%0 Journal Article %T Research Progress of Polyphenolic Antioxidants in Disease Therapy: Molecular Mechanisms and Clinical Applications %A Luhong Yang %A Yaqi Guo %A Wenhui Cheng %A Yuchong Li %A Hongwei Bai %A Wei Chen %A Huafeng Wang %J Open Access Library Journal %V 13 %N 5 %P 1-21 %@ 2333-9721 %D 2026 %I Open Access Library %R 10.4236/oalib.1115302 %X Polyphenolic antioxidants are a diverse class of plant-derived secondary metabolites ubiquitously found in plant-based foods, highly promising for therapeutic intervention of various diseases. This review systematically co-vers dietary polyphenols from common food sources, purified compounds, polyphenol-rich plant extracts, and emerging delivery systems for bioavaila-bility enhancement, with a core focus on their molecular mechanisms of ac-tion and therapeutic potential in neurodegenerative diseases, cardiovascular diseases, and malignancies. The review details diverse molecular mecha-nisms underpinning polyphenol efficacy, extending beyond direct antioxidant activity to include modulation of signaling pathways, enzyme inhibition, and gene expression regulation. Evidence demonstrates their potential in miti-gating oxidative stress, inflammation, and specific pathological processes characteristic of Alzheimer¡¯s disease, Parkinson¡¯s disease, atherosclerosis, hypertension, and various cancers. However, significant challenges in phar-macokinetics, particularly poor bioavailability and extensive metabolism, hinder clinical translation. While preclinical evidence is compelling, over-coming bioavailability limitations via novel delivery systems or structural optimization is crucial for clinical advancement. %K Antioxidants %K Cancer %K Cardiovascular Diseases %K Neurodegenerative Diseases %K Polyphenols %U http://www.oalib.com/paper/6894777