From:  Targeting redox imbalance in pediatric asthma: environmental control, antioxidant strategies, and nutraceutical interventions

 Convergent mechanisms of key antioxidants and minerals, based on evidence from cell and animal models, with biologically plausible relevance to humans.

MechanismCurcuminQuercetinResveratrolZincMagnesiumSelenium (via GPx4)
Nrf2 activation → ↑ antioxidant enzymes√ Strong√ Strong√ Moderate-Strong√ ModerateNo direct activationIndirect; form-dependent Nrf2 activation
SIRT1/PGC-1α activation → mitochondrial biogenesis√ Moderate√ Moderate√ StrongEmerging evidence (not a direct activator)--
Mitochondrial protection → ↓ ROS, stabilized ΔΨm√ Strong√ Strong√ StrongIndirect (via Zn homeostasis, MT, Cu/Zn-SOD)Indirect (ATP synthesis, TCA enzymes)Strong (GPx4 protection of mitochondrial membranes)
NLRP3 inflammasome inhibition√ Strong√ StrongModerateModulatory; context-dependentEmerging evidence of inhibitionIndirect (not NLRP3-specific)
Prevention of ferroptosis (lipid-peroxide-driven cell death)Context-dependent modulatorContext-dependent modulatorContext-dependent modulator--Central anti-ferroptotic role (GPx4)
Immune metabolic effects (OXPHOS vs. glycolysis)*Mild-ModerateModerate (SIRT1/PGC-1α in macrophages)√ Strong OXPHOS shiftLimited direct evidenceSupports ATP-dependent immunityIndirect (via redox balance)
Role in mitochondrial energy metabolismModerateModerate√ StrongIndirect support via Zn-dependent enzymesEssential for ATP synthase & TCA cycleGPx4 maintains membrane integrity

Multiple antioxidants share convergent mechanisms: 1) Nrf2 activation (curcumin, quercetin, resveratrol, zinc) inducing coordinated antioxidant enzyme expression; 2) SIRT1/PGC-1α axis activation (curcumin, quercetin, resveratrol) promoting mitochondrial biogenesis; 3) NLRP3 inflammasome inhibition (curcumin, quercetin, zinc) preventing DAMP-mediated inflammation; 4) Immune cell metabolic reprogramming (resveratrol, zinc, magnesium) away from glycolytic pro-inflammatory states. *OXPHO is the metabolic pathway that mitochondria use to generate the majority of cellular ATP (energy) by coupling oxygen consumption to phosphorylation of ADP. OXPHOS is the primary mechanism by which mitochondria generate ATP, producing approximately 26-28 ATP molecules per glucose molecule (compared to only 2 ATP from glycolysis. GPx: glutathione peroxidase; OXPHOS: oxidative phosphorylation; ROS: reactive oxygen species; ΔΨm: mitochondrial membrane potential.