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Review
. 2013:2013:963217.
doi: 10.1155/2013/963217. Epub 2013 Dec 29.

Resveratrol: why is it a promising therapy for chronic kidney disease patients?

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Review

Resveratrol: why is it a promising therapy for chronic kidney disease patients?

Juliana F Saldanha et al. Oxid Med Cell Longev. 2013.

Abstract

Resveratrol, a phenolic compound found in various plants, including grapes, berries, and peanuts, shows promise for the treatment of cancer, aging, type 2 diabetes, and cardiovascular diseases. Resveratrol can promote transcription factor nuclear factor-erythroid 2-related factor 2 (Nrf2) activation, increase the expression level of SIRT-1, which is a sirtuin family protein, and reduce mTOR pathway signaling. This compound has anti-inflammatory properties in that it inhibits or antagonizes the nuclear factor-κB (NF-κB) activity, which is a redox-sensitive transcription factor that coordinates the inflammatory response. Inflammation and oxidative stress, which are common features in patients with chronic kidney disease (CKD), are interrelated and associated with cardiovascular disease and the progression of CKD itself. Because of the modulation of the mechanisms involved in the inflammatory-oxidative stress cycle, resveratrol could play an important role in controlling CKD-related metabolic derangements. Although resveratrol supplementation in theory is a promising therapy in this patient group, there are no studies evaluating its effects. Thus, the present review aims to describe the role of resveratrol in inflammation and oxidative stress modulation and its possible benefits to patients with CKD.

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Figures

Figure 1
Figure 1
Oxidative stress: imbalance between antioxidant (AOX) capacity and reactive oxygen species (ROS) production.
Figure 2
Figure 2
Chemical structure of resveratrol isoforms.
Figure 3
Figure 3
mTORC1 and mTORC2 complexes. AAs: amino acids.
Figure 4
Figure 4
Scheme of resveratrol action mechanism to reduce inflammation and oxidative stress. AOX: antioxidant; CKD: chronic kidney disease.

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