Oxidative Stress and Antioxida
Oxidative Stress and Antioxida
Review
Oxidative Stress and Antioxidants—A Critical Review on In
Vitro Antioxidant Assays
Raghavendhar R. Kotha 1 , Fakir Shahidullah Tareq 1 , Elif Yildiz 2 and Devanand L. Luthria 1, *
1 Methods and Application of Food Composition Laboratory, Beltsville Human Nutrition Research Center,
Agricultural Research Service, U.S. Department of Agriculture, Beltsville, MD 20705, USA
2 Keles Vocational School, Bursa Uludag University, 16740 Bursa, Turkey
* Correspondence: [email protected]; Tel.: +1-301-504-7247; Fax: +1-301-504-8314
Abstract: Antioxidants have been widely studied in the fields of biology, medicine, food, and
nutrition sciences. There has been extensive work on developing assays for foods and biological
systems. The scientific communities have well-accepted the effectiveness of endogenous antioxidants
generated in the body. However, the health efficacy and the possible action of exogenous dietary
antioxidants are still questionable. This may be attributed to several factors, including a lack of basic
understanding of the interaction of exogenous antioxidants in the body, the lack of agreement of the
different antioxidant assays, and the lack of specificity of the assays, which leads to an inability to
relate specific dietary antioxidants to health outcomes. Hence, there is significant doubt regarding
the relationship between dietary antioxidants to human health. In this review, we documented the
variations in the current methodologies, their mechanisms, and the highly varying values for six
common food substrates (fruits, vegetables, processed foods, grains, legumes, milk, and dairy-related
products). Finally, we discuss the strengths and weaknesses of the antioxidant assays and examine
the challenges in correlating the antioxidant activity of foods to human health.
There have also been numerous papers questioning the health benefits of the many
compounds that are in vitro antioxidants and whether they exhibit similar in vivo activ-
ity [19–24]. The U.S. Food and Drug Administration (FDA) and the European Food Safety
Authority (EFSA) allow health claims for vitamin antioxidants (i.e., vitamins A, C, and E,
those with a recommended daily intake (RDI) [25,26]. However, even for these compounds,
there is some controversy with respect to their performance as antioxidants in vivo [22].
In the current review, we briefly describe oxidative stress, types of antioxidants,
and in vitro assays, their mechanisms, their strengths and weaknesses, bioaccessibility,
and bioavailability. We have also compared the analytical variations between the reported
methodologies and activities for six commonly consumed food substrates (fruits, vegetables,
processed foods, grains, legumes, milk, and dairy-related products). It is important for
consumers, nutritionists, and other healthcare professionals to understand the health
benefits gained from the consumption of fruits and vegetables and to distinguish facts from
commercial hype regarding antioxidants.
2. Oxidative Stress
Oxidative stress is defined as the imbalance between the occurrence of reactive oxy-
gen/nitrogen species (ROS/RNS) and cellular antioxidant defenses [1,4]. Oxidative stress
is a result of excess ROS/RNS, which occurs due to a lack of counteraction by cellular
antioxidant systems [1,5]. Increased oxidative stress can have severe consequences in bio-
logical systems, including molecular damage (such as nucleic acids, lipids, and proteins),
which can severely impact health, as shown in Figure 1A [1,5]. Damage to biomolecules
or the induction of several secondary reactive species due to oxidative stress ultimately
leads to cell death (apoptosis or necrosis). It has been assessed that oxidative stress is asso-
ciated with more than 100 diseases, including cardiovascular disease, cancer, hypertension,
diabetes, neurogenerative diseases, aging, etc. [1,5].
Contrary to their harmful effects on health, ROS/RNS can have beneficial effects de-
pending on their function, location, and amount. For instance, superoxide (O2 −• ) and nitric
oxide (• NO) radicals at low or medium concentrations are involved in cellular responses
and participate in signaling pathways [1]. H2 O2 , formed by various oxidase enzymes, and
the action of superoxide dismutase (SOD), allows its use as an important signaling molecule,
also it is substrate for generating further reactive species such as HOCl [27,28]. ROS are
also involved in immunological responses, degrading xeno compounds and organisms
through phagocytosis.
