Evidence map›Paper›PMID 41893010›Full record

ReviewJournal of personalized medicine2026

The Polyphenol-Microbiota Axis: Molecular Mechanisms, Metabolic Pathways, and Therapeutic Perspectives in Human Health.

Andrea Ballini, Simona Nicole Barile, Alfredo De Rosa, Maria Eleonora Bizzoca, Mariarosaria Boccellino, Salvatore Scacco, Stefania Cantore, Lorenzo Lo Muzio, Francesco Massimo Lasorsa, Roberto Arrigoni

Abstract readReview
In one paragraph

Review in Journal of personalized medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Review
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  6. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Andrea BalliniDepartment of Life Science, Health and Health Professions, Link Campus University, 00165 Rome, Italy.ORCID 0000-0001-8758-1415
Simona Nicole BarileCNR Institute of Biomembranes, Bioenergetics and Molecular Biotechnologies (IBIOM), 70124 Bari, Italy.ORCID 0000-0002-3295-0081
Alfredo De RosaDepartment of Life Science, Health and Health Professions, Link Campus University, 00165 Rome, Italy.
Maria Eleonora BizzocaDepartment of Clinical and Experimental Medicine, University of Foggia, 71122 Foggia, Italy.ORCID 0000-0002-6722-6499
Mariarosaria BoccellinoDepartment of Life Science, Health and Health Professions, Link Campus University, 00165 Rome, Italy.ORCID 0000-0001-6989-010X
Salvatore ScaccoSchool of Medicine, University of Bari Aldo Moro, 70124 Bari, Italy.ORCID 0000-0003-2717-2489
Stefania CantoreDepartment of Life Science, Health and Health Professions, Link Campus University, 00165 Rome, Italy.ORCID 0000-0001-9521-2521
Lorenzo Lo MuzioDepartment of Clinical and Experimental Medicine, University of Foggia, 71122 Foggia, Italy.ORCID 0000-0003-4633-4893
Francesco Massimo LasorsaCNR Institute of Biomembranes, Bioenergetics and Molecular Biotechnologies (IBIOM), 70124 Bari, Italy.ORCID 0000-0001-8418-5222
Roberto ArrigoniCNR Institute of Biomembranes, Bioenergetics and Molecular Biotechnologies (IBIOM), 70124 Bari, Italy.ORCID 0000-0001-5361-4346

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Polyphenols are a diverse class of bioactive phytochemicals increasingly recognized for their ability to modulate human physiology through extensive interactions with the gut microbiota. This review provides a comprehensive and updated synthesis of the bidirectional polyphenol-microbiota relationship, emphasizing how dietary polyphenols reshape microbial community structure while intestinal microorganisms metabolize polyphenols into smaller, more bioavailable derivatives. These microbial metabolites-such as urolithins, phenolic acids, and dihydroresveratrol-exert amplified biological activities compared to their parent molecules, acting on key molecular pathways linked to oxidative stress, inflammation, energy homeostasis, and metabolic regulation. Through integration of mechanistic studies, multi-omics analyses, and emerging clinical evidence, this review outlines the potential of the polyphenol-microbiota-metabolite axis as a target for precision nutrition and microbiota-informed therapeutic interventions. The manuscript highlights ongoing challenges, including inter-individual variability in polyphenol metabolism, and proposes future research directions to advance the field of personalized nutrition.

Indexed as

AMPKchronic disease preventiongut microbiotamicrobial metabolitesmulti-omicsNF-κBNrf2oxidative stresspersonalized nutritionpolyphenolsprecision nutrition

Identifiers

PMID41893010
PMCPMC13028265

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.