Gupta Dhruv Sanjay, Gadi Vaishnavi, Kaur Ginpreet, Chintamaneni Meena, Tuli Hardeep Singh, Ramniwas Seema, Sethi Gautam
Department of Pharmacology, Shobhaben Pratapbhai Patel School of Pharmacy and Technology Management, SVKM'S NMIMS, Vile Parle-West, Mumbai 400056, India.
Department of Biotechnology, Maharishi Markandeshwar Engineering College, Maharishi Markandeshwar (Deemed to Be University), Mullana, Ambala 133207, India.
Biomedicines. 2023 Jan 15;11(1):221. doi: 10.3390/biomedicines11010221.
The growing incidence of B cell malignancies globally has prompted research on the pharmacological properties of phytoconstituents in cancer management. Resveratrol, a polyphenolic stilbenoid widely found in nature, has been explored for its anti-inflammatory and antioxidant properties, and promising results from different pre-clinical studies have indicated its potential for management of B cell malignancies. However, these claims must be substantiated by a greater number of clinical trials in diverse populations, in order to establish its safety and efficacy profile. In addition to this, there is a need to explore nanodelivery of this agent, owing to its poor solubility, which in turn may impact its bioavailability. This review aims to offer an overview of the occurrence and pathogenesis of B cell malignancies with a special focus on the inflammatory pathways involved, the mechanism of actions of resveratrol and its pharmacokinetic profile, results from pre-clinical and clinical studies, as well as an overview of the marketed formulations. The authors have also presented their opinion on the various challenges associated with the clinical development of resveratrol and future perspectives regarding therapeutic applications of this agent.
全球范围内B细胞恶性肿瘤发病率的不断上升,促使人们对植物成分在癌症治疗中的药理特性展开研究。白藜芦醇是一种在自然界中广泛存在的多酚类芪化物,其抗炎和抗氧化特性已得到研究,不同临床前研究的 promising 结果表明其在治疗B细胞恶性肿瘤方面具有潜力。然而,这些说法必须通过在不同人群中进行更多的临床试验来证实,以便确定其安全性和疗效。除此之外,由于其溶解度差,进而可能影响其生物利用度,因此需要探索该药物的纳米递送。本综述旨在概述B细胞恶性肿瘤的发生和发病机制,特别关注所涉及的炎症途径、白藜芦醇的作用机制及其药代动力学概况、临床前和临床研究结果,以及上市制剂的概述。作者还对与白藜芦醇临床开发相关的各种挑战以及该药物治疗应用的未来前景发表了看法。