ROS are oxygen-containing molecules, including radicals (like the superoxide anion)
and non-radicals (like H2 O2 ) that greatly vary in their chemical abilities, such as diffusion
in living cells and chemical reactivity with biomolecules. ROS examples include singlet
oxygen, superoxide, hydrogen peroxide, and hydroxyl radicals (Figure 1B). Singlet oxygen
is the highest energy spin state of molecular oxygen. In contrast to molecular oxygen in
ground state, the two valence electrons are paired in an anti-bonding orbital. Singlet oxygen
is therefore only generated, when molecular oxygen is energized via radiation. Importantly,
and in contrast to other ROS subspecies, no electron transfer does occur during this process.
Singlet oxygen is very reactive towards organic compounds and plays a deleterious role in
biological systems, for instance, by involving in the oxidation of LDL cholesterol, which can
lead to cardiovascular diseases. Moreover, increased ROS can trigger mtDNA mutations as
well as promote uncontrolled proliferation and carcinogenesis [29]. The delicate balance of
harmful and beneficial effects of free radicals is crucial for life processes, and antioxidants
play an essential role in achieving this balance.
logical systems, including molecular damage (such as nucleic acids, lipids, and proteins),
which can severely impact health, as shown in Figure 1A [1,5]. Damage to biomolecules
or the induction of several secondary reactive species due to oxidative stress ultimately
leads to cell death (apoptosis or necrosis). It has been assessed that oxidative stress is as-
Antioxidants 2022, 11, 2388 sociated with more than 100 diseases, including cardiovascular disease, cancer, hyperten- 3 of 30
sion, diabetes, neurogenerative diseases, aging, etc. [1,5].
Figure Figure
1. Schematic representation
1. Schematic of (A) radicals’
representation impact impact
of (A) radicals’ on human health, health,
on human and (B)and
the (B)
generation
the generation
of various radicals in vivo.
of various radicals in vivo.
Contrary to their harmful effects on health, ROS/RNS can have beneficial effects de-
3. Antioxidants
pending onAntioxidants
their function,can location, and amount.
be broadly categorized For in
instance, superoxide
many different (O2−•
ways: (i)) and nitric
natural and syn-
•NO) radicals
oxide (thetic; (ii) polaratand
lownon-polar;
or medium(iii)concentrations
enzymatic and arenon-enzymatic;
involved in cellular responses and
(iv) endogenous
and participate
exogenous; in signaling
and (v) bypathways [1]. H2Oin
the mechanisms 2, formed by various
which they oxidase
are involved enzymes,
[30]. and pri-
Antioxidants
the action of superoxide dismutase (SOD), allows its use as an important signaling
marily exhibit activities based on three mechanisms, hydrogen atom transfer, single electron mole-
cule, also it is substrate
transfer, and metal forchelation
generating further
[10]. Theyreactive
show theirspecies suchthrough
activity as HOClthree
[27,28]. ROS path-
different
are also involved in immunological responses, degrading xeno compounds
ways: (i) preventive: prevention of free radical formation and derivatives; (ii) interruption:and organ-
isms through
interrupt phagocytosis.
radical oxidation reactions; and (iii) inactivation: inactivate free radical/radical
ROS are oxygen-containing
derivative reaction products molecules, includingantioxidants
[30]. Endogenous radicals (like arethe superoxide
primarily anion)such as
enzymes,
and non-radicals
superoxide(like H2O2) that
dismutase greatly
(SOD), vary(CAT),
catalase in their chemical abilities,
glutathione reductase such
(GR),as and
diffusion
glutathione
in living cells and(GPx).
peroxidase chemicalOnreactivity
the other with
hand,biomolecules.
non-enzymatic ROS examples include
endogenous antioxidants,singletsuch as
oxygen, superoxide,
glutathione andhydrogen peroxide,
lipoic acid, and hydroxyl
are products radicalsmetabolism
of the body’s (Figure 1B).[2,31].
