Hydroxytyrosol: benefits, dosage, contraindications

Mis à jour le

Hydroxytyrosol is a phenolic compound naturally present in olive oils and olive leaves. Its importance as a healthy substitute is supported by a number of reports demonstrating its remarkable antioxidant, anti-inflammatory, antimicrobial, and neuroprotective properties, which give it a central role in the prevention of cardiovascular and neurodegenerative diseases, as well as in metabolic syndrome. These attributes have earned it positive scientific opinions from EFSA highlighting the interest of dietary hydroxytyrosol to protect low-density lipoproteins (LDL) and thereby reduce the incidence of cardiovascular diseases, noting that a dietary intake of 5 mg is sufficient to obtain these benefits.

Family or group: 

Phytosubstances


Indications

Scoring methodology

EFSA approval.

Several randomized, double-blind, controlled clinical trials (> 2), including a significant number of patients (>100), with consistently positive conclusions for the indication.
Several randomized, double-blind, controlled clinical trials (> 2), including a significant number of patients (>100), with positive conclusions for the indication.
One or more randomized studies, or several cohorts or epidemiological studies, with positive conclusions for the indication.
Clinical studies exist but are uncontrolled, with conclusions that may be positive or conflicting.
No clinical studies to date that can demonstrate the indication.


Oxidative stress
✪✪✪✪✪

Several studies have shown that hydroxytyrosol can scavenge peroxynitrite, thereby preventing DNA damage and nitration of protein tyrosine residues; hydroxytyrosol is also able to protect against lipid peroxidation and the oxidation of low-density lipoproteins (LDL), which are known to be involved in the development of atherosclerosis. nnThe health claim, published by the European Food Safety Authority (EFSA), applies only to olive oil that contains at least 5 mg of hydroxytyrosol and its derivatives (for example, the oleuropein complex and tyrosol) per 20 g of olive oil. nn

Posologie

posologieOrally

posologie5 - 15 mg


Lipid balance
✪✪✪✪✪

Hydroxytyrosol is very effective at preventing lipid peroxidation and protecting LDL from oxidation. The European Food Safety Authority (EFSA) has issued a health claim regarding the role of olive oil polyphenols in protecting LDL from oxidation in vivo: "A daily consumption of 20 g of olive oil, which contains at least 5 mg of hydroxytyrosol and its derivatives (for example, oleuropein and tyrosol) provides the expected beneficial effects."nnFurthermore, olive oil is able not only to increase the resistance of LDL to oxidation, but also to reduce oxidative damage to LDL. Nevertheless, high phenolic content in olive oil could have greater effects than low-phenolic olive oils on reducing LDL oxidation.nnOverall, olive leaf extracts and olive oil may be beneficial in cases of dyslipidemia, particularly with elevated LDL-C, in combination with an appropriate diet and/or cholesterol-lowering treatment.nn

Posologie

posologieOral administration

posologie5 mg


Metabolic syndrome
✪✪✪✪✪

Clinical research shows that hydroxytyrosol may improve insulin sensitivity in middle-aged overweight men who are at risk of developing metabolic syndrome. However, a meta-analysis did not show effects on metabolic syndrome or on the glycemic profile. Most studies compared olive oil to other oils that have already demonstrated beneficial effects on metabolic syndrome. Most of the evidence included in the meta-analysis agrees on a beneficial effect of olive oil on the lipid profile. On the other hand, systolic blood pressure could be considerably reduced with consumption of olive oil high in phenolic compounds, mainly hydroxytyrosol and oleuropein.

Posologie

posologieOral administration

posologie9.7 mg


Atherosclerosis
✪✪✪✪✪

Phenolic compounds in olive oil, such as hydroxytyrosol, are responsible for its antioxidant properties. Hydroxytyrosol not only scavenges radicals, but also stimulates synthesis and increases the activity of endogenous antioxidant enzymes. It limits LDL lipid peroxidation, which has beneficial effects in the prevention of atherosclerosis. nnAccording to a randomized double-blind study, the consumption of hydroxytyrosol and punicalagin (extracted from pomegranates) for 8 weeks could help reduce atherosclerotic markers. Indeed, 105 people aged 45 to 65 years consumed daily 9.9 mg of hydroxytyrosol, combined with 195 mg of punicalagin. This supplementation produced anti-atherogenic effects, resulting in a decrease in blood pressure as well as a decrease in circulating oxidized LDL cholesterol levels.nn

