Exogenous Antioxidants—Double‐Edged Swords in Cellular Redox State: Health Beneficial Effects at Physiologic Doses versus Deleterious Effects at High Doses
Open accessAbstract
The balance between oxidation and antioxidation is believed to be critical in maintaining healthy biological systems. Under physiological conditions, the human antioxidative defense system including e.g., superoxide dismutase (SOD), catalase (CAT), glutathione peroxidase (GPx), glutathione (GSH) and others, allows the elimination of excess reactive oxygen species (ROS) including, among others superoxide anions (O 2 .- ), hydroxyl radicals (OH . ), alkoxyl radicals (RO . ) and peroxyradicals (ROO . ). However, our endogenous antioxidant defense systems are incomplete without exogenous originating reducing compounds such as vitamin C, vitamin E, carotenoids and polyphenols, playing an essential role in many antioxidant mechanisms in living organisms. Therefore, there is continuous demand for exogenous antioxidants in order to prevent oxidative stress, representing a disequilibrium redox state in favor of oxidation. However, high doses of isolated compounds may be toxic, owing to prooxidative effects at high concentrations or their potential to react with beneficial concentrations of ROS normally present at physiological conditions that are required for optimal cellular functioning. This review aims to examine the double‐edged effects of dietary originating antioxidants with a focus on the most abundant compounds, especially polyphenols, vitamin C, vitamin E and carotenoids. Different approaches to enrich our body with exogenous antioxidants such as via synthetic antioxidants, diets rich in fruits and vegetables and taking supplements will be reviewed and experimental and epidemiological evidences discussed, highlighting that antioxidants at physiological doses are generally safe, exhibiting interesting health beneficial effects.
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It is unlikely that a single exogenous antioxidant is strong enough to reverse the wide range of negative effects induced by oxidative stress; even supranormal doses could be considered.
“Nevertheless, it is unlikely that a single exogenous antioxidant is strong enough to reverse the wide range of negative effects induced by oxidative stress; even supranormal doses could be considered35.”
From Key points for the development of antioxidant cocktails to prevent cellular stress and damage caused by reactive oxygen species (ROS) during manned space missions (2021) · cites this paper as [35]
The In vivo evidence section reports that isolated antioxidants often showed no benefit and emphasizes the value of complex mixtures, supporting the concern about relying on a single antioxidant. But the Conclusion warns that high doses may disrupt redox balance; it does not support considering supranormal doses as a remedy. Page numbers are unavailable in our copy. (LLM, conf=0.88)
Experimental — accuracy not yet measuredHigh doses of some antioxidants, such as quercetin and flavonoids, reduce cell survival.
“Studies have also suggested that high doses of some antioxidants, such as quercetin and flavonoids, reduce cell survival35,37,38.”
Exogenous antioxidants in high doses, and in the presence of metal ions, can cause pro-oxidant effects.
“Despite their beneficial effects, research has indicated that exogenous antioxidants in high doses, and in the presence of metal ions, can cause pro-oxidant effects35.”
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Cites
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- Authors
- Bouayed, J., & Bohn, T.
- Affiliations
- Centre de recherche public Gabriel-Lippmann (LU)
- Corresponding author
- Bouayed, Jaouad
- Venue
- Oxidative Medicine and Cellular Longevity
- Publisher
- Wiley
- Published
- 2010-01
- Volume
- 3
- Issue
- 4
- Pages
- 228-237
- ISSN
- 1942-0994 (ISSN-L)
- 1942-0900
- PMC
- PMC2952083
- OpenAlex
- W2113313289
- Cited by
- 1,095
- References
- 11
- Citations by year
- 2026: 52 · 2025: 49 · 2024: 76 · 2023: 99 · 2022: 121 · 2021: 81 · 2020: 111 · 2019: 89 · 2018: 80 · 2017: 65 · 2016: 71 · 2015: 60 · 2014: 64 · 2013: 33 · 2012: 23
- FWCI
- 2.22
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Oxidative Medicine and Cellular Longevity (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- HAL (submittedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Funders
- European Commission
- Topics
- Health Sciences › Medicine › Biochemistry › Antioxidant Activity and Oxidative Stress
- Health Sciences › Medicine › Biochemistry › Phytochemicals and Antioxidant Activities
- Health Sciences › Medicine › Rehabilitation › Exercise and Physiological Responses
- Keywords
- exogenous antioxidants, oxidative stress, reactive oxygen species, pro-oxidant activity, high-dose toxicity, polyphenols, vitamin C, vitamin E, carotenoids, antioxidant supplementation, dietary antioxidants, superoxide dismutase, glutathione, cellular redox state, health benefits
- MeSH terms
- Antioxidants, Humans, Oxidation-Reduction, Reactive Oxygen Species, Oxidative Stress
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