Singlet Theoxy-
first-line
gen is the highest
defense energy spin
antioxidants state of molecular
(enzymatic) oxygen.superoxide
convert reactive In contrastand to molecular
hydrogenoxygenperoxide into
in ground
waterstate, the two The
and oxygen. valence electrons are
non-enzymatic paired in an
antioxidants cananti-bonding orbital.defense
act as a second-line Singletagainst
oxygenROS by rapidly
is therefore inactivating
only generated, radicals
when and oxidants.
molecular The enzymatic
oxygen is energized antioxidants
via radiation.further act
as the third-line
Importantly, defense
and in contrast involved
to other ROSin the detoxifying
subspecies, and removal.
no electron Dietary
transfer does occurantioxidants,
dur-
ing this process. Singlet oxygen is very reactive towards organic compounds and plays a
deleterious role in biological systems, for instance, by involving in the oxidation of LDL
cholesterol, which can lead to cardiovascular diseases. Moreover, increased ROS can trig-
ger mtDNA mutations as well as promote uncontrolled proliferation and carcinogenesis
[29]. The delicate balance of harmful and beneficial effects of free radicals is crucial for life
Antioxidants 2022, 11, x FOR PEER REVIEW 4 of 28
Antioxidants 2022, 11, 2388 peroxide into water and oxygen. The non-enzymatic antioxidants can act as a second-line
4 of 30
defense against ROS by rapidly inactivating radicals and oxidants. The enzymatic antiox-
idants further act as the third-line defense involved in the detoxifying and removal. Die-
tary antioxidants, such as vitamins, carotenoids, polyphenols, flavonoids, and bioflavo-
such as vitamins, carotenoids, polyphenols, flavonoids, and bioflavonoids (Figure 2), are
noids (Figure 2), are exogenous antioxidants that have in vivo activity [30].
exogenous antioxidants that have in vivo activity [30].
Figure 2.2.
Figure Different approaches
Different approachesfor
forthe
theclassification
classificationofofantioxidants.
antioxidants.
4.4.Antioxidant
AntioxidantAssays Assays
Various analytical
Various analytical methods methods have
have been
been developed
developed to evaluate
to evaluate the the antioxidant
antioxidant prop-
proper-
erties
ties of plant-based
of plant-based phytochemicals
phytochemicals [11,13,32,33].
[11,13,32,33]. The antioxidant
The antioxidant activityactivity
depends depends
on theiron
their chemical structure; specifically, it depends on their ability to donate hydrogen with
chemical structure; specifically, it depends on their ability to donate hydrogen with elec-
electron, metal chelation, and their ability to delocalize the unpaired electron within the
tron, metal chelation, and their ability to delocalize the unpaired electron within the aro-
aromatic structure. Numerous analytical methods for evaluating each aspect of their an-
matic structure. Numerous analytical methods for evaluating each aspect of their antiox-
tioxidant action, including either in vitro or in vivo, have been reported and discussed in
idant action, including either in vitro or in vivo, have been reported and discussed in the
the literature [34].
literature [34].
Antioxidant assays can be categorized into five mechanistic pathways, as summarized
Antioxidant assays can be categorized into five mechanistic pathways, as summa-
in Figure 3.
rized in Figure 3.
