Skip to main content
Frontiers in Nutrition logoLink to Frontiers in Nutrition
. 2026 Aug 21;13:1885983. doi: 10.3389/fnut.2026.1885983

Plant polyphenols as context-dependent modulators of cellular signalling networks

Zhenzhen Hou 1, Zimeng Cheng 2, Bin Xue 1,2,*
PMCID: PMC13543421  PMID: 42699515

Abstract

Plant-derived polyphenols have attracted considerable attention because of their antioxidant, anti-inflammatory, and metabolic regulatory activities. However, despite extensive research, their biological actions are still frequently interpreted through simplified one-compound–one-pathway models, which inadequately explain their pleiotropic and context-dependent effects. Furthermore, existing studies and reviews often examine signalling pathways, structural characteristics, metabolism, and exposure biology separately, limiting a comprehensive understanding of how polyphenols regulate cellular networks. Therefore, this review aims to re-evaluate the mechanisms of representative polyphenols, including curcumin, quercetin, epigallocatechin-3-gallate (EGCG), and resveratrol, from a systems-level perspective and to examine how structural features influence signalling behaviour across different biological contexts. By integrating evidence from molecular studies, omics technologies, biotransformation research, microbiome-related metabolism, and translational investigations, we highlight that polyphenols function not as pathway-specific regulators but as context-dependent modulators of interconnected networks governing redox homeostasis, inflammation, autophagy, and energy metabolism. We further demonstrate that structural motifs such as electrophilic centres, catechol groups, gallate esters, and stilbene scaffolds influence signalling tendencies by affecting chemical reactivity, target accessibility, and metabolic fate without conferring pathway exclusivity. Based on these observations, we propose a conceptual framework of conditional signalling bias, in which polyphenol activity emerges from the dynamic interplay among chemical structure, metabolic transformation, target exposure, and network state. This framework provides a more realistic and mechanistically grounded interpretation of polyphenol action and offers a valuable foundation for future biomarker-guided, exposure-informed, and precision-oriented translational research in cardiometabolic, neurological, inflammatory, and oncological diseases.

Keywords: AMPK, bioavailability, MAPK/ERK, NF-κB, Nrf2/HO-1, signal transduction

Introduction

Plant-derived polyphenols are a large and structurally diverse group of bioactive compounds widely distributed in fruits, vegetables, tea, coffee, cocoa, whole grains, and medicinal plants (1, 2). Owing to their antioxidant, anti-inflammatory, metabolic regulatory, and cytoprotective properties, polyphenols have attracted sustained interest in nutrition, food science, pharmacology, and disease prevention research (3–6). Epidemiological studies have consistently associated polyphenol-rich diets with reduced risks of cardiometabolic disorders, neurodegenerative diseases, cancer, and age-related conditions, further stimulating efforts to elucidate their biological mechanisms and therapeutic potential.

Over the past two decades, significant progress has been made in elucidating the molecular mechanisms underlying polyphenol action. Early studies primarily attributed their biological benefits to direct free-radical scavenging activity (7, 8). However, accumulating evidence indicates that polyphenols exert much broader effects by modulating cellular signalling pathways involved in oxidative stress responses, inflammation, autophagy, mitochondrial function, proteostasis, and energy metabolism (9). Representative compounds such as curcumin, quercetin, epigallocatechin-3-gallate (EGCG), and resveratrol have been reported to regulate signalling axes including Nrf2 (10–12), NF-κB (13–15), MAPK (16), PI3K/AKT, AMPK, mTOR, and SIRT1 (17, 18). Recent advances in transcriptomics, phosphoproteomics, metabolomics, chemoproteomics, and single-cell technologies have further revealed that these signalling responses are highly interconnected and often occur at the network level rather than through isolated pathways (19). In parallel, improvements in delivery systems, prodrug strategies, and microbiome-aware pharmacology have highlighted how stability, localization, and metabolic transformation substantially influence downstream signalling outcomes (20, 21). These developments suggest that the biological effects of polyphenols emerge from the interplay among chemical scaffold, exposure profile, cellular context, and systems-level network organization. Recent studies further support this evolving perspective. Investigations into the natural distribution of resveratrol in peanuts have highlighted the importance of dietary source and plant matrix in determining polyphenol availability and biological relevance (22). Likewise, emerging evidence indicates that polyphenols regulate ferroptosis in a context-dependent manner rather than functioning solely as antioxidants, reinforcing the concept that their biological activities are governed by cellular network state rather than individual pathways. In addition, advances in functional food materials, such as polyphenol-containing active packaging systems, further demonstrate that formulation and physicochemical properties influence polyphenol stability, exposure, and ultimately biological activity.

Despite these advances, several important challenges remain. Current interpretations frequently rely on simplified one-compound-one-pathway models, in which individual polyphenols are associated with specific signalling pathways. However, accumulating evidence suggests that such classifications are often insufficient to explain the pleiotropic and context-dependent nature of polyphenol activity. The same compound may activate distinct signalling programmes depending on dose, cell type, disease state, metabolic environment, tissue distribution, and biotransformation (23–25). Furthermore, increasing evidence indicates that microbial metabolites, conjugated derivatives, formulation-dependent exposure profiles, and host biological context substantially influence signalling outcomes (26). These observations challenge traditional pathway-centred frameworks and highlight the need for a more integrated conceptual model. Another unresolved issue concerns the relationship between chemical structure and biological activity. Structural motifs such as electrophilic centres (27), catechol groups (28), gallate esters (29), and stilbene scaffolds (30) clearly influence chemical reactivity, target accessibility, and metabolic fate (31). Nevertheless, current evidence does not support a deterministic relationship between individual structural features and specific signalling pathways. Instead, structural characteristics appear to bias signalling tendencies within dynamic cellular networks, while the final biological response is shaped by the interaction between chemical properties and biological context. Several fundamental questions remain insufficiently addressed. First, it is still unclear why the same polyphenol can produce markedly different, and sometimes even opposing, biological responses across distinct physiological and pathological settings. Compounds that exert cytoprotective effects in cardiometabolic or neurodegenerative disorders may promote oxidative stress or sensitize tumour cells under specific oncological conditions. Second, the relative contribution of parent compounds versus their metabolites remains poorly defined. Increasing evidence suggests that microbial metabolites, glucuronides, sulfates, and other biotransformation products may represent the actual bioactive species responsible for many observed signalling effects. In addition, the influence of basal metabolic state on polyphenol responsiveness remains inadequately understood. Cellular redox status, nutrient availability, mitochondrial function, inflammatory tone, and metabolic flexibility may all shape signalling outcomes, yet these factors are rarely integrated into mechanistic models. Collectively, these unresolved questions reveal a major conceptual gap in the current literature. Although increasing evidence supports the view that polyphenol activity emerges from interactions among chemical structure, metabolic transformation, target exposure, and biological context, these factors are often investigated independently rather than within an integrated framework. Consequently, the mechanisms underlying context-dependent signalling responses remain incompletely understood. Moreover, although numerous reviews have summarized the antioxidant activities, pharmacological properties, and signalling pathways associated with plant polyphenols, most continue to interpret polyphenol action from compound-centred or pathway-centred perspectives. As a result, the dynamic interactions among chemical structure, metabolic transformation, target exposure, and network-level signalling responses remain insufficiently integrated. With the increasing availability of systems-level datasets and growing recognition of context-dependent biological responses, there is a need for a more comprehensive framework capable of explaining how polyphenols influence cellular signalling across diverse physiological and pathological conditions.

Therefore, the purpose of this review is to re-examine the signalling mechanisms of representative plant polyphenols from a systems-level perspective. Rather than classifying polyphenols according to fixed pathway identities, we discuss how chemical structure, target exposure, metabolic transformation, and network state collectively determine signalling outcomes. Building upon the emerging concept that structural features bias, rather than dictate, signalling responses, we propose a framework of conditional signalling bias to explain how polyphenols function as context-dependent modulators of interconnected cellular networks. By integrating molecular, systems biology, pharmacokinetic, microbiome-related, and translational evidence, this review aims to provide a more comprehensive and mechanistically grounded framework for understanding polyphenol action and guiding future biomarker-driven and precision-oriented research.

Literature search strategy

This review is a narrative review rather than a systematic review. Literature was identified through comprehensive searches of PubMed, Web of Science, Scopus, and Google Scholar using combinations of keywords including “polyphenols,” “curcumin,” “quercetin,” “EGCG,” “resveratrol,” “Nrf2,” “NF-κB,” “AMPK,” “mTOR,” “SIRT1,” “signalling pathways,” “multi-omics,” “metabolomics,” “microbiome,” “bioavailability,” and “biotransformation.” Priority was given to peer-reviewed articles published in English, with emphasis on recent studies and high-quality mechanistic investigations. Seminal earlier studies were also included where necessary to provide historical context or establish key biological concepts. References cited within relevant reviews and original articles were additionally screened to ensure comprehensive coverage of the literature.

Structural determinants of conditional signalling bias

Any attempt to organize polyphenol biology by assigning individual scaffolds to discrete signalling pathways risks oversimplifying the literature. Curcumin, quercetin, epigallocatechin-3-gallate (EGCG), and resveratrol recur across studies of redox control, inflammatory signalling, metabolic sensing, autophagy, proteostasis, and cell fate regulation, with substantial overlap in the pathways implicated (3, 32, 33). A more useful question, therefore, is not if a given motif uniquely specifies a downstream signalling axis, but how chemical architecture constrains the range, probability, and context of network engagement. In this sense, structural information remains mechanistically valuable because it shapes electrophilic liability, oxidation potential, hydrogen-bonding geometry, membrane partitioning, conjugation susceptibility, and metabolic persistence, thereby conditioning target accessibility and downstream response amplitude (34). Representative examples of structurally diverse polyphenols and their associated signalling characteristics are summarized in Table 1.

Table 1.

Structural determinants of polyphenol subclasses and their pathway-selective signalling outcomes.

