#051 Is Resveratrol a Longevity Compound?

Dec 30, 2019 Episode Page ↗
Overview

Rhonda provides an in-depth analysis of resveratrol, covering its effects on animal and human health, mechanisms of action, and the bottom line on supplementation and safety. The discussion highlights its cardiovascular, metabolic, and neurological benefits, as well as contradictory findings regarding exercise adaptations.

At a Glance
24 Insights
28m 58s Duration
14 Topics
5 Concepts

Deep Dive Analysis

Introduction to Resveratrol and its Historical Context

Resveratrol's Beneficial Effects on Cardiovascular Health

Anti-inflammatory Properties of Resveratrol

Impact of Resveratrol on Neurological Health and Cognition

Resveratrol's Potential in Cancer Prevention and Treatment

Mechanisms: Sirtuin Activation and Caloric Restriction Mimicry

Mechanisms: Induction of Autophagy

Mechanisms: Xenohormesis and Activation of Stress Response Genes

Contradictory Effects of Resveratrol on Exercise Adaptations

Factors Affecting Resveratrol Bioavailability

Resveratrol Dosage, Safety, and Side Effects

Potential Interactions with Drug Metabolism

Resveratrol's Effect on Androgen Precursors

Summary and Future Outlook for Resveratrol Supplementation

Xenohormesis

This biological phenomenon describes how humans and animals interpret signals of plant stress, such as the synthesis of phytochemicals like resveratrol, as indications that their environment may require enhanced biological fitness. This 'interspecies communication' activates protective mechanisms and stress response genes in our cells, conferring resilience against environmental stressors.

Caloric Restriction Mimetic

Resveratrol is considered a caloric restriction mimetic because it can induce physiological changes typically seen with caloric restriction, such as reduced IGF-1 and increased AMP kinase activity. Caloric restriction has been widely shown to increase healthspan across various organisms.

Autophagy

Autophagy is an adaptive cellular response mechanism activated during energy stress to remove unnecessary or dysfunctional cellular components and mobilize stored energy reserves. Resveratrol promotes autophagy through its activation of sirtuins and by inhibiting mTOR, a key regulator of this process.

Direct Antioxidants

Direct antioxidants, such as vitamin C and E, function by binding to and sequestering damaging reactive oxygen species. High doses of these can sometimes blunt exercise-induced adaptations because the reactive oxygen species generated during exercise are important signaling molecules for cardiorespiratory improvements.

Indirect Antioxidants

Indirect antioxidants, like high-dose resveratrol, activate the body's own cytoprotective proteins, such as the NRF2 pathway. This activation subsequently triggers a wide array of genetic pathways, including endogenous antioxidant systems like glutathione, providing longer-lasting benefits without necessarily blunting exercise adaptations.

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What is resveratrol and where is it found?

Resveratrol is a natural compound found in the stems, leaves, roots, fruits, and seeds of various plants, primarily in the skin of red grapes, red wine, peanuts, blueberries, and the root of Japanese knotweed, where it protects plants from stressors like fungal attacks or UV radiation.

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How does resveratrol affect cardiovascular health?

Resveratrol has been shown to improve cardiovascular biomarkers by reducing blood pressure, fasting blood glucose, and circulating insulin, while increasing HDL levels and decreasing LDL, oxidized LDL, and inflammatory markers in individuals at risk for or with cardiovascular disease.

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Can resveratrol improve cognitive function and memory?

Yes, studies indicate that resveratrol can improve the ability to complete memory tasks in healthy adults and shows promise in Alzheimer's disease by countering neuronal inflammation and inhibiting beta-amyloid plaque formation and aggregation.

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Does resveratrol extend human lifespan?

While resveratrol has been shown to extend lifespan in unhealthy animals and improve healthspan in healthy animals, it did not increase lifespan in healthy mice fed a standard diet, and there is insufficient evidence to confirm lifespan extension in humans.

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How does resveratrol interact with exercise training benefits?