Posologie

posologieOrally

posologie9.9 mg


Synergies


Properties


Cardiovascular

full-leaffull-leaffull-leaffull-leaf

Hydroxytyrosol is highly effective at preventing lipid peroxidation and protecting LDL from oxidation. The European Food Safety Authority (EFSA) has published a health claim concerning the role of olive oil polyphenols in protecting LDL from oxidation in vivo: "a daily consumption of 20 g of olive oil, which contains at least 5 mg of hydroxytyrosol and its derivatives (for example, oleuropein and tyrosol), provides the expected beneficial effects." Hydroxytyrosol also exerts a beneficial effect on high-density lipoproteins (HDL). Moreover, it has been shown that hydroxytyrosol improves the expression of genes related to cholesterol efflux.

Usages associés

Atherosclerosis, Lipid balance

Antioxidant

full-leaffull-leaffull-leafempty-leaf

Thanks to its two hydroxyl groups, hydroxytyrosol provides effective protection against oxidative stress in intestinal epithelial cells, erythrocytes and hepatocytes, through a reduction in lipid peroxidation, expression of intercellular adhesion molecule-1 (ICAM-1) and monocyte adhesion. Other studies have shown that hydroxytyrosol is capable of scavenging peroxynitrite, thereby preventing DNA damage, and of protecting against lipid peroxidation and oxidation of low-density lipoproteins (LDL), which are known to be involved in the development of atherosclerosis. Additionally, it increases the activity and expression of antioxidant proteins such as glutathione peroxidase.

Usages associés

Metabolic syndrome, Oxidative stress

Hypoglycemic

full-leaffull-leaffull-leafempty-leaf

It has been shown that the improvement in glucose tolerance depends on the concentration of polyphenols and olive oil. Clinical trials regarding the impact of hydroxytyrosol on carbohydrate metabolism are still lacking, but experiments in rodent models of metabolic syndrome are available and suggest that hydroxytyrosol is able to reduce plasma glucose concentration and insulin secretion, which leads to a decrease in insulin resistance.

Usages associés

Metabolic syndrome

Anticancer

full-leaffull-leafempty-leafempty-leaf

Hydroxytyrosol has an antiproliferative effect and induces apoptotic cell death through the generation of free radicals in the human colon cancer cells. Furthermore, Hydroxytyrosol has been shown to decrease the expression of the epidermal growth factor receptor, which has been associated with a reduction in cell proliferation of human colon cancer cells and decreased tumor growth. The study of Hydroxytyrosol's effect on breast cancer, prostate and colon cell lines revealed antiproliferative activity.


Anti-inflammatory

full-leaffull-leafempty-leafempty-leaf

A beneficial role for Hydroxytyrosol in several inflammatory diseases has been proposed. Hydroxytyrosol may be beneficial in rheumatoid arthritis and autoimmune diseases characterized by chronic inflammation, with a significant impact not only on chronic inflammation but also on acute inflammatory processes. The protective effects may be related to inhibition of mitogen-activated protein kinase (MAPK) and NF-κB signaling pathways. In addition, Hydroxytyrosol reduces pro-inflammatory cytokines with a considerable blockade of various inflammation-related pathways. Hydroxytyrosol also has the potential to be a chondroprotective compound against osteoarthritis, acting as an inducer of autophagy and sirtuin-1 (an enzymatic protein involved in multiple processes in the body such as inflammation and apoptosis).

Usages associés

Metabolic syndrome


Safe dosage

Adults 18 years and older: 5 mg

According to the European Food Safety Authority (EFSA), a daily intake of 20 g of olive oil containing at least 5 mg of hydroxytyrosol and its derivatives (for example, oleuropein and tyrosol) provides the expected beneficial effects.


Interactions

Médicaments

Antidiabetic: moderate interaction

Theoretically, concomitant use of olive could enhance hypoglycemic effects. Monitor blood glucose closely.

Antihypertensive: moderate interaction

Theoretically, concomitant use of olive may enhance the hypotensive effect. Some antihypertensive medications include captopril, enalapril, losartan, valsartan, diltiazem, amlodipine...


Precautions

Pregnant women: avoid

Avoid due to lack of information.

Breastfeeding women: avoid

Avoid due to lack of information.