Polyphenol subclass Major dietary sources Representative motif(s) Primary pathway bias Exemplar mechanistic outcome
Diarylheptanoid (Curcumin) Turmeric α,β-unsaturated diketone, methoxy-phenols Nrf2/HO-1 axis Stabilizes Nrf2 via Keap1 cysteine modification; alleviates ROS and improves cardiac, retinal, and neural injury outcomes (10)
Flavanol (Quercetin) Onion, apple, berries Catechol B-ring, hydroxylation pattern Sestrin2-AMPK-SIRT1 cascade; MAPK-HO-1 Activates AMPK/SIRT1 to relieve ER stress and suppress inflammation (42); MAPK-facilitated HO-1 induction in microglia (44)
Catechin (EGCG) Green tea Pyrogallol + gallate ester AKT/AMPK/mTOR; NF-κB Remodels phosphorylation to suppress autophagy during ischemia/reperfusion; covalently blocks NF-κB p65 DNA binding
Stilbene (Resveratrol) Grapes, peanuts, red wine Planar stilbene backbone AMPK-circadian coupling Inhibits PDEs to increase cAMP-CaMKKβ-AMPK (102); promotes myotube development with circadian reprogramming (16)
Ellagitannin metabolite (Urolithin A) Gut microbiota-derived metabolite Microbiome-derived dibenzopyranone AMPK-mitophagy Induces mitophagy and engages AMPK to protect against metabolic and degenerative stress (105)
Phase II conjugates (e.g., Quercetin-3-O-glucuronide) Generated through intestinal and hepatic glucuronidation of quercetin Glucuronide/sulfate modifications Context-dependent Nrf2/AMPK β-Glucuronidase at inflamed sites regenerates active aglycone locally, enhancing tissue-specific activity (86, 106)

Curcumin exemplifies how electrophilic chemistry can bias signalling without conferring pathway exclusivity. Its α,β-unsaturated carbonyl system can react with nucleophilic cysteine residues in redox-sensitive sensor proteins (34), providing a plausible chemical basis for the recurrent association between curcumin and Nrf2/HO-1 activation in models of cardiac (10), retinal (35), and cerebral oxidative injury (36). Yet this association does not amount to pathway identity. Curcumin also modulates NF-κB-, MAPK-, and PI3K/AKT-related responses, but these intersections should not be interpreted as uniformly demonstrated direct physical interactions with all pathway components. In NF-κB signalling, curcumin has been reported to suppress IKK activity, IκBα phosphorylation and degradation, p65 nuclear translocation, and NF-κB DNA binding (37). In some systems, this may involve covalent modification of IKKβ by the electrophilic properties of curcumin or its reactive derivatives. By contrast, MAPK and PI3K/AKT involvement is more commonly inferred from altered phosphorylation of ERK1/2, JNK, p38, or AKT and downstream survival, inflammatory, or apoptotic readouts (38, 39). The immediate molecular targets upstream of these phosphorylation changes remain incompletely defined and are likely to vary with cell type, dose, redox state, and disease context. Therefore, curcumin is best interpreted as a modulator of stress-responsive circuitry through a combination of electrophile-sensitive target engagement, ROS-dependent signalling modulation, and secondary pathway crosstalk. The final biological outcome depends on the balance between adaptive signalling capacity and oxidative burden, such that curcumin may promote cytoprotection in cells with preserved antioxidant responses but induce ROS-dependent cellular stress or cytotoxicity when compensatory mechanisms are insufficient (40).

Quercetin highlights a related but distinct mode of conditional signalling bias. The catechol-rich B ring supports redox activity, metal chelation, and a protein-interaction profile compatible with engagement of stress- and energy-sensing nodes. Recurrent associations with the Sestrin2–AMPK–SIRT1 axis are well documented (17, 41, 42), but the broader literature resists reduction of quercetin action to a single dominant pathway. Quercetin has also been linked to MAPK-dependent HO-1 induction, modulation of Nrf2 activity, and suppression of NF-κB-driven inflammatory programmes (43–45), in some cases within the same biological system. Its structural contribution is therefore better understood as preferential access to nodal regulators positioned at the intersection of redox adaptation, inflammatory signalling, and metabolic stress rather than assignment to a discrete AMPK/SIRT1 pathway class.

EGCG illustrates how added structural complexity can broaden, rather than narrow, the potential modes of cellular interaction. The gallate ester increases hydrogen-bonding capacity and protein interaction potential, which may facilitate engagement with multiple molecular targets and signalling regulators. EGCG has been repeatedly associated with AKT/AMPK/mTOR remodelling, autophagy regulation, and suppression of NF-κB- and MAPK-linked inflammatory responses (15, 46–50). However, the precise relationship between the gallate moiety and these downstream signalling changes remains incompletely defined. Current evidence does not establish that the gallate ester directly determines a specific redox or stress-response outcome; rather, it appears to influence the chemical and molecular context in which EGCG interacts with cellular networks. In cerebral ischemia/reperfusion models, EGCG restrains excessive autophagy in parallel with coordinated changes in AKT/AMPK/mTOR phosphorylation (15), whereas in epithelial and macrophage inflammatory settings it attenuates transcriptional and kinase responses through partially distinct upstream mechanisms (51, 52). Thus, the gallate-bearing scaffold may increase the range of possible molecular interactions, but the resulting biological response remains determined by exposure conditions, cellular state, and pre-existing stress networks.

Resveratrol provides a complementary example in which signalling bias arises less from overt electrophilic reactivity and more from its ability to influence interconnected metabolic and stress-response pathways. Its stilbene scaffold has been associated with phosphodiesterase inhibition, cAMP/Epac/CaMKKβ signalling (53), AMPK activation (54), and circadian or transcriptional remodelling (55). Additional evidence places resveratrol within broader SIRT1- (56), mTOR- (57), and inflammation-related programmes (58), again arguing against a simple scaffold-to-pathway taxonomy. However, these associations do not indicate selective control of a single pathway. Instead, resveratrol appears to modulate interconnected energy-sensing and adaptive response networks, with the relative contribution of AMPK, SIRT1, mTOR, and related pathways varying according to cellular metabolic state, experimental conditions, and disease context. Therefore, resveratrol is better interpreted as a context-dependent regulator of metabolic and stress-response networks rather than as a pathway-specific activator.

Additional structurally diverse polyphenols further support the concept of conditional signalling bias. Apigenin, luteolin, kaempferol, fisetin, and genistein have each been reported to influence multiple signalling networks, including Nrf2, NF-κB, MAPK, PI3K/AKT, and AMPK-related pathways. However, their biological activities vary substantially across experimental systems. For example, apigenin and luteolin may exert anti-inflammatory, antioxidant, or pro-apoptotic effects depending on cellular context (59), whereas genistein can simultaneously modulate estrogen receptor signalling, metabolic regulation, and inflammatory responses (60). Likewise, fisetin and kaempferol display broad regulatory effects across oxidative stress, autophagy, and senescence-related pathways (61). These observations suggest that context-dependent network engagement is not restricted to curcumin, quercetin, EGCG, and resveratrol, but may represent a more general property of structurally diverse polyphenols. Importantly, exceptions to frequently reported pathway associations further support the need for a context-dependent framework. Although curcumin is commonly associated with Nrf2 activation, several studies have demonstrated biological effects that occur independently of Nrf2 signalling or under conditions where Nrf2 activation is minimal (62). Similarly, while resveratrol is frequently described as an AMPK activator, its biological actions may also arise through PDE inhibition (53), SIRT1-dependent regulation (63) and mTOR modulation (64) that do not require AMPK activation. EGCG likewise exhibits context-dependent behaviour, functioning as either a cytoprotective antioxidant or a pro-oxidant signalling modulator depending on concentration, cellular redox status, and disease setting (65). These apparent exceptions challenge simplistic scaffold-to-pathway classifications and suggest that recurring pathway associations should be interpreted as probabilistic tendencies rather than deterministic relationships.

Importantly, phenolic compounds are rarely consumed as isolated molecules in dietary settings but are typically present as complex mixtures within plant-derived foods. Studies examining plant-derived phenolic mixtures have demonstrated coordinated effects on oxidative stress responses (66), inflammatory pathways (67), and cellular metabolism (68), supporting the view that combinations of phenolics may generate biological outcomes that differ from those predicted by individual compounds alone. Such mixture effects further challenge reductionist interpretations of polyphenol biology, as the observed response may emerge from interactions among multiple compounds, their relative abundance, bioavailability, metabolic transformation, and the pre-existing cellular network state.

A structure-based interpretation of polyphenol activity is incomplete without considering metabolic transformation as an integral component of mechanism. Conjugation, microbial metabolism, and local deconjugation not only influence pharmacokinetics, but also determine which molecular species ultimately interacts with intracellular targets. Quercetin glucuronides, for example, may be reactivated at inflamed sites through β-glucuronidase-mediated deconjugation, regenerating the aglycone where stress-responsive pathways are already engaged (69). Likewise, microbiome-derived metabolites such as urolithin A display signalling properties that cannot be inferred directly from the parent ellagitannin scaffold (70). Signalling bias should therefore be regarded as an emergent property of scaffold, biotransformation, tissue microenvironment, and network state rather than as an intrinsic attribute of the nominal dietary compound alone.

The available evidence supports a restrained but mechanistically useful conclusion. Structural motifs in plant polyphenols matter because they influence electrophilicity, oxidation potential, hydrogen-bonding capacity, membrane partitioning, target accessibility, and metabolic persistence. However, these properties do not encode pathway exclusivity. Instead, they appear to alter the probability of network engagement under specific biological conditions. At present, evidence remains insufficient to establish quantitative relationships between individual structural descriptors and the likelihood of activating particular signalling networks. Whether physicochemical properties such as electrophilicity, lipophilicity, molecular flexibility, or susceptibility to biotransformation can predict signalling behaviour remains an important unresolved question. Future studies integrating chemoinformatics, chemoproteomics, systems biology, and machine-learning approaches may help establish predictive structure–network relationships and provide a more rigorous foundation for understanding context-dependent polyphenol activity. A mature structure-centred framework must therefore move beyond scaffold-to-pathway classification toward a conditional model in which recurring chemical features bias network engagement across defined biological contexts. Such a formulation is better able to accommodate pleiotropy, reconcile apparently divergent findings across experimental systems, and provide a credible conceptual basis for analogue design, delivery engineering, and biomarker-guided translation.

Systems-level evidence for crosstalk among redox, inflammatory, and metabolic networks

Reductionist approaches, such as single-gene or single-pathway analyses, have been essential for establishing mechanistic insights in polyphenol research. However, they are inherently limited in explaining how these compounds influence interconnected cellular systems. Polyphenols do not act through isolated pathways alone. Instead, they tend to modulate multiple signalling processes simultaneously, including redox regulation, inflammatory responses, and metabolic adaptation. The value of systems-level approaches therefore lies not in identifying entirely new pathways, but in revealing how these processes are coordinated. As illustrated in Figure 1, polyphenol activity can be viewed as an integrated network response involving interconnected modules of redox regulation, inflammatory signalling, metabolic adaptation, autophagy, and stress responses rather than isolated modulation of individual pathways. Rather than acting independently, oxidative defence, inflammation, metabolism, and stress responses are often altered together as part of an integrated network response. Although omics-based studies remain relatively limited and heterogeneous, the available evidence supports a consistent interpretation. Polyphenol activity is better understood as network-level modulation rather than the perturbation of single linear signalling cascades.