(i) Electron transfer-based assays: In these assays, a single electron transfer occurs be-
(i) Electron transfer-based assays: In these assays, a single electron transfer occurs
tween the antioxidant and substrate, which is measured to assess the potential of the plant’s sec-
between the antioxidant and substrate, which is measured to assess the potential of the
ondary metabolites. Assays like cupric ion reducing antioxidant capacity (CUPRAC) [35–37],
plant’s secondary metabolites. Assays like cupric ion reducing antioxidant capacity (CU-
N,N-dimethyl-p-phenylenediamine dihydrochloride (DMPD) [38], ferric reducing-antioxidant
PRAC)
power[35–37],
(FRAP) N,N-dimethyl-p-phenylenediamine dihydrochloride
[39,40], Folin-Ciocalteu (FC), Trolox equivalent (DMPD)
antioxidant [38], (TEAC)
capacity ferric
reducing-antioxidant power (FRAP) [39,40], Folin-Ciocalteu (FC),
method/ABTS radical cation decolorization assay [41] come under this category. Trolox equivalent anti-
oxidant capacity (TEAC) method/ABTS radical cation decolorization assay
(ii) Hydrogen atom transfer-based assays: In these assays, a hydrogen atom transfers [41] come un-
der
fromthisthecategory.
antioxidant to the substrate. Assays such as oxygen radical absorbance capacity
(ORAC) [42] and atom
(ii) Hydrogen transfer-based assays:
total radical-trapping In theseparameter
antioxidant assays, a hydrogen
(TRAP) [43] atom transfers
methods fall
from the antioxidant
under this category. to the substrate. Assays such as oxygen radical absorbance capacity
(ORAC) (iii)[42] and total radical-trapping
Electron/hydrogen antioxidant
atom transfer (mixed) parameter (TRAP)In[43]
based assays: methods
these assays,fall
the
under this category.
hydrogen atom transfer occurs via two-step mechanisms (Figure 3(iii)). Assays like DPPH
(iii) Electron/hydrogen
scavenging activity [39,44,45] atomandtransfer (mixed)
TEAC follow based
this assays: In these assays, the hy-
mechanism.
drogen(iv) atom transfer
Metal occurs viaassays:
chelation-based two-step mechanisms
In these (Figure 3(iii)).
assays, antioxidants Assays
chelate liketransition
with DPPH
scavenging activity [39,44,45] and TEAC follow this mechanism.
metals like Fe(II) and Cu(II). Ferrous ion and cuprous ion chelating activity are examples of
this(iv) Metal chelation-based assays: In these assays, antioxidants chelate with transition
category.
metals(v). likeLipid
Fe(II)oxidation
and Cu(II). andFerrous
ROS/RNS ion and cuprousactivity
scavenging ion chelating
assays: activity are examples
These assays are based
ofonthis
thecategory.
ability of antioxidants in reducing/preventing lipid oxidation and scavenging ROS
and(v).RNS.Lipid oxidation
β-carotene and ROS/RNS
linoleic scavenging activity
acid method/conjugated assays:
diene assayThese
[45], assays are based
ferric thiocyanate
onmethod
the ability of [39,46],
(FTC) antioxidants in reducing/preventing
thiobarbituric acid method (TBA), lipid oxidation
hydrogen and scavenging
peroxide (H2 O2 )ROS
scav-
enging assay [39,47], hydroxyl radical averting capacity method (HORAC) [42], nitric
oxide scavenging activity [48], peroxynitrile radical scavenging activity, superoxide radical
scavenging activity (SRSA/SOD), and xanthine oxidase methods come under this category.
and RNS. β-carotene linoleic acid method/conjugated diene assay [45], ferric thiocyanate
method (FTC) [39,46], thiobarbituric acid method (TBA), hydrogen peroxide (H2O2) scav-
enging assay [39,47], hydroxyl radical averting capacity method (HORAC) [42], nitric ox-
Antioxidants 2022, 11, 2388 ide scavenging activity [48], peroxynitrile radical scavenging activity, superoxide radical 5 of 30
scavenging activity (SRSA/SOD), and xanthine oxidase methods come under this cate-
gory.
