Resveratrol
Stilbenoid: SIRT1 ↑, NF-κB/apoptosis mod; moderate adjunct in breast/prostate/colorectal/lung.
Forms: Micronized capsules (250-500 mg trans-resveratrol) · Liposomal or cyclodextrin-complexed for bioavailability
Key Takeaway
Pleiotropic polyphenol that activates SIRT1, suppresses NF-κB–driven inflammation, and promotes apoptosis; adjunct potential with mixed but encouraging human signals.
Evidence at a glance
Preclinical SIRT/NF-κB dominance; phase II PSA signals in prostate; meta-QoL modest; ongoing combos in CRC/breast; bioavailability hurdle noted.
How it may work
Resveratrol (RSV) activates SIRT1→FOXO/PGC-1α deacetylation, enhancing DNA repair/mitochondrial efficiency and reducing senescence signaling. It inhibits NF-κB (IKK/p65), lowering COX-2/IL-6/TNF and angiogenic VEGF. RSV primes intrinsic apoptosis (Bax↑/Bcl-2↓, caspase-3/9) and can modulate ER/AR signaling in hormone-responsive tumors. Synergistic effects with chemo/radiation are reported preclinically and in small trials.
Targets & pathways
Curated mechanistic targets reported for this agent — how it may act on cells, not proof of a clinical effect.
Often studied / combined with
Combinations reported in the literature, not a protocol or a recommendation.
- Doxorubicin: Improved response in breast cancer.
- Curcumin: NF-κB dual-hit in colorectal.
- Quercetin: Apoptosis synergy in prostate.
- EGCG: SIRT1 amplification in lung models.
Overlapping mechanisms
- Sirtuin: Overlaps pterostilbene; no additive gain.
- NF-κB ↓: Redundant with curcumin; monitor inflammation.
Safety & interactions
Severity and how well-established each signal is are shown separately. Verify everything with your oncologist or pharmacist — absence here does not mean safe.
- anticoagulantsMonitorModerateTheoreticalPotential platelet inhibition.
- CYP3A4 substratesMonitorLowTheoreticalInduction may lower levels (e.g., statins).
- DoxorubicinSynergizeLowTheoreticalApoptosis enhancement in breast.
Timing
- With-meal: Improves tolerance.
- BID: Divided for steady levels.
References
- PMC12152427: Resveratrol in cancer prevention
- DOI 10.1016/j.lfs.2018.07.058: SIRT1 mechanisms
- DOI 10.3390/cancers13020188: NF-κB inhibition
- DOI 10.1186/s12935-019-0906-y: Apoptosis induction
- DOI 10.3390/nu12061619: Synergy with doxorubicin in breast
- PMC10221542: Combination with curcumin in colorectal cancer
Research
No published studies for Resveratrol yet
New studies appear here once they’ve been reviewed. Browse all studies.
Dose: as studied, not a recommendation
Ranges seen in adjunct / practice use: 250–1000 mg/day (po) divided BID; micronized for absorption, Adjunct 500 mg/day; up to 1 g for preclinical extrapolation; trans-isomer preferred; cycle if GI issues..
Trials studying Resveratrol
No actively-recruiting trials matched right now. Recruiting is not the same as proven. Search ClinicalTrials.gov →
Appears in these protocol claims
Resveratrol is named in these protocols discussed online. Listed for transparency: being part of a protocol is not evidence that it works, and OncoForge does not endorse them.
- Fasting-Mimicking Diet / Ketogenic / Press-Pulse Claims : Metabolic approaches focused on glucose, insulin, ketones, fasting stress, and treatment sensitivity.