Figure 1.

Infographic depicting how curcumin, quercetin, EGCG, and resveratrol modulate cellular signaling networks through distinct structural features, dietary sources, primary targets, signaling cascades, and resulting physiological outcomes, emphasizing network-dependent and context-dependent effects of plant polyphenols.

Context-dependent modulation of cellular signalling networks by representative plant polyphenols. Schematic overview of the proposed framework illustrating how representative plant polyphenols modulate interconnected cellular signalling networks in a context-dependent manner. The figure is organized from structural features-primary molecular targets-signalling networks-cellular responses-physiological outcomes. Representative polyphenols, including curcumin, quercetin, epigallocatechin-3-gallate (EGCG), and resveratrol, are shown together with their major dietary sources, characteristic structural motifs, principal molecular targets, and recurrent signalling pathways. Curcumin is primarily associated with electrophile-sensitive regulation of the Keap1-Nrf2 axis; quercetin preferentially engages the Sestrin2-AMPK-SIRT1 signalling network while modulating MAPK-dependent antioxidant responses; EGCG regulates AKT/AMPK/mTOR, autophagy, and inflammatory signalling; and resveratrol influences PDE-cAMP-CaMKKβ-AMPK, SIRT1, and circadian metabolic regulation. Despite these recurring associations, none of these compounds acts through a single pathway, and signalling responses arise from coordinated interactions among multiple regulatory nodes. The right panel summarizes the major determinants of context-dependent signalling modulation, including dose and exposure, cell and tissue type, disease state, redox environment, metabolic transformation, and microbiome-derived metabolites. Polyphenols may regulate signalling through direct target binding, covalent modification, or indirect network interactions, and the resulting biological effects depend on the pre-existing cellular network state rather than on pathway-specific activation alone. The lower panel highlights representative signalling crosstalk among Nrf2, AMPK, SIRT1, mTOR, NF-κB, and the NLRP3 inflammasome, illustrating how oxidative stress, inflammation, energy metabolism, autophagy, and mitochondrial function are integrated into a dynamic regulatory network. Collectively, the figure summarizes the central concept proposed in this review that plant polyphenols function as context-dependent modulators of interconnected signalling networks rather than as one-compound–one-pathway regulators. Solid arrows indicate activation; blunt-ended lines indicate inhibition; dashed arrows indicate indirect or context-dependent regulation; double-headed arrows denote reciprocal signalling crosstalk.

This perspective is evident in the curcumin literature. In models of diabetic cardiomyopathy (10, 71, 72) and retinal injury (35), curcumin-associated activation of Nrf2/HO-1 occurs together with attenuation of oxidative stress and inflammatory injury. These studies do not merely reinforce the importance of antioxidant signalling, rather, they suggest that redox regulation and inflammatory restraint should be interpreted as coupled outputs of the same adaptive response landscape. A similar pattern is observed with quercetin. Evidence implicating the Sestrin2–AMPK–SIRT1 axis is accompanied by reductions in cytokine production, endoplasmic reticulum stress (73), and NF-κB-linked inflammatory signalling (17, 42), indicating that metabolic sensing and immune modulation are functionally intertwined rather than mechanistically separable. Resveratrol extends these systems view by linking AMPK activation to circadian and transcriptional remodelling during myogenic differentiation (16), thereby placing polyphenol action within the temporal organization of cellular metabolism as well as within canonical stress-response pathways.

Phosphorylation-based evidence further supports a network-level interpretation of polyphenol action, although the field remains methodologically heterogeneous. In ischemia/reperfusion models, EGCG modulates AKT/AMPK/mTOR signalling in association with changes in autophagic flux (14, 15, 74), whereas phosphoproteomic studies indicate that resveratrol reshapes mTORC1-related phosphorylation patterns under nutrient stress (57). Rather than supporting pathway specificity, these findings point to a redistribution of signalling activity across kinase networks that coordinate nutrient sensing, proteostasis, and cell survival.

A systems framework also helps explain why biological outcomes vary across experimental contexts. In gastric cancer cells, depletion of Nrf2 converts curcumin from a cytoprotective modulator into a driver of ROS-dependent cytotoxicity (40). This observation illustrates that the pre-existing state of interconnected signalling networks, including basal redox balance, antioxidant capacity, inflammatory status, and metabolic conditions, can influence not only the magnitude but also the direction of polyphenol responses. Thus, the same compound may reinforce adaptive stress responses in cells with preserved defence capacity but induce maladaptive stress when compensatory mechanisms are impaired. Similarly, the anti-inflammatory effects of quercetin are enhanced by pharmacological co-activation of AMPK (17, 18, 41, 42), suggesting that metabolic background conditions the strength of downstream signalling outputs. Together, these observations support a model in which polyphenols modulate interconnected signalling networks, with functional outcomes determined by cellular context rather than by pathway-specific effects.

Host biotransformation adds a further layer of contingency. Microbiome-derived metabolites such as urolithin A engage mitophagy- and AMPK-related programmes, underscoring that the systems biology of polyphenols cannot be separated from the metabolic processing that determines which molecular species are present at the site of action. The principal contribution of omics and systems-level analysis, therefore, is not to replace mechanistic studies but to reposition them within a network framework. Polyphenols are not adequately described as isolated “Nrf2 activators” or “NF-κB inhibitors,” rather, they act as context-dependent modulators whose effects emerge from coordinated shifts across redox, inflammatory, metabolic, and proteostatic modules. Moving the field forward will require tighter integration of transcriptomic, phosphoproteomic, metabolomic, and exposure data, together with more consistent reporting of dose, timing, and bioactive species. Only under such conditions can molecular signatures become robust mechanistic biomarkers and, ultimately, support a credible basis for biomarker-guided therapeutic development.

Emerging omics studies further support the existence of shared systems-level signatures across structurally diverse polyphenols (75) (Figure 2). Figure 2 summarizes the systems-level framework underlying context-dependent polyphenol signalling. Panel A illustrates the extensive crosstalk among the Nrf2, NF-κB, AMPK, mTOR, and SIRT1 signalling modules, highlighting that these pathways operate as an integrated regulatory network rather than as isolated cascades. Polyphenols are proposed to influence multiple regulatory nodes within this network, thereby coordinating redox homeostasis, inflammatory responses, energy metabolism, mitochondrial function, and autophagy in a context-dependent manner. Panel B summarizes evidence from transcriptomic, phosphoproteomic, metabolomic, and integrated multi-omics studies. Across structurally diverse polyphenols, these omics platforms consistently identify convergent systems-level signatures, including activation of antioxidant defence programmes, suppression of inflammatory signalling, modulation of AMPK/mTOR-dependent metabolic regulation, remodeling of mitochondrial function, and regulation of autophagy. Although the primary molecular targets differ among individual polyphenols, integration of transcriptomic, proteomic, phosphoproteomic, and metabolomic datasets reveals common core biological pathways, supporting the concept that polyphenols function as context-dependent modulators of interconnected signalling networks rather than pathway-specific regulators. Although individual compounds differ in their primary molecular interactions, transcriptomic, phosphoproteomic, and metabolomic analyses consistently identify convergent modulation of antioxidant defence, inflammatory regulation, mitochondrial function, and autophagy-related pathways (75). Commonly enriched signatures include activation of Nrf2-associated antioxidant programmes (76), suppression of NF-κB-driven inflammatory responses (77), modulation of AMPK/mTOR signalling, and remodeling of cellular energy metabolism (78). These observations suggest that diverse polyphenols may converge on a limited set of adaptive stress-response and metabolic networks despite differences in chemical structure and immediate molecular targets.

Figure 2.

Diagram illustrates interconnected pathways among Nrf2, NF-κB, AMPK, mTOR, and SIRT1, with colored arrows indicating activation and inhibition, and accompanying descriptive boxes. Lower section shows a heatmap of omics signatures modulated by polyphenols, example study findings, and a Venn diagram of integrated multi-omics pathways, highlighting core stress and metabolic processes influenced by polyphenols.

Systems-level evidence supporting context-dependent signalling modulation by structurally diverse polyphenols. (A) Schematic illustration of the interconnected regulatory network linking Nrf2, NF-κB, AMPK, mTOR, and SIRT1. Rather than functioning independently, these pathways exhibit extensive bidirectional crosstalk that coordinates antioxidant defence, inflammatory responses, metabolic adaptation, mitochondrial homeostasis, and autophagy. Polyphenols modulate multiple regulatory nodes within this network, leading to context dependent biological outcomes. (B) Summary of systems-level evidence derived from transcriptomic, phosphoproteomic, metabolomic, and integrated multi-omics studies. (i) Heatmap illustrating recurrent molecular signatures shared across representative polyphenols despite structural diversity. (ii) Representative examples of transcriptomic, phosphoproteomic, and metabolomic studies demonstrating coordinated regulation of inflammatory, metabolic, and stress-response pathways. (iii) Integrated multi-omics analyses reveal convergence of transcriptomic, proteomic, and metabolomic alterations on common biological programmes, including Nrf2-mediated antioxidant defence, NF-κB-associated inflammatory signalling, AMPK/mTOR-regulated metabolism, mitochondrial function, and autophagy, supporting the concept of conditional signalling bias proposed in this review.

Delivery, biotransformation, and target exposure in polyphenol signalling

Poor aqueous solubility, chemical lability, extensive phase II conjugation, and substantial presystemic metabolism are often regarded as the principal liabilities limiting the translation of plant polyphenols (79). Yet these features are not merely pharmacokinetic obstacles. They determine which molecular species is presented to a given tissue, the temporal window over which it persists, and whether intracellular exposure is sufficient to perturb signalling networks at biologically meaningful levels. Delivery and biotransformation should therefore be considered constitutive components of mechanism rather than downstream practical constraints. In the polyphenol field, target engagement cannot be inferred from nominal scaffold identity alone; it must be interpreted through the biology of exposure.

