Open Access Article
This Open Access Article is licensed under a Creative Commons Attribution-Non Commercial 3.0 Unported Licence

A computational reference for human genomics analysis in (poly)phenol research

Mirko Treccani *a, Lucia Ghiretti a, Nicole Tosi a, Cristiana Mignogna a, Anne-Marie Minihane bc, Valeria Barili d, Daniele Del Rio a, Davide Martorana ef and Pedro Mena a
aHuman Nutrition Unit, Department of Food and Drug, University of Parma, 43125, Parma, Italy. E-mail: mirko.treccani@unipr.it
bNutrition and Preventive Medicine, Norwich Medical School, University of East Anglia, Norwich, UK
cNorwich Institute of Healthy Ageing, University of East Anglia, Norwich, UK
dMedical Genetics, Department of Medicine and Surgery, University of Parma, 43126, Parma, Italy
eMedical Genetics Unit, Department of Onco-Hematology, University Hospital of Parma, 43126, Parma, Italy
fCoreLab Unit, Research Center, University Hospital of Parma, 43126 Parma, Italy

Received 29th July 2025 , Accepted 26th September 2025

First published on 19th November 2025


Abstract

(Poly)phenols are bioactive compounds found in plant-based food. They have been associated with numerous health-promoting features. To date, several research studies are investigating their contribution to human health and disease by applying different omics techniques. However, a standard reference for human genomics investigation is missing, limiting the current understanding and knowledge on the impact of (poly)phenols on humans when using omics approaches. In this study, we present a computational functional investigation of 121 candidate human genes involved in (poly)phenol absorption, distribution, metabolism, and excretion to propose a standard reference for genomics analyses in personalised nutrition and health research. Starting from genomics information, this reference framework includes gene networks, exploring their functional consequences and favouring the understanding of protein–protein interactions, thus paving the way for future multi-omics approaches.


Introduction

(Poly)phenols are bioactive compounds found in plant-based food, such as fruits, vegetables, wine, and tea, which are characterised by the presence of one or more phenol groups.1 Depending on their chemical structure, these compounds are classified into different groups, namely flavonoids, phenolic acids, stilbenes, lignans, and other (poly)phenols.2 (Poly)phenols display a variety of effects, such as anti-inflammatory, indirect antioxidant, and antiproliferative actions, associated with a reduced risk of cardiometabolic diseases, some cancer types, and healthy ageing.3,4

Several human genes and their enzymatic and non-enzymatic protein products participate in the absorption, distribution, metabolism, and excretion (ADME) of (poly)phenols, influencing their bioavailability and bioactivity. After ingestion, dietary (poly)phenols reach the small intestine, where only a small fraction is absorbed. The bulk of (poly)phenols are catabolised by the gut microbiota to be widely absorbed at the colonic level. Once absorbed, phenolic compounds mostly undergo phase II enzymatic metabolism, to increase their hydrophilicity and excretion through the urine; in these processes, they can be conjugated with one or moieties of glucuronic acid, sulphate and methyl groups.5,6 Absorption comprises the action of several actors, such as the lactase phlorizin hydrolase (LPH) encoded by the lactase (LCT) gene, the cytosolic β-glucosidase (CBG) encoded by the glucosylceramidase beta 3 (GBA3), and sodium-dependent glucose transporter 1 (SGLT1) encoded by the solute carrier family 5 member 1 (SLC5A1) genes.7,8 Conjugation with other molecules is catalysed by uridine-5′-diphosphate glucuronosyltransferases (UGTs), sulfotransferases (SULTs), and catechol-O-methyltransferases (COMT).4 The action of other catalysers, such as the cytochrome P450 (CYP) gene family,8 and transporters, like the adenosine triphosphate (ATP)-binding cassette (ABC)9 and the solute carriers (SLC) transporter families,7,8 may also determine (poly)phenol bioavailability and bioactivity.

An increasing number of studies are highlighting that ability and effect size of (poly)phenols on the risk of chronic disease depends on inter-individual variability in (poly)phenol bioavailability.10,11 In recent years, various studies have employed omics approaches to elucidate the roles of genetics, epigenetics, microbiome, and environmental factors in contributing to inter-individual variability of different (poly)phenols,12–16 aiming at proposing novel strategies for personalised health approaches.17–19 However, despite these efforts, a reference for human genomics research in (poly)phenols is missing. To address this gap, we are proposing a computational investigation of human genes related to (poly)phenol ADME, using gene networks and computational functional analyses. In this study, we aim to provide an overview of the current resources available from public repositories, answering the question on what to expect when performing human genomics analysis in (poly)phenols research studies, hence proposing a reference for future omics investigations. These findings will help support multi-genomics and multi-omics investigations, advancing (poly)phenol-related personalised health approaches and potentially dietary guidance.

Materials and methods

A set of candidate genes reported to be associated with (poly)phenols in terms of ADME, interaction with the intestinal microbial community, and modulation of gut physiology were considered.20 These genes summarised the main processes involved in (poly)phenol ADME, such as glucuronidation (UGTs), sulfation (SULFs and SULTs), deglycosylation (LPHs), phase I and II metabolism (MUCs and CYPs), and transport (ABCs and SLCs).

Network analysis was performed using the Search Tool for the Retrieval of Interacting Genes/Proteins (STRING) database version 12.0[thin space (1/6-em)]21 (accessed on 15th January 2025), considering the following parameters: network type set to “full STRING network”; all the interaction sources were enabled (“Textmining”, “Experiments”, “Databases”, “Co-expression”, “Neighborhood”, “Gene Fusion”, and “Co-occurrence”); minimum interaction score set to “medium confidence (0.400)”. Clustering was performed using the STRING built-in k-means clustering algorithm. Functional enrichment analysis was performed using the following references: Gene Ontology (GO),22,23 Kyoto Encyclopedia of Genes and Genomes (KEGG),24–26 REACTOME,27 WikiPathways,28,29 MONARCH,30 DISEASES,31 TISSUES,32 and COMPARTMENTS33 databases. Significant enrichment was assessed by the false discovery rate (FDR) method.

Computational functional analysis was performed using the Functional Mapping and Annotation of Genome-Wide Association Studies (FUMAGWAS)34 platform version 1.5.2 and its module GENE2FUNC, considering the following sources: Ensembl35 version 110, the Molecular Signature Database (MSigDB)36 version 7.0, WikiPathways28,29 version 20191010, the GWAS Catalog37 version e0_r2022-11-29, and the Genotype-Tissue Expression (GTEx)38 version 8. Differentially expressed gene sets and gene set enrichment analyses were performed using a hypergeometrical test adjusted by Bonferroni correction.

Results

Genes targeting (poly)phenolic metabolism

Among the 19[thin space (1/6-em)]868 human protein-coding and the 42[thin space (1/6-em)]160 human non-coding human genes, 121 genes were selected since their reported involvement in (poly)phenol metabolism. These genes were located along 21 chromosomes, comprising all the autosomes but chromosomes 18 and 21, and the sex chromosome X. The most enriched chromosomes were three: 4 (18 genes), 2 (15 genes), and 11 (14 genes). Genes were almost equally distributed between the plus (71 genes) and minus (50 genes) strands of the human genome. All the genes were reported in Ensembl, except for mucin 3B (MUC3B). Finally, genes were categorised depending on their role in (poly)phenol ADME, with “Phase 2 metabolism” (31 genes), “Colonic metabolism and absorption” (25 genes), “Absorption, Distribution, Metabolism, and Elimination” (17 genes), and “Phase 1 metabolism” (16 genes) being the more represented. Of note, 16 genes fell into the “Additional” category. An overview is provided in Fig. 1.
image file: d5fo03227j-f1.tif
Fig. 1 Investigated genes involved in (poly)phenol ADME. The figure shows the 121 genes involved in absorption (A), distribution (D), metabolism (M), and excretion (E) of (poly)phenols that were investigated in this study. Additional genes result from previous enrichment analysis. Black genes: unique to the category; light blue: shared between A and M; green: shared among ADME.

