Title:Resveratrol in Cancer Therapy: From Stimulation of Genomic Stability to
Adjuvant Cancer Therapy: A Comprehensive Review
Volume: 23
Issue: 8
Author(s): Peyman Amini, Reza Moazamiyanfar, Mohammad Sedigh Dakkali, Ali Khani, Emad Jafarzadeh, Kave Mouludi, Ehsan Khodamoradi, Ramin Johari, Shahram Taeb and Masoud Najafi*
Affiliation:
- Medical Technology Research Center, Institute of Health Technology, Kermanshah University of Medical Sciences, Kermanshah, Iran
- Radiology and Nuclear Medicine Department, School of Paramedical Sciences, Kerman-shah University of Medical Sciences, Kermanshah, Iran
Keywords:
Resveratrol, Genomic instability, Cancer, Radiotherapy, Chemotherapy, Combination therapy, Drugs.
Abstract: Cancer therapy through anticancer drugs and radiotherapy is associated with several side
effects as well as tumor resistance to therapy. The genotoxic effects of chemotherapy and radiotherapy
may lead to genomic instability and increased risk of second cancers. Furthermore, some responses
in the tumor may induce the exhaustion of antitumor immunity and increase the resistance
of cancer cells to therapy. Administration of low-toxicity adjuvants to protect normal tissues and
improve therapy efficacy is an intriguing strategy. Several studies have focused on natural-derived
agents for improving the antitumor efficiency of radiotherapy, chemotherapy, and novel anticancer
drugs such as immunotherapy and targeted cancer therapy. Resveratrol is a naturally occurring substance
with intriguing antioxidant, cardioprotective, anti-diabetes, and antitumor properties.
Resveratrol has been demonstrated to modulate tumor resistance and mitigate normal tissue toxicity
following exposure to various drugs and ionizing radiation. Compelling data suggest that resveratrol
may be an appealing adjuvant in combination with various anticancer modalities. Although the natural
form of resveratrol has some limitations, such as low absorption in the intestine and low bioavailability,
several experiments have demonstrated that using certain carriers, such as nanoparticles,
can increase the therapeutic efficacy of resveratrol in preclinical studies. This review highlights various
effects of resveratrol that may be useful for cancer therapy. Consequently, we describe how
resveratrol can protect normal tissue from genomic instability. In addition, the various mechanisms
by which resveratrol exerts its antitumor effects are addressed. Moreover, the outcomes of combination
therapy with resveratrol and other anticancer agents are reviewed.