Nanoparticle and nanoemulsion formulations provide the clearest illustration of this principle. Encapsulation strategies developed for curcumin (80), quercetin (81), and EGCG (82) have been pursued to improve solubility, protect labile phenolic functionalities, and enhance apparent biological activity in experimental systems (83). Such effects are consistent with improved preservation of chemically reactive scaffolds and altered target exposure (84). However, formulation-enhanced efficacy should not be conflated with pathway specificity. What nanocarriers more plausibly modify is the effective dose delivered to cells, the temporal window of exposure, and the chemical integrity of the species available for target engagement. In other words, delivery platforms do not assign a polyphenol to a unique signalling pathway, rather, they reshape the pharmacological conditions under which network perturbation occurs. A related principle applies to chemical masking and endogenous reactivation. Prodrug strategies are attractive in the polyphenol field because they can, in principle, stabilize reactive scaffolds and shift the site or timing of release (85). Even without formally engineered prodrugs, endogenous conjugation–deconjugation cycles already perform analogous functions in vivo. Quercetin glucuronides, for example, have often been interpreted as inactive clearance products, yet β-glucuronidase-mediated deconjugation at inflamed sites can regenerate the aglycone locally (69, 86). This observation suggests that conjugation may sometimes function less as terminal inactivation than as a transport reservoir from which bioactive species are selectively restored under permissive microenvironmental conditions. Mechanistically, the important point is that the operative signalling molecule may differ from the administered or circulating form. Beyond therapeutic nanocarriers, polyphenol-containing functional food materials and active packaging systems provide complementary examples of how formulation influences polyphenol stability and biological activity. Recent studies using pullulan-based active packaging incorporating green-synthesised nanoparticles have demonstrated that physicochemical properties, antioxidant capacity, and the stability of incorporated polyphenols are closely linked to formulation characteristics (87). Although these systems are primarily designed for food preservation rather than therapeutic delivery, they further illustrate that the biological performance of polyphenols depends not only on their intrinsic chemical structure but also on the physicochemical environment in which they are delivered. These findings reinforce the concept that exposure conditions constitute an integral component of polyphenol function rather than a secondary consideration.

Microbial metabolism introduces an additional layer that is better described as biotransformation than as delivery in the conventional pharmaceutical sense. Ellagitannins are converted by the gut microbiota into urolithin A, a more stable metabolite with signalling activities linked to mitophagy and AMPK-related programmes (70, 88). In such cases, mechanistic interpretation must follow the metabolite rather than the precursor, because the biologically relevant entity is generated downstream of host–microbe co-metabolism. This distinction is not semantic. It bears directly on how polyphenol action is conceptualized. Signalling outcomes may reflect the properties of transformed metabolites rather than those of the nominal dietary scaffold from which they originated. Receptor-associated uptake further complicates the relationship between exposure and signalling output. EGCG interaction with the 67 kDa laminin receptor provides a plausible route by which receptor abundance may modulate local sensitivity and influence downstream cGMP-linked signalling (89, 90). Even here, however, receptor engagement should not be interpreted as a deterministic route to a single cellular outcome. Rather, it represents one layer of selectivity within a broader system in which ligand stability, receptor expression, intracellular access, and pre-existing network state collectively shape the observable response.

An important unresolved issue concerns the quantitative contribution of microbiome-derived metabolism to tissue-level signalling responses. For many dietary polyphenols, circulating concentrations of the parent compounds are low because of extensive intestinal, hepatic, and microbial biotransformation (91). In contrast, microbial metabolites and phase II conjugates often achieve substantially higher systemic exposure and may represent the predominant molecular species present in tissues (92). Urolithin A, for example, is readily detected in plasma and multiple organs following consumption of ellagitannin-rich foods and has been shown to exert biological activities that differ from those of its parent compounds (93). Similarly, glucuronidated and sulfated metabolites of flavonoids frequently circulate at concentrations exceeding those of the corresponding aglycones (94). These observations suggest that signalling outcomes may be driven not only by the administered polyphenol but also by a complex mixture of host- and microbiome-derived metabolites. However, the relative contribution of parent compounds, conjugated metabolites, and microbiome-derived products to target engagement remains incompletely understood. Future studies combining tissue pharmacokinetics, stable-isotope tracing, metabolomics, and chemoproteomics will be required to identify the molecular species that directly mediate signalling responses in vivo.

These observations argue that exposure biology is inseparable from mechanism in the study of polyphenol signalling. Delivery systems, conjugation–deconjugation cycles, microbial metabolism, and receptor-associated uptake do not simply improve or restrict pharmacokinetics; they determine which chemical form is presented to a given cellular network, for how long, and in what microenvironmental context. A more rigorous translational framework should therefore integrate formulation properties, bioactive species, tissue pharmacokinetics, and network-level readouts within the same experimental design. Only under such conditions can altered exposure be interpreted mechanistically and linked credibly to biomarker response and disease-relevant function.

Translational implications: disease context, biomarker dependence, and therapeutic boundaries

The translational relevance of polyphenols lies not in any claim of pathway specificity, but in the recurrent observation that these compounds perturb disease-relevant response modules at the interface of redox control, inflammatory signalling, metabolic adaptation, and proteostasis. Even so, this promise remains conditional. Most available evidence is preclinical, exposure conditions are highly model dependent, and the bioactive species present in tissues may differ substantially from the nominal parent compound because of conjugation, formulation, or microbial biotransformation. Translation should therefore be framed less as a direct extrapolation from pathway modulation to therapeutic efficacy than as a problem of linking achievable tissue exposure, biomarker response, and disease context.

Cardiometabolic disorders

Cardiometabolic disease provides a setting in which the signalling effects of polyphenols have been examined in relatively consistent biological contexts, particularly where oxidative stress and metabolic dysfunction coexist. In experimental models of diabetic cardiomyopathy and ferroptosis-related cardiac injury, curcumin is associated with reduced ROS burden together with activation of Nrf2/HO-1-related responses (10, 72). Quercetin and resveratrol have similarly been linked to improvements in vascular or metabolic phenotypes alongside modulation of AMPK/SIRT1-associated signalling in obesity, atherosclerotic injury, and high-fat diet models (42, 95–97). These observations suggest that polyphenol-responsive networks may be especially relevant in disease states characterized by combined redox and metabolic stress. At the same time, they highlight an important limitation. Changes in pathway readouts do not necessarily translate into functional benefit unless sufficient tissue exposure is achieved and can be linked to measurable biomarker responses. Establishing such connections between exposure, signalling, and physiological outcome remains a central requirement for translational progress.

Neurological injury

Acute neurological injury provides a particularly demanding context for translation, as oxidative stress, inflammatory activation, energetic failure, and dysregulated autophagy evolve over a compressed timescale (98). In models of cerebral ischemia/reperfusion, EGCG has been reported to reduce injury in association with modulation of AKT/AMPK/mTOR signalling and restraint of excessive autophagy (15). Curcumin has likewise been linked to improved outcomes after intracerebral haemorrhage, accompanied by activation of Nrf2/HO-1-related antioxidant responses (12, 99). These observations place polyphenols within a broader pattern of multi-process modulation, in which oxidative, metabolic, and inflammatory pathways are engaged in parallel rather than individually targeted. In this setting, their potential role is more consistent with adjunctive modulation of complex injury biology than with single-target neuroprotection. At the same time, the same features that make neurological injury mechanistically informative also introduce translational constraints. Blood–brain barrier penetration, therapeutic window, and formulation are likely to be decisive in determining whether these signalling effects can be translated into meaningful functional outcomes.

Oncology

Cancer biology illustrates the conditional nature of polyphenol efficacy. In gastric cancer, depletion of Nrf2 sensitizes cells to curcumin, leading to excessive ROS accumulation and enhanced cytotoxicity (40). This observation reframes curcumin not as a universal protector but as a biomarker-dependent probe whose activity flips with redox gene status. The translational implication is clear: patient stratification by antioxidant capacity or Nrf2 expression could predict responsiveness to curcumin. More broadly, tumours with defective antioxidant defence may be selectively vulnerable to electrophile-competent scaffolds. EGCG and quercetin add complementary axes, inhibiting NF-κB and MAPK signalling in inflammatory tumour microenvironments (100, 101), thereby reducing pro-survival transcription. Resveratrol’s PDE inhibition and AMPK activation can also antagonize tumour anabolism and proliferation (53, 102). However, the pleiotropy of these effects cautions against assuming uniform benefit. Polyphenols may protect normal tissues while simultaneously sensitizing tumours, demanding context-aware dosing and biomarker integration.

Metabolic and adaptive regulation

Polyphenols extend beyond stress defence to influence developmental and temporal programs. Resveratrol promotes myotube differentiation while coupling AMPK activation to circadian reprogramming (16). This mechanistic placement expands the translational horizon toward sarcopenia, metabolic syndrome, and circadian-disrupted disorders, where energy imbalance intersects with temporal misalignment. Quercetin further supports metabolic resilience by relieving endoplasmic reticulum stress and lowering inflammatory markers (103), suggesting that scaffold-specific effects can be layered to restore homeostasis at multiple levels of metabolic regulation. Urolithin A, derived from ellagitannins by the microbiome, induces mitophagy and engages AMPK in degenerative models, adding a host–microbe dimension to muscle and metabolic health. Collectively, these findings demonstrate that polyphenols can be mobilized not only as protectors against injury but also as programmers of differentiation and bioenergetics. To facilitate comparison across major disease settings, Table 2 summarizes representative polyphenols, candidate biomarkers, available clinical evidence, pharmacokinetic considerations, and long-term safety profiles relevant to their translational application.

Table 2.

Translational relevance of representative polyphenols in disease contexts.

Disease context Representative polyphenols Candidate biomarkers Clinical or human evidence Pharmacokinetic considerations Long-term safety profile
Cardiometabolic disorders Curcumin, quercetin, resveratrol, EGCG hs-CRP, IL-6, TNF-α, oxidative stress markers, lipid profile, glucose metabolism, AMPK/SIRT1-related markers Human studies suggest potential improvements in inflammatory and metabolic biomarkers (3, 107), although effects vary across populations and formulations Low parent-compound bioavailability; extensive glucuronidation and sulfation; formulation strongly affects exposure Generally well tolerated at dietary or moderate supplemental doses; high-dose supplementation may cause gastrointestinal symptoms or interact with medications
Neurological and aging-related disorders Curcumin, EGCG, resveratrol, urolithin A Oxidative stress markers, inflammatory cytokines, mitochondrial function markers, neurotrophic factors, autophagy/mitophagy markers Clinical evidence remains limited and heterogeneous; some human studies report changes in inflammatory or cognitive-related biomarkers (108) Blood–brain barrier penetration and tissue exposure remain major barriers; metabolites may differ from parent compounds Long-term efficacy and safety require further evaluation, especially for high-dose or nanoformulated preparations
Inflammatory diseases Quercetin, curcumin, EGCG, luteolin NF-κB-related cytokines, CRP, IL-1β, IL-6, TNF-α, immune-cell activation markers Human biomarker studies support anti-inflammatory potential (109), but disease-specific clinical evidence is variable Bioactive metabolites and local deconjugation may determine tissue-level activity Usually safe at dietary levels; caution is needed for concentrated extracts and combined use with anti-inflammatory drugs
Cancer-related contexts Curcumin, EGCG, resveratrol, genistein Nrf2 status, ROS burden, apoptosis markers, proliferation markers, inflammatory tumor microenvironment markers Most evidence remains preclinical (110–112); clinical studies are limited and often focus on tolerability or biomarker modulation rather than survival outcomes Achievable tumor exposure is uncertain; formulation and tumor microenvironment may influence efficacy Safety depends on dose, cancer type, treatment combination, and hormone-sensitive status; potential drug interactions should be considered
Metabolic flexibility and precision nutrition Resveratrol, quercetin, urolithin A, EGCG Metabolomic profile, microbiome-derived metabolites, insulin sensitivity, lipid metabolites, mitochondrial markers Emerging human evidence suggests high inter-individual variability in response, partly related to metabolism and microbiome composition (113) Microbiome-dependent metabolite production may determine responder status Long-term personalized use requires monitoring of dose, supplement quality, medication interactions, and individual metabolic background

