One of the possible mechanisms that could connect all of these biological activities is the iron-chelating ability of polyphenols, which can influence iron homeostasis in the human body. In fact, iron is a pivotal microelement for living organisms. Indeed, upon the onset of an infection, one of the primary host responses is related to iron sequestration and accumulation into phagocytes. Vice versa, tissue repair is characterized by the immune cells’ depletion of the cytoplasmic iron content.
2. Anti/Pro-Oxidant Activities of Polyphenols
Polyphenols are antioxidant compounds that are well known for their radical scavenging activity. By this mechanism, polyphenols behave as reducing agents towards ROS and reactive nitrogen species (RNS), such as OH
•, O
2•−, and NO
•, thus preventing the oxidative stress and DNA damage that are caused by these species. The hydroxyl radical can be generated by different pathways, including the decomposition of peroxynitrous acid
[17] or the reduction of peroxides, whereas the production of H
2O
2, O
2•−, and NO
• is mostly derived by cellular respiration or cell signaling mechanisms
[18]. Polyphenols are able to act as antioxidant compounds by donating an electron or hydrogen atom, thus neutralizing the free radicals. They also act as radical scavengers and chain breakers in lipid peroxidation chain reactions, with the consequent formation of more stable and less reactive species and block of chain reactions before the cell viability can be seriously affected
[3][19][20]. Furthermore, polyphenols can induce the expression of antioxidant enzymes, such as glutathione peroxidase, catalase, and superoxide dismutase, which act on hydroxyperoxides, hydrogen peroxide, and superoxide anions, and inhibit the expression of pro-oxidant enzymes, such as cyclooxygenases and lipoxygenases
[3][21].
Besides their antioxidant abilities, polyphenols have also been shown to behave as pro-oxidant compounds
[21][22][23]. In different cases, the pro-oxidant activity has been related to the structural characteristics of polyphenols, e.g., the flavonol quercetin showed a pronounced pro-oxidative activity, while the flavanones hesperetin and naringenin have displayed milder effects
[24]. Some flavonoids containing multiple hydroxyl groups, especially in the B-ring, have been shown to increase the production of hydroxyl radicals
[25]. Baicalein, containing a pyrogallol structure in the A-ring, has also been reported to promote hydrogen peroxide production
[25][26]. In addition, the pro-oxidant effect can be caused by the autoxidation or enzymatic oxidation (for example, by peroxidases) to which polyphenols can be subjected, causing the production of highly reactive phenoxyl radicals, such as flavonoid quinones. These compounds can be stabilized in vivo by conjugation with nucleophiles, such as GSH, cysteine, or nucleic acids
[27].
The pro-oxidant activity of polyphenols could also be associated with their ability to reduce Fe
3+ (or other transition metal ions) and the prevention of their binding to other chelating ligands, such as EDTA. In fact, the pro-oxidant properties of polyphenols have been experimentally observed in the presence of metal chelators, such as EDTA, and the oxidized form of the metal ion Fe
3+ [22][28][29][30][31]. Increased levels of OH
• have been observed following the reduction in Fe
3+ complexed with EDTA in the presence of myricetin, quercetin, or catechin
[28]. Some phenolics (quercetin, phloretin, phloridzin, phloroglucinol, gallic acid, ferulic acid, and 3,4-dihydroxyphenylacetic acid) have been found to enhance OH
• generation under the Fe
2+-EDTA-H
2O
2 system
[21]. However, an important consideration that should be taken into account is that the intracellular environment is prevalently reducing, due to the presence of reductant agents such as NADH, glutathione, ascorbic acid, etc.,
[32][33][34]. Therefore, most of the metal ions that are not bound to proteins would be mainly in their reduced forms in vivo
[35]. Polyphenols can display both antioxidant and pro-oxidant activities in very similar conditions, even though their pro-oxidant activity may increase in the presence of very strong chelators (such as EDTA, or medications with chelating abilities, e.g., bleomycin) or high concentrations of H
2O
2 [21][35]. Furthermore, the pro-oxidative potential of polyphenols can also differ within the same class, dependent on their concentration (low levels of polyphenols may have antioxidant activity, whereas higher concentrations may display pro-oxidant effects), pH conditions, or stereochemistry, which might partly explain the controversy among their antioxidant and pro-oxidant effects
[23].
