Nutraceutical and Pharmaceutical Applications of Carotenoids
Nutraceutical and Pharmaceutical Applications of Carotenoids
Masaki Honda
Abstract Carotenoids, the most common fat-soluble plant pigments in nature, play
important roles in scavenging peroxyl radicals and singlet oxygen in human. Dietary
carotenoids are considered to be beneficial for the prevention of various diseases,
including certain cancers, cardiovascular disease, and eye disease. Due to such
bioactivities of carotenoids, they are often used in nutritional supplements, skin
care cosmetics, and pharmaceutical products as well as in a natural color for foods and
feeds. In particular, the demands of β-carotene, lycopene, astaxanthin, lutein, zeax-
anthin, β-cryptoxanthin, and fucoxanthin are increasing for nutraceutical and phar-
maceutical applications in recent years. Although carotenoids exhibit high antiox-
idant activity in common, the bioactivity varies depending on the structure, e.g.,
lutein and zeaxanthin are effective for the prevention of eye disease, and fucoxanthin
exhibits a strong anti-obesity activity. The objective of this contribution is to review
the bioactivities and applications of commercially important carotenoids. Further-
more, the aspects of the recent progress in processing technology of carotenoids for
nutraceutical and pharmaceutical applications are also included in this review.
M. Honda (B)
Faculty of Science & Technology, Meijo University, Shiogamaguchi, Tempaku-Ku, Nagoya
468-8502, Japan
e-mail: [email protected]
Carotenoids show strong antioxidant activity such as peroxyl radical and singlet
oxygen scavenging activities and the activity are related to the number of conjugated
double bonds in the molecule; carotenoids with more than 9 conjugated double
bonds display antioxidant activity (Di Mascio et al. 1989; Müller et al. 2011a).
Generally, the antioxidant activity is enhanced with increasing the number of conju-
gated double bonds. For example, astaxanthin, which contains 13 conjugated double
bonds, shows a higher singlet oxygen scavenging activity than that of β-carotene,
which contains 11 conjugated double bonds (Di Mascio et al. 1989; Ouchi et al.
2010). In addition, each carotenoid has unique bioactivity caused by the specific
structures in the molecule such as conjugated carbonyl and allene groups. Moreover,
several carotenoids such as β-carotene and β-cryptoxanthin are very important as
provitamin A. Since human and nonhuman animals cannot synthesize carotenoids,
the pigments must be supplemented in the diets, and thus the proper understanding of
their influence on the body is very important. The typical bioactivities of carotenoids
are summarized in Fig. 18.2 and the details are as follows .
18.1.1 Lycopene
Lycopene is an acyclic carotenoid principally responsible for the bright red color of
ripe tomatoes and tomato-based products as well as watermelons and gac (Momordica
cochinchinensis Spreng). Lycopene with 11 conjugated double bonds shows espe-
cially powerful antioxidant activity of the carotenoids. Di Mascio et al. (1989) have
reported that singlet oxygen scavenging activity of carotenoids, when β-carotene
is defined as a reference (=1.0), was higher in following order: lycopene (2.2) >
γ-carotene (1.8) > astaxanthin (1.7) > canthaxanthin (1.5) > α-carotene (1.4) > β-
carotene (1.0) > zeaxanthin (0.7) > lutein (0.6) > α-tocopherol (0.02). The singlet
18 Nutraceutical and Pharmaceutical Applications of Carotenoids 451
oxygen scavenging activity of lycopene was one hundred or more times as high
as that of α-tocopherol. Ample studies have demonstrated that the daily intake
of lycopene-rich foods can significantly reduce risk of cancer and cardiovascular
disease (Mordente et al. 2011; Wang et al. 2010). Lycopene is accumulated in
various tissues and organs of human, e.g., liver, intestine, and prostate, by eating
lycopene-rich foods such as tomatoes. Especially, a large amount of lycopene is
accumulated in prostate and ample studies have addressed that higher dietary and
circulating lycopene concentrations are inversely associated with prostate cancer
risk. For example, Etminan et al. (2004) reported that high intakes of tomato or
tomato-based products were associated with approximately 10 to 20% reduction in
prostate cancer risk, which was investigated in a meta-analysis of studies published
from 1966 to 2003. Experimental and epidemiological studies also demonstrated that
lycopene would act as a chemopreventive agent against lung cancer, gastric cancer,
and breast cancer (Mein et al. 2008; Wang et al. 2010). Moreover, several studies
suggested that oxidized low-density lipoprotein (LDL) is implicated in the pathogen-
esis of atherosclerosis, and the atherosclerosis could be attenuated by lycopene, which
inhibit LDL oxidation (Cheng et al. 2017; Palozza et al. 2010). In fact, some dietary
studies have demonstrated that tomato products rich in lycopene increase resistance
of LDL to oxidation against human (Silaste et al. 2007; Upritchard et al. 2000).
