Supplementation
with natural compounds found in fruits and vegetables
has long been associated with a reduced risk of several types of cancer.
Pterostilbene is a natural stilbenoid and a dimethylated analogue
of resveratrol which is found primarily in blueberries. Pterostilbene
exhibits a range of pharmacological properties, particularly anti-inflammatory
and anticancer effects. Due to two methoxy groups in its skeleton,
pterostilbene is more lipophilic than resveratrol and thus possesses
higher intestinal permeability and cellular uptake and enhanced stability.
Moreover, pterostilbene exhibits less toxicity and fewer adverse effects,
providing it with superior potential in cancer chemoprevention and
chemotherapy applications. Numerous research studies have demonstrated
that pterostilbene possesses detoxification activities, mediating
the anti-inflammation response, regulating the cell cycle, augmenting
apoptosis, enhancing autophagy, and inhibiting tumor angiogenesis,
invasion, and metastasis by modulating signal transduction pathways
which block multiple stages of carcinogenesis. In this review, we
illustrate that pterostilbene is a natural compound having bioavailability.
The extensive metabolism of pterostilbene will be discussed. We also
summarize recent research on pterostilbene’s anti-inflammatory
and anticancer properties in the multistage carcinogenesis process
and related molecular mechanism and conclude that it should contribute
to improved cancer management.