"Therapeutic uses of natural astaxanthin: An evidence-based review focused on human clinical trials"

Pharmacol Res. 2021 Apr:166:105479. doi: 10.1016/j.phrs.2021.105479. Epub 2021 Feb 4.

Abstract

Astaxanthin is a natural C40 carotenoid with numerous reported biological functions, most of them associated with its antioxidant and anti-inflammatory activity, standing out from other antioxidants as it has shown the highest oxygen radical absorbance capacity (ORAC), 100-500 times higher than ⍺-tocopherol and a 10 times higher free radical inhibitory activity than related antioxidants (α-tocopherol, α-carotene, β -carotene, lutein and lycopene). In vitro and in vivo studies have associated astaxanthin's unique molecular features with several health benefits, including neuroprotective, cardioprotective and antitumoral properties, suggesting its therapeutic potential for the prevention or co-treatment of dementia, Alzheimer, Parkinson, cardiovascular diseases and cancer. Benefits on skin and eye health promotion have also been reported, highlighting its potential for the prevention of skin photo-aging and the treatment of eye diseases like glaucoma, cataracts and uveitis. In this review, we summarize and discuss the currently available evidence on astaxanthin benefits, with a particular focus on human clinical trials, including a brief description of the potential mechanisms of action responsible for its biological activities.

Keywords: Astaxanthin; Clinical trial; Haematococcus lacustris; Haematococcus pluvialis; Nutraceuticals.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Animals
  • Anti-Inflammatory Agents / pharmacokinetics
  • Anti-Inflammatory Agents / pharmacology
  • Anti-Inflammatory Agents / therapeutic use*
  • Antioxidants / pharmacokinetics
  • Antioxidants / pharmacology
  • Antioxidants / therapeutic use*
  • Cardiovascular Diseases / drug therapy
  • Clinical Trials as Topic
  • Drug Development
  • Drug Discovery
  • Humans
  • Neoplasms / drug therapy
  • Neurodegenerative Diseases / drug therapy
  • Xanthophylls / pharmacokinetics
  • Xanthophylls / pharmacology
  • Xanthophylls / therapeutic use

Substances

  • Anti-Inflammatory Agents
  • Antioxidants
  • Xanthophylls
  • astaxanthine