currants, strawberries, peanuts, and most especially in grapes. It is also present in red wine, although its content varies greatly depending on its origin. It is a phytoalexin produced by plants in response to stress, aggression from pathogens such as bacteria or fungi, or physical damage such as injury. In addition to its involvement in plant defence responses, resveratrol has been the subject of research interest due to its potential health benefits, including antioxidant properties and potential positive effects on the cardiovascular system, among others.
... 7 RSVR has various properties, including antioxidant, anti-inflammatory, antiapoptotic, and anti-tumor effects. [8][9][10] Besides that, RSVR has been shown in preclinical research to have protective benefits against numerous diseases, such as diabetes, cancer, neurological disorders, and cardiovascular disease. 11,12 The antioxidant activity of RSVR exerts through decreasing ROS production and maintaining mitochondria function. ...
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... 13 Two polyphenols in particular, curcumin and resveratrol, are derived from foods, turmeric and red wine/ grapes, that have shown strong correlations in observational studies with reduced risk of chronic disease and improved longevity. 14,15 The impact on human biochemistry of the isolation of these compounds from their health-promoting foods (removing them from the food matrix) is at the root of the research question of this review. If a phytochemical like curcumin is credited for antioxidant, anti-inflammatory, and antitumor activities, is there a point at which this highly concentrated compound whose health benefits were first recognized in a different format as part of a whole food, can create imbalance in the oxidative homeostasis and lead to negative outcomes? ...
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... Stilbenes are identified by a 1,2-diphenylethylene nucleus consisting of two phenolic rings connected by a methylene bridge (C6-C2-C6) [67]. The most well-known stilbene is resveratrol, which has received significant attention for its potential health benefits [68]. Lignans are generated from shikimic acid via the phenylpropanoid pathway through the oxidative dimerization of two phenylpropanoid C6-C3 units [69]. ...
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... Among commonly used drugs, metformin, an antidiabetic drug originally derived from the Galega officinalis plant, could act on multiple pathways targeting aging and age-related diseases by activating AMPK and SIRT1 upregulation and inhibiting mTOR and ROS as well as NF-kb signaling, among others [142]. In addition to metformin, resveratrol, epicatechin, and the NAD+ precursor nicotinamide riboside (a vitamin B3 derivative) have been seen to improve mitochondria functions through similar mechanisms [143][144][145]. Like metformin, physical exercise also increases AMPK which upregulates IL15 in muscle while both AMPK and IL15 activities are decreased by aging [146]. ...
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... It reduces EMT and decreases invasiveness and metastasis in PC cells [14]. Resveratrol is present in nuts, berries, and grapes, especially in the skin and it has been shown to exert anticancer activities [15]. Resveratrol has been shown to diminish pancreatitis in vivo induced by cerulein and pancreatic precancerous lesions. ...
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... A possible mechanistic explanation for wine's protective effect against obesity can be attributed to resveratrol. Resveratrol, a type of natural phenol found in food, including the skin of grapes, acts as an antioxidant with health-promoting properties, including BMI reduction [43,44]. Generally, studies investigating the interaction between variants predisposing obesity and wine consumption are lacking. ...
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... Resveratrol may activate SIRT-1 and SIRT-3, and further improve mitochondrial metabolism, which in turn decreases ROS production, increases FA oxidation, and inhibits the damage of fatty acid synthase (FAS). As a consequence, resveratrol increases mitochondrial biogenesis and decreases mitochondrial uncoupling protein-2 (UCP-2) expression by activating SIRT-1 in β-cells [51]. ...
... Various different studies have reported that resveratrol has a high value to decrease insulin resistance, and improve glucose, lipid homeostasis, and cardiometabolic risk [35,51,56] through sirtuine signaling pathways, antioxidant, anti-inflammatory, and gut microbiota modulation (composition and bioactivities). ...
Chapter
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Resveratrol (trans-resveratrol or 3,4′,5-trihydroxystilbene) is a polyphenol naturally present in grape skin and seeds. New innovative concentrated extracts produced by microorganisms or with innovative, ecological extraction techniques allow a new generation of high-quality ingredients for a diversity of product applications in nutraceuticals, cosmetics, and pharmaceuticals. Resveratrol exerts antioxidant and anti-inflammatory properties while promoting sirtuins 1 activities and mitochondrial functions. It also modulates multiple cellular signaling molecules, such as VEGF, caspases, cytokines NF-kB, vascular cell adhesion molecule, IGF-1, PPARs, and COX-2. Its clinical benefits have been demonstrated mainly in cognitive health, menopause, bone health, cardiovascular health, glucose metabolism, sport nutrition, and skin health. This chapter reviews the bioactivities of resveratrol, its clinical benefits, and detail its potential applications in several product categories in the growing field of health and nutrition product innovation. Resveratrol-based products may participate to provide new natural and complementary solutions for a global approach to health support and maintenance.