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Open accessFull analysisSep 15, 2026

Oral coral-like resveratrol nanocomplex reduces dry eye disease signs in animal models via ocular and systemic redox homeostasis

In murine models of dry eye disease (DED), an oral resveratrol nanocomplex (RES-DG-NC) reduced ocular inflammatory and oxidative stress markers compared to free resveratrol and vehicle — a favorable direction confined entirely to preclinical data with no human evidence.

Evidence levelDNarrative / animal / in vitro / mechanistic
Study typein_vitro
Sample
Effect directionMechanistic only
CertaintyVery low
Clinical applicabilityVery low
Overinterpretation risk1/5 · Low
PICO
PopulationExperimentally induced DED murine models (no human participants)
InterventionOral coral-like resveratrol nanocomplex (RES-DG-NC)
ComparatorFree oral resveratrol, vehicle (DG-NC without RES), and untreated control
OutcomeOral bioavailability of resveratrol (AUC/Cmax); Ocular reactive oxygen species (ROS); Ocular superoxide dismutase (SOD) activity; Ocular malondialdehyde (MDA); Ocular and systemic inflammatory cytokines (IL-1β, TNF-α, IL-6); Ocular surface integrity (fluorescein score); Conjunctival goblet cell density

Summary of findings

OutcomeEffect95% CICertaintyClinical relevanceNotes
Oral bioavailability of resveratrol (AUC/Cmax)Increased AUC and Cmax vs free RES; exact values and 95% CI not recoverable from truncated textVery low1 studies
Ocular reactive oxygen species (ROS)Reduced vs control and free RES; exact values and 95% CI not recoverable from truncated textVery low1 studies
Ocular superoxide dismutase (SOD) activityIncreased vs control; exact values and 95% CI not recoverable from truncated textVery low1 studies
Ocular malondialdehyde (MDA)Reduced vs control; exact values and 95% CI not recoverable from truncated textVery low1 studies
Ocular and systemic inflammatory cytokines (IL-1β, TNF-α, IL-6)Reduced vs control and free RES; exact values and 95% CI not recoverable from truncated textVery low1 studies
Ocular surface integrity (fluorescein score)Improved vs control; exact values and 95% CI not recoverable from truncated textVery low1 studies
Conjunctival goblet cell densityImproved vs control; exact values and 95% CI not recoverable from truncated textVery low1 studies

Context

DED affects hundreds of millions worldwide; current topical therapies carry long-term adverse effects. Oral resveratrol is constrained by poor bioavailability. This study tests whether a dipotassium glycyrrhizinate (DG)-based nanocrystal formulation overcomes this pharmacokinetic barrier in animal models.

What the study showed

RES-DG-NC improved oral bioavailability of resveratrol versus free RES (absolute AUC and Cmax values not recoverable from the truncated text). In murine DED models, the formulation reduced ocular ROS, increased SOD activity, and reduced MDA in ocular tissues versus controls; it also reduced IL-1β, TNF-α, and IL-6 locally and systemically. Ocular surface integrity (fluorescein score and goblet cell density) improved relative to control groups. Specific 95% CI and p-values were not recoverable from the provided text.

How it was done

Preclinical study combining in vitro experiments (human corneal epithelial cells under oxidative stress) and in vivo murine DED models. The nanoformulation combines resveratrol, DG, and nanocrystals with a coral-like structure. Exact group sizes and full experimental duration were not recoverable from the truncated text provided.

Effect magnitude

Effect sizes with 95% CI were not recoverable from the truncated text; the study reports statistically significant differences in redox and inflammatory markers favoring RES-DG-NC over free RES and controls, without accessible absolute quantification in this analysis.

Risk of bias

Entirely preclinical study (in vitro + animal); no human data. The provided text is truncated, preventing recovery of exact sample sizes, 95% CI values, risk of bias assessment tools (RoB 2 or ROBINS-I not mentioned), and complete protocols. Murine DED models have limited translational validity for multifactorial human disease.

Interpretation limit

What this study does NOT prove

This study does not prove efficacy or safety in humans with DED. It does not establish causality between oral systemic redox homeostasis and clinical dry eye improvement in human populations.

In clinical practice

No clinical practice change is supported by this study. Clinicians should not recommend this formulation to patients; it has not been tested in humans. The study identifies a candidate for phase I/II clinical trials.

Limitations

Entirely preclinical study (in vitro + animal); no human data. The provided text is truncated, preventing recovery of exact sample sizes, 95% CI values, risk of bias assessment tools (RoB 2 or ROBINS-I not mentioned), and complete protocols. Murine DED models have limited translational validity for multifactorial human disease.

What is still missing

Clinical trials in humans with confirmed DED are required to establish safety, pharmacokinetics, and clinical efficacy. Long-term dose-response and safety studies in animals also precede any clinical translation.

Technical appendix

Version history

  • 1.0 · 2026-09-15 — Auto-generated under Evidence Standard v1.0

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