Abstract
Quality-of-life improvements have resulted in increasing attention being paid to research on antiaging and antioxidation. Polyphenols are natural antioxidants with excellent biological activities, such as antioxidation and scavenging of free radicals and antiviral activity. Abundant availability and low toxicity of polyphenols have attracted the attention of researchers. In this paper, the antioxidant activities of flavonoids, phenolic acids, stilbenes and lignan polyphenols are analyzed, the corresponding antioxidant mechanisms are investigated, and the antioxidant effects of polyphenols are systematically reviewed. Thus, an effective reference based on the recent literature is compiled for the study of the antioxidant mechanisms of polyphenols that provides a significant theoretical basis for the development of products that are components of polyphenols.
Polyphenols have polyphenol structure and are the most common secondary metabolites in plants. Polyphenol compounds are ubiquitous in roots, leaves, fruit pulp and peel across the plant kingdom. More than 8,000 polyphenols, mainly plant polyphenols, have been identified and isolated to date.
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Plant polyphenols are secondary metabolites that contain multiple phenolic hydroxyl groups. The ortho phenolic hydroxyl group is most easily oxidized to a quinone.
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Reactive oxygen species (ROS), are oxygen-containing substances with strong reactive activity, mainly hydroxyl radical (
Classification of Polyphenolic Compounds and an Overview of Their Biological Functions
Since anthocyanins in plants were named in 1835, 6 more than 100 years of research has been carried out on the definition, source, structure, classification and function of polyphenols. Many important discoveries have been made, especially regarding the health effects of polyphenols. Polyphenols comprise a wide variety of complex compounds, which typically include simple phenols, macromolecular polymers and derivatives, or occur in combination with monosaccharides or polysaccharides. Polyphenols can be classified in terms of their plant source into tea polyphenols, apple polyphenols, grape polyphenols and so on. Polyphenols can also be classified in terms of their constituent chemical groups into flavonoids, phenolic acids, stilbenes and lignans. Polyphenolic compounds that be polymerized are categorized as polyphenolic monomers (such as gallic acid, flavonoids, and chlorogenic acid) and tannins (such as gallic tannin). 7 -9
Recent studies have shown that polyphenols are abundant in phytochemicals consumed by humans, and can improve antimicrobial effects in the human body. Polyphenols can cure cancer by preventing oxidative stress injury and inhibiting the binding of cytokines to cancer cells. 10,11 In addition, polyphenols enhance antioxidant, antiviral and antitumor effects by lowering blood lipid levels and other actions. Increasing numbers of research studies and reports on the biological functions of polyphenols have caused scholars to extensively investigate the potential application of polyphenols to daily life.
Antioxidant Effects and Mechanism of Action of Polyphenols
Numerous studies have shown that free radicals accumulate in animals with age. Excessive accumulation of free radicals accelerates aging of the body and can also easily lead to cancer, tumors and other diseases. Polyphenols, as important active components of most natural plants, are characterized by low toxicity and broad-spectrum pharmacological activity. Thus, polyphenols are good resources for new drug development. Polyphenols contain many hydroxyl groups and can neutralize free radicals in the body and reduce free radicals into stable materials, thereby effectively preventing free radical chain reactions and delaying or inhibiting many diseases. 12 -14 The synergy between polyphenols and other active substances has motivated an increasing number of scholars to study the antioxidant activity of polyphenols.
