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REVIEW article

Front. Med., 19 August 2025

Sec. Geriatric Medicine

Volume 12 - 2025 | https://doi.org/10.3389/fmed.2025.1637992

This article is part of the Research TopicInnovations and Strategies for Comprehensive Frailty Management in Older PeopleView all 18 articles

Advancements in research on the anti-aging effects and mechanisms of flavonoids in natural products


Wan-yu Li,Wan-yu Li1,2Liang ZhangLiang Zhang3Xing-wen Xie*&#x;Xing-wen Xie4*†Xiao-feng Shi,*&#x;Xiao-feng Shi1,2*†Qu-huan MaQu-huan Ma2
  • 1College of Pharmacy, Gansu University of Traditional Chinese Medicine, Lanzhou, China
  • 2Pharmaceutical Research Institute of Gansu Academy of Medical Sciences, Lanzhou, China
  • 3Gansu Medical College, Pingliang, China
  • 4Affiliated Hospital of Gansu University of Traditional Chinese Medicine, Lanzhou, China

In recent years, with the continuous development of social productivity and improvements in living standards, the issue of population aging has intensified. As the elderly are susceptible to cardiovascular diseases, osteoporosis, Alzheimer’s disease, and other conditions, the economic and resource burdens associated with treating, caring for, and supporting this demographic rise with their growing numbers, imposing significant pressure on societal development. In light of these challenges, research on natural products possessing anti-aging properties for treating aging-related chronic diseases has gained prominence. Flavonoids, a class of natural bioactive compounds abundantly found in plants, exhibit diverse pharmacological effects, including antioxidant, anti-inflammatory, and anti-osteoporosis activities. Therefore, studying the anti-aging effects of flavonoids is of significant value. This paper reviews recent research on the anti-aging effects of flavonoids by searching databases including CNKI, PubMed, Web of Science, and Google Scholar. The findings are summarized based on research subjects (C. elegans, animal models, and cells), effects, and mechanisms, to provide references for future in-depth research on the anti-aging effects of flavonoids.

1 Introduction

Aging represents an inevitable biological process characterized by a progressive decline in metabolic function and deterioration of organs and tissues. Due to this systemic degradation, the elderly exhibit heightened susceptibility to cardiovascular and neurological disorders, including hypertension, hyperlipidemia, diabetes, and Alzheimer’s disease. Visible manifestations of aging encompass sensory decline (hearing loss, impaired vision), integumentary changes (skin sagging, increased wrinkles), diminished physical fitness and endurance, and gradual muscle weakening. Additionally, elderly women face an increased risk of osteoporosis (1, 2) (see Figure 1). Currently, population aging is intensifying globally, notably in China and numerous other nations (3), Driven

FIGURE 1
Circular diagram illustrating the effects of aging on different body systems. Segments include skin aging with wrinkles and sagging, diabetes and cardiovascular diseases, heart and organ aging, skeletal aging with osteoporosis, muscle aging with weakness, and aging of eyes and ears with reduced vision and hearing. Central image shows human figures of different ages and sizes.

Figure 1. Effects of aging on the organism.

by persistently declining birth rates and steadily increasing life expectancy, the global population aged 65 and above is projected to reach 1.1 billion by 2035, constituting 13% of the world’s population. This demographic shift will significantly reduce the proportion of younger individuals. Developed countries are already confronting substantial labor shortages, while developing nations face unprecedented pressures and challenges from accelerated aging. The impact permeates multiple societal domains, including employment, healthcare, economic systems, and service provision. Consequently, ensuring comfortable aging while alleviating the economic burden on younger generations and mitigating associated socioeconomic and healthcare pressures has emerged as an urgent societal imperative. Given the strong association between aging and chronic diseases such as cardiovascular disorders and Alzheimer’s disease, elucidating the aging process is fundamental to understanding these conditions. Therefore, the development of safe, effective, environmentally sustainable, and economically viable anti-aging therapeutics and medical products is critically important.