Gene network analysis

The 121 human target genes were used to build an interaction network. Of these, 5 genes (GBA3, MUC3B, MUC8, SLC22A20P and LDHB) were unavailable, due to the lack of their coded proteins, and thus were excluded. The network presented 116 nodes (i.e., the surviving genes of interest) connected by 1098 edges, with an average node degree of 18.9 edges, and an enrichment p-value of p < 1 × 10−16, showing significant biological connection among genes/proteins. The full network is reported in Fig. 2.
image file: d5fo03227j-f2.tif
Fig. 2 STRING network of genes related to (poly)phenols bioavailability. The figure shows the interaction network of 116 genes related to (poly)phenol bioavailability. Each node represents a gene/protein. Each edge represents an interaction between two nodes (i.e., genes/proteins); the increasing number of coloured bars on the same edge represents an increasing number of sources supporting the connection.

Across all the tested databases, functional enrichment was observed at several levels, the complete results being reported in Table S1. Gene Ontology terms were enriched in biological processes related to different types of metabolisms, such as xenobiotics (GO:0006805, FDR = 2.12 × 10−48) and organic acids (GO:0006802, FDR = 3.62 × 10−31), and metabolic reactions, such as cellular glucuronidation (GO:0052695, FDR = 8.29 × 10−28); in molecular functions such as glucuronosyltransferase (GO:0015020, FDR = 2.93 × 10−24), UDP-glycosyltransferase (GO:0008194, FDR = 1.08 × 10−17), and monooxygenase (GO:0004497, FDR = 6.27 × 10−16) activities; in cellular components such as the endomembrane system (GO:0012505, FDR = 8.37 × 10−14) and the Golgi lumen (GO:0005796, FDR = 1.21 × 10−15) and different membrane compartments, such as the membrane (GO:0016020, FDR = 8.37 × 10−14), and intrinsic (GO:0031224, FDR = 8.37 × 10−14) and integral (GO:0016021, FDR = 1.43 × 10−13) components. In summary, significant terms comprised the metabolism of different phenolic compounds, such as xenobiotics, and associated molecular functions, mostly related but not limited to glucuronidation. An overview of the most significant results from GO is provided in Table 1.

Table 1 Most enriched terms from Gene Ontology. The table shows the top 5 most significant terms related to Gene Ontology Biological Process (lines 1–5), molecular function (lines 6–10), and cellular component (lines 11–15). For each term, the identifier, a description, the number of network genes over the total reported genes, the strength of the enrichment effect, the signal strength, and the Benjamini–Hochberg adjusted false discovery rate are reported. Strength is defined as log10(observed genes in the network/expected genes in a random network). Signal is defined as the weighted harmonic mean between observed over expected ratio and the −log(FDR). FDR: false discovery rate; GO: Gene Ontology
GO-term Description Genes in network Strength Signal FDR
GO:0006805 Xenobiotic metabolic process 38/115 1.75 9.17 2.12 × 10−48
GO:0071466 Cellular response to xenobiotic stimulus 39/181 1.56 7.33 6.74 × 10−44
GO:0009410 Response to xenobiotic stimulus 44/422 1.25 4.77 6.74 × 10−38
GO:0006082 Organic acid metabolic process 49/868 0.98 3.04 3.62 × 10−31
GO:0052695 Cellular glucuronidation 18/19 2.21 7.14 8.29 × 10−28
GO:0015020 Glucuronosyltransferase activity 18/34 1.95 5.9 2.93 × 10−24
GO:0008194 UDP-glycosyltransferase activity 20/143 1.38 3.45 1.08 × 10−17
GO:0004497 Monooxygenase activity 17/103 1.45 3.33 6.27 × 10−16
GO:0070330 Aromatase activity 12/24 1.93 3.91 1.24 × 10−15
GO:0016758 Hexosyltransferase activity 19/194 1.22 2.66 2.01 × 10−14
GO:0005796 Golgi lumen 17/106 1.44 3.26 1.21 × 10−15
GO:0012505 Endomembrane system 70/4721 0.4 0.92 8.37 × 10−14
GO:0031224 Intrinsic component of membrane 78/5828 0.36 0.85 8.37 × 10−14
GO:0016020 Membrane 99/9523 0.25 0.70 8.37 × 10−14
GO:0016021 Integral component of membrane 76/5670 0.36 0.85 1.43 × 10−13


Looking at pathways, enrichment was observed at several levels. The metabolism of different compounds was significant, such as for xenobiotics (hsa00980, FDR = 6.63 × 10−37; HSA-211981, FDR = 2.54 × 10−18), retinol (hsa00830, FDR = 7.54 × 10−36), and others. Moreover, several metabolic processes were enriched, such as pentose and glucuronate interconversion (hsa00040, FDR = 2.54 × 10−28), phase I and phase II metabolism (HSA-211945, FDR = 6.85 × 10−17; HSA-156580, FDR = 1.17 × 10−33; WP702, FDR = 2.14 × 10−53), glucuronidation (HSA-156588, FDR = 9.90 × 10−26; WP698, FDR = 2.30 × 10−27), and sulfation (WP692, FDR = 7.90 × 10−13). Enrichment was also observed in diseases-related pathways, spanning from general “chemical carcinogenesis” (hsa05204, FDR = 4.13 × 10−48) to familial hyperphosphatemic tumoral calcinosis (HFTC; HSA-5083625, FDR = 4.27 × 10−25) and colorectal cancer (FDR = 4.27 × 10−25). Moreover, drug-related pathways showed significance at several levels, such as in drug metabolism (hsa00982, FDR = 7.30 × 10−43; hsa00983, FDR = 2.81 × 10−26) and ADME (HSA-98748784, FDR = 3.54 × 10−47), and for specific drugs like aspirin (HSA-9749641, FDR = 1.01 × 10−36), paracetamol (HSA-9753281, FDR = 3.31 × 10−23), and codeine and morphine (WP1604, FDR = 9.08 × 10−19). Overall, enriched terms were observed in different metabolic processes, such as phase I and phase II metabolism, for various phenolic metabolites, such as xenobiotics and retinol, and drugs, mostly of phenolic origin like aspirin and paracetamol; significant terms were also observed in cancer-related diseases. An overview of the most enriched terms is reported in Table 2.

Table 2 Most enriched terms from KEGG, REACTOME and WikiPathways. The table shows the top 5 most significant terms related to the KEGG (lines 1–5), REACTOME (lines 6–10), and Wikipathways (lines 11–15) databases. For each term, the pathway identifier (hsa code for KEGG, HSA code for REACTOME, WP for WikiPathways), a description, the number of network genes over the total reported genes, the strength of the enrichment effect, the signal strength, and the Benjamini–Hochberg adjusted false discovery rate are reported. Strength is defined as log10(observed genes in the network/expected genes in a random network). Signal is defined as the weighted harmonic mean between observed over expected ratio and the −log(FDR). ADME: absorption, distribution, metabolism, and excretion; FDR: false discovery rate; KEGG: Kyoto Encyclopedia of Genes and Genomes
Pathway Description Genes in network Strength Signal FDR
hsa05204 Chemical carcinogenesis 34/76 1.88 10.01 4.13 × 10−48
hsa00982 Drug metabolism – cytochrome P450 30/64 1.90 9.28 7.30 × 10−43
hsa00140 Steroid hormone biosynthesis 28/60 1.90 8.78 5.70 × 10−40
hsa00980 Metabolism of xenobiotics by cytochrome P450 27/69 1.82 7.92 6.63 × 10−37
hsa04976 Bile secretion 28/88 1.73 7.41 2.49 × 10−36
HSA-211859 Biological oxidations 45/215 1.55 7.94 1.33 × 10−51
HSA-9748784 Drug ADME 36/105 1.77 9.12 3.54 × 10−47
HSA-9749641 Aspirin ADME 25/42 2.00 8.61 1.01 × 10−36
HSA-156580 Phase II – conjugation of compounds 28/104 1.66 6.67 1.17 × 10−33
HSA-1430728 Metabolism 63/2092 0.71 1.89 4.66 × 10−28
WP702 Metapathway biotransformation Phase I and II 44/180 1.62 8.68 2.14 × 10−53
WP691 Tamoxifen metabolism 19/21 2.19 7.66 3.76 × 10−30
WP698 Glucuronidation 18/25 2.09 6.84 2.30 × 10−27
WP2882 Nuclear receptors meta-pathway 29/312 1.2 3.54 1.92 × 10−23
WP5276 Estrogen metabolism 14/24 2.0 5.06 3.32 × 10−20