3. Iron-Chelating Abilities of Polyphenols
Besides their radical scavenging activities, another mechanism by which polyphenols can exert their antioxidant activity involves iron binding. Iron, and transition metals in general, can be involved in the generation of oxygen free radicals, the reduction of peroxides, or reactions with superoxide anions
[36][37][38], and, subsequently, oxidative stress. Polyphenols have been shown to have iron-binding abilities, which are mainly related to the presence of catechol and galloyl groups. Some studies have shown that the 6,7-dihydroxy structure, B-ring catechol, the galloyl groups, the 2,3-double bond, and the 3- and 5-hydroxylic groups in co-presence with the 4-keto group are associated with chelation properties, and therefore are eligible as iron-binding sites
[35][39][40][41][42] (
Figure 1). For example, baicalein and baicalin, containing 6,7-dihydroxy groups, have strong iron-binding activities
[43]. Flavonoids, such as quercetin and rutin, with 3- and 5-hydroxy-4-keto groups, or flavones and flavonols with 2,3-double bonds in general, are also important metal chelators
[44][45]. Ellagic acid, with its four hydroxyl groups, shows metal-transition-chelating abilities, with the possibility to participate in antioxidant redox reactions, resulting in an efficient free radical scavenger
[46][47]. Interestingly, when it is incubated with iron–EDTA or iron–citrate complexes, ellagic acid is able to remove iron from those ligands by forming an iron–ellagic acid complex, which reduces the levels of iron ions in the solution that catalyze free radical formation, and therefore showing an antioxidant mechanism that is different from “classical” OH
• radical scavenging
[31]. In the case of curcumin, the β-diketone group has been suggested to be responsible for iron chelation, even though it does not affect or block iron cellular uptake
[48][49]. In in vivo systems, curcumin’s iron-chelating abilities show the ability to affect the systemic iron metabolism (e.g., a decline in serum iron and transferrin saturation, decreased iron levels in the spleen and bone marrow, IRPs activation, repressed ferritin levels, and hepcidin hepatic synthesis), thus suggesting possible effects in patients with both a marginal and a high iron status
[50][51]. Furthermore, the iron-chelating abilities of curcumin have also been suggested to contribute to anticancer activities through the formation of redox-active iron complexes and iron depletion in cancer cells
[49][50][51].
Figure 1. Representative classes of polyphenols and examples of compounds belonging to each group, showing different iron-chelating abilities. Polyphenol general structure is formed by two aromatic rings, indicated as A and B, linked together by three carbon atoms forming an oxygenated heterocycle, the C ring. The 6,7-dihydroxy structure, B-ring catechol, galloyl groups, 2,3-double bond, 3- and 5-hydroxylic groups, β-diketone group, and carboxylic groups associated with iron-binding properties are highlighted in red.
In the case of isoflavones, the 5-hydroxy-4-keto group has been suggested to chelate ferric and ferrous ions, even though the affinity towards these ions was lower than those of the other iron-chelating flavonoids
[52]. In particular, genistein and biochanin A, but not daidzein, show chelating abilities of Fe
3+, indicating that isoflavones bind the metals at the 4-keto and the 5-OH sites
[53].
Lakey-Beitia and co-workers
[54] propose the following three groups of polyphenols based on the binding sites: a group with one metal binding site, to which belong the curcuminoids, some stilbenoids, isoflavones, and flavanones; the group with two binding sites that includes some flavones and some anthocyanins; and the group with three metal binding sites that includes flavonols, flavanols, some anthocyanins, and tannins.
In general, the polyphenolic compounds with catechol moieties on the B-ring are more potent inhibitors of the Fenton reaction than those without catechol groups
[55]. In addition, the presence of a large number of catechol/galloyl groups (as in the case of tannic acid) contributes to enhanced iron chelation. Perron and co-workers
[56] have shown that compounds with galloyl groups have a higher antioxidant activity compared to those with only catechol groups. Phenolic acids bearing catechol or galloyl groups (caffeic acid, gallic acid, protocatechuic acid, and chlorogenic acid) have shown more intriguing iron-binding properties compared to the other polyphenols lacking these groups (ferulic acid, syringic acid, and vanillic acid)
[39]. For these, the carboxylate group has been proposed as the most eligible group for iron complexation
[57]. In addition, the structures with galloyl moiety, as in the case of gallic acid within the group of hydroxybenzoic acids, scored better than those of the catechol type (as in the case of protocatechuic acid), which could be attributed to the number and position of the hydroxyl groups. It is worthy of notice that gallic acid alone exhibits a reduced iron-chelating capacity, which is probably because of the third hydroxyl group in position three. Indeed, this third OH group can stabilize the flavonoid ring structure and has radical scavenging abilities
[58][59], but reduces the iron-chelation ability
[39]. Similarly, the presence of methoxy groups (as in the case of vanillic acid, syringic acid, and ferulic acid) increases the radical scavenging activities but hinders the chelation abilities of polyphenols
[39][60].