(vi). Enzymatic antioxidant assays: Antioxidant enzyme systems that catalyze reac-
(vi). Enzymatic antioxidant assays: Antioxidant enzyme systems that catalyze reac-
tionstotocounterbalance
tions counterbalancefree
freeradicals
radicals and
and reactive
reactive oxygen
oxygen species
species include
include superoxide
superoxide dis-
dismu-
mutase and catalase. Catalase [49,50], ferric reducing ability of plasma [40,51,52],
tase and catalase. Catalase [49,50], ferric reducing ability of plasma [40,51,52], γ-glutamyl γ-glu-
tamyl transpeptidase
transpeptidase [53], glutathione
[53], glutathione peroxidase peroxidase
estimationestimation [49,54], glutathione
[49,54], glutathione (reduced) GSH (re-
estimation [55], glutathione-S-transferase [56,57], LDL assay [58], lipid peroxidation pe-
duced) GSH estimation [55], glutathione-S-transferase [56,57], LDL assay [58], lipid as-
roxidation
say [59], andassay [59], anddismutase
superoxide superoxidemethod
dismutase
[60] method [60] can be categorized
can be categorized under
under enzymatic
enzymatic antioxidant
antioxidant assays. assays.
ArOH + X ArO + X
ArOH + X ArO + XH
ArOH ArO + H
ArO H + X ArO + XH
ArOH + X ArOH + X
ArOH3 ArO + H
Table
Table11summarizes
summarizesthe thevarious
variousmethods
methodsusedusedtotomeasure
measureantioxidant
antioxidantactivity.
activity.The
The
principles, advantages, and limitations associated with each method, along
principles, advantages, and limitations associated with each method, along with recent with recent
references,
references,are
arealso
alsopresented
presented[13,14,18,36,46,51,61–88].
[13,14,18,36,46,51,61–88].The advantages
The advantagesof of
electron transfer
electron trans-
assays include
fer assays faster
include reaction
faster reaction rates, ease
rates, of of
ease experimentation,
experimentation,sample
samplethroughput,
throughput,and and
reproducibility. main advantages
reproducibility. The main advantagesassociated
associatedwith
withhydrogen
hydrogen atom
atom transfer
transfer assays
assays in-
include close
clude close physiological
physiological resemblance,
resemblance, taking
taking initiation
initiation andand propagation
propagation intointo account,
account, and
and uses of physiologically relevant radicals. Moreover, ORAC assay can be performed for
antioxidants with a wide range of polarities, from lipophilic to hydrophilic [64]. Similarly,
ROS/RNS scavenging activity/lipid oxidation assays, ET/HAT mixed, metal chelation,
and lipid peroxidation inhibition assays have the advantages listed in Table 1.
Antioxidants 2022, 11, 2388 6 of 30
Table 1. Various in vitro and in vivo antioxidant assays, their principles, advantages, and limitations.
Table 1. Cont.
Table 1. Cont.
Table 1. Cont.
Table 1. Cont.
Table 1. Cont.
The major limitation associated with all these assays is their lack of specificity. How-
ever, specific limitations include the solubility of antioxidants in the extraction solvent,
interferences with coloring substances and other reducing phytochemicals, ignoring reac-
tion kinetics, and not representing the physiological radicals used in these assays.
A second major limitation is the lack of equivalence of the methods. It is not possible
to convert ORAC to FRAP values with a simple proportionality factor. As shown in the next
section, some foods high in FRAP values may be low in ORAC values, and the opposite can
be true. This situation is best summed up by stating that the FRAP assay generates FRAP
values, ORAC generates ORAC values, DPPH generates DPPH values, etc., and there are
no equivalency factors.
Table 2. Variations in the in vitro antioxidant activity for six prominent groups of food and related
products that are consumed globally: fruits (apple and berries), vegetables (spinach and olives),
processed products (wine, coffee, and tea), dairy products (milk and yogurt), legumes (soybeans,
beans), and grains (wheat and corn), as documented in peer-reviewed published literature.
Wild apples peel and pulp IC50 : 240.00 ± 6.00 µg/mL peel
DPPH [97]
(ultra-sonic extract) IC50 : 286.00 ± 7.00 µg/mL pulp
IC50 : 134.00 ± 3.00 µg/mL peel
ABTS
IC50 : 167.00 ± 4.00 µg/mL pulp
Antioxidants 2022, 11, 2388 13 of 30
Table 2. Cont.