Enrichment in genes associated with diseases and human phenotypes was also investigated. Significant signals were observed in metabolic disorders (DOID:0014667, FDR = 4.47 × 10−8: DOID:655, FDR = 1.64 × 10−7), mostly related to bilirubin, bile and gallbladder (DOID:2741, FDR = 1.57 × 10−13; DOID:2739, FDR = 2.79 × 10−9; DOID:10211, FDR = 6.70 × 10−8). Moreover, metabolite (EFO:0005664, FDR = 7.53 × 10−14; EFO:0005653, FDR = 7.53 × 10−14) and vitamin measurements (EFO:0004729, FDR = 4.33 × 10−7; EFO:0004631, FDR = 4.21 × 10−6) and related abnormalities (HP:0001939, FDR = 1.64 × 10−5; HP:0100508, FDR = 6.56 × 10−5) turned out to be enriched. In summary, enriched terms for diseases pointed at metabolic condition and abnormalities, comprising bilirubin, metabolite and vitamin levels. An overview of the most significant findings for diseases and human phenotypes is provided in Tables 3 and 4, respectively.

Table 3 Most enriched terms from DISEASES. The table shows the top 5 most significant terms related to the disease-gene associations from the DISEASES database. For each term, the identifier, a description, the number of network genes over the total reported genes, the strength of the enrichment effect, the signal strength, and the Benjamini–Hochberg adjusted false discovery rate are reported. Strength is defined as log10(observed genes in the network/expected genes in a random network). Signal is defined as the weighted harmonic mean between observed over expected ratio and the −log(FDR). FDR: false discovery rate
Disease Description Genes in network Strength Signal FDR
DOID:2741 Bilirubin metabolic disorder 10/13 2.12 3.51 1.57 × 10−13
DOID:2739 Gilbert syndrome 7/8 2.17 2.4 2.79 × 10−9
DOID:2382 Kernicterus 6/6 2.23 2.08 4.47 × 10−8
DOID:3803 Crigler-Najjar syndrome 6/6 2.23 2.08 4.47 × 10−8
DOID:0014667 Disease of metabolism 28/1076 0.65 1.07 4.47 × 10−8


Table 4 Most enriched terms from MONARCH. The table shows the top 5 most significant terms related to human phenotypes from the MONARCH database. For each term, the identifier, a description, the number of network genes over the total reported genes, the strength of the enrichment effect, the signal strength, and the Benjamini–Hochberg adjusted false discovery rate are reported. Strength is defined as log10(observed genes in the network/expected genes in a random network). Signal is defined as the weighted harmonic mean between observed over expected ratio and the −log(FDR). FDR: false discovery rate
Phenotype Description Genes in network Strength Signal FDR
EFO:0005664 Blood metabolite measurement 19/181 1.12 2.64 7.53 × 10−14
EFO:0005653 Serum metabolite measurement 22/287 1.11 2.37 7.53 × 10−14
EFO:0004739 Circulating cell free DNA measurement 9/9 2.23 3.33 1.11 × 10−12
EFO:0010551 Xanthurenate measurement 9/11 2.14 3.19 2.86 × 10−12
EFO:0004725 Metabolite measurement 33/1033 0.73 1.47 2.86 × 10−12


Finally, enrichment in human tissues was also examined. Significant signals were observed in the visceral body cavity (BTO:0001491, FDR = 2.52 × 10−20), in organs related to ADME as the liver (BTO:0000759, FDR = 2.47 × 10−17), the gastrointestinal tract (BTO:0000511, FDR = 4.25 × 10−5), and the kidneys (BTO:0000671, FDR = 1.35 × 10−5), and in several glands, such as digestive, endocrine, and excretory (BTO:0000522, FDR = 2.22 × 10−14; BTO:0000345, FDR = 1.88 × 10−15; BTO:0001488, FDR = 3.92 × 10−7; BTO:0000431, FDR = 1.12 × 10−5). Globally, organs and tissues mostly involved in (poly)phenol ADME were enriched. The most significant results are reported in Table 5.

Table 5 Most enriched terms from TISSUES. The table shows the top 5 most significant terms related to human tissue expression from the TISSUES database. For each term, the identifier, a description, the number of network genes over the total reported genes, the strength of the enrichment effect, the signal strength, and the Benjamini–Hochberg adjusted false discovery rate are reported. Strength is defined as log10(observed genes in the network/expected genes in a random network). Signal is defined as the weighted harmonic mean between observed over expected ratio and the −log(FDR). FDR: false discovery rate
Tissue Description Genes in network Strength Signal FDR
BTO:0001491 Viscus 84/5378 0.42 1.05 2.52 × 10−20
BTO:0000759 Liver 52/2125 0.62 1.42 2.47 × 10−17
BTO:0000345 Digestive gland 57/2881 0.53 1.18 1.88 × 10−15
BTO:0000522 Gland 86/7004 0.32 0.8 2.22 × 10−14
BTO:0001488 Endocrine gland 70/6403 0.27 0.61 3.92 × 10−7


Network nodes were clustered using the k-means clustering algorithm. To define the most appropriate number of clusters, an iterative approach was applied, starting from a minimum of 2 clusters and avoiding clusters comprising only one gene. The 2-means clustering identified two clusters, one of 109 genes and one of 2 genes, with 5 genes not belonging to any cluster. Increasing the number of clusters, the 9-means clustering reported for the first time a cluster comprising only one gene. Therefore, the 8-means clustering was considered the most informative. The 8-cluster model comprised 57, 19, 14, 7, 5, 4, 3, and 2 genes. The smallest cluster was consistent across all the iterations. Moreover, it was possible to summarise each cluster but cluster 8 using a representative keywords: Cluster 1 was related to “Cellular glucuronidation”; Cluster 2 to “Defective GALNT3 causes HFTC”; Cluster 3 to “Xenobiotic transport” and “Recycling of bile acids and salt”; Cluster 4 to “Positive regulation of nitric-oxide synthase biosynthesis”; Cluster 5 to “Sulfation” and “Aryl sulfotransferase activity”; Cluster 6 to “Carbohydrate digestion and absorption”; and Cluster 7 “Proton-coupled monocarboxylate transport” and “Lactate transmembrane transporter activity” (Fig. 3). The clustered interaction network is reported in Fig. 4 and Table S2.


image file: d5fo03227j-f3.tif
Fig. 3 k-Means clustering on the STRING network. The figure shows the STRING network divided into the eight clusters identified by k-means clustering. Each cluster is identified by a different colour. The legend reports the colour and the cluster identifier (Cluster Id), the number of genes (Gene count), and the description of the summarized pathway (description). A schematic version of this network is reported in Fig. S1.

image file: d5fo03227j-f4.tif
Fig. 4 General and specific tissue types enriched for differentially expressed genes from the GTEx catalog. The bar plots show the list of general (panel A, 30 tissues) and specific (panel B, 54 tissues) tissue types from the GTEx catalog version 8 and their enrichment for differentially expressed genes (DEG). Each panel is divided in three layers, showing up-regulated (top), down-regulated (middle) and both-sided regulated (bottom) DEG, as reported by the labels on the right side. Tissues are sorted by Bonferroni-corrected p-values (reported on the y axis by −log10(P-value)) on both-sided differential expression (bottom panel). Tissues presenting significant DEG sets (Bonferroni-corrected p-value < 0.05) are highlighted in red.

Computational functional analysis

The selected genes were further investigated to gain additional knowledge regarding expression patterns across different tissue types, shared molecular functions among genes, and testing for enrichment analysis using pre-defined gene sets. Of the 121 input genes, 2 genes (MUC3B and SLC22A20P) were excluded since they did not present a recognised Ensembl ID, so 119 genes were investigated against 57[thin space (1/6-em)]241 human coding and non-coding background genes.