Besides the above, several reports suggested that lycopene may have antidiabetic
and anti-obesity activities as well as improvement in skin type (Darvin et al. 2008;
Kuhad et al. 2008; Marcotorchino et al. 2012). There are especially many reports
on health benefits of lycopene compared to other carotenoids and active empirical
research on lycopene bioactivity has been carried out in recent years. Furthermore,
452 M. Honda
since lycopene is abundant in the tomato, which is one of the most popular and
widely consumed vegetables in the world, the carotenoid is easily ingestible. Thus,
it is considered that the marketplace is expected to further expand.
18.1.2 β-Carotene
β-Carotene, which has two unsubstituted β-ionone ring half-sites and 11 conjugated
double bonds, is a red-orange pigment found in many vegetables such as carrots and
spinach. β-Carotene is an important vitamin A source for human and the method for
industrial synthesis was established in half a century ago, so that the basic research
of the carotenoid has been done since quite a long time ago compared to other
carotenoids. Several studies reported that β-carotene would reduce risk of some
cancers such as stomach cancer and skin cancer (Blot et al. 1993; Köpcke and Krut-
mann 2008). On the other hand, some large-scale intervention studies of β-carotene
supplementation has not been shown any beneficial effect on cancer prevention or
shown an adverse effect on the incidence of lung cancer and gastric cancer with 20–
30 mg of β-carotene per day in smokers and workers exposed to asbestos (Albanes
et al. 1996; Omenn et al. 1996). Several researchers indicated that one of the largest
factors of that would excess intake of β-carotene: the normal intake of carotenoids
is approximately 1.5 mg per day for people in the United States (Druesne-Pecollo
et al. 2010). In fact, Siems et al. (2005) indicated that, obviously, on certain condi-
tions of high-dose carotenoid supplementation, both the antioxidant and prooxi-
dant reactions arise. Therefore, smokers and workers exposed to asbestos should
avoid high-dose β-carotene supplementation. β-Carotene would be effective against
erythropoietic protoporphyria. Ample studies have demonstrated that the oral dose
of β-carotene relieves the photosensitivity associated with the disease (Mathews-
Roth et al. 1974, 1977). In addition, the dietary β-carotene could have an age-related
macular degeneration-preventing effect (West et al. 1994). The simultaneous inges-
tion of β-carotene, zinc, and antioxidants such as vitamin C and vitamin E would
further enhance the preventive effect, i.e., trial participants who received a daily high-
dose supplement of β-carotene (15 mg), vitamin C (500 mg), vitamin E (400 IU),
and zinc (80 mg) had an approximately 25% reduced risk of progression from rela-
tively advanced early age-related macular degeneration stages to late age-related
macular degeneration (Age-Related Eye Disease Study Research Group 2001). On
the other hand, Tan et al. (2008) indicated that higher β-carotene intake may be
associated with a risk increase of age-related macular degeneration. From the above,
β-carotene shows various health benefits, especially high provitamin A activity, but
it is considered important to be aware of proper intake.