Table 2. Cont.
Table 2. Cont.
Table 2. Cont.
Wheat bran- water extract DPPH 106.29± 12.13 µmol TE/g WEAX
Wheat
(WA-f50) ABTS 320.40 ± 21.06 µmol TE/g WEAX
ORAC 484.91 ± 34.15 µmol TE/g WEAX
DPPH 3.1 µmol TE/g
TEAC 1.3 µmol TE/g
Whole grain flour Peroxyl
scavenging 0.55 mmol TE/g
capacity [119]
Table 2. Cont.
such as HyT and its derivatives play a protective role in preventing oxidative damage of
blood lipids [136]. However, the antioxidant assays are not specific for HyT.
Recently, Fernández-Poyatos et al. [92] studied the antioxidant potential of table olives
from Olea europaea L. They determined activity using conventional spectrophotometric
methods ABTS and DPPH to be 308.68 µM and 228.46 µM Trolox equivalent per gram
of dried extracts, respectively. Cheurfa et al. [105] investigated the antioxidant potential
of the extract of olive leaves using water and aqueous ethanol separately. The ethanol
extract of O. europeae leaves showed significant antioxidant activity (IC50 69.15 mg/mL,
% inhibition 54.98, % inhibition 49.71, 82.63 mg ascorbic acid equivalent/g extract, and
7.53 mol of Fe2+ /g extract for the DPPH, β-carotene bleaching, ferric thiocyanate, TAC,
and FRAP assays, respectively) [105]. As noted above, there are significant variations in
the antioxidant capacity values for olives depending on the assay used and the units for
the results.
TAC is reported as either gallic acid or ascorbic acid equivalents/g. Hence, the comparison
of antioxidant results becomes complicated for researchers and consumers.
Corn is among the largest produced staple foods across the globe. Corn is well known
for its antioxidant properties, which may be attributed to the presence of high amounts of
anthocyanins [145]. Antioxidant studies by Ramos-Escudero et al. [94] and Horvat et al. [95]
showed no significant relationship between TPC and DPPH radical scavenging in corn
samples (r = 0.202) [95]. This lack of correlation may be due to several reasons, such as
experimental conditions, mechanisms, interferences, and types of the analytes assayed [95].
6.2. Weaknesses
Questions have been raised about the relationship between dietary/exogenous antiox-
idants and health. Lack of specificity, lack of harmonization, and the inability to correlate
in vitro measurements with in vivo activity have been major factors. The U.S. Food and
Drug Administration (FDA) and the European Food Safety Authority (EFSA) do allow
health claims for vitamins (A, C, and E), which have shown ambiguous results in vivo.
Antioxidants 2022, 11, 2388 21 of 30
Several journals have banned papers whose primary measurements are antioxidant activity.
This suggests the complexity of the issue [148]. The major limitations of currently used
antioxidant assays are summarized below.
(a) There is a huge divergence in the results for food and dietary antioxidants because
the assays are non-specific and are influenced by every component in a sample matrix.
A change in an assay value cannot be correlated with a change in a specific component.
Consequently, antioxidant assays cannot be correlated with health outcomes.
(b) Antioxidant assays cannot be compared or inter-converted. Antioxidant assays
measure activities. A detailed explanation for these limitations has been described by Apak
et al. [15]. Both AOAC International (Association of Analytical Communities) and the
IUPAC (International Union of Pure and Applied Chemistry) reported that the results from
different antioxidant methods could not be compared as each method employs different
mechanisms, pH, temperature, and sample matrix [148]. Hence, the IUPAC concluded
that there is no single universally accepted antioxidant assay available that accurately
determines the antioxidant activity or the total antioxidant capacity [10,60,148]. In 2012, the
U.S. Department of Agriculture (USDA) removed the ORAC database from online ‘because
of increasing evidence that the data infers there is no relevance between antioxidant activity
and the effects of bioactive compounds, including polyphenols on human health’ [10,148].
