Lycopene: benefits, dosage, contraindications

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Lycopene is an unsaturated hydrocarbon carotenoid whose structure is similar to beta-carotene, but without provitamin A activity. It is a red lipid-soluble pigment synthesized by plants and microorganisms. It is found in foods such as tomatoes, guavas, pink grapefruits, blood oranges, apricots, rose hips, and watermelons. A 130-gram serving of fresh tomatoes contains between 4 mg and 10 mg of lycopene, depending on the variety, growing conditions, and degree of ripeness. Lycopene was first isolated from the berries of black bryony by Hartsen in 1873 and from tomatoes by Millardet of France in 1875. It was given the name lycopene by Schunck in a presentation to the Royal Society of London in 1903. Dietary lycopene intake varies from about 1 mg/day to 10.5 mg/day. Plant-derived lycopene is mainly in the all-trans configuration, which is poorly absorbed, but its high degree of unsaturation allows cis-trans isomerization to occur in response to light, thermal energy, and chemical reactions. In human plasma, lycopene is present as a mixture of isomers, about 50% of which are cis isomers. Lycopene accounts for about half of the carotenoids in human serum, concentrating in low-density and very-low-density lipoprotein fractions. It also concentrates in the adrenal glands, testes, prostate, lungs, and skin. Orally, lycopene is used to prevent cardiovascular disease and sunburn. Lycopene is also used to treat prostate problems and male infertility.

Scientific name(s)

Psi-Psi-Carotene

Family or group: 

Plant substances


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.


Benign prostatic hyperplasia
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Although some epidemiological data show no link between dietary lycopene intake and the development of BPH, some preliminary clinical research suggests that taking lycopene alone or in combination could improve BPH-related symptoms. nnA preliminary clinical study shows that taking lycopene at 15 mg per day for 6 months slows the progression of BPH. The consumption of 50 grams of tomato concentrate per day for 10 weeks reduced prostate-specific antigen (PSA) levels by about 11% in patients with BPH in another study. nnOther clinical research shows that taking a combination of lycopene 2.1 mg, pumpkin seed oil 160 mg, small-flowered willowherb 500 mg, pygeum 15 g and saw palmetto 660 mg once daily for 3 months reduced the International Prostate Symptom Score (IPSS) by 36% versus 8% with placebo in patients with BPH. nnIn another study, daily oral intake of a combination of lycopene 5 mg, saw palmetto 320 mg and selenium 50 mcg for 1 year decreased the IPSS similarly to tamsulosin 0.4 mg per day (a medication prescribed to relieve symptoms due to prostate enlargement). The concomitant use of the supplement combination and tamsulosin resulted in a greater reduction in IPSS than taking tamsulosin or the supplements alone. nn

Posologie

posologieOral

posologie5 - 15 mg

duration6 months

populationMen


Synergies


Dyslipidemia
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Preliminary clinical research shows that taking a specific oral lycopene supplement, 4 mg per day for 6 months, reduces total cholesterol by 24% and low-density lipoprotein (LDL) cholesterol by 15% and increases high-density lipoprotein (HDL) by 26% compared with baseline values in postmenopausal women. Other clinical research in Japanese patients with high cholesterol shows that consuming 50 grams of a semi-dried tomato containing 22.0-27.8 mg of lycopene per day for 12 weeks modestly reduces LDL cholesterol levels but does not affect HDL cholesterol levels, compared with consuming 50 grams of tomato without lycopene.

Posologie

posologieOrally

posologie4 mg

populationAdults


High blood pressure
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Preliminary clinical research in hypertensive patients shows that taking 15 to 30 mg of lycopene per day for 6 to 8 weeks, as a specific tomato extract, appears to reduce systolic blood pressure by 7 to 13.5 mmHg and diastolic blood pressure by 4 to 6 mmHg compared with baseline values.

Posologie

posologieOral

posologie15 - 30 mg

duration8 weeks

populationAdults


Cardiovascular diseases
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Most epidemiological research has shown that higher serum levels of lycopene and increased dietary intake of lycopene are associated with a modest reduction in the risk of adverse cardiovascular events, including a reduced incidence of coronary heart disease, myocardial infarction, stroke, and mortality. However, intervention trial results show that lycopene does not significantly improve most cardiovascular disease risk factors. Indeed, a review of clinical research shows that daily oral intake of 4 to 30 mg of lycopene in addition to the usual diet does not improve diastolic blood pressure, total cholesterol, low-density lipoprotein cholesterol, high-density lipoprotein cholesterol, triglycerides, endothelial function, or inflammatory markers compared with the usual diet alone in healthy individuals. However, lycopene supplementation appears to reduce systolic blood pressure by about 6 mmHg.