Flavonoids comprise a class of compounds characterized by a 2-phenylchromone (flavone) core structure. They are primarily classified into core subclasses: flavanones, flavanols, dihydroflavonoids, dihydroflavonols, isoflavonoids, dihydroisoflavonoids, chalcones, aurones, flavones, and anthocyanins (see Figure 2 for parent nucleus structures). Functionally, flavonoids exist predominantly as glycosides (bound to sugar moieties), with a minority occurring as free aglycones. As ubiquitous plant secondary metabolites, flavonoids are distributed throughout stems, leaves, flowers, fruits, and seeds. Their presence contributes to the vibrant pigmentation of many common foods and botanicals, including citrus fruits, legumes, and medicinal herbs such as liquorice, black goji berries, and ginger (4). This widespread occurrence underscores their status as green, safe, inexpensive, and readily accessible compounds. Modern pharmacological research confirms flavonoids possess significant antioxidant activity—a property critically linked to aging and age-related metabolic diseases (57), Accumulating evidence further demonstrates their therapeutic potential against diabetes, neurodegenerative disorders, cardiovascular diseases, and skeletal system pathologies (811). Consequently, global research efforts increasingly employ extraction, separation, purification, and synthesis techniques to obtain flavonoid fractions or specific compounds for anti-aging investigations (12), highlighting their substantial promise in this field.

FIGURE 2
Chemical structures of various flavonoids are shown, including flavone, flavonol, dihydroflavone, dihydroflavonol, isoflavone, dihydroisoflavone, chalcone, aurones, flavanes, anthocyanidins, and biflavone. Each structure is depicted with molecular bonds and relevant chemical groups identified.

Figure 2. Flavonoid parent nucleus.

While previous reviews have outlined flavonoids’ anti-aging bioactivities, these often emphasize specific roles and mechanisms (13, 14), with relatively limited systematic organization. Recent advances in model organism applications have accelerated research in this domain. This review synthesizes findings from the most extensively studied anti-aging models—C. elegans, rodent species (rats/mice), and cellular systems—to systematically summarize flavonoid effects and mechanisms. We searched the CNKI, PubMed, Web of Science and Google Scholar databases using relevant keywords, as shown in Figure 3. This structured approach aims to provide future investigators with conceptual frameworks, stimulate novel research directions, and enhance contextual understanding of existing data.

FIGURE 3
Flowchart showing a systematic search and screening process for articles on flavonoids and anti-aging. Initial search on CNKI, PubMed, Web of Science, and Google Scholar retrieved 732 results. First screening removed 84 dissertations and 75 pre-2010 articles. Second screening eliminated 511 papers due to irrelevance, poor quality, or homogeneity. Third screening identified 29 relevant articles. The final citation has 91 references.

Figure 3. Literature retrieval strategy.

2 Studies on the anti-aging effects of flavonoids based on different models

2.1 Anti-aging effects of flavonoids in Caenorhabditis elegans models

As eukaryotic organisms, C. elegans share skin, muscular, digestive, nervous, and reproductive system homology with higher organisms, along with significant genetic conservation—including with humans. Their short lifespan and high reproductive capacity have established C. elegans as a fundamental model for longevity research since the 1980s (15). making it a cornerstone organism in aging studies. The anti-aging effects and mechanistic pathways of flavonoids in this C. elegans model are summarized in Table 1.

TABLE 1
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Table 1. Anti aging effects and mechanisms of natural flavonoids in models of Caenorhabditis elegans.

Compared to other model organisms, such as higher animals and cells, Caenorhabditis elegans offers advantages including genetic stability, a simple individual structure, a short life cycle, a large population size and low operational costs. It has unique applications in the study of aging and genetic diseases. However, it has limitations in terms of aging phenotypes when compared to higher animals, making it difficult to simulate human skin aging or neurodegenerative disease phenotypes. There are also fundamental differences between C. elegans and higher organisms in terms of physiology and living environments. Therefore, while it is highly promising for the initial screening of flavonoid compounds for anti-aging effects, further validation through animal and cell models is necessary for in-depth research.