(c) Reporting results in multiple units for the same assay complicates data compari-
son [149]. For example, results for TPC have been reported as equivalents of gallic acid,
ascorbic acid, or ferulic acid, which complicates the understanding of the results.
(d) The measurements in vitro experiments cannot be directly correlated with in vivo
activity. This can be attributed to the complex physiological environment in vivo assays
as compared with the controlled environments in vitro assays [149,150]. The activity of
plant-based secondary metabolites such as polyphenols, phenolic acids, flavonoids, and
proanthocyanidins, is little known [148].
(e) The interpretation of antioxidant assay results mainly focuses on the antioxidant-
oxidant reactions and related kinetics; however, they often ignore the chromophore/
luminescent interactions with the probe, which can cause interferences in the results [151].
the presence of adjuvants, food processing techniques, sample preparation, and extraction
methods can also significantly influence the bioavailability of the compounds by influencing
their bioaccessibility [154,155].
The bioaccessibility and bioavailability of phytochemicals can be enhanced using pro-
cessing techniques that induce physical or chemical modifications in the food [154]. These
modifications include: (a) chemical modifications, such as cleavage of hydrophobic forces,
hydrogen bonds, and bonds that attach phenolic compounds to matrix macromolecules,
conjugation, and derivatization; (b) physical modifications, such as grinding, drying by
different approaches; (c) disrupting the cell wall barriers so that phytochemicals can be
released from the matrix; and (d) using encapsulation techniques/solubilization using
nanotechnologies that protect phytochemicals until they are absorbed. One should note
that these techniques can cause the degradation of phytochemicals; however, it is possible
to reduce it by altering the operating conditions, which can facilitate increased bioaccessi-
bility and bioavailability [154]. Techniques such as drying, freezing, thermal processing,
sterilization and pasteurization, ultrasounds treatment, milling and grinding, chemical and
enzymatic treatments, and encapsulation, which are commonly used for food processing
and supplements, can influence the overall phytochemical availability [154]. The positive
or adverse effects of processing techniques on bioaccessibility and bioavailability depend
on compounds’ stability, matrix protective effects, and existing interactions.
Bioaccessibility, bioavailability, the metabolism of antioxidants, and their consequences,
must be taken into consideration. For instance, flavonoids are structurally altered in vivo.
Hence, the nutritional application of flavonoids requires extensive studies on their metabolism
and controlled comparison of antioxidant activity of their structural isoforms. Additionally,
the evidence shows that the removal of glycosidic substituents (sugar moiety) by enzymes
or bacteria is likely to increase the antioxidant activity of flavonoids in vivo. In contrast,
the methylation and glycosylation of OH groups in flavonoids reduce their prooxidant
behavior by catechol-o-methyltransferase (COMT) and other enzymes. The impact of sugar
moiety on the bioactivities of flavonoids has been discussed in recent reviews by different
researchers [153,157,158].
7.2. Chelation
The efficacy of antioxidants’ function based on metal chelation mechanism, such as
polyphenols, need to be investigated thoroughly in vivo. Though ascorbate is an antioxi-
dant, it can also act as a pro-oxidant, especially in the presence of transition metals like iron
and copper [159]. Hence, it is important to understand the actual factors contributing to the
antioxidant activity in the presence of metals, ascorbate, and other possible interferences,
such as uric acid, which is elevated upon consumption of polyphenol-rich foods and may
cause increased plasma total antioxidant capacity in vivo. Finally, it has been suggested
that the large increase in plasma total antioxidant capacity observed after the consumption
of polyphenol-rich foods is not caused by the polyphenols themselves but is likely the
consequence of increased uric acid levels [160].