Gene expression analysis was performed on both general and specific tissue types. Significant results (Bonferroni corrected p-value < 0.05) were observed in up-regulated differentially expressed gene sets and no evidence of association resulted in down-regulated differentially expressed gene sets. As a consequence, both-sided differentially expressed gene sets turned out to be significant. Among the general tissue types (n = 30), liver (p = 1.34 × 10−25), small intestine (p = 3.46 × 10−13), kidneys (p = 8.97 × 10−13), and colon (p = 4.06 × 10−6) showed the most significant results. This was reflected in the specific tissue types (n = 54), where the liver (p = 2.41 × 10−25), the small intestine terminal ileum (p = 6.23 × 10−13), the kidney cortex (p = 1.11 × 10−12), and the colon transverse (p = 1.70 × 10−11) were significant. In summary, differential expression of these genes in tissues strictly related to (poly)phenol metabolism was significant. A complete overview is reported in Fig. 4.

An additional round of gene set enrichment analysis was performed. Significantly enriched terms from the Gene Ontology, KEGG, Reactome, and Wikipathways were concordant with previous findings from STRING. Further, functional analyses were performed on the gene sets from the Molecular Signature Database. Among the hallmark gene sets, significant results were observed in 3 gene sets related to metabolism, being xenobiotics (p = 2.70 × 10−5), fatty acids (p = 3.20 × 10−3), and peroxisome (p = 1.68 × 10−2). Additionally, the inflammatory response was found to be significant (p = 3.84 × 10−2). Enrichment was also observed in 4 positional gene sets on cytogenetic bands located on chromosomes 4 (chr4q13, p = 7.82 × 10−14), 2 (chr2q37, p = 1.04 × 10−4), 7 (chr7q22, p = 8.11 × 10−3), and 1 (chr1q24, p = 4.21 × 10−2). Overall, gene sets already computed for different dietary components were found to be significant together with specific genomic locations in human chromosomes. A complete overview is reported in Table 6.

Table 6 Enrichment analysis from the hallmark and positional gene sets in the Molecular Signature Database. The table shows the most enriched results from the hallmarks (lines 1–4) and positional (lines 5–8) gene sets. For each gene set, the name, the number of genes over the total number of genes in the set, the nominal and Bonferroni-adjusted p-values and the gene symbols are reported
Gene set Number of genes P-Value Adjusted P-value Genes
Xenobiotic metabolism 9/196 5.41 × 10−7 2.70 × 10−5 FMO3, FMO1, CYP2C18, ABCC2, CYP2E1, CYP1A1, CYP1A2, ABCC3, COMT
Peroxisome 5/99 1.28 × 10−4 3.20 × 10−3 ABCD3, ABCC5, UT2B17, ABCB1, SULT2B1
Fatty acid metabolism 5/155 1.01 × 10−3 1.68 × 10−2 FMO1, SLC22A5, LDHA, CYP1A1, PDHA1
Inflammatory response 5/200 3.07 × 10−3 3.84 × 10−2 TLR2, AHR, HIF1A, NOD2, CCL2
chr4q13 13/85 2.61 × 10−16 7.82 × 10−14 UGT2B17, UGT2B15, UGT2B10, UGT2A3, UGT2B7, UGT2B11, UGT2B28, UGT2B4, UGT2A1, UGT2A2, UGT2A1, SULT1B1, SULT1E1, MUC7
chr2q37 8/148 6.93 × 10−7 1.04 × 10–4 UGT1A8, UGT1A10, UGT1A9, UGT1A7, UGT1A6, UGT1A5, UGT1A4, UGT1A3, UGT1A1
chr7q22 6/145 8.11 × 10−5 8.11 × 10−3 CYP3A5, CYP3A7, CYP3A4, CYP3A43, MUC12, MUC17, RN7SKP54
chr1q24 4/77 5.61 × 10−4 4.21 × 10−2 FMO3, FMO2, FMO1, FMO4


Pathways from previously unexplored sources such as Biocarta were investigated. A total of 5 significantly enriched terms were observed in lipid metabolism (M16393, p = 9.53 × 10−10), in hypoxia in the cardiovascular system (M13324, p = 4.86 × 10−3; M5202, p = 8.96 × 10−3), and in the activity and resistance to drugs (M22078, p = 3.31 × 10−4; M22024, p = 1.38 × 10−2).

Cancer-related gene sets were also explored. Enrichment was observed for 17 gene sets. Among the tested sets, cytochrome P450 (M5645, p = 5.46 × 10−14) and heme biosynthesis (M2738, p = 2.11 × 10−5), oxidoreductase activity (M10134, p = 9.29 × 10−9), and transport of metabolites, such as carboxylic and organic acids (M13595, p = 6.68 × 10−8), and of peptide and amino acids (M12507, p = 6.21 × 10−5), were enriched. Moreover, xenobiotic metabolism, either general or in specific organs, such as the liver, resulted to be significant (M57, p = 1.69 × 10−2; M1872, p = 2.11 × 10−5; M14358, p = 2.76 × 10−4). It can be highlighted that several biological functions and enzymatic activities associated with phenolic metabolites and the tissues where are happening were significant. A complete overview is provided in Table 7.

Table 7 Enrichment analysis from the cancer gene modules from the Molecular Signature Database. The table shows the enriched terms from the cancer gene modules. For each gene set, the systematic name, the module identifier, the number of genes over the total number of genes in the set, the nominal and Bonferroni-adjusted p-values and the gene symbols are reported
Systematic name Gene set (module) Number of genes P-Value Adjusted P-value Genes
M5646 M_106 8/12 1.27 × 10−16 5.46 × 10−14 CYP1B1, CYP3A4, CYP2C18, CYP2C19, CYP2C9, CYP2C8, CYP2E1, CYP1A1
M8592 M_135 9/21 3.33 × 10−16 7.17 × 10−14 FMO3, FMO4, CYP1B1, CYP3A4, CYP2C18, CYP2C19, CYP2C8, CYP2E1, CYP1A1
M10134 M_93 12/175 6.47 × 10−11 9.29 × 10−9 AKR7A2, FMO5, FMO3, FMO4, CYP1B1, CYP3A5, CYP3A4, CYP2C19, CYP2C8, LDHA, CYP1A1, COMT
M13595 M_71 6/21 6.20 × 10−10 3.84 × 10−7 SLC16A4, SLC16A1, ABCC3, SLC16A5, SLC16A8, SLC16A2
M2027 M_212 13/311 4.46 × 10−9 3.84 × 10−7 ABCD3, FMO3, FMO4, UGT2B15, UGT2B7, SULT1E1, CYP3A4, CYP2C8, LDHA, CYP1A1, ABCC1, ABCC3, COMT
M9415 M_186 5/18 2.11 × 10−8 1.51 × 10−6 SLC16A4, SLC16A1, ABCC3, SLC16A8, SLC16A2
M2738 M_505 4/13 3.78 × 10−7 2.11 × 10−5 UGT2B15, UGT2B7, UGT2B4, SULT1E1
M5974 M_43 7/94 4.07 × 10−7 2.11 × 10−5 FMO3, FMO4, CYP3A4, CYP2C19, CYP2C8, LDHA, CYP1A1
M1872 M_23 14/542 4.42 × 10−7 2.11 × 10−5 FMO5, MUC1, FMO3, FMO4, UGT2B15, UGT2B7, UGT2B4, CYP3A4, CYP2C19, CYP2C9, CYP2C8, CYP2E1, CCL2, ABCC3
M586 M_227 4/15 7.15 × 10−7 3.08 × 10−5 UGT1A6, UGT2B15, UGT2B7, UGT2B4
M12507 M_368 4/18 1.59 × 10−6 6.21 × 10−5 SLC16A4, SLC16A6, SLC16A8, SLC16A2
M17558 M_55 16/800 1.87 × 10−6 6.63 × 10−5 SLC16A4, FMO5, MUC1, FMO3, FMO4, ITGA6, UGT2B15, UGT2B7, UGT2B4, CYP2C19, CYP2C8, CYP2E1, MUC5B, SLC22A6, CCL2, ABCC3
M16754 M_218 4/19 2.00 × 10−6 6.63 × 10−5 SLC16A4, SLC16A7, SLC16A8, SLC16A2
M14358 M_88 15/802 8.98 × 10−6 2.76 × 10−4 SLC16A4, FMO5, MUC1, FMO3, FMO4, ITGA6, UGT2B15, UGT2B7, CYP2C19, CYP2C8, CYP2E1, MUC5B, SLC22A6, CCL2, ABCC3
M8950 M_117 13/697 3.81 × 10−5 1.10 × 10−3 SULT1C2, UGT1A4, SLC2A2, UGT2B17, UGT2B7, UGT2B4, UGT2A1, UGT2A1, SULT1B1, UGT8, CYP3A4, CYP2C8, CYP1A1, SLC16A2
M10538 M_162 3/19 1.05 × 10−4 2.82 × 10−3 SLC16A4, SLC16A7, SLC16A2
M57 M_247 3/35 6.68 × 10−4 1.69 × 10−2 FMO4, SULT1C2, UGT2B15