These disease-specific studies point to a consistent pattern. The translational relevance of polyphenols is less defined by scaffold-specific pathway assignment than by their ability to modulate disease-relevant signalling networks. Importantly, biological outcomes remain highly context dependent. Baseline antioxidant capacity, metabolic state, tissue microenvironment, microbiome composition, and the identity of the bioactive species all contribute to whether a given compound produces protective, sensitizing, or functionally neutral effects. At the same time, these findings highlight an important constraint for translation, expanding mechanistic catalogues alone is unlikely to be sufficient. Greater progress will require study designs that integrate pharmacokinetics, tissue exposure, molecular biomarkers, and functional endpoints within a unified framework. Under such conditions, polyphenols can be evaluated not as generic antioxidants or universally beneficial nutraceuticals, but as conditional modulators whose therapeutic relevance depends on biomarker-defined biological contexts.

This framework also provides a rationale for precision nutrition approaches. Rather than relying solely on the intake of parent compounds, future strategies should integrate dietary source, formulation, microbiome-dependent biotransformation, circulating metabolites, disease-specific biomarkers, and baseline metabolic status. Individual variability in metabolite generation, such as the production of microbiome-derived urolithin A or the formation of flavonoid phase II conjugates, may contribute to differences in responsiveness to polyphenol-rich diets or supplements. Therefore, precision nutrition will require biomarker-guided stratification, metabolite monitoring, and appropriate safety evaluation, particularly when concentrated polyphenol formulations or enhanced-delivery systems are considered.

Emerging perspectives, limitations, and outstanding challenges

Despite substantial advances in polyphenol research, several important limitations continue to constrain mechanistic interpretation and translational progress. First, many experimental studies employ concentrations that greatly exceed physiologically achievable levels, raising concerns regarding the biological relevance of reported signalling effects. Consequently, the relationship between in vitro observations and in vivo target engagement remains insufficiently defined. Second, the molecular species responsible for signalling regulation are often poorly characterized. Increasing evidence suggests that microbial metabolites, phase II conjugates, and tissue-specific deconjugation products may contribute substantially to biological activity. However, most studies continue to focus on parent compounds, making it difficult to determine which bioactive species are truly responsible for observed physiological effects. Third, the complexity and context-dependency of signalling responses remain major challenges. Curcumin, quercetin, EGCG, and resveratrol frequently influence overlapping redox, inflammatory, and metabolic pathways, yet the magnitude and direction of these responses vary according to cell type, disease status, metabolic conditions, and exposure profiles. Such variability complicates mechanistic interpretation and limits the generalizability of findings across experimental system. In addition, most current studies examine individual pathways in isolation, whereas emerging evidence indicates that polyphenols regulate interconnected signalling networks. The lack of integrated analyses combining pharmacokinetics, metabolite profiling, transcriptomics, proteomics, phosphoproteomics, and functional phenotyping limits our ability to establish causal relationships between exposure and biological outcomes.

Recent studies on ferroptosis further illustrate the context-dependent nature of polyphenol activity. Natural polyphenols may suppress or promote ferroptotic responses depending on redox state, iron availability, antioxidant capacity, and disease context (104). These findings further challenge traditional antioxidant-centred classifications and suggest that polyphenol-mediated regulation of ferroptosis represents another example of conditional network modulation rather than a uniform biological effect.

Conclusions and future perspectives

Plant polyphenols are increasingly recognized as context-dependent modulators of interconnected signalling networks rather than simple antioxidants or pathway-specific regulators. The evidence reviewed here suggests that their biological activities emerge from the dynamic interplay among chemical structure, metabolic transformation, target exposure, and network state. Accordingly, structural motifs such as electrophilic centres, catechol groups, gallate esters, and stilbene scaffolds should be viewed as determinants of signalling tendencies rather than fixed predictors of biological outcomes. This perspective provides a more comprehensive framework for understanding the pleiotropic and context-dependent nature of polyphenol action.

The concept of conditional signalling bias proposed in this review offers a useful framework for integrating seemingly divergent observations across different biological systems and disease settings. Importantly, “context” should not be regarded as an undefined or all-encompassing explanation for heterogeneous findings. Instead, we propose that it can be systematically organised into four interacting domains: chemical determinants (e.g., molecular structure and metabolic transformation), exposure-related determinants (e.g., dose, formulation, and tissue availability), cellular determinants (e.g., cell type, metabolic status, and redox balance), and network-level determinants (e.g., pre-existing signalling activity and disease state). Organising contextual variables in this manner provides clearer boundaries for interpreting experimental evidence, facilitates comparison among studies, and establishes a more structured basis for hypothesis generation and future mechanistic investigation. Rather than serving as a universal explanation for conflicting observations, this framework is intended to guide systematic evaluation of the biological factors that determine signalling outcomes.

Several important areas merit future investigation. First, future studies should move beyond describing individual signalling pathways and instead evaluate how chemical properties, exposure conditions, cellular state, and network state interact to determine biological responses under standardized experimental settings. Second, studies should prioritize identification of the bioactive metabolites and molecular species that directly mediate signalling responses in vivo. Third, greater emphasis should be placed on defining exposure–response relationships through integrated pharmacokinetic, pharmacodynamic, metabolomic, chemoproteomic, and spatially resolved analyses that directly link tissue exposure to network-level signalling. Fourth, the development of reliable biomarkers together with quantitative systems biology and computational modelling may enable prediction of signalling behaviour across different biological contexts, allowing the proposed framework of conditional signalling bias to evolve from a conceptual model into a predictive one. Finally, future translational studies should evaluate whether biomarker-guided stratification and precision nutrition strategies improve responsiveness to polyphenol-based interventions across diverse populations and disease settings.

Together, these efforts will facilitate a transition from descriptive catalogues of polyphenol activities toward a predictive and mechanistically grounded understanding of how dietary polyphenols regulate cellular signalling networks. By integrating structural chemistry, exposure biology, systems-level regulation, and biomarker-guided translation within a unified conceptual framework, future research may establish more robust principles for interpreting polyphenol function and accelerate the development of precision nutritional interventions and more effective therapeutic applications in cardiometabolic, neurological, inflammatory, and oncological diseases.

Funding Statement

The author(s) declared that financial support was received for this work and/or its publication. This work was funded by Characteristic Innovation Projects of Ordinary Universities in Guangdong Province (2023KTSCX374).

Footnotes

Edited by: Ahmet Yemenicioğlu, Izmir Institute of Technology, Türkiye

Reviewed by: María Teresa Hernández-Huerta, Secretaría de Ciencia, Humanidades, Tecnología e Innovación Secihti, Mexico

Khashayar Sarabandi, Research Institute of Food Science and Technology (RIFST), Iran

Bismillah Mubeen, University of Lahore, Pakistan

Author contributions

ZH: Conceptualization, Investigation, Methodology, Validation, Writing – original draft, Writing – review & editing. ZC: Investigation, Resources, Writing – review & editing. BX: Conceptualization, Funding acquisition, Investigation, Project administration, Resources, Supervision, Validation, Writing – original draft, Writing – review & editing.

Conflict of interest

The author(s) declared that this work was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Generative AI statement

The author(s) declared that Generative AI was not used in the creation of this manuscript.

Any alternative text (alt text) provided alongside figures in this article has been generated by Frontiers with the support of artificial intelligence and reasonable efforts have been made to ensure accuracy, including review by the authors wherever possible. If you identify any issues, please contact us.

Publisher’s note

All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.

