The human cytochrome P450 enzymes (P450s) catalyze oxidative reactions of a broad spectrum of substrates and play a
critical role in the metabolism of xenobiotics, such as drugs and dietary compounds. CYP3A4 is known to be the main enzyme
involved in the metabolism of drugs and most other xenobiotics. Dietary compounds, of which polyphenolics are the most studied,
have been shown to interact with CYP3A4 and alter its expression and activity. Traditionally, the liver was considered the prime site
of CYP3A-mediated first-pass metabolic extraction, but in vitro and in vivo studies now suggest that the
small intestine can be of equal or even greater importance for the metabolism of polyphenolics and drugs. Recent studies have
pointed to the role of gut microbiota in the metabolic fate of polyphenolics in human, suggesting their involvement in the complex
interactions between dietary polyphenols and CYP3A4. Last but not least, all the above suggests that coadministration of drugs
and foods that are rich in polyphenols is expected to stimulate undesirable clinical consequences. This review focuses on
interactions between dietary polyphenols and CYP3A4 as
they relate to structural considerations, food-drug interactions, and potential negative consequences of interactions between CYP3A4 and polyphenols.