27Paraxonase 1 (PON1) is a HDL-associated enzyme involved in the protection of LDL and HDL-28 lipoproteins against lipid peroxidation. Several studies documented the capacity of polyphenols 29 to stimulate PON1 transcription activation.
30The objective of the present review is to provide the main evidence about the role and the 31 potential mechaninsm of action of polyphenols and polyphenol-rich foods in the modulation of 32 PON1 gene expression and activity.
33A total of 76 in vitro and in vivo studies were included in the review. Overall, while evidence 34 obtained in vitro are limited to quercetin and resveratrol, those deriving from animal models 35 seem more convincing for a wide range of polyphenols but only at pharmacological doses.
36Evidence from human studies are promising but deserve more substantiation about the role of 37 polyphenol-rich foods in the regulation of PON1 activity and expression.
38Research focused on the understanding of the structure-activity relathionship of polyphenols 39 with PON1 and on the mechanisms at the base of PON1-modulation is warranted. designed human intervention studies are encourage to corroborate the findings of polyphenols 41 also at physiological doses.
63Several studies support the hypothesis that a low paraxonase and lactonase activity of 64 PON1 has been associated with an increased oxidative stress and vulnerability to plaque 65 formation, atherosclerosis and cardiovascular diseases [1,[4][5][6][7][8][9] that polyphenols effects may be mediated also by the regulation of PON1 activity and gene 96 expression. In the present review, we attempt to summarize the main evidence on the potential 97 effects of polyphenols and polyphenol-rich foods on PON1 expression and activity also 98 considering, when available, the contribution of genetic factors and the mechanisms of action.
99The review will focus on both in vitro and in vivo studies.
100
2.OVERVIEW OF IN VITRO AND IN VIVO STUDIES ON POLYPHENOLS AS 101
MODULATORS OF PON1 EXPRESSION AND ACTIVITY 102A systematic search for literature focused on the effect of polyphenols and polyphenol-rich found the optimal induction of intracellular and extracellular PON1 activity within 2-20 μM of 141 resveratrol while no effect was observed at doses higher than 20 μM, which in turn resulted 142 cytotoxic leading to a decrease of cell metabolic activity.
143Three studies found a dose-dependent in increase of PON1 activity [42,45,46]
Animal studies
167The effect of polyphenols and polyphenol-rich foods on animal models has been evaluated in 44 168 studies (see Supplementary Table 2 under "Supplemental data" in the online issue) 169 [25,39,40,42,43,. Most of them were performed on mice or rats, while two studies on 170 hamsters [62,74]. The main polyphenols tested were quercetin [43,52,54,58,63,68,71,87] [25,53,56,57,69,70,78,85,87]. Other studies provided only an estimation 176 of the polyphenol content evaluated through indirect techniques, for example measuring the total 177 phenolic content by the Folin-Ciocalt...