Anthocyanins are phytonutrients with physiological activity
belonging
to the flavonoid family whose transport and absorption in the human
body follow specific pathways. In the upper gastrointestinal tract,
anthocyanins are rarely absorbed intact by active transporters, with
most reaching the colon, where bacteria convert them into metabolites.
There is mounting evidence that anthocyanins can be used for prevention
and treatment of intestinal diseases, including inflammatory bowel
disease (IBD), irritable bowel syndrome (IBS), and colorectal cancer
(CRC), through the protective function on the intestinal epithelial
barrier, immunomodulation, antioxidants, and gut microbiota metabolism.
Dietary anthocyanins are summarized in this comprehensive review with
respect to their classification and structure as well as their absorption
and transport mechanisms within the gastrointestinal tract. Additionally,
the review delves into the role and mechanism of anthocyanins in treating
common intestinal diseases. These insights will deepen our understanding
of the potential benefits of natural anthocyanins for intestinal disorders.