18 Nutraceutical and Pharmaceutical Applications of Carotenoids 453
18.1.3 Astaxanthin
Lutein and zeaxanthin are xanthophylls, which are principally responsible for yellow-
orange color found in vegetables such as artichoke and corn as well as in egg yolk
(Perry et al. 2009). Both carotenoids have high singlet oxygen quenching activitiy
(Di Mascio et al. 1989) and dietary lutein and zeaxanthin would have a potential
role in the prevention and treatment of several cancers such as colorectal cancer and
lung cancer (Gallicchio et al. 2008; Männistö et al. 2006). Lutein and zeaxanthin are
concentrated in the primate retina, where they form the macular pigment, and thus
454 M. Honda
multiple studies have focused on their beneficial roles in eye health. Most clinical
epidemiological researches supported that lutein and zeaxanthin have reduce the risk
of some eye diseases, e.g., age-related macular degeneration, cataract, and retinitis
pigmentosa (Ma and Lin 2010; Stringham et al. 2010). The powerful blue-light
filtering activity and antioxidant activity of these carotenoids may be responsible for
the protective effects (Junghans et al. 2001; Kijlstra et al. 2012). Moreover, lutein and
zeaxanthin are present in human skin, and animal studies have provided evidence of
significant efficacy against UV-induced skin damage (Roberts et al. 2009).
18.1.5 β-Cryptoxanthin
18.1.6 Fucoxanthin
Terasaki et al. 2019). For example, Hosokawa et al. (2004) reported that fucox-
anthin significantly reduced the viability of human colon cancer cell lines such as
HT-29, Caco-2, and DLD-1 cells. In addition, fucoxanthin has gained much atten-
tion for its anti-obesity and anti-diabetic effects due to a unique mechanism. Maeda
et al. (2005) reported that fucoxanthin induces uncoupling protein 1 (UCP1) expres-
sion in white adipose tissue (WAT), and UCP1 can dissipate energy via fatty acid
oxidation and heat production. Moreover, the carotenoid enhanced insulin resistance
and improved blood glucose levels via the up-regulation of glucose transporter 4
(GLUT4) in skeletal muscle and downregulation of adipocytokines related to insulin
resistance in WAT (Maeda 2015; Maeda et al. 2009; Miyashita et al. 2010). Thus,
foods rich in fucoxanthin, such as brown seaweeds, are expected to have a preventive
effect on metabolic syndrome.
The market size of carotenoids was valued at $1.5 billion in 2014 and is expanding
year by year, i.e., compound average growth rate (CAGR) from 2014 to 2019 is
estimated at 3.9% (Business Communications Company 2015). The aging of citizens
in developed countries is a serious social problem. Since carotenoids have preventive
effects against age-related diseases such as age-related macular degeneration and
Alzheimer type dementia, this aspect is considered to be boosting the demand for
carotenoids. In addition, the demands for natural food colorants and color-restoring
feed with carotenoids for farm animals and cultured fish drive the global carotenoids
market growth. Lycopene, β-carotene, astaxanthin, lutein, zeaxanthin, canthaxanthin,
and capsanthin are the major carotenoids, which are available commercially. The
carotenoid market would have several changes in recent years. Namely, the market
share for major carotenoids in 2010 was higher in the order of β-carotene (22%) >
lutein (20%) > astaxanthin (19%) > canthaxanthin (7%) > lycopene (6%) (Business
Communications Company 2011), whereas prospective that in 2021 would be higher
in the order of β-carotene (26%) > astaxanthin (25%) > lutein (18%) > canthaxanthin
(10%) > lycopene (6%) (Rammuni et al. 2019). The market size of astaxanthin has
growth potential and is expected to rise sharply owing to its increasing usage in a
antioxidant for health food and an animal and fish feed ingredient. Moreover, the
commercially available carotenoids are mainly synthesized chemically, whereas a
portion is obtained through natural sources such as fermentation and extraction from
plants or algae. Natural carotenoid category is anticipated to have the high growth in
the future due to the increase in consumer demand for natural products.
Commercially available carotenoids are mainly distributed as the (1) dried ground
powder of carotenoid-rich plants, microalgae, and bacteria, (2) oil suspension (oleo-
resin or the diluted product by vegetable oil), (3) liquid or dried emulsion formulation,
and (4) beadlet formulation (high carotenoid concentrated powder). The carotenoid
concentration of the dried ground powders and emulsion formulations is around a few
weight percent (1–3 wt%). On the other hand, as for the oil suspensions and beadlet
formulation, products with various carotenoid concentrations are distributed, which
are normally from a few weight percent to 50 wt%. Generally, the prices of carotenoid
products are depending on the carotenoid content. The typical applications of each
formulation are shown below.