2.2 Anti-aging effects of flavonoids in animal models

The D-galactose-induced subacute aging model is widely employed in animal studies. High-dose D-galactose administration generates excessive reactive oxygen species (ROS), inducing oxidative stress that exacerbates mitochondrial dysfunction, apoptosis, and tissue damage (2931). Owing to its procedural simplicity and minimal adverse effects, this model has gained prominence in aging research (32). Flavonoid compounds tested in animal models, along with their specific actions and mechanisms, are detailed in Table 2.

TABLE 2
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Table 2. Anti aging effects and mechanisms of natural flavonoids in animal models.

2.3 Anti-aging effects of flavonoids in cellular models

As the fundamental functional unit of human biology, cells represent condensed microcosms of organismal physiology. Cellular senescence triggers senescence-associated secretory phenotype (SASP) expression in critical tissues including heart, liver, and kidneys (5759). Growing interest in natural anti-aging compounds has expanded research at the cellular level (1). The availability of diverse cellular models and the feasibility of molecular-level mechanistic investigations make this system ideal for anti-aging studies. Flavonoid mechanisms and functional outcomes in cellular models are cataloged in Table 3.

TABLE 3
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Table 3. Anti aging effects and mechanisms of natural flavonoids in cell models.

Our summary shows that flavonoids exhibit significant anti-aging activity in C. elegans, animal and cellular aging models. The advantages and disadvantages of each model are summarized in Table 4.

TABLE 4
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Table 4. A comparison of the advantages and disadvantages of C. elegans, animal and cell models.

2.4 Other models and roles

Alternative model systems further demonstrate flavonoids’ anti-aging potential. Pu et al. (71) utilized network pharmacology to predict anti-aging mechanisms in Lantana camara, identifying quercetin, apigenin, baicalein, kaempferol, naringenin, and lignans as key components that modulate aging- and tumor-related pathways. Li et al. (72) reported potent in vitro antioxidant activity in Ginkgo biloba seed kernel extracts, suggesting anti-aging effects requiring further validation. In yeast models, sacred lotus stamen flavonoids extended the chronological lifespan of Saccharomyces cerevisiae DBY746 by enhancing mitochondrial function, antioxidant enzymes, and NADH/ATP production (73). Concurrently, Guo et al. (74) found neohesperidin prolonged stationary-phase survival in S. cerevisiae BY4742 following nutrient depletion, though its ROS-scavenging capacity was limited and mechanisms remain uncharacterized. Complementing these findings, Lycium ruthenicum (black wolfberry) flavonoid extract significantly extended Drosophila melanogaster lifespan by alleviating H2O2-induced oxidative damage (35).

3 Study on the mechanism of anti-aging effects of natural flavonoids

3.1 Free radical scavenging mechanisms

Human physiological processes inherently generate oxidative reactions. An imbalance between oxidation and antioxidant defenses induces oxidative stress, producing harmful free radicals that damage cellular components. Chronic oxidative stress causes cumulative DNA, protein, and tissue damage, accelerating aging and disease pathogenesis (75). Most flavonoids counteract aging through antioxidant mechanisms - reducing oxidative stress and enhancing antioxidant capacity across model systems including C. elegans, cellular models, and D-galactose-induced animal models. This aligns with Harman’s Free Radical Theory of Aging (1956), which posits that age-related accumulation of free radicals drives DNA damage, metabolic dysregulation, and degenerative conditions including neurodegeneration and cancer (7678). As illustrated in Figure 4, flavonoids reduce oxidative stress-induced damage by enhancing the activity of antioxidant enzymes, such as SOD and GSH. They do this by eliminating excess ROS and H2O2, which are harmful free radicals, and by regulating redox balance to exert anti-aging effects.

FIGURE 4
Diagram illustrating biochemical pathways involved in oxidative stress and aging. It includes the conversion of glucose to G-6-phosphogluconate via G-6-PDH and highlights activities of SOD, catalase, and GSH reductase. The presence of reactive oxygen species like superoxide and hydrogen peroxide is depicted, along with interactions involving xenobiotics, quinone, and semiquinone. The diagram shows potential damage to DNA, proteins, and lipids, contributing to aging.

