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Review
. 2025 Jul 18:1-13.
doi: 10.1080/27697061.2025.2532078. Online ahead of print.

Therapeutic Potentials of Phytochemicals in the Treatment of Ulcerative Colitis: Results from Animal Model Interventional Studies

Affiliations
Review

Therapeutic Potentials of Phytochemicals in the Treatment of Ulcerative Colitis: Results from Animal Model Interventional Studies

Mihad Omer et al. J Am Nutr Assoc. .

Abstract

The use of phytochemicals as a dietary therapy for colitis has not yet gained sufficient momentum to be widely adopted as a validated therapeutic approach, primarily due to a lack of robust scientific evidence supporting their efficacy. This review aims to investigate, discuss, and evaluate interventional studies conducted on animal models that utilize phytochemicals as a therapeutic intervention for colitis. By doing so, it seeks to enhance our understanding of their mechanisms of action and contribute to the growing body of scientific knowledge, ultimately aiding in the formulation of evidence-based nutritional guidelines for patients with colitis. An extensive literature search was conducted using databases such as PubMed and Web of Science, with a particular focus on the most recent studies published between 2020 and 2024. The search prioritized in vitro and in vivo studies on animal models that explore the mechanisms through which dietary interventions employing phytochemicals alleviate colitis. The findings reveal that various categories of phytochemicals in general and the sub polyphenols category are effective in mitigating colitis through multiple pathways. Notably, studies investigating combinations of phytochemicals have demonstrated greater therapeutic potential, suggesting possible synergistic effects. However, further research is needed to elucidate the precise mechanisms underlying these synergistic interactions. While the majority of interventional studies have utilized animal models, there is a critical need for human clinical trials to validate these findings. Such studies are essential to support the development of reliable nutritional guidelines and to translate preclinical findings into practical dietary recommendations for patients with colitis.

Keywords: Colitis; IBD; phytochemicals; polyphenols.

Plain language summary

Mechanistic Clarification of Synergistic Effects: Systematic studies are needed to dissect the synergistic interactions observed among combinations of phytochemicals. This includes identifying key compounds and their specific contributions to the therapeutic outcomes, with a focus on molecular mechanisms and pathway analysis.Phytochemical-Metal Ion Interactions: Investigating the interaction between phytochemicals and metal ions—particularly in relation to iron homeostasis and macrophage ferroptosis may uncover novel mechanisms of action relevant to colitis. These studies should explore how such interactions affect enzymatic activity and immune modulation.Compound-Specific Investigations: Given the structural diversity within phytochemical classes, there is a need to isolate and study individual compounds to determine their distinct biological activities and therapeutic relevance.Translation to Human Clinical Trials: Building upon robust preclinical findings, well-designed human intervention trials are essential to validate efficacy, optimize dosing strategies, and assess safety. These trials should be informed by mechanistic insights derived from animal models.Development of Evidence-Based Dietary Guidelines: Integrating findings from both preclinical and clinical studies will be key to formulating reliable, targeted nutritional strategies for patients with colitis.

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