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Comprehensive and critical view on the anti-inflammatory and immunomodulatory role of natural phenolic antioxidants.

European journal of medicinal chemistry
January 1, 1970
Aurelia Magdalena Pisoschi et al. (8 authors)
Journal ArticleReviewHuman Study
Study Details

Study Goal

The researchers aimed to investigate the immunomodulatory and anti-inflammatory effects of phenolic antioxidants and their potential role in preventing inflammation-related pathologies.

Results Summary

Phenolic antioxidants demonstrated anti-inflammatory effects by modulating immune cell activities, reducing proinflammatory cytokines, and targeting key signaling pathways like NF-κB and MAPK. They also inhibited enzymes in the arachidonic acid pathway, reducing prostaglandin and leukotriene production.

Population

Not specified (general immune and inflammatory pathways discussed).

Effective Dosage

Not specified.

Duration

Not specified.

Interactions

Prooxidant effects noted at large doses or in the presence of heavy metal cations.

Extracted Claims (12)
InterventionDirectionEndpointPopulationDosageImpactClaim #
Phenolic antioxidants
null
activities of lymphocytes and macrophages
null
null
modulate the activities of lymphocytes and macrophages
#1
Phenolic antioxidants
decrease
inflammation
null
null
exerting anti-inflammatory effect
#2
Phenolic antioxidants
null
nuclear-factor kappa-light-chain-enhancer of activated B cells signaling pathway
null
null
targeted
#3
Phenolic antioxidants
null
mitogen-activated protein kinase pathway
null
null
targeted
#4
Phenolic antioxidants
increase
nuclear factor erythroid 2-related factor mediated antioxidant response
null
null
increase in nuclear factor erythroid 2-related factor mediated antioxidant response
#5
Phenolic antioxidants
increase
activity of antioxidant enzymes
null
null
triggering the activity of antioxidant enzymes
#6
Phenolic antioxidants
decrease
phospholipase A2, cyclooxygenase and lipoxygenase in the arachidonic acid pathway
null
null
inhibitive potential
#7
Phenolic antioxidants
decrease
prostaglandin and leukotriene generation
null
null
subsequent reduction
#8
Phenolic antioxidants
decrease
inflammation
null
null
potential of phenolics as inflammation antagonists
#9
Phenolic antioxidants
decrease
proinflammatory cytokine synthesis
null
null
immunomodulative potential
#10
Phenolic antioxidants
decrease
expression of the corresponding genes
null
null
immunomodulative potential
#11
A diet rich in antioxidants
decrease
inflammation-related pathologies
null
null
can result in prevention
#12
Abstract

The immune response encompasses innate and adaptive immunity, each with distinct and specific activities. The innate immune system is constituted by phagocytic cells, macrophages, monocytes and neutrophils, the cascade system, and different classes of receptors such as toll-like receptors that are exploited by the innate immune cells. The adaptive immune system is antigen-specific, encompassing memory lymphocytes and the corresponding specific receptors. Inflammation is understood as an activation of different signaling pathways such as toll-like receptors or nuclear factor kappa-light-chain-enhancer of activated B cells, with an increase in nitric oxide, inflammatory cytokines and chemokines. Increased oxidative stress has been identified as main source of chronic inflammation. Phenolic antioxidants modulate the activities of lymphocytes and macrophages by impacting cytokines and nitric oxide release, exerting anti-inflammatory effect. The nuclear-factor kappa-light-chain-enhancer of activated B cells signaling pathway and the mitogen-activated protein kinase pathway are targeted, alongside an increase in nuclear factor erythroid 2-related factor mediated antioxidant response, triggering the activity of antioxidant enzymes. The inhibitive potential on phospholipase A2, cyclooxygenase and lipoxygenase in the arachidonic acid pathway, and the subsequent reduction in prostaglandin and leukotriene generation, reveals the potential of phenolics as inflammation antagonists. The immunomodulative potential encompasses the capacity to interfere with proinflammatory cytokine synthesis and with the expression of the corresponding genes. A diet rich in antioxidants can result in prevention of inflammation-related pathologies. More investigations are necessary to establish the role of these antioxidants in therapy. The appropriate delivery system and the prooxidant effects exhibited at large doses, or in the presence of heavy metal cations should be regarded.

Medical Subject Headings (MeSH)
HumansAntioxidantsNF-kappa BNitric OxideAnti-Inflammatory AgentsCytokinesInflammationToll-Like ReceptorsImmunityLipopolysaccharides
Study Links
Quality Scores
Safety70
Efficacy85/10
Quality75/10
Citation Metrics
Total Citations9
Citations/Year9.0
Relative Citation Ratio4.01
Research Impact Scores
APT Score0.05
Weight Score1.58
Normalized Score0.77
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