Figure 4. Aging induced by oxidative stress. The red upward arrow in the figure indicates an increase in antioxidant enzyme activity, a decrease in ROS and harmful free radical accumulation, and a delay in aging; The dark blue downward arrow indicates a reduction in harmful free radical content or oxidative stress damage, delaying aging.

3.2 Nutrient-sensing pathway regulation

Beyond oxidative stress mitigation, flavonoids extend lifespan in C. elegans primarily through insulin/insulin-like signaling (IIS) pathway modulation (Figure 5) (79). This regulatory pathway is similar to those found in higher organisms. In Caenorhabditis elegans, under nutrient-rich conditions, insulin-like growth factor ligands bind to receptors. This triggers a series of protein kinase cascades, resulting in the phosphorylation and modification of DAF-16 by AKT-1 and AKT-2. DAF-16 that has been phosphorylated by AKT cannot enter the nucleus and is inactivated as a transcription factor. However, in DAF-2 or AGE-1 mutant C. elegans, this cascade is not activated and unphosphorylated DAF-16 is transported into the nucleus. There, it regulates the expression of downstream genes, thereby extending lifespan. The key regulatory factors DAF-2 and DAF-16 control the expression of downstream genes during the dauer larval stage. Flavonoids can enhance their anti-aging functions. Key regulators DAF-2 and DAF-16 control downstream effectors during the dauer larval stage (80, 81), flavonoids enhance their anti-aging functions by increasing the expression of daf-2 and daf-16 (82). While these genes respond to multiple factors (Figure 5), further research is needed to elucidate: (1) their downstream regulatory mechanisms, and (2) their role in nutrient-sensing mediated lipid/glucose metabolism.

FIGURE 5
Diagram illustrating the insulin signaling pathway with an insulin-like ligand binding to daf-2, leading to AGE-1, which activates AKT-1,2. This regulates SKN-1 and daf-16, influenced by various factors like DDL-1,2, daf-18, PPTR-1, PMRT-1, JNK-1, AMPK, SMK-1, HCF-1, and HSF-1, with downstream effects on gene transcription.

Figure 5. IIS signal regulation diagram. Gray section: The deletion mutation of daf-2 (insulin-like growth factor receptor) can cause long-term nematode aging and death; Age-1 (3-Phosphatidylinositol Kinase): Mutation prolongs lifespan; AKT-1 and AKT-2 (protein kinase): daf-16 not phosphorylated by AKT will be transported to the nucleus to regulate the expression of downstream genes and play a role in prolonging life; DDL-1, 2: The heat shock factor HSF-1 forms a trimeric DHIC with two other proteins, DDL-1 and DDL-2, but HSF-1 needs to dissociate from DDL1,2 to form a monomer for activation activity; HCF-1: A protein highly homologous to host cell factor 1 in C. elegans, but HCF-1 interacts with daf-16 to prevent daf-16 from binding to the promoter of downstream genes regulating aging. Therefore, knocking down HCF-1 can stimulate daf-16 to exert anti-aging effects.

