Cognition is essential
for daily activities and progressively deteriorates
with age due to various factors leading to cognitive decline. This
decline often begins with memory impairment and advances to broader
cognitive dysfunctions. Resveratrol (RES), a natural phenolic compound
found in red wine, has garnered significant attention for its potential
to prevent cognitive decline. This review aims to synthesize the latest
preclinical data on the cognitive restorative effects of RES. We highlight
RES activities from cellular mechanisms to behavioral outcomes. Evidence
from various cognitive impairment models demonstrates that RES exerts
neuroprotective effects through multiple mechanisms, including anti-inflammatory,
antioxidative, anti-apoptotic, and neurotrophic actions, all of which
contribute to cognitive enhancement in behavioral studies. Despite
the established role of RES in mitigating memory decline, our review
identifies a critical gap in behavioral studies regarding cognitive
flexibility. Further research in this domain is recommended. Additionally,
species-specific pharmacokinetic differences may account for the inconsistencies
between preclinical and clinical outcomes, particularly in rats and
humans. We propose that formulations designed to delay gut metabolism
through enterohepatic circulation could enhance the translational
potential of RES. Furthermore, long-term studies are needed to determine
the optimal dose capable of maximizing health benefits without raising
toxicity during chronic use.