Different biological signatures were also explored. Oncogenic signatures showed enrichment in cellular pathways dysregulated in cancer and associated with NFE2L2 (M2870, p = 3.20 × 10−5) and KRAS genes (M2880, p = 3.32 × 10−2).

Moreover, cell type signatures resulting from single-cell studies in different human tissues proved to be significant. Among them, 34 terms were enriched, particularly in intestinal (M40028, p = 1.11 × 10−14), hepatic (M39115, p = 3.37 × 10−9), and pancreatic (6.44 × 10−5) cell types.

Potential targets of regulation were also investigated, considering both microRNAs (miRNAs) and transcription factor (TF) targets. Six microRNAs (hsa-miR-6736-3p, p = 2.55 × 10−5; hsa-miR-6507-5p, p = 7.93 × 10−5; hsa-miR-4786-3p, p = 7.93 × 10−5; hsa-miR-185-3p, p = 4.28 × 10−4; hsa-miR-6839-3p, p = 4.41 × 10−4; hsa-miR-4496, p = 5.90 × 10−4) and one TF target (M133 RYTAAWNNNTGAY, p = 1.27 × 10−2) were significantly enriched, mostly driven by the UGT1A complex together with additional genes, as reported in Table 8.

Table 8 Enrichment analysis from the microRNA and transcription factor targets gene sets in the Molecular Signature Database. The table shows the most enriched results from the microRNA targets (lines 1–6), and the transcription factor targets (line 7) gene sets. For each gene set, the name, the number of genes over the total number of genes in the set, the nominal and Bonferroni-adjusted p-values and the gene symbols are reported
Gene set Number of genes P-Value Adjusted P-value Genes
MIR6736_3P 9/123 9.82 × 10−9 2.55 × 10−5 UGT1A8, UGT1A10, UGT1A9, UGT1A7, UGT1A6, UGT1A5, UGT1A4, UGT1A3, UGT1A1, LDHA
MIR6507_3P 12/329 8.07 × 10−8 7.93 × 10−5 UGT1A8, UGT1A10, UGT1A9, UGT1A7, UGT1A6, UGT1A5, UGT1A4, UGT1A3, UGT1A1, ABCG2, AHR, HIF1A, CYP1A2
MIR4786_3P 9/159 9.16 × 10−8 7.93 × 10−5 UGT1A8, UGT1A10, UGT1A9, UGT1A7, UGT1A6, UGT1A5, UGT1A4, UGT1A3, UGT1A1, UGT2B17
MIR185_3P 8/147 6.59 × 10−7 4.28 × 10−4 UGT1A8, UGT1A10, UGT1A9, UGT1A7, UGT1A6, UGT1A5, UGT1A4, UGT1A3, UGT1A1
MIR6839_3P 8/152 8.49 × 10−7 4.41 × 10−4 UGT1A8, UGT1A10, UGT1A9, UGT1A7, UGT1A6, UGT1A5, UGT1A4, UGT1A3, UGT1A1
MIR4496 10/283 1.36 × 10−6 5.90 × 10−4 UGT1A8, UGT1A10, UGT1A9, UGT1A7, UGT1A6, UGT1A5, UGT1A4, UGT1A3, UGT1A1, AHR, CDKN1B
RYTAAWNNNTGAY_UNKOWN 5/60 1.14 × 10−5 1.27 × 10−2 UGT1A1, SLC22A6, SLC22A8, SLC22A12, SULF2


The GWAS Catalog was examined to retrieve associated phenotypes and diseases, resulting in a total of 42 enriched terms. Among them, different metabolites were significant, either general serum (p = 1.00 × 10−21) and urinary (p = 5.67 × 10−10) metabolites or specific compounds, such as bilirubin (p = 5.40 × 10−12) and low-density lipoprotein cholesterol (p = 8.18 × 10−5) levels. Of note, terms related to bilirubin were particularly enriched in terms of both significance and quantity. Additionally, some diseases, such as liver disease (p = 6.24 × 10−14) and gout (p = 7.44 × 10−4), as well as some drugs, such as acenocoumarol (p = 2.09 × 10−2), were enriched. Significant dietary habits were also identified in terms of coffee (p = 2.61 × 10−3), tea (p = 2.16 × 10−4), and bitter beverages (p = 2.69 × 10−2) consumption, with caffeine metabolism being also significant (p = 3.80 × 10−2). Significant genetic associations previously reported comprised several urinary and plasma metabolites, different disease impacting metabolism and its tissues, and the consumption of (poly)phenol-rich foods. A representation of these results is reported in Fig. 5.


image file: d5fo03227j-f5.tif
Fig. 5 Enrichment analysis on the GWAS catalog. The figure shows the enriched traits from the GWAS Catalog presenting common genes related to (poly)phenol bioavailability. Each trait is reported together with its name, the proportion of genes overlapping the total genes associated with the trait, the Bonferroni-adjusted enrichment p-value, and the list of associated genes.

All the results from the enrichment analysis are reported in Table S3.

Discussion

In this study, we present a computational functional analysis of 121 curated genes related to (poly)phenol ADME, providing a pooled collection of entries from the main genomic databases and resources to look for when performing genomics analysis in (poly)phenol research studies. Hence, this study provides a reference for human genomics and in general omics research on the bioavailability of (poly)phenols, their inter-individual variability, and, more widely, their effect on human health.

Our analyses confirmed the central role of these genes in biological processes strictly related to (poly)phenol metabolism and bioavailability. Numerous sources showed strong significant associations with different metabolites, like xenobiotics, xanthurenate, and organic acids, and related processes, spanning from transport to general metabolism, highlighting the crucial role of the selected genes. This was further supported by specific molecular functions characterising (poly)phenol metabolism, such as transport, glucuronidation and sulfation,4,7 key processes in phase II metabolic reactions, and were also observed for specific phenolic-like drugs, like aspirin and paracetamol. Additionally, significant terms were also observed in the consumption of specific (poly)phenol-rich foods like tea and coffee. Supporting evidence was also identified at the tissue level, where enrichment and differential expression patterns were reported in the small intestine, the liver and the colon, core biological sites of (poly)phenol bioavailability and metabolism. The relevance of these genes was reinforced by the unsupervised k-means clustering, that confirmed their intricate biological relationships and highlighted the main biological processes and molecular functions4,7 in (poly)phenol metabolism and bioavailability: these terms were the key representative functions (i.e., the labels) of the eight clusters. Furthermore, this approach provided refined insights into the contribution of specific gene families. Some clusters were mostly identified by specific gene families, as in the case of mucins (MUCs); other clusters comprised complementary gene families, like the transport role carried out by ABC transporters (ABCs) and solute carriers (SLCs), and depicted the multifaceted interplay between biologically distant genes, such as UDP-glucuronosyltransferases (UGTs), cytochromes P (CYPs), sulfatase (SULFs) and sulfotransferases (SULTs). This high level of interconnection translates into the impossibility of defining clear-cut clusters, demonstrating and supporting the strong interplay and biological complexity among these genes and their functions.