3.3 Sirtuin pathway activation

Sirtuins (NAD+-dependent deacylases) sense metabolic cues, modulate mitochondrial function, exert neuroprotection, and mitigate age-related pathologies (83). SIRT1 activation has emerged as a promising therapeutic strategy for delaying aging and improving metabolic health (8486). As depicted in Figure 6, flavonoids combat cellular senescence by enhancing SIRT1 expression and activity (87). In the SIRT1-NF-κB signaling pathway, P65 acetylation enhances NF-κB activity, triggering inflammatory responses and leading to aging. However, SIRT1 can inhibit NF-κB activity by mediating P65 deacetylation, thereby reducing inflammation and delaying the aging process. In the SIRT1-AMPK signaling pathway, AMP-activated protein kinase (AMPK) plays a key role in cellular energy metabolism and survival. AMPK activation can enhance autophagy and prolong lifespan. SIRT1 interacts with AMPK and can enhance its own activity by increasing NAD+ levels. In the SIRT1-PGC1α signaling pathway, peroxisome proliferator-activated receptor coactivator-1α (PGC-1α) is the primary transcriptional coactivator responsible for regulating mitochondrial function and maintaining mitochondrial homeostasis. SIRT1 regulates mitochondrial function and metabolic balance by increasing mitochondrial biosynthesis and oxygen consumption through the deacetylation of PGC1α, thereby delaying aging. It has been shown that inhibiting mTOR activity can prolong the lifespan of various organisms. SIRT1 delays aging by blocking the mTOR pathway and activating autophagy. SIRT1 can also interact with tuberous sclerosis protein 2 (TSC2), an upstream inhibitor of TORC1 that negatively regulates mTOR signaling in a TSC2-dependent manner. P53 activation is involved in cell apoptosis, cell cycle arrest and aging. SIRT1 leads to the deacetylation of P53, thereby inhibiting DNA damage and stress-induced cell aging. P21 is a P53 target, and reducing the expression of both P53 and P21 can delay aging. FOXOs are a family of proteins that act as sensors in the insulin signaling pathway and are a type of transporter protein. They are involved in oxidative stress, DNA damage repair, autophagy and cell cycle arrest. FOXOs bind to SIRT1 to regulate cellular aging. In mammalian cells, SIRT1 reduces oxidative stress damage by regulating FOXOs.

FIGURE 6
Diagram illustrating SIRT1’s role in cellular pathways. SIRT1 influences inflammation via the NF-κB pathway, autophagy via the AMPK pathway, and mitochondria via the PGC1-α pathway. It impacts apoptosis through P53 and P21, and oxidative stress damage through TSC2, mTOR, and FOXOs. These pathways converge on aging, with NAD+ modulating SIRT1 activity.

Figure 6. SIRT1 regulates the signaling pathway diagram.

3.4 Other mechanism of action

Flavonoids combat aging through multifaceted mechanisms beyond oxidative stress mitigation and nutrient-sensing pathway modulation. Aging hallmarks—including genomic instability, telomere attrition, epigenetic alterations, proteostasis collapse, impaired autophagy, dysregulated nutrient sensing, mitochondrial dysfunction, cellular senescence, stem cell exhaustion, and chronic inflammation (88)-are counteracted by flavonoids via apoptosis regulation, suppression of inflammatory factor release, enhanced autophagic flux, and telomerase activation. Critically, flavonoids exhibit pleiotropic regulation, with single compounds concurrently engaging mTOR, IIS, and AMPK pathways. For instance, mTOR signaling modulates MAPK expression and senescence-associated secretory phenotypes (SASP), integrating these pathways into a coordinated anti-aging network (8991). While flavonoids demonstrably ameliorate aging phenotypes across cellular, tissue, and organismal levels, their comprehensive mechanistic landscape remains an active research frontier.

4 Discussion

The continuous growth of the global elderly population imposes substantial pressure and poses significant challenges for society, the economy, and service industries. Developing natural and effective anti-aging drugs and health products represents a promising approach to mitigate this issue. This paper reviews the anti-aging effects of flavonoid compounds—a subject of considerable research interest. By synthesizing available data, we summarize the roles of flavonoids in aging across model organisms (e.g., Caenorhabditis elegans), animal models, and cellular systems. From both in vivo and in vitro perspectives, this work elucidates the value and potential of flavonoid compounds in anti-aging research.

