Lutein

ALSO KNOWN AS: Xanthophyll, non-provitamin A carotenoid

DEFINITION: Lutein is a yellow pigment and micronutrient found in some vegetables, fruits, and eggs, as well as in the human retina. It is best known as a carotenoid, a plant phytochemical thought to have antioxidant properties that protect against cell-damaging molecules known as free radicals.

Cancers treated or prevented: Prostate, breast, colon, lung, and ovarian cancers

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Delivery routes: Oral via food or dietary supplements. The most significant food sources for lutein are broccoli, brussels sprouts, collards, kale, peas, pumpkin, spinach, turnip, mustard and dandelion greens, summer and winter squash, and sweet yellow corn. Egg yolks contain a more quickly absorbed form of lutein. Lutein absorption is increased from the intestine when combined with a dietary fat source, such as oil or margarine.

How this substance works: Lutein is chemically similar to the micronutrient zeaxanthin, and they often work together to provide protective benefits. Lutein, also known as a non-provitamin A carotenoid, cannot convert into vitamin A when needed by the body. Most studies find that lutein protects the eyes from diseases, such as age-related macular degeneration and cataracts. Some studies find lutein effective against cancer because it decreases the growth of blood vessels to cancerous tumors, increases cancer cell destruction, and improves cell deoxyribonucleic acid (DNA) repair. Overall study results are mixed, however, with one study showing lutein reduced prostate cancer by 25 percent (and as much as 32 percent when combined with the carotenoid lycopene) and another showing an increase in stomach cancer. Still, a later study showed lutein displayed little effectiveness in treating prostate cancer. In general, most studies find that lutein provides some protection against breast, kidney, bladder, and ovarian cancers. Studies, however, showed no benefit of lutein supplementation for lung cancer. Conflicting studies exists on lutein's effectiveness in preventing colon and cervical cancer. The dosage and safety of lutein dietary supplements are still unknown. Doses of lutein up to 20 milligrams per day have been determined to be safe. Consuming lutein from food sources is advised, however, because of its interaction with other compounds found within these foods.

Side effects: Caution is advised for individuals with allergies or sensitivities to eggs or lutein-containing vegetables. In general, no toxicities or drug interactions have been reported with lutein from food sources. Caution, especially in pregnant or lactating women, should be used with lutein supplements because the risks are still unknown.

Bibliography

Eliassen, A. Heather, et al. "Circulating Carotenoids and Risk of Breast Cancer: Pooled Analysis of Eight Prospective Studies." Journal of the National Cancer Institute, vol. 104.24, 2012, pp. 1905–16.

Gong, Xiaoming, et al. "Carotenoid Lutein Selectively Inhibits Breast Cancer Cell Growth and Potentiates the Effect of Chemotherapeutic Agents through ROS-Mediated Mechanisms." Molecules: A Journal of Synthetic Chemistry and Natural Product Chemistry, vol. 23, no. 4, 2018, doi.org/10.3390/molecules23040905. Accessed 17 June 2024.

“Lutein.” Memorial Sloan Kettering Cancer Center, 16 Nov. 2022, www.mskcc.org/cancer-care/integrative-medicine/herbs/lutein. Accessed 17 June 2024.

Mutanen, Marja, and Anne-Marie Pajari. Vegetables, Whole Grains, and Their Derivatives in Cancer Prevention. Springer, 2011.

Reynoso-Camacho, R., et al. "Dietary Supplementation of Lutein Reduces Colon Carcinogenesis in DMH-Treated Rats by Modulating K-ras, PKB, and β-catenin Proteins." Nutrition and Cancer, vol. 63.1, 2011, pp. 39–45.

Tanumihardjo, Sherry A. Carotenoids and Human Health. New York, 2013.