Beyond consolidating known associations, our findings revealed novel mechanistic insights and previously unreported associations into (poly)phenol metabolism. Among the 121 curated genes that were investigated, the gene network and k-means clustering analyses reported the lack of connections of these 5 genes, comprising UGT8, SULF1, SLC16A6, ABCD3, and Aldo-Keto Reductase Family 7 Member A2 (AKR7A2). These genes are involved in key metabolic processes, such as glucuronidation (UGT8), sulfation (SULF1), and transport (ABCD3 and SLC16A6), with AKR7A2 mostly involved in detoxification. Nevertheless, these genes belong to large and biologically relevant gene families, suggesting that their apparent isolation may reflect under-representation and slow curation of databases rather than a lack of functional relevance, hence opening to new research studies aiming at further confirming their involvement and contribution to (poly)phenol bioavailability.

Significant and enriched gene sets not only provided already known associations, but also suggested novel mechanisms and biological players. Among the metabolites, the most represented significant associations were observed in bilirubin and in bile acids. The preponderant enrichment of bilirubin may suggest possible unreported evidence of bilirubin-mediated disorders. An example is Gilbert's syndrome, a benign liver condition caused by a variant in the UGT1A1 promoter gene and associated with high bilirubin levels and low risk of cardiovascular disease.39–41 Other bilirubin-dependent associations like kernicterus and Crigler-Najjar syndrome were found to be associated, more likely due to their relationship with reported traits rather than to (poly)phenol metabolism and effects. In general, these findings suggest that variability in circulating phenolic concentrations may modulate the penetrance of metabolic syndrome, thereby prompting consideration of how differential phenolic exposure may contributes the development of phenotypically related syndromes. Moreover, bile acids and salts were among the most represented metabolites, with regards to their recycling process. Notably, their significance is important since many (poly)phenols may be subjected to extended enterohepatic recirculation, hence highlighting novel mechanisms worth to be investigated.4,7 Furthermore, associations of metabolites comprised also different drugs having phenolic-like motifs (benzene), like aspirin, paracetamol, morphine, tamoxifen, and codeine. These drugs were highlighted for their interactions with genes from UGT, SULT, MUC and CYP families, key contributors to core functions of (poly)phenol ADME, suggesting these genes as possible candidate pharmacogenes.42,43 Hence, these results suggest novel and previously unreported mechanisms, paving the way for individualised pharmacological approaches mediated by food and nutrients, contributing to better understand the bioavailability of dietary secondary compounds and other xenobiotics.

Resulting associations with human diseases reinforced the role of (poly)phenols and their interaction with the human genome in modulating health. In relation to cancer, we identified that NFE2L2, normally involved in absorption and metabolism, was enriched with oncogenic signatures. Additionally, some genes belonging to the UGT2 and CYP2C families seemed to drive associations with the KRAS oncogene; these findings may suggest a pleiotropic effects between metabolism and oncogenic signalling, opening to possible investigation on the therapeutic effects of (poly)phenols in cancer, as recently observed in breast and colorectal cancers.44,45 In parallel, several enriched terms supported the relationship between (poly)phenols and cardiometabolic health, identifying associations with genes involved in inflammation and inflammatory response, like TLR2 and CCL2,46 and acting on risk factors like low-density lipoprotein, as reported by genes belonging to the UGT1A family.47,48 These findings implicated the role of (poly)phenols as mediator of cardiometabolic risk, as investigated by ongoing research studies,17 suggesting their modulatory effects in systemic metabolic and inflammatory conditions.

Finally, these novel findings proposed genetic regulation as a key mechanism shaping the biological effects of (poly)phenols. Different positional gene sets resulted to be significant, particularly in four chromosomal locations on chromosomes 1, 2, 4, and 7. Of note, these genomic regions where characterised by the presence of several members of key gene families together with apparently unrelated genes: chromosome 4 contained UGT2A and UGT2B families, and SULT1B1, SULT1E1 and MUC7 genes; chromosome 2 contained the UGT1A family; chromosome 7 contained members of the CYP3A family together with MUC12 and MUC17 genes; and chromosome 1 contained members of the FMO family. Despite the genomic position may be uninformative and only provide information on the location of the input genes, the enrichment of these gene sets suggests hints on unexplored biological features and additive effects, such as gene regulation, dosage compensation, epigenetic silencing and other regional effects.49 Furthermore, the possible uncovered regulatory mechanisms were further supported by the enrichment for miRNAs and TF targets, highlighting the importance of regional effects and proposing novel candidates worth investigating.50

Nevertheless, this study presents several limitations that needs to be considered to contextualise its findings. Despite the curation of the 121 gene and the proposed reference, functional studies are needed to validate the role of these genes and their contribution to (poly)phenol metabolism and bioavailability. The limited resources regarding (poly)phenols on public available databases for human genomics reduced the power and resolution of this study, likely not fully exploiting the biological connection and relevance of these genes and their associations with human traits and diseases. In addition, the generalisation of our findings remains limited, emphasising the need for exploratory investigations and functional validation studies to support or denied current findings.

Looking forward, this study and the proposed reference favours for targeted applications in the context of human diseases and traits. The significant enrichment for bilirubin makes Gilbert's syndrome a promising case study. The role of UGT1A1 in the onset of this benign syndrome and its association with low glucuronidation ability is well recognised. However, the possible role and implication of other metabolic processes have been poorly investigated: evidence comprising sulfation or other function are almost absent, making them worth to be investigated. At the same time, our investigation suggested the importance of genes related to (poly)phenol metabolism at the regulatory level. Functional validation will be essential to move beyond static genetic associations, expanding our current knowledge on the biological determinants shaping the inter-individual response to (poly)phenols and gaining a complete mechanistic understanding. Finally, the proposed reference implies its application to health. The observed associations and enrichment with numerous traits and diseases, spanning from cancer to complex disorders, underline the needs to explore the intersection between nutrition, metabolism, genetics and disease risk and progression, opening the way for precision nutrition approaches targeting a wide range of disorders. Overall, we might argue that these genes not only play a role in (poly)phenol ADME but also in the health status of the individual, highlighting the need for dedicated genomics and multi-omics investigations able to confirm previous associations and validate novel hypotheses. Genetic polymorphisms in genes interacting with or related to (poly)phenol ADME and their impact on health status may be key for future precision nutrition approaches of these dietary bioactive compounds.13,19

Conclusion

In this study, we presented a computational functional analysis on 121 curated human genes related to (poly)phenol bioavailability. Our investigation confirmed the role of these candidate genes in various biological processes related to (poly)phenols in the human organism and provided novel insights that require further validation but need to be taken into consideration when performing genomics and omics analyses on human data. To sum up, we proposed an answer to the question “What to expect when performing human genomics investigation in (poly)phenol research studies?”. Hence, we reported a new reference for omics investigation and protein–protein interactions in nutritional and (poly)phenol research that will boost our understanding of (poly)phenol ADME and will advance the available knowledge for personalised nutritional approaches. This framework may be transferred to other omics, such as metagenomics by integrating the current available knowledge at the intersection with (poly)phenols, as well as on other plant bioactive compounds, targeting the human genes that are mainly involved in their metabolism and bioavailability, to advance research on nutritionally relevant components contributing to human health.

Author contributions

Conceptualization: M. T., D. M., P. M.; data curation: M. T., L. G., N. T.; formal analysis: M. T.; funding acquisition: P. M.; investigation: M. T.; methodology: M. T.; project administration: P. M.; resources: M. T., A. M. M., D. D. R., P. M.; software: M. T.; supervision: D. M., P. M.; validation: M. T., P. M.; visualization: M. T., L. G.; writing – original draft: M. T., N. T.; writing – review & editing: M. T., L. G., N. T., C. M., A. M. M., V. B., D. D. R., D. M. P. M.

Conflicts of interest

There are no conflicts to declare.