Antioxidant Effects of Flavonoids
Flavonoid compounds, also known as flavonoids, are formed by the connection of two benzene rings (A ring and B ring) through three carbon chains. The polyphenolic hydroxyl groups in flavonoid molecules, release active hydrogen atoms, thus blocking the automatic oxidation of lipids. 15,16 Flavonoids are found in almost all green plants. Over 4,000 flavonoid species have been isolated so far, mainly flavonols, flavanones, isoflavones, flavones, procyanidins, and anthocyanins. The antioxidant activities of flavonols, proanthocyanidins and anthocyanins are presented in this paper. 17 -19
Flavonols
Flavonols are flavonoids with 2-phenyl chromone as the parent nucleus, among which the most common representatives are quercetin, kaempferol and myricetin derivatives. Studies have shown that quercetin can scavenge free radicals in vivo, inhibit ROS production and alleviate oxidative stress injury in vivo. The main mechanism of action of quercetin occurs via: (1) the direct formation of intramolecular hydrogen bonds by reacting with free radicals; (2) enzyme reactionsinvolving free radicals. Quercetin can also significantly improve oxidative damage of myocardium and inhibit the activation of the NF-κB pathway in vivo and in vitro to protect tissues. 20 -22 Quercetin has been reported to inhibit the opening of transitional pores for mitochondrial membrane permeability and ROS generation, increase the mitochondrial membrane potential and effectively reduce mitochondrial oxidative damage. 23 Lin et al. showed that quercetin-3-O-gentiobiose (QG), a novel antioxidant enzyme isolated from the methanol extract of okra, can effectively improve the activity of antioxidant enzymes. For example, glutathione peroxidase (GSH-Px) and superoxide dismutase (SOD) can reduce the oxidative stress damage from high-intensity exercise. 24 Tian et al. found that using kaempferol to interfere with MS-1 cells treated with fatty acids increase the SOD activity and nonenzymatic antioxidant glutathione (GSH) content. Under specific conditions, kaempferol significantly antagonized the oxidative stress induced by fatty acids. 25 Ji et al. reported that kaempferol affected the expression of NADPH oxidase and the NF-κB signaling pathway in mice of different age groups, thus achieving antioxidant effect. 26 Other studies have shown that kaempferol can also reduce the oxidative stress response by inhibiting the decline in the mitochondrial membrane potential during the early stage of H2O2-induced cardiomyocyte apoptosis. 27
Proanthocyanidins
Flavanols are formed by the polymerization of many monomers, such as epicatechin and catechin. The polymers and oligomers of flavanols are called proanthocyanidins. Proanthocyanidins are widely found in fruits, vegetables, and other green plants and particularly concentrated in grape seeds.
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Proanthocyanidins may be monomeric, oligomeric or have high degrees of polymerization. Procyanidins B2 (PCB2) in proanthocyanidin dimers exhibits strong antioxidant activity.
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Kim et al. demonstrated that PCB2 in apples could strongly scavenge free radicals while exhibiting strong reducibility.
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The mechanism of action of procyanidin antioxidant activity has been reported as the release of H+ through the body, which competitively combines with free radicals to block free radical chain reactions. The generated semiquinone radicals react by nucleophilic addition to form polymers containing catechuic acid groups that retain strong antioxidant effects.
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Proanthocyanidins alleviate oxidative stress by regulating oxidative stress signaling pathways. Kim et al. found that proanthocyanidins inhibit ROS production, oxidative stress injury and apoptosis-related pathways by downregulating the activity of the stress-activated MAPK pathway.
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Sun et al. found that grape seed proanthocyanidin (GSP) alleviates inflammation and oxidative stress damage in rats by promoting ERK phosphorylation and upregulating the expression of the antioxidant genes Nrf2 and HO-1, thereby inhibiting retinal nerve cell apoptosis and protecting against retinal ischemia-reperfusion injury in rats.
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He et al. showed that GSP can promote the phosphorylation of PI3K and Akt, and protect PC12 cells from H2O2-induced oxidative damage via the PI3K/Akt signaling pathway.
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Proanthocyanidins prevent lipid peroxidation. Yu et al. showed that lotus oligomeric proanthocyanidins (L-OPC) can compete with oxidative chain reactions and delay autooxidation byacting as a hydrogen donor to inhibit the action of lipid peroxyl radical (ROO
Anthocyanins
Anthocyanins are a class of water-soluble natural pigments within agroup of flavonoids that are abundant in plants. Anthocyanins have good antioxidant activity that depends on the location and quantity of hydroxyl groups, the degree of glycation and electron donors in their structure. 39 Studies have shown that when the planar anthocyanin molecule contains a double bond between the C-2 and C-3 positions that is coupled through the B ring with the A and C rings, saturation of this conjugated double bond and the destruction of coplanarity can inhibit XOD activity. Thus, this structure of anthocyanin hydroxyls results in increased SOD activity of antioxidant enzymes. 39,40 Therefore, anthocyanins can inhibit the activity of the part of the oxidase that produces ROS to produce an antioxidant effect. Anthocyanins have been shown to enhance the antioxidant activity of ruminants by activating Nrf2 and inhibiting the NF-κB signaling pathway. 41 Anthocyanins can complex with metal ions (Fe2+), thereby reducing the catalytic effect of active metal ions on free radical generation and increasing the antioxidant effect. Anthocyanins can complex with copper to inhibit the oxidation of LDL induced by copper or peroxy radicals. 39,42 Anthocyanins have been shown to inhibit the damage of ONOO–· to endothelial cells by disrupting the mitochondrial apoptosis pathway and inhibiting Bax nuclear translocation. 43
Antioxidant Effects of Phenolic Acids
Phenolic acids can be categorized into hydroxybenzoic acid derivatives and more common hydroxycinnamic acid derivatives. The main hydroxycinnamic acid derivatives consist of chlorogenic acid, caffeic acid, coumaric acid, ferulic acid, and sinapic acid. Most studies have been performed on chlorogenic acid. The main hydroxybenzoic acid derivatives are gallic acid, protocatechuic acid, and p-hydroxybenzoic acid, among which gallic acid has been most studied. Phenolic acids have been reported to produce antioxidant effects by directly scavenging free radicals, inactivating enzymes related to ROS production and activating the antioxidant enzyme system to remove and repair ROS-induced damage. 44
Chlorogenic acid
Chlorogenic acid is a phenylpropanoid produced by plant cells via the shikimic acid pathway during aerobic respiration. Chlorogenic acid is known as “plant gold” and is widely found in dicots, such as sunflower, honeysuckle, Eucommia ulmoides and coffee, and in ferns.
