Antioxidants, such as stilbenes, anthocyanidins, coumarins, tannins and
flavonoids, are often based on oxygen-containing redox systems and tend to feature several
hydroxyl groups in their chemical structures. From a synthetic perspective, oxygen atoms
are prone to bioisosteric replacement with sulfur and, notably, selenium. The main objective
of this narrative literature review is to explore if and how bioisosteric substitution of oxygen
with sulfur or selenium can enhance the biological activity of natural products. This re placement boosts the biological activity of the resulting molecules considerably as they now
combine the redox and antioxidant properties of the original flavonoids and other natural
products with the specific redox behavior of sulfur and selenium. Besides sequestering
free radicals and peroxides, they may, for instance, also catalyze the removal of oxidative
stressors, capture free metal ions and even provide scope for selenium supplementation.
Since these molecules resemble their natural counterparts, they also exhibit considerable
selectivity inside the body and a good pharmacokinetic profile. Still, the synthesis of
such hybrid molecules integrating sulfur and selenium into flavonoids and other natural
products is a challenge and requires innovative synthetic strategies and approaches
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