18 Nutraceutical and Pharmaceutical Applications of Carotenoids 459
(1) Dried ground powder: farm animal and fish feeds, foods, and extract materials
for carotenoids
(2) Oil suspension (oreolesin): supplements (soft capsule) and cosmetics
(3) Liquid or dried emulsion formulation: food and beverage colorings and
cosmetics.
(4) Beadlet formulation: foods and supplements (tablet).
18.2.3 Processing
Carotenoids can be obtained from plants, algae, and bacteria, or can be produced
by chemical synthesis. Generally, carotenoids are present in the all-E-configuration
that has high hydrophobicity and high crystallinity. These properties limit their use
for food and cosmetic industries, and thus many commercially available carotenoid
products are subjected to the emulsification and micronization treatments. However,
the efficiencies of carotenoid processings such as extraction, emulsification, and
micronization are very low due to their properties of high hydrophobicity and
high crystallinity, and that results in price increase and quality deterioration of the
carotenoid products. Therefore, many studies have been carried out to improve the
carotenoids processing efficiency. For example, as for carotenoids extraction, extrac-
tion conditions (type of solvent, temperature, and time) and extraction apparatus are
well studied, and as for the emulsification, type of emulsifier as well as emulsification
conditions and apparatus are well documented. In recent years, carotenoid processing
utilizing a green solvent, supercritical CO2 (SC-CO2 ), which is non-toxic and easily
separated from the products, has been extensively examined. However, there are few
practical examples for carotenoid processing because most carotenoids are very low
solubility in SC-CO2 . Very recently, it was revealed that Z-isomers of carotenoids
were higher solubility in solvents including SC-CO2 and lower crystallinity than the
all-E-isomers (Honda et al. 2018a; Murakami et al. 2017). By utilizing the change
in the physicochemical properties via the Z-isomerization, several studies success-
fully improved the efficiency of carotenoid processing using SC-CO2 . For example,
Honda et al. (2017b, 2018b) demonstrated that the thermal Z-isomerization pre-
treatment to tomato pulp and gac (Momordica cochinchinensis Spreng.) markedly
improved the SC-CO2 extraction efficiency of lycopene. Moreover, when Z-isomer-
rich carotenoids were used as the raw material for emulsification and micronization
processings using SC-CO2 as a mediator, those efficiencies were notably improved
compared with using the all-E-isomers (Kodama et al. 2018; Ono et al. 2018), e.g.,
in emulsification of β-carotene using SC-CO2 as the organic phase, the encapsulated
efficiency of β-carotene Z-isomers was 21.2 times higher than that of the all-E-
isomer (Ono et al. 2018). For the sustainable development of carotenoid products in
the future, further development of carotenoids processing with SC-CO2 is expected
and utilizing the change in the physicochemical properties of carotenoids by the
Z-isomerization may be breakthrough of that realization.
460 M. Honda
The major applications of carotenoids are for “bioactive agent” such as nutritional
supplements and cosmetics, and “color” for foods and beverages, and animal and
fish feeds (Fig. 18.3). Focusing on the nutraceutical and pharmaceutical segments,
the primary applications of each carotenoid are summarized below.
18.2.4.1 Lycopene
producer of natural lycopene, is around only 10% (Honda et al. 2017a). However,
recently, Licofarma S.r.l. (Galatina, Italia) has sold lycopene supplements appealing
high Z-isomer content. Since the functional study and manufacturing technique
development on lycopene Z-isomer have been carried out in recent years, further
demand for (Z)-lycopene is expected to increase.
18.2.4.2 β-Carotene
β-Carotene currently has two major applications, i.e., colorant for food products
and supplements. There is almost no food segments that does not use β-carotene as
a colorant. For example, the yellowish pigment, β-carotene, is used for beverages
such as fruit-based juices and carbonated drinks, margarine, ice cream, and so on.