8. Perspectives/Recommendations
To achieve absolute efficacy of food antioxidants acceptable to various communities
such as nutrition and clinical professionals and consumers, it is essential to consider the
following factors:
(a) Matrix information must be presented in detail in the experimental section of the
in vitro and in vivo antioxidant assays. The matrix effects should also be accounted for.
(b) Sample preparation (grinding, drying, processing, etc.) and the extraction proce-
dures for antioxidants have a direct impact on the results. Hence, one should use optimized
sample preparation and extraction methods to extract antioxidants with a wide range
of polarities.
(c) Since there is no universal standard available currently, the development of uni-
versal multi-component standards is essential to address the variances associated with
antioxidant capacity measurements.
(d) Both antioxidant activity and antioxidant capacity must be distinguished as these
two terms are used interchangeably even though they are both measured completely
differently, i.e., antioxidant activity is measured kinetically, and antioxidant capacity is
measured thermodynamically. An ideal method for an antioxidant activity measurement
requires: (i) usage of a biologically relevant radical source; (ii) determines actual chemistry
that occurs in the assays; (iii) the use of a method with a defined endpoint and chemical
mechanism involved in a particular assay; (iv) a suitable method for both hydrophilic
and lipophilic antioxidants; and (v) instrumentation, which is readily available, simple,
economical, rugged, user friendly, and facilitates high-throughput for routine analyses.
(e) The harmonization of methodology is required, which includes detailed standard
operating procedures for different assays, test conditions, good internal/external stan-
dards, proper method validation, including intra- and inter-lab validation (reproducibility,
accuracy, precision, and recovery), quality control, and quality assurance.
(f) All antioxidant results should be presented in a single international system of units
(SI). Correlations tables between various assays should be established to promote easy
comparison of results between different assay procedures.
(g) A better understanding of the bioaccessibility and bioavailability of antioxidants
in vivo is essential. To achieve maximum efficacy from the antioxidants in vivo, their
bioaccessibility and bioavailability must be increased by using appropriate delivery systems,
such as liposomes, nanoparticles, etc.
Overall, it is not easy to accomplish the above recommendations altogether. However,
focusing on each of the above steps will improve the credibility of antioxidants. This
will enable nutrition professionals, and researchers to correlate accurately the role of
antioxidants as it relates to nutrition and health.
9. Conclusions
The present review defines antioxidants and describes antioxidant assays, their mech-
anisms, and their strengths and weaknesses. These methods have been used to evaluate
the “health benefits” of phytochemicals, as documented in the literature. Unfortunately,
Antioxidants 2022, 11, 2388 24 of 30
with antioxidant assays, it is not certain what has been measured. The lack of specificity of
the assays creates confusion and ambiguity for consumers, healthcare professionals, and
researchers. To have a wide acceptance and clear understanding of the health benefits of
phytochemicals, there is a critical need to develop multi-omic approaches which measure
specific food and supplement components. This will allow health outcomes to be correlated
with specific food components.
Author Contributions: Conceptualization, D.L.L.; methodology, D.L.L., R.R.K., F.S.T. and E.Y.; formal
analysis, D.L.L., R.R.K., F.S.T. and E.Y.; investigation, D.L.L., R.R.K., F.S.T. and E.Y.; resources, D.L.L.,
R.R.K., F.S.T. and E.Y.; data curation, D.L.L., R.R.K., F.S.T. and E.Y.; writing—original draft preparation,
D.L.L., R.R.K., F.S.T. and E.Y.; writing—review and editing, D.L.L., R.R.K., F.S.T. and E.Y.; visual-
ization, D.L.L., R.R.K., F.S.T. and E.Y.; supervision, D.L.L.; project administration, D.L.L.; funding
acquisition, D.L.L. All authors have read and agreed to the published version of the manuscript.
Funding: This work was supported by the Agricultural Research Service, US Department of Agricul-
ture, Project # 1235-52000-066-00D.
Acknowledgments: We would like to thank James Harnly for his feedback on the preparation of
this manuscript.
Conflicts of Interest: The authors declare no conflict of interest.
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