The effects are contradictory; low doses (150-250 mg daily) have blunted positive exercise adaptations in some human studies, possibly due to direct antioxidant effects, while a higher dose (500 mg daily) showed increased mitochondrial density and maximal oxygen consumption when combined with training.

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What factors influence resveratrol's bioavailability in the body?

Resveratrol is only about 25% bioavailable due to rapid metabolism and excretion; its bioavailability is higher in the morning and when taken with a moderate fat breakfast, and can be increased by nanocapsule encapsulation or potentially by co-administration with piperine.

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What are the potential side effects and drug interactions of resveratrol supplementation?

Doses up to 5 grams daily are generally well tolerated, but doses above 2.5 grams can cause mild to moderate GI distress. Resveratrol can also inhibit cytochrome P450 enzymes, which metabolize many drugs (e.g., statins, antiarrhythmics), potentially increasing their systemic levels and risk of toxicity.

1. Consult Doctor with Medications

If you are taking medications, especially statins, antiarrhythmic drugs, or antihistamines, consult your doctor before supplementing with resveratrol, as it may inhibit drug metabolism enzymes (cytochrome P450) and increase drug toxicity.

2. Caution with Long-Term Resveratrol

Exercise caution with resveratrol supplementation for periods longer than one year, as long-term toxicology studies in humans have not yet been performed.

3. Beware High-Dose GI Distress

While resveratrol doses up to 5 grams daily are generally not toxic, be aware that doses above 2.5 grams may cause mild to moderate gastrointestinal distress like nausea, gas, abdominal discomfort, and diarrhea.

4. Avoid Direct Antioxidants with Exercise

Avoid high-dose supplemental direct antioxidants like vitamin C and E when exercising, as they have been shown to blunt beneficial exercise-induced cardiorespiratory adaptations.

5. Resveratrol as Preventative Supplement

Consider resveratrol as a preventative supplement due to its potential to activate cellular protective mechanisms and act as a calorie restriction mimetic.

6. Protect Trans-Resveratrol from Light

To maintain its efficacy, protect trans-resveratrol supplements from light, as exposure converts it to the less active cis form.

7. Take Resveratrol in Morning

To maximize bioavailability, consider taking resveratrol in the morning, as its metabolism varies in a circadian fashion with higher bioavailability occurring then.

8. Resveratrol with Moderate Fat Breakfast

Increase resveratrol’s bioavailability by taking it with food, specifically a moderate fat breakfast, rather than a very high fat breakfast.

9. Combine Resveratrol with Piperine

Consider taking resveratrol with piperine (found in black pepper) to potentially enhance its efficacy, as a study showed it improved cerebral blood flow despite not improving bioavailability in humans.

10. Avoid Red Wine for Resveratrol

Do not rely on red wine for therapeutic doses of resveratrol, as a typical glass contains only 1.8 milligrams, far below the 100 milligrams to 1 gram range found in studies.

11. Adjust Resveratrol Dose with Exercise

If using resveratrol with exercise, be aware that low doses (150-250 mg/day) may blunt exercise adaptations, while higher doses (500 mg/day) have shown positive effects on mitochondrial density, muscle fibers, and maximal oxygen consumption.

12. Resveratrol for Type 2 Diabetes

If you have type 2 diabetes, consider a resveratrol treatment of one gram per day, as studies showed it significantly reduces blood pressure, fasting blood glucose, and circulating insulin, while increasing HDL levels.

13. Resveratrol for Fatty Liver

If you have non-alcoholic fatty liver disease, taking a resveratrol supplement of 300 or 500 milligrams per day for 3 months may decrease LDL, liver fat, and inflammatory markers, while increasing insulin sensitivity.

14. Resveratrol for Obesity Markers

For obese individuals, 150 milligrams of resveratrol daily for 30 days may promote caloric restriction-like effects, leading to reduced blood pressure and improved blood glucose, insulin, and triglyceride levels.

15. Resveratrol for Older Adult Memory

Healthy adults aged 50 to 75 years old may improve their ability to complete memory tasks by taking 200 milligrams of resveratrol daily for 26 weeks.