Data availability

The data supporting this article have been included as part of the supplementary information (SI). Supplementary information is available. See DOI: https://doi.org/10.1039/d5fo03227j. Supplementary Fig. 1: Schematic representation of the k-means clustering on the STRING network. Supplementary Table 1: Complete list of enriched terms from the STRING network. Supplementary Table 2: STRING 8-means clustering. Supplementary Table 3: Gene-sets enrichment analysis from FUMAGWAS GENE2FUNC.

Acknowledgements

The research was funded by the European Research Council (ERC) under the European Union's Horizon 2020 research and innovation programme (PREDICT-CARE project, grant agreement No 950050) and the National Recovery and Resilience Plan (NRRP), Mission 4 Component 2 Investment 1.3 – Call for tender No. of 15 March 2022 of Italian Ministry of University and Research funded by the European Union – NextGenerationEU; Award Number: Project code PE00000003, Concession Decree No. 1550 of 11 October 2022 adopted by the Italian Ministry of University and Research, CUP D93C22000890001, Project title “ON Foods – Research and innovation network on food and nutrition Sustainability, Safety and Security –Working ON Foods”. This work was carried out in the frame of the ALIFAR project, funded by the Italian Ministry of University through the program ‘Dipartimenti di Eccellenza 2023–2027’.

