International Journal of Cell and Biomedical Science
Vol 4 No 12 (2025)

Targeting Hypoxia-Induced Oxidative Stress via Natural Antioxidant Modulation: From Cellular Signaling to Therapeutic Perspectives

Dwi Widyawati (Department of Physiology, Faculty of Medicine and Health Science, Sultan Ageng Tirtayasa University, Banten 42118, Indonesia)
Ghea Farmaning Thias Putri (Sultan Ageng Tirtayasa University)
Rifdah Hanifah (Department of Medical Biology, Faculty of Medicine and Health Science, Sultan Ageng Tirtayasa University, Banten 42118, Indonesia)
Firda Asmaul Husna (Department of Medical Biology, Faculty of Medicine and Health Science, Sultan Ageng Tirtayasa University, Banten 42118, Indonesia)
Nabila Aulia Tsaqifah (Department of Public Health, Faculty of Medicine and Health Science, Sultan Ageng Tirtayasa University, Banten 42118, Indonesia)
Ainina Al Shadrina (Department of Pharmacy, Faculty of Medicine and Health Science, Sultan Ageng Tirtayasa University, Banten 42118, Indonesia)



Article Info

Publish Date
20 Dec 2025

Abstract

Hypoxia is a fundamental physiological and pathological condition that disrupts cellular homeostasis through the excessive generation of reactive oxygen species (ROS), leading to oxidative stress, inflammation, and organ dysfunction. The imbalance between ROS production and antioxidant defense mechanisms is a key contributor to cell injury and disease progression. This review aims to elucidate the molecular interactions among major redox-sensitive signaling pathways hypoxia-inducible factor 1 (HIF-1), nuclear factor kappa B (NF-κB), and nuclear factor erythroid 2-related factor 2 (Nrf2) in hypoxia-induced oxidative stress, and to highlight the therapeutic potential of natural antioxidants in modulating these pathways. Relevant literature published over the past five years (2020-2025) was systematically reviewed using databases including PubMed, Scopus, and ScienceDirect. The selected studies focused on molecular redox signaling, hypoxia-induced oxidative mechanisms, and the modulatory roles of natural phytochemicals such as Ficus carica bioactive compounds. Recent findings reveal that natural antioxidants regulate redox signaling by activating Nrf2-dependent antioxidant responses, suppressing NF-κB driven inflammation, and stabilizing HIF-1α under hypoxic conditions. Phytochemicals, particularly flavonoids and polyphenols, exhibit strong potential to restore oxidative balance, protect cellular integrity, and reduce hypoxia-induced damage. Modulating hypoxia-induced oxidative stress through natural antioxidant pathways offers a promising therapeutic strategy. A deeper understanding of the molecular crosstalk between redox signaling and phytochemical activity may provide new insights for developing preventive and therapeutic interventions against hypoxia-related disorders.

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Journal Info

Abbrev

cbs

Publisher

Subject

Biochemistry, Genetics & Molecular Biology Immunology & microbiology Medicine & Pharmacology

Description

International Journal of Cell and Biomedical Science, formerly CBS Int. Journal is an open-access, peer-reviewed journal published by Stem Cell and Cancer Research (SCCR), Indonesia. The journal publishes papers describing original findings and reviews articles in all aspects of cell, molecular ...