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Chlorogenic acid is an ester formed by the condensation of quinic acid and trans-cinnamic acid and occurs as a variety of isomers with a conjugated structure. Chlorogenic acid has many biological functions, such as scavenging free radicals; stimulating the central nervous system; producing hypolipidemic, antihypertensive, antiseptic and anti-inflammatory effects and tumor inhibition.
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Chlorogenic acid is an important dietary antioxidant component. The antioxidant activity of chlorogenic acid mainly derives from its ability to scavenge free radicals but is also related to the lipid peroxidation level in the body. Studies have shown that chlorogenic acid can supply hydrogen atoms to free radicals (DPPH
Gallic acid
Gallic acid, also known as 3,4,5-trihydroxybenzoic acid, usually occurs as a hydrate and is ubiquitous in plants such as grapes, tea leaves, flowers of Rhus chinensis, and Caesalpinia spinosa pods. Gallic acid is mainly used in the food, pharmaceutical, and chemical industries.
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Gallic acid has been reported to reduce the accumulation of active oxygen in tissues by removing
Antioxidant Effects of Stilbenes
Stilbenes are the basic unit of stilbene compounds, which are low in normal plant tissues. Stilbenes can be classified based on their C = C structures into cis and (more stable) trans structures.
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Resveratrol and its derivatives and analogs in stilbenehave attracted considerable attention because of antioxidant, anti-inflammatory and other biological activities. The antioxidant mechanism of resveratrol has been demonstrated as the activation of silent information regulator 1 (SIRT1). Under specific conditions, the proportion of intracellular NAD+/NADH increases, and the expression of SIRT1 in astrocytes is upregulated. SIRT1 deacetylates FOXO4 and then binds to the promoter sites of SOD and CAT, further enhancing the expression of antioxidant enzymes, inhibiting ROS production and alleviating oxidative stress reactions.
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Li et al. found three types of natural resveratrol dimers: parthenocissin A(Par), quadrangularin A(Qua) and pallidol (Pal), could quench DPPH
Antioxidant Effects of Lignans
Lignans function as metabolites downstream of the biological pathway of shikimic acid in plants and are widely distributed in all plant parts and especially in flaxseed. 82 Lignan compounds can be classified as lignans or neolignans according to the intermolecular linkage of phenylpropyl groups. 83 Antioxidant effects have been confirmed for most lignans.
