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Rationale for assessing the therapeutic potential of resveratrol in hematological malignancies
J Luis Espinoza1, Yu Kurokawa1, Akiyoshi Takami2
1Department of Hematology and Rheumatology, Faculty of Medicine, Kindai University, Osaka-Sayama, Japan.
Abstract:
Promising results from pre-clinical studies on the naturally-occurring polyphenol resveratrol have generated considerable interest and somewhat excessive expectations regarding the therapeutic potential of this compound for treating or preventing various diseases, including cardiovascular and neurodegenerative disorders and cancer. Resveratrol has potent inhibitory activity in vitro against various tumor types, including cell lines derived from virtually all blood malignancies. Pharmacological studies have shown that resveratrol is safe for humans but has poor bioavailability, due to its extensive hepatic metabolism. Curiously, a substantial proportion of the orally administered resveratrol can reach the bone marrow compartment. Notably, various pathways dysregulated in blood cancers are known to be molecular targets of resveratrol, thus substantiating the potential utility of this agent in blood malignancies. In this review, we primarily focus on the scientific evidence that supports the potential utility of resveratrol for the management of select hematological malignancies. In addition, potential clinical trials with resveratrol are suggested.
Insights
Resveratrol shows therapeutic potential for blood cancers, targeting key pathways. Despite poor bioavailability, it reaches bone marrow, suggesting its use in hematological malignancies.
Area of Science:
- Natural product chemistry
- Hematology
- Cancer research
Background:
- Resveratrol, a polyphenol, exhibits promising preclinical anti-cancer activity.
- Interest in resveratrol for various diseases, including cancer, is high.
- Resveratrol demonstrates potent in vitro inhibitory activity against blood cancer cell lines.
Purpose of the Study:
- To review scientific evidence supporting resveratrol's utility in hematological malignancies.
- To explore resveratrol's therapeutic potential in managing blood cancers.
- To suggest potential clinical trials for resveratrol in hematology.
Main Methods:
- Review of preclinical and pharmacological studies on resveratrol.
- Analysis of resveratrol's in vitro anti-tumor activity.
- Investigation of resveratrol's bioavailability and distribution.
Main Results:
- Resveratrol is safe for human use but has poor oral bioavailability due to hepatic metabolism.
- A significant amount of orally administered resveratrol reaches the bone marrow.
- Resveratrol targets pathways dysregulated in blood cancers.
Conclusions:
- Resveratrol shows potential for managing select hematological malignancies.
- Further research and clinical trials are warranted to explore resveratrol's efficacy.
- Resveratrol's ability to target cancer pathways supports its investigation in blood cancers.
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