Posologie

posologieOrally

posologie4 - 15 mg

populationAdults


Male fertility disorders
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Preliminary clinical research shows that taking 2 mg of lycopene orally twice a day for 3 months improves sperm concentration, motility, and morphology in some men with idiopathic infertility. nn

Posologie

posologieOrally

posologie2 - 4 mg

duration3 - months

populationMen


UV exposure
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Preliminary clinical research shows that taking 10 to 16 mg of lycopene orally per day for 12 weeks, in the form of tomato concentrate or tomato extract, may provide some protection against sunburn. nn

Posologie

posologieOrally

posologie10 - 16 mg

duration12 - weeks

populationAdults


Prostatitis
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Preliminary clinical research conducted in men suffering from prostatitis and chronic pelvic pain syndrome shows that daily intake for 8 weeks of a specific combination of lycopene 5 mg, selenium 50 mcg and saw palmetto 320 mg reduces pain scores by 52% compared with 26% with saw palmetto alone. Further clinical studies are necessary to confirm the action of lycopene.

Posologie

posologieOrally

posologie5 mg

populationMen


Synergies


Prostate cancer
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Epidemiological evidence regarding the role of lycopene in the prevention of prostate cancer is conflicting. Some research suggests that increased dietary intake of lycopene from tomatoes and tomato-based products, or higher serum lycopene levels, are associated with a lower risk of developing prostate cancer. However, other epidemiological studies show no association between dietary lycopene intake or serum lycopene levels and prostate cancer risk. A meta-analysis of 42 studies shows that the risk of developing prostate cancer decreases by 1% for each additional 2 mg of daily dietary lycopene intake and decreases by 3.5% for each 10 mcg/dL increase in circulating lycopene levels. Preliminary clinical research in men with high-grade prostatic intraepithelial neoplasia indicates that taking oral lycopene supplements at 4 mg twice daily for one year may delay or prevent progression to prostate cancer. In men with recurrent metastatic prostate cancer, taking oral lycopene at 10 mg to 30 mg per day or tomato-based products providing an average of 43 mg of lycopene per day for 3 to 6 months stabilizes PSA (prostate-specific antigen) levels in 29% to 95% of cases.

Posologie

posologieOral

posologie8 - 30 mg

duration1 - years

populationMen


Properties


Antioxidant

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Lycopene is an antioxidant; it reduces the formation of free radicals in cells and the blood. nn


Anticancer

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Lycopene has antioxidant effects and may reduce cancer risk by trapping free radicals, thereby preventing oxidative damage to DNA. It is also thought that lycopene suppresses carcinogen-induced phosphorylation of regulatory proteins, such as the tumor suppressors p53 and Rb, and that it arrests cell division at the G0-G1 phase of the cell cycle. Lycopene may be protective against carcinogen-induced preneoplastic lesions in the rat liver by acting on cytochrome P450-2E1. It also reduces cell proliferation induced by insulin-like growth factors.nn

Usages associés

Benign prostatic hyperplasia

Dermatologic effect

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The use of lycopene to prevent acne has attracted some interest. Clinical research conducted in healthy subjects suggests that consuming ice cream containing lycopene could reduce the risk of developing acne by reducing skin desquamation and the presence of gram-positive bacteria on the skin. This study was limited by the absence of a placebo comparison.nnAlso, lycopene may help prevent UV-induced skin damage by scavenging reactive oxygen species and absorbing UVA and UVB rays. The lycopene molecule is altered by these processes, resulting in reduced levels of lycopene in the skin.nn

Usages associés

UV exposure

Lipid-lowering

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The cholesterol-lowering effects of lycopene may be due to inhibition of macrophage hydroxymethylglutaryl coenzyme A (HMG-CoA) reductase and to enhanced degradation and removal of LDL cholesterol from the circulation.nn

Usages associés

Cardiovascular disease, dyslipidemia, hypertension

Antiplatelet agents/Anticoagulant

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Lycopene inhibits platelet activation, including that induced by adenosine diphosphate (ADP) and collagen, in vitro. Suggested mechanisms include inhibition of thromboxane B2 formation and activation of cyclic GMP and nitrate formation in platelets.


Safe dosage

Adult: 45 mg

Lycopene supplements have been used safely at doses of 15 mg to 45 mg per day for 4 to 6 months.


Interactions

Médicaments

Antiplatelet agents/Anticoagulants: moderate interaction

Lycopene has anticoagulant activity in vitro. Theoretically, taking it with anticoagulant or antiplatelet medications could increase the risk of bruising and bleeding.

Plantes ou autres actifs

Lycopene: weak interaction

Calcium can decrease the absorption of lycopene and reduce its effects.

Lycopene: weak interaction

Lutein decreases the absorption of lycopene and could therefore reduce its effects.


Precautions

Pregnant: avoid

Taking lycopene during pregnancy has been associated with preterm births.

Breastfeeding: avoid

There is not enough reliable information available on the safety of lycopene supplements during breastfeeding.

Surgery: avoid

Lycopene has antiplatelet effects in vitro. Lycopene supplements may cause excessive bleeding if used in the perioperative period. Advise patients to stop lycopene supplements at least 2 weeks before surgery.