The major concept of β-carotene supplement is based on the understanding that the
carotenoid has antioxidant activity and can reduce risk of some cancers. However,
several reports indicated that an excessive intake of β-carotene under certain circum-
stances such as smokers and workers exposed to asbestos may stimulate the develop-
ment of cancer and the carotenoid act as a prooxidant (Albanes et al. 1996; Omenn
et al. 1996). Therefore, it is important to pay attention to its intake. As minor applica-
tions, β-carotene is used for a fertility increasing agent in animal feed (Folman et al.
1987) and an anti-wrinkle and natural bronzing agent in cosmetics (Kim et al. 2009).
The major source of β-carotene is chemical synthesis, but the shares of algae extrac-
tion, fermentation, and palm oil are increasing in recent years. β-Carotene from the
green halophilic alga Dunaliella sp. contains the 9Z-isomer in large quantity (some-
times, around 50% of total β-carotene isomers). Since the isomer would have higher
anti-atherogenesis and anti-atherosclerosis effects than the all-E-isomer (Harai et al.
2008; Relevy et al. 2015), the demand of supplements using Dunaliella sp. as the
β-carotene source has been expanding.
18.2.4.3 Astaxanthin
The greater part of the astaxanthin consumption has been the colorant for fish and
shrimp. Astaxanthin is widely found in aquatic animals and it has a major role in their
body color. However, since the aquatic animals cannot biosynthesize astaxanthin,
they need to take the pigment from diets. The consumers check the fish and shrimp
quality by pigmentation on them. Hence, the feeding of astaxanthin is very important.
As many governments support for promoting aquaculture, the demand of astaxanthin
has further growth potential as a pigment coloring agent. Moreover, multiple studies
demonstrated that dietary astaxanthin offers numerous health benefits for humans
such as brain health improvement and healthy vision, and thus the carotenoid is
often used for nutritional supplement. In addition, since astaxanthin may exert its
benefits on skin homeostasis, it is gaining popularity and acceptability in cosmetics
manufacturers and numerous wellness spa service providers.
462 M. Honda
A global market for lutein was established in the segment of eye health as a stan-
dalone, occasionally together with zeaxanthin. Thus, the major application of lutein
and zeaxanthin is nutritional supplement appealing eye health. The supplements
would protect from detrimental effects of computer display light exposure and reduce
the risk of age-related macular degeneration. Lutein is also deal as a medicine for eye
disease, which is listed on the Australian Register of Therapeutic Goods (ARTG).
In addition, helenien (lutein dipalmitate) is widely used as a medicine for the visual
disorders (Khan et al. 2014). Helenien is often isolated from the blossom leaves of
Helenium autumnale. Recently, chronic eye disorder age-related macular degener-
ation accounted for over 50% of blindness cases in North America, and it should
favor the supplements and medicine demands. Lutein and zeaxanthin are also used
for feed as a colorant for egg yolks and broiler skin, and marigold is widely used as
their source. Feeds containing lutein and zeaxanthin derived from marigold result in
a strong yellowish or even orange color hue of the yolks.
18.2.4.5 Canthaxanthin
The major application of canthaxanthin is feeds, e.g., coloring hen’s egg yolks
and fish pigmentation. Since its lower price compared to other carotenoid sources
for feeds such as astaxanthin, the consumption for the industry is expanding year
by year. Although the market size is small (around 10% of total canthaxanthin
market size), canthaxanthin is used for the nutraceutical and pharmaceutical applica-
tions. Namely, the carotenoid is used for supplement appealing antioxidant activity,
anti-atherosclerosis activity, and enhancement of fertility and sexual performances.
Since canthaxanthin is also promoted as a self-bronzing agent, it is used for some
creams and lotions. In addition, as canthaxanthin has a bright red color, it is
popular in coloring pharmaceutical tablets. This application is widespread, but the
volumes consumed are not many. The market for nutraceutical and pharmaceutical
applications of canthaxanthin is expanding year by year especially in North America.
