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Resveratrol: A Double-Edged Sword in Health Benefits

The quote will include further instructions on how to place your final order and execute payment. The estimated price has been calculated for color copies, and does not include delivery costs, which will depend on the destination, delivery method (regular post/UPS) and the total weight of the package. Alcohol is a toxic substance that can cause dependence and other negative health effects. Try to spread your drinking throughout the week and have at least 1-2 alcohol-free days per week. It may also be a good idea to encourage your friends and family into social activities where alcohol is not central. It is necessary to mention, to identify the patients, either the mentioned tests were alcohol consumption can be a double-edged sword for chronic kidney disease patients pmc used or patient records were checked for the history of these diseases.

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Many patients with CKD often have other comorbidities, such as diabetes, coronary heart disease, stroke, and other serious chronic diseases. In addition, alcohol consumption can contribute to volume overload, hypertension, and electrolyte disorder between hemodialysis sessions in hemodialysis patients, which also should not be ignored. So, alcohol consumption can be a double-edged sword for patients with CKD, and any policy regarding alcohol consumption for them must be very cautious.

alcohol consumption can be a double-edged sword for chronic kidney disease patients pmc

Stage 3 Chronic Kidney Disease

Among many phytochemicals, phytoestrogens have been reported to contain several bioactive molecules, mostly found in soy, vegetables and fruits. These compounds can be classified into four main groups, such as isoflavonoids, flavonoids, stilbenes and lignans. From them, stilbenes, in particular trans-resveratrol and its glucoside, are widely reported to be beneficial to human health, having even shown to possess antioxidant, anticarcinogenic, antitumor and estrogenic/antiestrogenic activity 1. Whiskey’s diuretic effect and potential mineral disruption can contribute to kidney stone risk.

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This review focused on 21 clinical studies of the relationship between alcohol consumption and CKD, including 13 cohort studies and 8 cross-sectional studies. The characteristics of the study design and other details of these studies are presented in Table 1. A study carried out by Martins et al. revealed that resveratrol can modulate different pathways at a time, which can result in distinct and even opposite biological effects, depending on its concentration or treatment time defined. The authors documented that, although a dose-dependent resveratrol pro-oxidative effect leads to cells oxidative stress over lesser time exposure, at same dose but with an increase in exposure time, less expressive cytotoxicity was found. This suggest that surviving cells seemed to be more resistant to resveratrol-induced damages, being its effects attenuated over treatment time 114.

  • Some studies found that ethanol has an influence on renal damage, such as apoptosis and epithelial mesenchymal transdifferentiation.
  • Additionally, the drinking pattern, integral dose of alcohol consumption, differences in alcohol beverages, and various concomitant factors should be considered, as they have a significant influence on the effects of alcohol consumption.
  • Resveratrol can also be used in minimizing or preventing lipid oxidation in pharmaceutical products, delaying toxic oxidation products formation, and maintaining both nutritional quality and prolonging pharmaceuticals shelf-life 43,44,45.
  • The risk among those who consume low and moderate amounts of alcohol may not be significantly elevated.
  • In this way, it has been proposed that such pro-oxidant action could be an important mechanism of action to resveratrol anti-cancer and apoptotic-inducing properties 112.

Sampling procedure

Moreover, copper concentration is reported to be raised in various malignancies; so, this study explains resveratrol anticancer activity 132. Resveratrol possess many biological properties, but the best described resveratrol property is their capacity to act as a potent antioxidant 39. Resveratrol antioxidant activity depends upon the arrangement of functional groups on nuclear structure. Therefore, configuration, substitution, and total hydroxyl groups number substantially influence several mechanisms of antioxidant activity, such as radical scavenging and metal ion chelation abilities.