Lignans
Lignans form via the polymerization of two phenylpropyl groups at the β-sites of side chains. Eight types of lignans can be classified according to the carbon chain skeleton, the way oxygen is integrated into the skeleton and the cyclization mode: furan, furofuran, arylnaphthalene, aryltetralin, dibenzylbutyrolactol, dibenzylbutyrolactone, dibenzylbutane, and dibenzocyclooctadiene, among which furofuran and dibenzylbutyrolactone exhibit good antioxidant activity. 84 Cao et al. found that furofuran sesamin has an antioxidant effect on fluorine-induced liver oxidative stress by reducing ROS and MDA levels and increasing the antioxidant enzyme activity. 85 Ren et al. found synergistic anti-lipid peroxidation effects for sesamin, VE, EDTA, and citric acid. 86 Sesamin C can chelate Cu2+, thereby inhibiting Cu2+-induced LDL oxidation in human plasma. 87 Other studies have reported antioxidant effects of matairesinol of dibenzylbutyrolactone, although the underlying mechanism has not been elucidated. 88
Neolignans
Neolignans connect via a side chain of a phenyl propyl group to a benzene ring of another molecule or by an oxygen atom between two phenyl propyl group molecules. Magnolol is a typical neolignane that has been reported to scavenge free radicals, enhance the activity of antioxidant enzymes and inhibit lipid peroxidation, thus protecting against oxidative damage in the body. 89 Duan et al. found that magnolol can reduce the MDA content and XOD activity of the lung tissue of rats with sepsis and increase the SOD and GSH-Px activities, thus ameliorating acute lung injury in these rats. 90 Ye et al. performed experiments showing that magnolol inhibited the activation of intracellular caspase-3 and ROS production, thereby protecting against PC12 cell injury induced by 6-OHDA. 91 Li et al. showed that magnolol can inhibit lipid peroxidation and thus exert an antioxidant effect. 92
Synergistic Antioxidant Effects of Polyphenolic Compounds
Polyphenolic compounds exhibit their respective antioxidant effects (Table 1), but single phenols cannot be easily isolated, and multiple polyphenols often exert synergistic antioxidant effects. Polyphenolic compounds can interact with other substances to produce antioxidant effects that are frequently more potent than those of the individual substances.
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The main substances that have been found to produce synergistic effects with polyphenolic compounds are active antioxidants, such as polysaccharides, vitamins C/E and carotenoids, and extracts of natural raw materials, such as kelp extract and sweet potato extract.
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Complex and varied mechanisms of action have been identified for the synergistic antioxidation by polyphenolic compounds and other substances (Table 2). Six mechanisms are generally accepted: (a) enhanced chelation of phenolic compounds with metal ions can induce oxidation, this process is seen with acidic substances (tartaric acid and citric acid).
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(b) acting through chain reactions that inhibits lipid peroxidation by capturing peroxyl radicals; this process is seen with VC.
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(c) increasing the preservation rate of another oxidative substance; for example, tea polyphenols can increase the preservation rate of β-carotene.
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(d) providing and maintaining the level of reducing agent by means of electronic transfer; for example, ascorbic acid provides a hydrogen atom to the α-tocopherol free radical to regenerate α-tocopherol.
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(e) coupling oxidation based on redox potential difference. Polyphenolic compounds facilitate the direct reaction of both antioxidants by reducing the corresponding potential difference. The coupled antioxidant oil-water distribution coefficient is complementary to each other, which is reasonably distributed in a certain system and gives full play to the function of each antioxidant.
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(f) producing synergistic antioxidant effect of the same antioxidant molecules by the interaction between their structures; for example, a suitable solvent can decrease the enthalpy of dissociation of the hydroxyl O-H bond of ferulic acid glyceryl ester via π-π stacking, thereby reducing the activation energy of the reaction between an antioxidant molecule and DPPH
Antioxidation Mechanisms of Various Polyphenolic Compounds.
the Mechanisms of Synergistic Antioxidant Effects of Polyphenolic Compounds.
Conclusions and Prospects
Polyphenolic compounds have various structures and may be classified in many ways. The antioxidant properties of these substances also vary, and five corresponding mechanisms of action can be categorized (Figure 1): (a) the phenolic hydroxyl groups of polyphenolic compounds act as hydrogen donors to directly react with radicals and reduce the activities of

Schematic diagram of antioxidant mechanisms of various polyphenols. (A) Antioxidant mechanisms of flavonoids. (B) Antioxidant mechanisms of phenolic acids. (C) Antioxidant mechanisms of stilbenes.
Supplemental Material
Online supplementary file 1 - Supplemental material for Current State of Knowledge on the Antioxidant Effects and Mechanisms of Action of Polyphenolic Compounds
Supplemental material, Online supplementary file 1, for Current State of Knowledge on the Antioxidant Effects and Mechanisms of Action of Polyphenolic Compounds by Qi-zhuang Lv, Jin-tao Long, Zi-feng Gong, Ke-yi Nong, Xiao-mei Liang, Ting Qin, Wei Huang and Lei Yang in Natural Product Communications
Footnotes
Acknowledgments
The authors thank PhD Tao Wang (College of Veterinary Medicine, Northwest A&F University) for helping to polish the English language.
Declaration of Conflicting Interests
The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Funding
The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This work was supported by grants from the National Natural Science Foundation of China (No.31860708), the Natural Science Foundation of Guangxi Zhuang Autonomous Region (No.2017GXNSFBA198025).
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References
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