Since the bioactivities such as reduction risk of osteoporosis and anti-obesity activity
of β-cryptoxanthin and fucoxanthin, respectively, were reported in the middle of the
2000s (Uchiyama and Yamaguchi 2005; Maeda et al. 2005), the development of
supplements containing their carotenoids has been actively carried out and their
market sizes are growing larger every year especially in Japan. Generally, the natural
sources are used for the supplements, i.e., the major source of β-cryptoxanthin is
Satsuma mandarin (Citrus unshiu Marc.) and that of fucoxanthin is edible brown
seaweeds such as kombu (Laminaria japonica) and wakame (Undaria pinnatifida).
In addition, α-carotene and capsanthin also have markets in supplement appealing
18 Nutraceutical and Pharmaceutical Applications of Carotenoids 463
References
Age-Related Eye Disease Study Research Group. (2001). A randomized, placebo-controlled, clin-
ical trial of high-dose supplementation with vitamins C and E, beta carotene, and zinc for age-
related macular degeneration and vision loss: AREDS report no. 8. Archives of Ophthalmology,
119, 1417–1436.
Aizawa, K., & Inakuma, T. (2009). Dietary capsanthin, the main carotenoid in paprika (Capsicum
annuum), alters plasma high-density lipoprotein-cholesterol levels and hepatic gene expression
in rats. British Journal of Nutrition, 102, 1760–1766.
Albanes, D., Heinonen, O. P., Taylor, P. R., Virtamo, J., Edwards, B. K., Rautalahti, M., et al. (1996).
α-Tocopherol and β-carotene supplements and lung cancer incidence in the alpha-tocopherol,
beta-carotene cancer prevention study: effects of base-line characteristics and study compliance.
Journal of the National Cancer Institute, 88, 1560–1570.
Ambati, R., Phang, S. M., Ravi, S., & Aswathanarayana, R. (2014). Astaxanthin: Sources, extraction,
stability, biological activities and its commercial applications—A review. Marine Drugs, 12,
128–152.
Blot, W. J., Li, J. Y., Taylor, P. R., Guo, W., Dawsey, S., Wang, G. Q., et al. (1993). Nutrition
intervention trials in Linxian, China: supplementation with specific vitamin/mineral combina-
tions, cancer incidence, and disease-specific mortality in the general population. Journal of the
National Cancer Institute, 85, 1483–1491.
Böhm, V., Puspitasari-Nienaber, N. L., Ferruzzi, M. G., & Schwartz, S. J. (2002). Trolox equivalent
antioxidant capacity of different geometrical isomers of α-carotene, β-carotene, lycopene, and
zeaxanthin. Journal of Agriculture and Food Chemistry, 50, 221–226.
Breithaupt, D. E., & Bamedi, A. (2001). Carotenoid esters in vegetables and fruits: A screening with
emphasis on β-cryptoxanthin esters. Journal of Agriculture and Food Chemistry, 49, 2064–2070.
Business Communications Company. (2011). The Global Market for Carotenoids—FOD025D.
https://www.bccresearch.com/market-research/food-and-beverage/carotenoids-global-market-
fod025d.html.
Business Communications Company. (2015). The Global Market for Carotenoids—FOD025E.
https://www.bccresearch.com/market-research/food-and-beverage/carotenoids-global-market-
report-fod025e.html.
Che, H., Li, Q., Zhang, T., Wang, D., Yang, L., Xu, J., et al. (2018). Effects of astaxanthin and
docosahexaenoic-acid-acylated astaxanthin on alzheimer’s disease in APP/PS1 double-transgenic
mice. Journal of Agriculture and Food Chemistry, 66, 4948–4957.
Cheng, H. M., Koutsidis, G., Lodge, J. K., Ashor, A., Siervo, M., & Lara, J. (2017). Tomato and
lycopene supplementation and cardiovascular risk factors: A systematic review and meta-analysis.
Atherosclerosis, 257, 100–108.
Cooperstone, J. L., Ralston, R. A., Riedl, K. M., Haufe, T. C., Schweiggert, R. M., King, S. A.,
et al. (2015). Enhanced bioavailability of lycopene when consumed as cis-isomers from tangerine
compared to red tomato juice, a randomized, cross-over clinical trial. Molecular Nutrition & Food
Research, 59, 658–669.