References

  • 1.Zhang Z, Li X, Sang S, McClements DJ, Chen L, Long J, et al. Polyphenols as plant-based nutraceuticals: health effects, encapsulation, nano-delivery, and application. Foods. (2022) 11:2189. doi: 10.3390/foods11152189, [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 2.Yu W, Zhang Y, Lu Y, Ouyang Z, Peng J, Tu Y, et al. Recent research on the bioactivity of polyphenols derived from edible fungi and their potential in chronic disease prevention. J Funct Foods. (2025) 124:106627. doi: 10.1016/j.jff.2024.106627 [DOI] [Google Scholar]
  • 3.Cione E, La Torre C, Cannataro R, Caroleo MC, Plastina P, Gallelli L. Quercetin, epigallocatechin gallate, curcumin, and resveratrol: from dietary sources to human microRNA modulation. Molecules. (2019) 25:63. doi: 10.3390/molecules25010063, [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 4.Grabarczyk M, Justyńska W, Czpakowska J, Smolińska E, Bielenin A, Glabinski A, et al. Role of plant phytochemicals: resveratrol, curcumin, luteolin and quercetin in demyelination, neurodegeneration, and epilepsy. Antioxidants (Basel). (2024) 13:1364. doi: 10.3390/antiox13111364, [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 5.Chimento A, D’Amico M, De Luca A, Conforti FL, Pezzi V, De Amicis F. Resveratrol, epigallocatechin gallate and curcumin for cancer therapy: challenges from their pro-apoptotic properties. Life. (2023) 13:261. doi: 10.3390/life13020261, [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 6.Eng QY, Thanikachalam PV, Ramamurthy S. Molecular understanding of epigallocatechin gallate (EGCG) in cardiovascular and metabolic diseases. J Ethnopharmacol. (2018) 210:296–310. doi: 10.1016/j.jep.2017.08.035, [DOI] [PubMed] [Google Scholar]
  • 7.Hano C, Tungmunnithum D. Plant polyphenols, more than just simple natural antioxidants: oxidative stress, aging and age-related diseases. Medicines (Basel). (2020) 7:26. doi: 10.3390/medicines7050026, [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 8.Arfaoui L. Dietary plant polyphenols: effects of food processing on their content and bioavailability. Molecules. (2021) 26:2959. doi: 10.3390/molecules26102959, [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 9.Hillis AL, Tamir T, Perry GE, Asara JM, Johnson JL, Yaron TM, et al. Parallel phosphoproteomics and metabolomics map the global metabolic tyrosine phosphoproteome. Proc Natl Acad Sci. (2024) 121:e2413837121. doi: 10.1073/pnas.2413837121, [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 10.Wu X, Zhou X, Lai S, Liu J, Qi J. Curcumin activates Nrf2/HO-1 signaling to relieve diabetic cardiomyopathy injury by reducing ROS in vitro and in vivo. FASEB J. (2022) 36:e22505. doi: 10.1096/fj.202200543RRR, [DOI] [PubMed] [Google Scholar]
  • 11.Shahcheraghi SH, Salemi F, Peirovi N, Ayatollahi J, Alam W, Khan H, et al. Nrf2 regulation by curcumin: molecular aspects for therapeutic prospects. Molecules. (2021) 27:167. doi: 10.3390/molecules27010167, [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 12.Duan C, Wang H, Jiao D, Geng Y, Wu Q, Yan H, et al. Curcumin restrains oxidative stress of after intracerebral hemorrhage in rat by activating the Nrf2/HO-1 pathway. Front Pharmacol. (2022) 13:889226. doi: 10.3389/fphar.2022.889226, [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 13.Holczer M, Besze B, Zámbó V, Csala M, Bánhegyi G, Kapuy O. Epigallocatechin-3-Gallate (EGCG) promotes autophagy-dependent survival via influencing the balance of mTOR-AMPK pathways upon endoplasmic reticulum stress. Oxidative Med Cell Longev. (2018) 2018:6721530. doi: 10.1155/2018/6721530, [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 14.Du BX, Lin P, Lin J. EGCG and ECG induce apoptosis and decrease autophagy via the AMPK/mTOR and PI3K/AKT/mTOR pathway in human melanoma cells. Chin J Nat Med. (2022) 20:290–300. doi: 10.1016/s1875-5364(22)60166-3, [DOI] [PubMed] [Google Scholar]
  • 15.Wang L, Dai M, Ge Y, Chen J, Wang C, Yao C, et al. EGCG protects the mouse brain against cerebral ischemia/reperfusion injury by suppressing autophagy via the AKT/AMPK/mTOR phosphorylation pathway. Front Pharmacol. (2022) 13:921394. doi: 10.3389/fphar.2022.921394, [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 16.Avital-Cohen N, Chapnik N, Froy O. Resveratrol induces myotube development by altering circadian metabolism via the SIRT1-AMPK-PP2A Axis. Cells. (2024) 13:1069. doi: 10.3390/cells13121069, [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 17.Jin T, Zhang Y, Botchway BOA, Huang M, Lu Q, Liu X. Quercetin activates the Sestrin2/AMPK/SIRT1 axis to improve amyotrophic lateral sclerosis. Biomed Pharmacother. (2023) 161:114515. doi: 10.1016/j.biopha.2023.114515, [DOI] [PubMed] [Google Scholar]
  • 18.Lu Z, Wang H, Ishfaq M, Han Y, Zhang X, Li X, et al. Quercetin and AMPK: a dynamic duo in alleviating MG-induced inflammation via the AMPK/SIRT1/NF-κB pathway. Molecules. (2023) 28:7388. doi: 10.3390/molecules28217388, [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 19.Markovic M, Ben-Shabat S, Dahan A. Prodrugs for improved drug delivery: lessons learned from recently developed and marketed products. Pharmaceutics. (2020) 12:1031. doi: 10.3390/pharmaceutics12111031, [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 20.Mimee M, Citorik RJ, Lu TK. Microbiome therapeutics—advances and challenges. Adv Drug Deliv Rev. (2016) 105:44–54. doi: 10.1016/j.addr.2016.04.032, [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 21.Yaqub MO, Jain A, Joseph CE, Edison LK. Microbiome-driven therapeutics: from gut health to precision medicine. Gastrointest Disord. (2025) 7:7. doi: 10.3390/gidisord7010007 [DOI] [Google Scholar]
  • 22.Yang B, Liu W, Xu X, Hu K, Zhang Z, Li P. Resveratrol distribution in peanuts and its resistance to aflatoxin accumulation. Qual Assur Saf Crops Foods. (2025) 17:16–23. doi: 10.15586/qas.v17i3.1488 [DOI] [Google Scholar]
  • 23.Bas TG. Dietary polyphenols (flavonoids) derived from plants for use in therapeutic health: antioxidant performance, ROS, molecular mechanisms, and bioavailability limitations. Int J Mol Sci. (2026) 27:1404. doi: 10.3390/ijms27031404, [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 24.Spiegler V. Assessing biological activities of polyphenols in the context of 4R—challenges of a ubiquitous compound class with complex modes of action. Front Pharmacol. (2026) 17:1817679. doi: 10.3389/fphar.2026.1817679, [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 25.Ferreira C, Vieira P, Sá H, Malva J, Castelo-Branco M, Reis F, et al. Polyphenols: immunonutrients tipping the balance of immunometabolism in chronic diseases. Front Immunol. (2024) 15:1360065. doi: 10.3389/fimmu.2024.1360065, [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 26.Brown EM, Clardy J, Xavier RJ. Gut microbiome lipid metabolism and its impact on host physiology. Cell Host Microbe. (2023) 31:173–86. doi: 10.1016/j.chom.2023.01.009, [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 27.Shimizu T, Nakanishi Y, Nakahara M, Wada N, Moro-Oka Y, Hirano T, et al. Structure effect on antioxidant activity of Catecholamines toward singlet oxygen and other reactive oxygen species in vitro. J Clin Biochem Nutr. (2010) 47:181–90. doi: 10.3164/jcbn.09-112, [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 28.McAulay K, Bilsland A, Bon M. Reactivity of covalent fragments and their role in fragment based drug discovery. Pharmaceuticals (Basel). (2022) 15:1366. doi: 10.3390/ph15111366, [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 29.Muntaha ST, Rakha A, Rasheed H, Fatima I, Butt MS, Abdi G, et al. Polyphenol-protein particles: a nutraceutical breakthrough in nutrition and food science. J Agric Food Res. (2025) 19:101641. doi: 10.1016/j.jafr.2025.101641 [DOI] [Google Scholar]
  • 30.Margina D, Ilie M, Manda G, Neagoe I, Mocanu M, Ionescu D, et al. Quercetin and epigallocatechin gallate effects on the cell membranes biophysical properties correlate with their antioxidant potential. Gen Physiol Biophys. (2012) 31:47–55. doi: 10.4149/gpb_2012_005, [DOI] [PubMed] [Google Scholar]
  • 31.Fernández-Quintela A, Laveriano-Santos EP, Portolés T, Gual-Grau A, Sancho JV, Portillo MP. Changes in liver metabolome induced by Pterostilbene and resveratrol in a rat model of liver steatosis. Mol Nutr Food Res. (2025) 69:e70078. doi: 10.1002/mnfr.70078, [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 32.Bertelli A, Biagi M, Corsini M, Baini G, Cappellucci G, Miraldi E. Polyphenols: from theory to practice. Foods. (2021) 10:2595. doi: 10.3390/foods10112595, [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 33.Pals M, Ponomarenko J, Lauberts M, Jashina L, Jurkjane V, Arshanitsa A. Unveiling the potential of plant-derived diarylheptanoids and their derivatives in bio-based polyurethane compositions. Plants. (2025) 14:775. doi: 10.3390/plants14050775, [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 34.Eggler AL, Liu G, Pezzuto JM, van Breemen RB, Mesecar AD. Modifying specific cysteines of the electrophile-sensing human Keap1 protein is insufficient to disrupt binding to the Nrf2 domain Neh2. Proc Natl Acad Sci USA. (2005) 102:10070–5. doi: 10.1073/pnas.0502402102, [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 35.Woo JM, Shin DY, Lee SJ, Joe Y, Zheng M, Yim JH, et al. Curcumin protects retinal pigment epithelial cells against oxidative stress via induction of heme oxygenase-1 expression and reduction of reactive oxygen. Mol Vis. (2012) 18:901–8. [PMC free article] [PubMed] [Google Scholar]
  • 36.Yang C, Zhang X, Fan H, Liu Y. Curcumin upregulates transcription factor Nrf2, HO-1 expression and protects rat brains against focal ischemia. Brain Res. (2009) 1282:133–41. doi: 10.1016/j.brainres.2009.05.009, [DOI] [PubMed] [Google Scholar]