In summary, future research on flavonoid anti-aging effects requires optimization in several areas. First, isolating and identifying individual compounds remains time-consuming; most current studies focus on total flavonoids, with limited reports on single constituents. Subsequent studies should employ advanced chromatographic techniques for efficient compound separation and analysis to better understand their chemical profiles and anti-aging properties. Second, current models primarily utilize C. elegans, mice, and cells, while organisms like Drosophila and yeast are underutilized—likely due to higher costs and specialized expertise requirements for the latter. Future efforts should increase investment, implementing a three-tiered “model organisms-animals-cells” strategy combined with in vivo/in vitro approaches for comprehensive validation. Third, most animal aging models rely on D-galactose injection, whereas naturally aged or genetic defect models are scarce due to long experimental cycles, multifactorial instability, and high costs. More cost-effective, operationally simple modeling methods are needed to enhance scientific rigor. Regarding mechanisms, current research emphasizes the free radical theory targeting oxidative stress reduction. However, as oxidative stress is not the sole driver of aging, future studies should adopt integrated strategies—combining genomics, proteomics, and multi-level (cellular/tissue) analyses—to identify novel targets and signaling pathways, thereby establishing a holistic understanding of anti-aging mechanisms.

Author contributions

W-yL: Writing – review & editing, Writing – original draft. LZ: Writing – original draft. X-wX: Funding acquisition, Writing – review & editing. X-fS: Project administration, Verification, Writing – review & editing. Q-hM: Supervision, Writing – review & editing.

Funding

The author(s) declare that financial support was received for the research and/or publication of this article. This study was supported by the Gansu Provincial Science and Technology Major Project (22ZD6FA021-4), Gansu Province Chinese Medicine Major Scientific Research Project (GZKZ-2020-5), and the Natural Science Foundation of Gansu Province (23JRRA1802).

Conflict of interest

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

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The authors declare that no Generative AI was used in the creation of this manuscript.

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Abbreviations

A β, amyloid β-protein; AMPK, Adenosine 5’-monophosphate (AMP)-activated protein kinase; AGEs, advanced glycation end products; Bcl-2, B-cell lymphoma-2; BMMSCs, Bone marrow mesenchymal stem cells; Caspase-3, cysteinyl aspartate specific proteinase-3; Gal, galactose; GPx4, Glutathione Peroxidase 4; GFAP, glial fibrillary acidic protein; HO-1, heme oxygenase-1; HUVECs, human umbilical vein endothelial cells; LPS, Lipopolysaccharide; LC3 I/II, Microtubule-associated protein 1 light chain 3; LKB1, Liver kinase B1; MMP-3, matrix metalloproteinase-3; MDA, Malondialdehyde; MAO-B, monoamine oxidase; Nrf2, nuclearfactorerythroid-2-relatedfactor2; NQO1, NAD(P)H: quinone oxidoreductase 1; NF- κ B, nuclear factor kappa-light-chain-enhancer of activated B; NPMSCs, nucleus pulposus mesenchymal stem cells; NPCs, Neural progenitor cells; PGC1 α, Peroxisome proliferator-activated receptor y coactivator 1 α; ROS, reactive oxygen species; SIRT1, Sirtuin 1; SA- β-Gal, Senescence-associated β-galactosidase; TNF- α, tumor necrosis factor- α; TORC1, target of rapamycin complex 1.

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Keywords: flavonoids, anti-aging effects, different models, antioxidants, mechanism of action, research progress

Citation: Li W-y, Zhang L, Xie X-w, Shi X-f and Ma Q-h (2025) Advancements in research on the anti-aging effects and mechanisms of flavonoids in natural products. Front. Med. 12:1637992. doi: 10.3389/fmed.2025.1637992

Received: 30 May 2025; Accepted: 04 August 2025;
Published: 19 August 2025.

Edited by:

Jie Li, Huazhong University of Science and Technology, China

Reviewed by:

Lay Jing Seow, University of Kuala Lumpur, Malaysia
Yue Wang, Zhejiang University, China
Rajan Logesh, JSS Academy of Higher Education and Research, India

Copyright © 2025 Li, Zhang, Xie, Shi and Ma. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

*Correspondence: Xing-wen Xie, ODI3OTc1MjcyQHFxLmNvbQ==; Xiao-feng Shi, c2hpeGlhb2ZlbmcyMDA1QCBzaW5hLmNvbQ==

These authors have contributed equally to this work

Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.