Title:Resveratrol Augments Doxorubicin and Cisplatin Chemotherapy: A Novel
Therapeutic Strategy
Volume: 16
Author(s): Sepideh Mirzaei, Mohammad Hossein Gholami, Amirhossein Zabolian, Hossein Saleki, Morteza Bagherian, Seyed Mohammadreza Torabi, Seyed Omid Sharifzadeh, Kiavash Hushmandi, Kaila R. Fives, Haroon Khan, Milad Ashrafizadeh, Ali Zarrabi*Anupam Bishayee*
Affiliation:
- Department of Biomedical Engineering, Faculty of Engineering and Natural Sciences, Istinye University,
34396 Istanbul, Turkey
- College of Osteopathic Medicine, Lake Erie College of Osteopathic Medicine, Bradenton, FL 34211,
USA
Keywords:
Resveratrol, doxorubicin, cisplatin, cancer chemotherapy, chemoresistance, chemoprotection, antitumor activity.
Abstract:
Background: The treatment of cancer is a current challenge for public health, causing
high rates of morbidity and mortality worldwide. Doxorubicin (DOX) and cisplatin (CP) are two
well-known chemotherapeutic agents approved by the Food and Drug Administration to treat cancer
patients. However, there are two problems associated with DOX and CP: drug resistance and adverse
impact. Resveratrol (Res) belongs to the stilbene class and possesses various health-promoting effects,
such as antioxidant, anti-inflammatory, anticancer, hepatoprotective, and neuroprotective
effects.
Objective: The present review aims to give special attention to the therapeutic impacts of Res in
potentiating DOX and CP’s antitumor activities and reducing their side effects.
Methods: PubMed, Science Direct, and Google Scholar were used to search articles for the current
manuscripts.
Results: Co-administration of Res can prevent chemoresistance and potentiate the induction of apoptosis
and cell cycle arrest in cancer cells. Res can enhance the sensitivity of cancer cells to DOX and
CP chemotherapy by inhibiting the migration and metastasis of cancer cells. Simultaneously, Res,
due to its therapeutic actions ameliorates the adverse impacts of DOX and CP on normal cells and
organs, including the liver, kidney, brain, and testes. As Res suffers from poor bioavailability,
nanoformulations have been developed with promising results to improve its antitumor activity and
protective effects.
Conclusion: Based on preclinical studies, it is obvious that Res is a promising adjsuvant for CP and
DOX chemotherapy, and its benefits can be utilized in the clinical course.