  • 37.Liu M, Wang J, Song Z, Pei Y. Regulation mechanism of curcumin mediated inflammatory pathway and its clinical application: a review. Front Pharmacol. (2025) 16:1642248. doi: 10.3389/fphar.2025.1642248, [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 38.Zoi V, Kyritsis AP, Galani V, Lazari D, Sioka C, Voulgaris S, et al. The role of curcumin in cancer: a focus on the PI3K/Akt pathway. Cancers (Basel). (2024) 16:1554. doi: 10.3390/cancers16081554, [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 39.Aliyari M, Ghoflchi S, Hashemy SI, Hashemi SF, Reihani A, Hosseini H. The PI3K/Akt pathway: a target for curcumin's therapeutic effects. J Diabetes Metab Disord. (2025) 24:52. doi: 10.1007/s40200-025-01563-2, [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 40.Wang Y, Wang S, Ma C, Qi W, Lv J, Zhang M, et al. Nrf2 depletion enhanced curcumin therapy effect in gastric cancer by inducing the excessive accumulation of ROS. Sci Rep. (2024) 14:30165. doi: 10.1038/s41598-024-81375-1, [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 41.Kim GT, Lee SH, Kim YM. Quercetin regulates sestrin 2-AMPK-mTOR signaling pathway and induces apoptosis via increased intracellular ROS in HCT116 colon cancer cells. J Cancer Prev. (2013) 18:264–70. doi: 10.15430/jcp.2013.18.3.264, [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 42.Zhang F, Feng J, Zhang J, Kang X, Qian D. Quercetin modulates AMPK/SIRT1/NF-κB signaling to inhibit inflammatory/oxidative stress responses in diabetic high fat diet-induced atherosclerosis in the rat carotid artery. Exp Ther Med. (2020) 20:280. doi: 10.3892/etm.2020.9410, [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 43.Zhu H, Chai Y, Dong D, Zhang N, Liu W, Ma T, et al. AICAR-induced AMPK activation inhibits the noncanonical NF-κB pathway to attenuate liver injury and fibrosis in BDL rats. Can J Gastroenterol Hepatol. (2018) 2018:1–10. doi: 10.1155/2018/6181432, [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 44.Feng Y, Yu X, Han J. Quercetin regulates the polarization of microglia through the NRF2/HO1 pathway and mitigates Alzheimer's disease. Actas Esp Psiquiatr. (2024) 52:786–99. doi: 10.62641/aep.v52i6.1713, [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 45.Sun GY, Chen Z, Jasmer KJ, Chuang DY, Gu Z, Hannink M, et al. Quercetin attenuates inflammatory responses in BV-2 microglial cells: role of MAPKs on the Nrf2 pathway and induction of Heme Oxygenase-1. PLoS One. (2015) 10:e0141509. doi: 10.1371/journal.pone.0141509, [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 46.Singh BN, Shankar S, Srivastava RK. Green tea catechin, epigallocatechin-3-gallate (EGCG): mechanisms, perspectives and clinical applications. Biochem Pharmacol. (2011) 82:1807–21. doi: 10.1016/j.bcp.2011.07.093, [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 47.Janssen-Heininger YM, Poynter ME, Aesif SW, Pantano C, Ather JL, Reynaert NL, et al. Nuclear factor kappaB, airway epithelium, and asthma: avenues for redox control. Proc Am Thorac Soc. (2009) 6:249–55. doi: 10.1513/pats.200806-054RM, [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 48.Lakshmi SP, Reddy AT, Kodidhela LD, Varadacharyulu NC. The tea catechin epigallocatechin gallate inhibits NF-κB-mediated transcriptional activation by covalent modification. Arch Biochem Biophys. (2020) 695:108620. doi: 10.1016/j.abb.2020.108620, [DOI] [PubMed] [Google Scholar]
  • 49.Lakshmi SP, Reddy AT, Kodidhela LD, Varadacharyulu NC. Epigallocatechin gallate diminishes cigarette smoke-induced oxidative stress, lipid peroxidation, and inflammation in human bronchial epithelial cells. Life Sci. (2020) 259:118260. doi: 10.1016/j.lfs.2020.118260, [DOI] [PubMed] [Google Scholar]
  • 50.Joo SY, Song YA, Park YL, Myung E, Chung CY, Park KJ, et al. Epigallocatechin-3-gallate inhibits LPS-induced NF-κB and MAPK signaling pathways in bone marrow-derived macrophages. Gut Liver. (2012) 6:188–96. doi: 10.5009/gnl.2012.6.2.188, [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 51.Wang T, Xiang Z, Wang Y, Li X, Fang C, Song S, et al. (−)-epigallocatechin Gallate targets notch to attenuate the inflammatory response in the immediate early stage in human macrophages. Front Immunol. (2017) 8:433. doi: 10.3389/fimmu.2017.00433, [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 52.Kassouri C, Rodriguez Torres S, Gonzalez Suarez N, Duhamel S, Annabi B. EGCG prevents the transcriptional reprogramming of an inflammatory and immune-suppressive molecular signature in macrophage-like differentiated human HL60 Promyelocytic leukemia cells. Cancers (Basel). (2022) 14:5065. doi: 10.3390/cancers14205065, [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 53.Park S-J, Ahmad F, Philp A, Baar K, Williams T, Luo H, et al. Resveratrol ameliorates aging-related metabolic phenotypes by inhibiting cAMP Phosphodiesterases. Cell. (2012) 148:421–33. doi: 10.1016/j.cell.2012.01.017, [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 54.Lin C-H, Nicol CJB, Cheng Y-C, Yen C, Wang Y-S, Chiang M-C. Neuroprotective effects of resveratrol against oxygen glucose deprivation induced mitochondrial dysfunction by activation of AMPK in SH-SY5Y cells with 3D gelatin scaffold. Brain Res. (2020) 1726:146492. doi: 10.1016/j.brainres.2019.146492, [DOI] [PubMed] [Google Scholar]
  • 55.Spaleniak W, Cuendet M. Resveratrol as a circadian clock modulator: mechanisms of action and therapeutic applications. Mol Biol Rep. (2023) 50:6159–70. doi: 10.1007/s11033-023-08513-2, [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 56.Ma X, Sun Z, Han X, Li S, Jiang X, Chen S, et al. Neuroprotective effect of resveratrol via activation of Sirt1 signaling in a rat model of combined diabetes and Alzheimer's disease. Front Neurosci. (2019) 13:1400. doi: 10.3389/fnins.2019.01400, [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 57.Park D, Jeong H, Lee MN, Koh A, Kwon O, Yang YR, et al. Resveratrol induces autophagy by directly inhibiting mTOR through ATP competition. Sci Rep. (2016) 6:21772. doi: 10.1038/srep21772, [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 58.Meng T, Xiao D, Muhammed A, Deng J, Chen L, He J. Anti-inflammatory action and mechanisms of resveratrol. Molecules. (2021) 26:229. doi: 10.3390/molecules26010229, [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 59.Wu P-S, Yen J-H, Kou M-C, Wu M-J. Luteolin and apigenin attenuate 4-Hydroxy-2-Nonenal-mediated cell death through modulation of UPR, Nrf2-ARE and MAPK pathways in PC12 cells. PLoS One. (2015) 10:e0130599. doi: 10.1371/journal.pone.0130599, [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 60.de Ganuza CR, López S, Mendoza G. Exploring the anti-inflammatory effects of genistein in an in vitro lipopolysaccharide-induced macrophage model. Sci Rep. (2026) 16:11592. doi: 10.1038/s41598-026-42357-7, [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 61.Kubina R, Krzykawski K, Dziedzic A, Kabała-Dzik A. Kaempferol and fisetin-related signaling pathways induce apoptosis in head and neck cancer cells. Cells. (2023) 12:1568. doi: 10.3390/cells12121568, [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 62.He HJ, Wang GY, Gao Y, Ling WH, Yu ZW, Jin TR. Curcumin attenuates Nrf2 signaling defect, oxidative stress in muscle and glucose intolerance in high fat diet-fed mice. World J Diabetes. (2012) 3:94–104. doi: 10.4239/wjd.v3.i5.94, [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 63.Yun JM, Chien A, Jialal I, Devaraj S. Resveratrol up-regulates SIRT1 and inhibits cellular oxidative stress in the diabetic milieu: mechanistic insights. J Nutr Biochem. (2012) 23:699–705. doi: 10.1016/j.jnutbio.2011.03.012, [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 64.Liu M, Wilk SA, Wang A, Zhou L, Wang RH, Ogawa W, et al. Resveratrol inhibits mTOR signaling by promoting the interaction between mTOR and DEPTOR. J Biol Chem. (2010) 285:36387–94. doi: 10.1074/jbc.M110.169284, [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 65.Dzah CS, Zhang H, Gobe V, Asante-Donyinah D, Duan Y. Anti- and pro-oxidant properties of polyphenols and their role in modulating glutathione synthesis, activity and cellular redox potential: potential synergies for disease management. Adv Redox Res. (2024) 11:100099. doi: 10.1016/j.arres.2024.100099 [DOI] [Google Scholar]
  • 66.Tüğen A, Buruleanu CL. The role of plant-derived bioactive compounds in mitigating oxidative stress. Foods. (2025) 15:108. doi: 10.3390/foods15010108, [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 67.Gao L, Li G, Liu T, Zou H, Chen Y. Anti-inflammatory potential of dandelion polyphenols through modulation of AGE–RAGE signaling: key bioactive compounds and implications for functional foods. Food Innov Adv. (2026) 5:26–36. doi: 10.48130/fia-0025-0053 [DOI] [Google Scholar]
  • 68.Surmuş Asan H. Modulation of plant-derived bioactive phenolic compounds by cytokinins in Hypericum amblysepalum shoot cultures. Plants (Basel). (2026) 15:1017. doi: 10.3390/plants15071017, [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 69.Ishisaka A, Kawabata K, Miki S, Shiba Y, Minekawa S, Nishikawa T, et al. Mitochondrial dysfunction leads to deconjugation of quercetin glucuronides in inflammatory macrophages. PLoS One. (2013) 8:e80843. doi: 10.1371/journal.pone.0080843, [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 70.Banc R, Rusu ME, Filip L, Popa DS. The impact of Ellagitannins and their metabolites through gut microbiome on the gut health and brain wellness within the gut-brain axis. Foods. (2023) 12:270. doi: 10.3390/foods12020270, [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 71.Wei Z, pinfang K, jing Z, zhuoya Y, Shaohuan Q, Chao S. Curcumin improves diabetic cardiomyopathy by inhibiting pyroptosis through AKT/Nrf2/ARE pathway. Mediat Inflamm. (2023) 2023:1–20. doi: 10.1155/2023/3906043, [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 72.Wei Z, Shaohuan Q, Pinfang K, Chao S. Curcumin attenuates Ferroptosis-induced myocardial injury in diabetic cardiomyopathy through the Nrf2 pathway. Cardiovasc Ther. (2022) 2022:1–11. doi: 10.1155/2022/3159717, [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 73.Yang J, Ma Y-M, Yang L, Li P, Jing L, Li PA, et al. Quercetin alleviates cerebral ischemia and reperfusion injury in hyperglycemic animals by reducing endoplasmic reticulum stress through activating SIRT1. PLoS One. (2025) 20:e0321006. doi: 10.1371/journal.pone.0321006, [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 74.Kim HS, Montana V, Jang HJ, Parpura V, Kim JA. Epigallocatechin gallate (EGCG) stimulates autophagy in vascular endothelial cells: a potential role for reducing lipid accumulation. J Biol Chem. (2013) 288:22693–705. doi: 10.1074/jbc.M113.477505 [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 75.Si W, Zhang Y, Li X, Du Y, Xu Q. Understanding the functional activity of polyphenols using omics-based approaches. Nutrients. (2021) 13:3953. doi: 10.3390/nu13113953, [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 76.Ebrahimi R, Mohammadpour A, Medoro A, Davinelli S, Saso L, Miroliaei M. Exploring the links between polyphenols, Nrf2, and diabetes: a review. Biomed Pharmacother. (2025) 186:118020. doi: 10.1016/j.biopha.2025.118020, [DOI] [PubMed] [Google Scholar]