16. Resveratrol for Alzheimer’s Disease

For patients diagnosed with Alzheimer’s, resveratrol treatment starting at 500 milligrams once daily and escalating to 1000 milligrams twice daily showed improvements in mental examination status, amyloid beta levels, and neuroinflammation markers; this should be done under medical supervision.

17. Resveratrol for Cancer Prevention

Healthy individuals may consider resveratrol at doses of one gram or 2.5 grams to potentially prevent cancer by reducing IGF-1 and increasing carcinogen detoxifying enzymes.

18. Resveratrol with Statins for Heart

If taking statins, supplementing with a 350 milligram resveratrol-enriched grape extract daily for 6 months may decrease cardiovascular risk markers like LDL, oxidized LDL, and apolipoprotein B.

19. Low-Dose Resveratrol Post-Heart Attack

For individuals who have experienced a heart attack, a very low dose of 10 milligrams of resveratrol every day for three months may decrease LDL and improve left ventricle diastolic and endothelial function.

20. Resveratrol for Anti-Inflammation

Healthy individuals may consider a six-week course of Japanese knotweed extract containing 40 milligrams of resveratrol to lower reactive oxygen species and suppress pro-inflammatory cytokines.

21. Resveratrol and Prostate Cancer

Men with prostate cancer should be aware that one gram of resveratrol per day for four months was found to lower serum levels of androgen precursors like DHEA, though its clinical relevance is difficult to ascertain.

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To get the same as our mice, you'd have to drink a barrel a day, which I definitely don't recommend, however tempting.

Dr. David Sinclair
1 gram per day
Resveratrol dose reducing blood pressure, fasting glucose, insulin, and increasing HDL in type 2 diabetics In multiple human studies
150 milligrams
Resveratrol dose promoting caloric restriction-like effects in obese people Daily for 30 days in a small clinical trial
300 or 500 milligrams per day
Resveratrol dose decreasing LDL, liver fat, and inflammatory biomarkers in non-alcoholic fatty liver disease For 3 months
4.5%
Decrease in LDL with resveratrol-enriched grape extract in statin users With 350 mg daily for 6 months
20%
Decrease in oxidized LDL with resveratrol-enriched grape extract in statin users With 350 mg daily for 6 months
9.8%
Decrease in apolipoprotein B with resveratrol-enriched grape extract in statin users With 350 mg daily for 6 months
10 milligrams per day
Very low dose of resveratrol improving heart health markers after heart attack For 3 months
40 milligrams of resveratrol
Japanese knotweed extract dose containing resveratrol for anti-inflammatory effects in healthy people Six-week course
200 milligrams daily
Resveratrol dose improving memory tasks in healthy adults For 26 weeks
500 milligrams once daily, escalating to 1000 milligrams twice daily
Resveratrol dose in Alzheimer's phase two clinical trial Over 13-week increments for 56 patients
250 mg daily
Resveratrol dose blunting exercise benefits in men (60-72 years old) During an eight-week training program
150 mg per day
Resveratrol dose not demonstrating increases in aerobic/anaerobic capacity in 22-year-old men During four weeks of high-intensity interval training
500 mg daily
Resveratrol dose increasing mitochondrial density and maximal oxygen consumption in older adults During a 12-week resistance and aerobic training plan
Approximately 1.8 milligrams
Resveratrol content in a 5-ounce glass of red wine Compared to therapeutic doses of 100 mg to 1 gram
Up to 5 grams
Maximum daily resveratrol dose without toxicity or serious side effects in human trials Doses above 2.5 grams associated with mild to moderate GI distress
33%
Inhibition of CYP3A4 enzyme by 1 gram of resveratrol per day for one month In a clinical study, affecting metabolism of many drugs
171%
Inhibition of CYP2C9 enzyme by 1 gram of resveratrol per day for one month In a clinical study, affecting metabolism of many drugs
41%
Decrease in DHEA serum levels in men with prostate cancer taking resveratrol With 1 gram of resveratrol per day for four months