References

  1. C. Manach, A. Scalbert, C. Morand, C. Rémésy and L. Jiménez, Polyphenols: food sources and bioavailability, Am. J. Clin. Nutr., 2004, 79(5), 727–747 CrossRef CAS PubMed.
  2. S. Quideau, D. Deffieux, C. Douat-Casassus and L. Pouységu, Plant Polyphenols: Chemical Properties, Biological Activities, and Synthesis, Angew. Chem., Int. Ed., 2011, 50(3), 586–621 CrossRef CAS PubMed.
  3. A. Rana, M. Samtiya, T. Dhewa, V. Mishra and R. E. Aluko, Health benefits of polyphenols: A concise review, J. Food Biochem., 2022, 46(10), e14264 CrossRef CAS PubMed.
  4. A. Rodriguez-Mateos, D. Vauzour, C. G. Krueger, D. Shanmuganayagam, J. Reed and L. Calani, et al., Bioavailability, bioactivity and impact on health of dietary flavonoids and related compounds: an update, Arch. Toxicol., 2014, 88(10), 1803–1853 CrossRef CAS PubMed.
  5. G. Di Pede, P. Mena, L. Bresciani, T. M. Almutairi, D. Del Rio and M. N. Clifford, et al., Human colonic catabolism of dietary flavan-3-ol bioactives, in Molecular Aspects of Medicine, Elsevier Ltd, 2023, vol. 89 Search PubMed.
  6. G. Di Pede, P. Mena, L. Bresciani, M. Achour, R. M. Lamuela-Raventós and R. Estruch, et al., Revisiting the bioavailability of flavan-3-ols in humans: A systematic review and comprehensive data analysis, Mol. Aspects Med., 2023, 89, 101146 CrossRef CAS PubMed.
  7. D. Del Rio, A. Rodriguez-Mateos, J. P. E. Spencer, M. Tognolini, G. Borges and A. Crozier, Dietary (Poly)phenolics in Human Health: Structures, Bioavailability, and Evidence of Protective Effects Against Chronic Diseases, Antioxid. Redox Signal., 2013, 18(14), 1818–1892 CrossRef CAS PubMed.
  8. S. Liu, H. Zheng, R. Sun, H. Jiang, J. Chen and J. Yu, et al., Disposition of Flavonoids for Personal Intake, Curr. Pharmacol. Rep., 2017, 3(4), 196–212 CrossRef CAS.
  9. A. Crozier, D. Del Rio and M. N. Clifford, Bioavailability of dietary flavonoids and phenolic compounds, Mol. Aspects Med., 2010, 31(6), 446–467 CrossRef CAS PubMed.
  10. D. Milenkovic, C. Morand, A. Cassidy, A. Konic-Ristic, F. Tomás-Barberán and J. M. Ordovas, et al., Interindividual Variability in Biomarkers of Cardiometabolic Health after Consumption of Major Plant-Food Bioactive Compounds and the Determinants Involved, Adv. Nutr., 2017, 8(4), 558–570 CrossRef PubMed.
  11. C. D. Kay, N. Tejera, A. Jennings, S. Haldar, D. Bevan and L. C. Crossman, et al., Effect of age and sex on the urinary elimination of a single dose of mixed flavonoids: results from a single-arm intervention in healthy United Kingdom adults, Am. J. Clin. Nutr., 2025, 122(1), 101–111 CrossRef CAS PubMed.
  12. H. N. Rajha, A. Paule, G. Aragonès, M. Barbosa, C. Caddeo and E. Debs, et al., Recent Advances in Research on Polyphenols: Effects on Microbiota, Metabolism, and Health, Mol. Nutr. Food Res., 2022, 66(1), e2100670 CrossRef PubMed.
  13. C. Favari, J. F. Rinaldi de Alvarenga, L. Sánchez-Martínez, N. Tosi, C. Mignogna and E. Cremonini, et al., Factors driving the inter-individual variability in the metabolism and bioavailability of (poly)phenolic metabolites: A systematic review of human studies, Redox Biol., 2024, 71, 103095 CrossRef CAS PubMed.
  14. L. Narduzzi, V. Agulló, C. Favari, N. Tosi, C. Mignogna and A. Crozier, et al., (Poly)phenolic compounds and gut microbiome: new opportunities for personalized nutrition, Microbiome Res. Rep., 2022, 1(2), 16 CrossRef CAS PubMed.
  15. W. Si, Y. Zhang, X. Li, Y. Du and Q. Xu, Understanding the Functional Activity of Polyphenols Using Omics-Based Approaches, Nutrients, 2021, 13(11), 3953 CrossRef CAS PubMed.
  16. J. Hu, R. Mesnage, K. Tuohy, C. Heiss and A. Rodriguez-Mateos, (Poly)phenol-related gut metabotypes and human health: an update, Food Funct., 2024, 15(6), 2814–2835 RSC.
  17. P. Mena, C. Mignogna, N. Tosi, E. Monica, V. Agulló and A. Rosi, et al., Development of an Oral (Poly)Phenol Challenge Test (Opct) to Identify Aggregate Metabotypes for Dietary (Poly)Phenols and Their Drivers: A Study Protocol, Curr. Dev. Nutr., 2022, 6, 1148 CrossRef.
  18. N. Tosi, C. Favari, L. Bresciani, E. Flanagan, M. Hornberger and A. Narbad, et al., Unravelling phenolic metabotypes in the frame of the COMBAT study, a randomized, controlled trial with cranberry supplementation, Food Res. Int., 2023, 172, 113187 CrossRef CAS PubMed.
  19. M. A. Martínez-González, F. J. Planes, M. Ruiz-Canela, E. Toledo, R. Estruch and J. Salas-Salvadó, et al., Recent advances in precision nutrition and cardiometabolic diseases, Rev. Esp. Cardiol., 2025, 78(3), 263–271 CrossRef.
  20. S. Haldar, N. T. Hernandez, L. Ostertag, P. Curtis, A. Cassidy and A. M. Minihane, Genetic and phenotypic determinants of flavonoid absorption and metabolism: the COB study, Arch. Public Health, 2014, 72(S1), O3 CrossRef.
  21. D. Szklarczyk, R. Kirsch, M. Koutrouli, K. Nastou, F. Mehryary and R. Hachilif, et al., The STRING database in 2023: protein–protein association networks and functional enrichment analyses for any sequenced genome of interest, Nucleic Acids Res., 2023, 51(D1), D638–D646 CrossRef CAS PubMed.
  22. M. Ashburner, C. A. Ball, J. A. Blake, D. Botstein, H. Butler and J. M. Cherry, et al., Gene Ontology: tool for the unification of biology, Nat. Genet., 2000, 25(1), 25–29 CrossRef CAS PubMed.
  23. S. A. Aleksander, J. Balhoff, S. Carbon, J. M. Cherry, H. J. Drabkin and D. Ebert, et al., The Gene Ontology knowledgebase in 2023, Genetics, 2023, 224(1), iyad031 CrossRef CAS PubMed.
  24. M. Kanehisa, KEGG: Kyoto Encyclopedia of Genes and Genomes, Nucleic Acids Res., 2000, 28(1), 27–30 CrossRef CAS PubMed.
  25. M. Kanehisa, M. Furumichi, Y. Sato, Y. Matsuura and M. Ishiguro-Watanabe, KEGG: biological systems database as a model of the real world, Nucleic Acids Res., 2025, 53(D1), D672–D677 CrossRef PubMed.
  26. M. Kanehisa, Toward understanding the origin and evolution of cellular organisms, Protein Sci., 2019, 28(11), 1947–1951 CrossRef CAS PubMed.
  27. M. Milacic, D. Beavers, P. Conley, C. Gong, M. Gillespie and J. Griss, et al., The Reactome Pathway Knowledgebase 2024, Nucleic Acids Res., 2024, 52(D1), D672–D678 CrossRef CAS PubMed.
  28. M. Kutmon, A. Riutta, N. Nunes, K. Hanspers, E. L. Willighagen and A. Bohler, et al., WikiPathways: capturing the full diversity of pathway knowledge, Nucleic Acids Res., 2016, 44(D1), D488–D494 CrossRef CAS PubMed.
  29. A. Agrawal, H. Balcı, K. Hanspers, S. L. Coort, M. Martens and D. N. Slenter, et al., WikiPathways 2024: next generation pathway database, Nucleic Acids Res., 2024, 52(D1), D679–D689 CrossRef CAS PubMed.
  30. T. E. Putman, K. Schaper, N. Matentzoglu, V. P. Rubinetti, F. S. Alquaddoomi and C. Cox, et al., The Monarch Initiative in 2024: an analytic platform integrating phenotypes, genes and diseases across species, Nucleic Acids Res., 2024, 52(D1), D938–D949 CrossRef CAS PubMed.
  31. D. Grissa, A. Junge, T. I. Oprea and L. J. Jensen, Diseases 2.0: a weekly updated database of disease–gene associations from text mining and data integration, Database, 2022, 2022, baac019 CrossRef PubMed.
  32. O. Palasca, A. Santos, C. Stolte, J. Gorodkin and L. J. Jensen, TISSUES 2.0: an integrative web resource on mammalian tissue expression, Database, 2018, 2018, bay003 CrossRef PubMed.
  33. J. X. Binder, S. Pletscher-Frankild, K. Tsafou, C. Stolte, S. I. O'Donoghue and R. Schneider, et al., COMPARTMENTS: unification and visualization of protein subcellular localization evidence, Database, 2014, 2014(0), bau012–bau012 CrossRef PubMed.
  34. K. Watanabe, E. Taskesen, A. van Bochoven and D. Posthuma, Functional mapping and annotation of genetic associations with FUMA, Nat. Commun., 2017, 8(1), 1826 CrossRef PubMed.
  35. S. C. Dyer, O. Austine-Orimoloye, A. G. Azov, M. Barba, I. Barnes and V. P. Barrera-Enriquez, et al., Ensembl 2025, Nucleic Acids Res., 2025, 53(D1), D948–D957 CrossRef PubMed.
  36. A. Liberzon, A. Subramanian, R. Pinchback, H. Thorvaldsdóttir, P. Tamayo and J. P. Mesirov, Molecular signatures database (MSigDB) 3.0, Bioinformatics, 2011, 27(12), 1739–1740 CrossRef CAS PubMed.
  37. J. MacArthur, E. Bowler, M. Cerezo, L. Gil, P. Hall and E. Hastings, et al., The new NHGRI-EBI Catalog of published genome-wide association studies (GWAS Catalog), Nucleic Acids Res., 2017, 45(D1), D896–D901 CrossRef CAS PubMed.
  38. K. G. Ardlie, D. S. Deluca, A. V. Segrè, T. J. Sullivan, T. R. Young and E. T. Gelfand, et al., The Genotype-Tissue Expression (GTEx) pilot analysis: Multitissue gene regulation in humans, Science, 2015, 348(6235), 648–660 CrossRef PubMed.
  39. D. King and M. Armstrong, Overview of Gilbert's syndrome, Drug Ther. Bull, 2019, 57(2), 27–31 CrossRef CAS PubMed.
  40. L. Vítek and C. Tiribelli, Gilbert's syndrome revisited, J. Hepatol., 2023, 79(4), 1049–1055 CrossRef PubMed.
  41. J. P. Miranda, A. Pereira, C. Corvalán, J. F. Miquel, G. Alberti and J. C. Gana, et al., Genetic determinants of serum bilirubin using inferred native American gene variants in Chilean adolescents, Front. Genet., 2024, 15, 1382103 CrossRef CAS PubMed.
  42. V. Kastrinou Lampou, B. Poller, F. Huth, A. Fischer, G. A. Kullak-Ublick and M. Arand, et al., Novel insights into bile acid detoxification via CYP, UGT and SULT enzymes, Toxicol. in Vitro, 2023, 87, 105533 CrossRef CAS PubMed.
  43. M. Sidibe, A. Tazzite, H. Jouhadi and H. Dehbi, Impact of CYP2D6, CYP2C9/19, CYP3A4, UGT, and SULT Variability on Tamoxifen Metabolism in Breast Cancer Treatment, J. Curr. Oncol., 2023, 6(2), 61–67 CrossRef.
  44. A. Tascioglu Aliyev, E. Panieri, V. Stepanić, H. Gurer-Orhan and L. Saso, Involvement of NRF2 in Breast Cancer and Possible Therapeutical Role of Polyphenols and Melatonin, Molecules, 2021, 26(7), 1853 CrossRef PubMed.
  45. S. Mehdinejad, M. Peymani, A. Salehzadeh and M. Zaefizadeh, Genetic insights and therapeutic potential for colorectal cancer: mutation analysis of KRAS gene and efficacy of Oleuropein-conjugated iron oxide nanoparticles, Naunyn Schmiedebergs Arch. Pharmacol., 2024, 397(11), 8771–8783 CrossRef CAS PubMed.
  46. A. Liberzon, C. Birger, H. Thorvaldsdóttir, M. Ghandi, J. P. Mesirov and P. Tamayo, The Molecular Signatures Database Hallmark Gene Set Collection, Cell Syst., 2015, 1(6), 417–425 CrossRef CAS PubMed.
  47. M. S. Sandhu, D. M. Waterworth, S. L. Debenham, E. Wheeler, K. Papadakis and J. H. Zhao, et al., LDL-cholesterol concentrations: a genome-wide association study, Lancet, 2008, 371(9611), 483–491 CrossRef CAS PubMed.
  48. B. A. Ference, H. N. Ginsberg, I. Graham, K. K. Ray, C. J. Packard and E. Bruckert, et al., Low-density lipoproteins cause atherosclerotic cardiovascular disease. 1. Evidence from genetic, epidemiologic, and clinical studies. A consensus statement from the European Atherosclerosis Society Consensus Panel, Eur. Heart J., 2017, 38(32), 2459–2472 CrossRef CAS PubMed.
  49. K. De Preter, R. Barriot, F. Speleman, J. Vandesompele and Y. Moreau, Positional gene enrichment analysis of gene sets for high-resolution identification of overrepresented chromosomal regions, Nucleic Acids Res., 2008, 36(7), e43–e43 CrossRef PubMed.
  50. T. Ruskovska, I. Budić-Leto, K. F. Corral-Jara, V. Ajdžanović, A. Arola-Arnal and F. I. Bravo, et al., Systematic analysis of nutrigenomic effects of polyphenols related to cardiometabolic health in humans – Evidence from untargeted mRNA and miRNA studies, Ageing Res. Rev., 2022, 79, 101649 CrossRef CAS PubMed.

This journal is © The Royal Society of Chemistry 2025
Click here to see how this site uses Cookies. View our privacy policy here.