  • 77.Mamun AA, Shao C, Geng P, Wang S, Xiao J. Polyphenols targeting NF-κB pathway in neurological disorders: what we know so far? Int J Biol Sci. (2024) 20:1332–55. doi: 10.7150/ijbs.90982, [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 78.Petsouki E, Gerakopoulos V, Gianniou DD, Heiss EH, Trougakos IP. Involvement of NRF2 and AMPK signaling in aging and progeria: a digest. Redox Biol. (2025) 85:103782. doi: 10.1016/j.redox.2025.103782, [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 79.Enaru B, Socaci S, Farcas A, Socaciu C, Danciu C, Stanila A, et al. Novel delivery Systems of polyphenols and their potential health benefits. Pharmaceuticals (Basel). (2021) 14:946. doi: 10.3390/ph14100946, [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 80.Yan Y, Kulsoom, Sun Y, Li Y, Wang Z, Xue L, et al. Advancing cancer therapy: nanomaterial-based encapsulation strategies for enhanced delivery and efficacy of curcumin. Mater Today Bio. (2025) 33:101963. doi: 10.1016/j.mtbio.2025.101963 [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 81.Vaiss DP, Rodrigues JL, Yurgel VC, do Carmo Guedes F, da Matta LLM, Barros PAB, et al. Curcumin and quercetin co-encapsulated in nanoemulsions for nasal administration: a promising therapeutic and prophylactic treatment for viral respiratory infections. Eur J Pharm Sci. (2024) 197:106766. doi: 10.1016/j.ejps.2024.106766, [DOI] [PubMed] [Google Scholar]
  • 82.Sudha T, Salaheldin TA, Darwish NHE, Mousa SA. Antitumor/anti-angiogenesis efficacy of epigallocatechin Gallate Nanoformulated with antioxidant in melanoma. Nanomedicine. (2022) 17:1039–53. doi: 10.2217/nnm-2021-0362, [DOI] [PubMed] [Google Scholar]
  • 83.Fang C, Xu H, Yuan L, Zhu Z, Wang X, Liu Y, et al. Natural compounds for SIRT1-mediated oxidative stress and Neuroinflammation in stroke: a potential therapeutic target in the future. Oxidative Med Cell Longev. (2022) 2022:1949718. doi: 10.1155/2022/1949718, [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 84.Parvez S, Long MJC, Poganik JR, Aye Y. Redox signaling by reactive electrophiles and oxidants. Chem Rev. (2018) 118:8798–888. doi: 10.1021/acs.chemrev.7b00698, [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 85.Férriz JM, Vinsová J. Prodrug design of phenolic drugs. Curr Pharm Des. (2010) 16:2033–52. doi: 10.2174/138161210791293042, [DOI] [PubMed] [Google Scholar]
  • 86.Kawai Y. β-Glucuronidase activity and mitochondrial dysfunction: the sites where flavonoid glucuronides act as anti-inflammatory agents. J Clin Biochem Nutr. (2014) 54:145–50. doi: 10.3164/jcbn.14-9, [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 87.Khan MJ, Ramiah SK, Shameli K, Navid MT, Mookiah S, Sazili AQ. Physicochemical characteristics and anti-oxidant capacity of pullulan active packaging containing green synthesised nanoparticles. Qual Assur Saf Crops Food. (2025) 17:353–71. doi: 10.15586/qas.v17i4.1587 [DOI] [Google Scholar]
  • 88.Zhao H, Song G, Zhu H, Qian H, Pan X, Song X, et al. Pharmacological effects of Urolithin A and its role in muscle health and performance: current knowledge and prospects. Nutrients. (2023) 15:4441. doi: 10.3390/nu15204441, [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 89.Fujimura Y, Sumida M, Sugihara K, Tsukamoto S, Yamada K, Tachibana H. Green tea polyphenol EGCG sensing motif on the 67-kDa laminin receptor. PLoS One. (2012) 7:e37942. doi: 10.1371/journal.pone.0037942, [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 90.Fujimura Y, Kumazoe M, Tachibana H. 67-kDa laminin receptor-mediated cellular sensing system of green tea polyphenol EGCG and functional food pairing. Molecules. (2022) 27:5130. doi: 10.3390/molecules27165130, [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 91.Mahdi L, Graziani A, Baffy G, Mitten EK, Portincasa P, Khalil M. Unlocking polyphenol efficacy: the role of gut microbiota in modulating bioavailability and health effects. Nutrients. (2025) 17:2793. doi: 10.3390/nu17172793, [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 92.Scott MB, Styring AK, McCullagh JSO. Polyphenols: bioavailability, microbiome interactions and cellular effects on health in humans and animals. Pathogens. (2022) 11. doi: 10.3390/pathogens11070770, [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 93.Djedjibegovic J, Marjanovic A, Panieri E, Saso L. Ellagic acid-derived Urolithins as modulators of oxidative stress. Oxidative Med Cell Longev. (2020) 2020:1–15. doi: 10.1155/2020/5194508, [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 94.Lu QY, Zhang L, Eibl G, Go VL. Overestimation of flavonoid aglycones as a result of the ex vivo deconjugation of glucuronides by the tissue β-glucuronidase. J Pharm Biomed Anal. (2014) 88:364–9. doi: 10.1016/j.jpba.2013.09.013, [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 95.Zhao L, Cen F, Tian F, Li MJ, Zhang Q, Shen HY, et al. Combination treatment with quercetin and resveratrol attenuates high fat diet-induced obesity and associated inflammation in rats via the AMPKα1/SIRT1 signaling pathway. Exp Ther Med. (2017) 14:5942–8. doi: 10.3892/etm.2017.5331, [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 96.Price NL, Gomes AP, Ling AJ, Duarte FV, Martin-Montalvo A, North BJ, et al. SIRT1 is required for AMPK activation and the beneficial effects of resveratrol on mitochondrial function. Cell Metab. (2012) 15:675–90. doi: 10.1016/j.cmet.2012.04.003, [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 97.Zhou S, Qingman X, Zhang W, Zhang D, Liu S. Quercetin as a multi-target natural therapeutic in aging-related diseases: systemic molecular and cellular mechanisms. Phytother Res. (2025) 39:4821–69. doi: 10.1002/ptr.70078, [DOI] [PubMed] [Google Scholar]
  • 98.Fiore M, Terracina S, Ferraguti G. Brain Neurotrophins and plant polyphenols: a powerful connection. Molecules. (2025) 30:2657. doi: 10.3390/molecules30122657, [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 99.Farías JG, Molina VM, Carrasco RA, Zepeda AB, Figueroa E, Letelier P, et al. Antioxidant therapeutic strategies for cardiovascular conditions associated with oxidative stress. Nutrients. (2017) 9:966. doi: 10.3390/nu9090966, [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 100.Senggunprai L, Kukongviriyapan V, Prawan A, Kukongviriyapan U. Quercetin and EGCG exhibit chemopreventive effects in cholangiocarcinoma cells via suppression of JAK/STAT signaling pathway. Phytother Res. (2014) 28:841–8. doi: 10.1002/ptr.5061, [DOI] [PubMed] [Google Scholar]
  • 101.Talib WH, Abuawad A, Thiab S, Alshweiat A, Mahmod AI. Flavonoid-based nanomedicines to target tumor microenvironment. OpenNano. (2022) 8:100081. doi: 10.1016/j.onano.2022.100081 [DOI] [Google Scholar]
  • 102.Chung JH. Metabolic benefits of inhibiting cAMP-PDEs with resveratrol. Adipocyte. (2012) 1:256–8. doi: 10.4161/adip.21158, [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 103.Topçu-Tarladaçalışır Y, Sapmaz-Metin M, Mercan Z, Erçetin D. Quercetin attenuates endoplasmic reticulum stress and apoptosis in TNBS-induced colitis by inhibiting the glucose regulatory protein 78 activation. Balkan Med J. (2024) 41:30–7. doi: 10.4274/balkanmedj.galenos.2023.2023-10-9, [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 104.Li F, Jia M, Wang A, Li J, Chen N. Beyond antioxidants: context-selective reprogramming of ferroptosis by natural polyphenols in chronic disease intervention. Food Sci Human Wellness. (2026) 15:9250977. doi: 10.26599/FSHW.2026.9250977 [DOI] [Google Scholar]
  • 105.Lin J, Zhuge J, Zheng X, Wu Y, Zhang Z, Xu T, et al. Urolithin A-induced mitophagy suppresses apoptosis and attenuates intervertebral disc degeneration via the AMPK signaling pathway. Free Radic Biol Med. (2020) 150:109–19. doi: 10.1016/j.freeradbiomed.2020.02.024, [DOI] [PubMed] [Google Scholar]
  • 106.Ha AT, Rahmawati L, You L, Hossain MA, Kim JH, Cho JY. Anti-inflammatory, antioxidant, moisturizing, and antimelanogenesis effects of quercetin 3-O-β-D-glucuronide in human keratinocytes and melanoma cells via activation of NF-κB and AP-1 pathways. Int J Mol Sci. (2021) 23:433. doi: 10.3390/ijms23010433, [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 107.Tabrizi R, Vakili S, Akbari M, Mirhosseini N, Lankarani KB, Rahimi M, et al. The effects of curcumin-containing supplements on biomarkers of inflammation and oxidative stress: a systematic review and meta-analysis of randomized controlled trials. Phytother Res. (2019) 33:253–62. doi: 10.1002/ptr.6226, [DOI] [PubMed] [Google Scholar]
  • 108.Mazzanti G, Di Giacomo S. Curcumin and resveratrol in the management of cognitive disorders: what is the clinical evidence? Molecules. (2016) 21:1243. doi: 10.3390/molecules21091243, [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 109.Nakadate K, Ito N, Kawakami K, Yamazaki N. Anti-inflammatory actions of plant-derived compounds and prevention of chronic diseases: from molecular mechanisms to applications. Int J Mol Sci. (2025) 26:5206. doi: 10.3390/ijms26115206, [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 110.Fakhri KU, Sharma D, Fatma H, Yasin D, Alam M, Sami N, et al. The dual role of dietary phytochemicals in oxidative stress: implications for oncogenesis, cancer chemoprevention, and ncRNA regulation. Antioxidants (Basel). (2025) 14:620. doi: 10.3390/antiox14060620, [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 111.Shakibaei M, Mobasheri A, Buhrmann C. Curcumin synergizes with resveratrol to stimulate the MAPK signaling pathway in human articular chondrocytes in vitro. Genes Nutr. (2011) 6:171–9. doi: 10.1007/s12263-010-0179-5, [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 112.Jomova K, Alomar SY, Valko R, Liska J, Nepovimova E, Kuca K, et al. Flavonoids and their role in oxidative stress, inflammation, and human diseases. Chem Biol Interact. (2025) 413:111489. doi: 10.1016/j.cbi.2025.111489, [DOI] [PubMed] [Google Scholar]
  • 113.Culp EJ, Nelson NT, Verdegaal AA, Goodman AL. Microbial transformation of dietary xenobiotics shapes gut microbiome composition. Cell. (2024) 187:6327–6345.e20. doi: 10.1016/j.cell.2024.08.038, [DOI] [PMC free article] [PubMed] [Google Scholar]

Articles from Frontiers in Nutrition are provided here courtesy of Frontiers Media SA

RESOURCES