PMID- 27520400 OWN - NLM STAT- MEDLINE DCOM- 20171219 LR - 20181202 IS - 1096-1186 (Electronic) IS - 1043-6618 (Linking) VI - 111 DP - 2016 Sep TI - Six months of resveratrol supplementation has no measurable effect in type 2 diabetic patients. A randomized, double blind, placebo-controlled trial. PG - 896-905 LID - S1043-6618(16)30620-X [pii] LID - 10.1016/j.phrs.2016.08.010 [doi] AB - The polyphenol resveratrol is considered to exert many beneficial actions, such as antioxidant, anti-inflammatory, insulin-sensitizer and anticancer effects. Its benefits in patients with type 2 diabetes mellitus (T2DM) are controversial. Our aims were to determine whether resveratrol supplementation at two different dosages (500 and 40mg/day) for 6 months i) reduced the concentrations of C-reactive-protein (CRP) and ii) ameliorated the metabolic pattern of T2DM patients. In the present double-blind, randomized, placebo-controlled trial, 192 T2DM patients were randomized to receive resveratrol 500mg/day (Resv500arm), resveratrol 40mg/day (Resv40arm) or placebo for 6-months. At baseline and at the trial end, CRP values, anthropometric, metabolic and liver parameters were determined. No serious adverse event occurred. A dose-dependent, though not significant, CRP decrease of 5.6% (Resv40arm) and 15.9% (Resv500arm) was observed vs placebo. We failed to detect significant differences in weight, BMI, waist circumference, and values of arterial blood pressure, fasting glucose, glycated hemoglobin, insulin, C-peptide, free fatty acids, liver transaminases, uric acid, adiponectin, interleukin-6, in both the Resv500 and Resv40 arms vs placebo. Total cholesterol and triglycerides slightly increased in the Resv500arm. Subgroup analyses revealed that lower diabetes duration (in both Resv500 and Resv40arms), and, in the Resv500arm, younger age, aspirin use and being a smoker were associated with a significantly higher CRP reduction vs placebo. The supplementations with 40mg/day or 500mg/day resveratrol did neither reduce CRP concentrations, nor improve the metabolic pattern of T2DM patients. CI - Copyright (c) 2016 Elsevier Ltd. All rights reserved. FAU - Bo, S AU - Bo S AD - Department of Medical Sciences, University of Turin, Turin, Italy. Electronic address: simona.bo@unito.it. FAU - Ponzo, V AU - Ponzo V AD - Department of Medical Sciences, University of Turin, Turin, Italy. FAU - Ciccone, G AU - Ciccone G AD - Unit of Clinical Epidemiology, CPO, Citta della Salute e della Scienza, Hospital of Turin, Turin, Italy. FAU - Evangelista, A AU - Evangelista A AD - Unit of Clinical Epidemiology, CPO, Citta della Salute e della Scienza, Hospital of Turin, Turin, Italy. FAU - Saba, F AU - Saba F AD - Department of Medical Sciences, University of Turin, Turin, Italy. FAU - Goitre, I AU - Goitre I AD - Department of Medical Sciences, University of Turin, Turin, Italy. FAU - Procopio, M AU - Procopio M AD - Department of Medical Sciences, University of Turin, Turin, Italy. FAU - Pagano, G F AU - Pagano GF AD - Department of Medical Sciences, University of Turin, Turin, Italy. FAU - Cassader, M AU - Cassader M AD - Department of Medical Sciences, University of Turin, Turin, Italy. FAU - Gambino, R AU - Gambino R AD - Department of Medical Sciences, University of Turin, Turin, Italy. LA - eng PT - Comparative Study PT - Journal Article PT - Randomized Controlled Trial DEP - 20160809 PL - Netherlands TA - Pharmacol Res JT - Pharmacological research JID - 8907422 RN - 0 (Biomarkers) RN - 0 (Inflammation Mediators) RN - 0 (Stilbenes) RN - 9007-41-4 (C-Reactive Protein) RN - Q369O8926L (Resveratrol) SB - IM MH - Biomarkers/blood MH - C-Reactive Protein/metabolism MH - Diabetes Mellitus, Type 2/blood/diagnosis/*drug therapy/physiopathology MH - *Dietary Supplements/adverse effects MH - Double-Blind Method MH - Health Status MH - Humans MH - Inflammation Mediators/blood MH - Italy MH - Resveratrol MH - Stilbenes/*administration & dosage/adverse effects MH - Time Factors MH - Treatment Outcome OTO - NOTNLM OT - C-reactive protein OT - Resveratrol OT - Resveratrol (PubChem CID: 445154) OT - Type 2 diabetes mellitus EDAT- 2016/08/16 06:00 MHDA- 2017/12/20 06:00 CRDT- 2016/08/14 06:00 PHST- 2016/06/28 00:00 [received] PHST- 2016/08/03 00:00 [revised] PHST- 2016/08/08 00:00 [accepted] PHST- 2016/08/14 06:00 [entrez] PHST- 2016/08/16 06:00 [pubmed] PHST- 2017/12/20 06:00 [medline] AID - S1043-6618(16)30620-X [pii] AID - 10.1016/j.phrs.2016.08.010 [doi] PST - ppublish SO - Pharmacol Res. 2016 Sep;111:896-905. doi: 10.1016/j.phrs.2016.08.010. Epub 2016 Aug 9.