Thus, Rüweler et al. 117 found that neither cytotoxic or cytostatic activities nor cytoprotective and antioxidant activities in cultured (C6 glioma) cells are indicative of a structure–activity relationship stressing the need to explore mechanisms at molecular level. Fukuhara and Miyata, firstly reported resveratrol pro-oxidant activity in a plasmid-based DNA cleavage assay, in the presence of transition metal ions, such as copper, the most redox-active metal ions present in nucleus, serum and tissues 129,130. Copper ions from chromatin can be mobilized by metal-chelating agents, giving inter-nucleosomal DNA fragmentation rise, a property that is considered the hallmark of cells undergoing apoptosis. Recently, resveratrol mutagenicity in plasmid DNA was reported via point mutations (deletions/substitutions), resulting in many guanine bases deletion. In fact, since copper ions are known to be found in a nucleus bound to guanine bases in chromatin, the mobilization of such endogenous copper by resveratrol result in pro-oxidant DNA cleavage at the site.

Currently, resveratrol is sold as a nutritional supplement with a wide range of pharmacological effects, including cellular defensive action against oxidative stress 10,11,12. In this sense, the present review summarizes resveratrol’ beneficial health effects, including anticancer, antimicrobial, neuroprotective, antiaging, anti-inflammatory, cardioprotective and blood-sugar lowering properties, as also life-prolonging effects. Considering the high prevalence of both alcohol use and hypertension, as well as hypertension’s possible association with other cardiovascular risk factors, a link between the two is likely. Finding that link could prove to be vitally important as public health measures aimed at alcohol abuse could impact hypertension rates, and subsequently cardiovascular morbidity and mortality. Research into alcohol consumption and chronic kidney disease is conflicting, as most research into this looks at otherwise healthy individuals, however, kidney injury can occur due to excessive alcohol use. Excessive alcohol consumption can put a strain on the kidneys as about 10% of alcohol that is ingested is excreted into the kidneys in its original form.

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On our journey towards caring for our bodies, we must consider how our choices impact our kidney health. While alcohol itself might not directly cause kidney stones, its effects on dehydration and mineral balance can contribute to stone formation. In addition, it adds that alcohol can damage the kidneys and lead to inflammation and scar tissue in the long run. One of the critical factors to consider is dehydration.2 Alcohol is a diuretic, which encourages your body to expel more fluids than it takes in.

  • Finally, some of the study population reported several risk factors (eg, advanced age, hypertension, dyslipidemia, and diabetes) and the possible effects of the underlying diseases and medications could not be excluded from the present findings.
  • Despite controlling for covariates to minimize interference during analysis, the limited sample size remains a potential limitation, potentially contributing to the randomness and uncertainty of the results.
  • Resveratrol molecules are synthesized from phenylalanine pathway through multiple enzymatic reactions.

Second, compared to direct estimations of renal function, single assessments of serum creatinine produce a rather imprecise eGFR. Finally, some of the study population reported several risk factors (eg, advanced age, hypertension, dyslipidemia, and diabetes) and the possible effects of the underlying diseases and medications could not be excluded from the present findings. Hence, we sought to examine the association of alcohol consumption with the change and rapid decline in kidney function over 12 years in a South Korean population-based cohort study.

Since women have a higher blood concentration of alcohol, they may be more sensitive to alcohol than men 3,50,90. At the same time, the difference in the actual amounts of alcohol consumption 79 between men and women causes this sex difference. Furthermore, the cardiovascular-protective effects of estrogen 91,93 should not be overlooked.

Several studies have demonstrated that alcohol consumption increases ROS generation, which contributes to lipid peroxidation and damages antioxidant capacity 34,35. Firstly, assessing OBS through dietary and lifestyle questionnaires provides an economical and efficient means to evaluate the balance between exogenous pro-oxidants and antioxidants. Our findings of a significant correlation between OBS and CKD, particularly in individuals over 60, pave the way for future longitudinal studies to explore the mechanisms underlying OBS’s impact on CKD and ascertain age as a crucial factor.

alcohol consumption can be a double-edged sword for chronic kidney disease patients pmc

Alcohol’s diuretic effect can indirectly trigger stone formation by dehydrating and concentrating minerals in urine. Moderation, hydration, and a healthy lifestyle help mitigate alcohol’s potential to trigger kidney stones. If you or your loved one have kidney problems caused by alcohol consumption, you may have an alcohol use disorder.

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