4. Polyphenols’ Bioavailability
The bioavailability of dietary nutrients and compounds usually designates the quantity or fraction of the ingested dose that is absorbed from the gastrointestinal tract
[61]. In the case of polyphenols, the bioavailability is strongly influenced by their physical properties (e.g., molecular mass, polarity, and hydrophobic moieties) and the presence of proteins, lipids, and fibers in the ingested food matrixes
[62]. For instance, poor anthocyanin bioavailability can be improved by their binding to dietary fibers, which are able to protect them from degradation due to the pH of the intestinal environment and allow them to reach the large intestine and remain there for a longer time
[62]. Once they are ingested, polyphenols reach the intestine, where they are first deconjugated by enzymes such as lactase phlorizin hydrolase (LPH, located on the enterocytes membrane) or β-glucosidase (CBG, cytosolic), in order to facilitate the absorption by the epithelial cells. Following this first process of absorption, the polyphenols are transported through the portal vein to the liver, where they undergo phase I metabolism, which implies hydrolysis and oxidation reactions, and phase II metabolism, prevalently including glucuronidation, methylation, and sulfonation reactions
[63][64]. Such metabolites can have markedly changed iron-chelating and anti/pro-oxidant properties
[65][66]. They can be detected in systemic circulation; however, such modifications (in particular, sulfation and glucuronidation) also facilitate their efflux into the intestinal lumen. Once they are released into the intestinal lumen, the polyphenols are then subjected to microbial biotransformation, which can produce smaller and structurally simpler compounds
[67][68]. Several studies report the presence of phase II metabolites (glucuronides or sulfated forms) in plasma samples after the ingestion of polyphenols, or foods that are enriched in polyphenols, indicating that the intestines and the liver are the main sites of polyphenol metabolism
[69], whereas polyphenolic aglycones are not commonly found there
[70][71].
Table 1 reports some examples from published studies describing the bioavailability and the excretion paths of representative classes of polyphenols. The maximal plasma concentration (C
max) and the time to reach it (t
max) strongly depend on the diverse classes of compounds, the type and amount of the food source, the studied species, and the interindividual variability
[72][73]. In some cases, such as for quercetin, the type of bound sugar moiety can also influence the efficiency of the intestinal absorption and, therefore, the polyphenol bioavailability
[69].
The main route of elimination of polyphenols is urinary excretion, even though biliary excretion should be considered for some compounds, such as quercetin or curcumin
[73][74][75][76].
Polyphenols’ intestinal absorption is mainly mediated by epithelial glucose or monocarboxylates transporters (MCTs)
[77]. Quercetin glucosides can be directly transported via SGLT1 (sodium-dependent glucose transporter 1) or hydrolyzed to quercetin before their absorption by passive diffusion in the small intestine
[69]. Rutin is metabolized by intestinal bacteria into phenolic compounds prior to being absorbed via MCT, or through the paracellular pathway. The uptake transporters OATPs (organic anion transport polypeptides) and OATs (organic anion transporter) contributes to the uptake of quercetin and its metabolites into the liver and the kidneys
[69]. A hesperetin derivative, MTBH (8-methylene-tert-butylamine-3’,5,7-trihydroxy-4’-methoxyflavanone), has been shown to be mainly absorbed by the transcellular passive diffusion mechanism and to use MCT carriers to enter the cells
[78]. Trans-resveratrol has been reported to use a passive transport to cross the apical membrane of the intestinal cells, whereas the transport of its trans-piceid derivative is likely to be active, involving SGLT1
[79]. On the other hand, the main transporters that are implicated in polyphenol efflux are MRP2 (multi-drug resistance protein 2), BCPR (breast cancer resistance protein), and P-gp (P-glycoprotein transporters)
[77]. MPR2 and BCPR mediate the excretion of quercetin and its metabolites through bile and urine, eliminating them from the body
[69]. MRP2 has been also shown to be involved in stilbene efflux
[79]. P-gp and BCPR are used for MTBH efflux transport
[78]. However, Teng and co-workers (2012)
[77] reported different affinities for SLGT1, MRP2, and P-gp transporters among the different classes of polyphenols, indicating that their influx or efflux may be dependent on their chemical structures.
Table 1. Examples of studies reporting polyphenols’ bioavailability in humans.
1 Cmax: maximal plasma concentration. 2 tmax: time to reach Cmax. 3 NA: not available. 4 data expressed as nmol·g−1 creatinine.