Coral-Hinostroza, G. N., Ytrestøyl, T., Ruyter, B., & Bjerkeng, B. (2004). Plasma appearance of
unesterified astaxanthin geometrical E/Z and optical R/S isomers in men given single doses
464 M. Honda
of a mixture of optical 3 and 3 R/S isomers of astaxanthin fatty acyl diesters. Comparative
Biochemistry and Physiology Part C: Toxicology & Pharmacology, 139, 99–110.
Darvin, M., Patzelt, A., Gehse, S., Schanzer, S., Benderoth, C., Sterry, W., et al. (2008). Cuta-
neous concentration of lycopene correlates significantly with the roughness of the skin. European
Journal of Pharmaceutics and Biopharmaceutics, 69, 943–947.
Deming, D. M., Teixeira, S. R., & Erdman, J. W., Jr. (2002). All-trans β-carotene appears to be
more bioavailable than 9-cis or 13-cis β-carotene in gerbils given single oral doses of each isomer.
Journal of Nutrition, 132, 2700–2708.
Dhankhar, J., Kadian, S. S., & Sharma, A. (2012). Astaxanthin: A potential carotenoid. International
Journal of Pharmaceutical Sciences and Research, 3, 1246–1259.
Di Mascio, P., Kaiser, S., & Sies, H. (1989). Lycopene as the most efficient biological carotenoid
singlet oxygen quencher. Archives of Biochemistry and Biophysics, 274, 532–538.
D’Orazio, N., Gemello, E., Gammone, M., de Girolamo, M., Ficoneri, C., & Riccioni, G. (2012).
Fucoxantin: A treasure from the sea. Marine Drugs, 10, 604–616.
D’Odorico, A., Martines, D., Kiechl, S., Egger, G., Oberhollenzer, F., Bonvicini, P., et al. (2000).
High plasma levels of α-and β-carotene are associated with a lower risk of atherosclerosis: Results
from the Bruneck study. Atherosclerosis, 153, 231–239.
Druesne-Pecollo, N., Latino-Martel, P., Norat, T., Barrandon, E., Bertrais, S., Galan, P., et al. (2010).
β-carotene supplementation and cancer risk: A systematic review and metaanalysis of randomized
controlled trials. International Journal of Cancer, 127, 172–184.
During, A., Hussain, M. M., Morel, D. W., & Harrison, E. H. (2002). Carotenoid uptake and
secretion by CaCo-2 cells β-carotene isomer selectivity and carotenoid interactions. Journal of
Lipid Research, 43, 1086–1095.
Esatbeyoglu, T., & Rimbach, G. (2017). Canthaxanthin: From molecule to function. Molecular
Nutrition & Food Research, 61, 1600469.
Etminan, M., Takkouche, B., & Caamano-Isorna, F. (2004). The role of tomato products and
lycopene in the prevention of prostate cancer: A meta-analysis of observational studies. Cancer
Epidemiology, Biomarkers & Prevention, 13, 340–345.
Folman, Y., Ascarelli, I., Kraus, D., & Barash, H. (1987). Adverse effect of β-carotene in diet on
fertility of dairy cows. Journal of Dairy Science, 70, 357–366.
Gallicchio, L., Boyd, K., Matanoski, G., Tao, X., Chen, L., Lam, T. K., et al. (2008). Carotenoids and
the risk of developing lung cancer: A systematic review. American Journal of Clinical Nutrition,
88, 372–383.
Ganesan, P., Matsubara, K., Sugawara, T., & Hirata, T. (2013). Marine algal carotenoids inhibit
angiogenesis by down-regulating FGF-2-mediated intracellular signals in vascular endothelial
cells. Molecular and Cellular Biochemistry, 380, 1–9.
Ganesan, P., Noda, K., Manabe, Y., Ohkubo, T., Tanaka, Y., Maoka, T., et al. (2011). Siphonaxanthin,
a marine carotenoid from green algae, effectively induces apoptosis in human leukemia (HL-60)
cells. Biochimica et Biophysica Acta, 1810, 497–503.
Gaziano, J. M., Johnson, E. J., Russell, R. M., Manson, J. E., Stampfer, M. J., Ridker, P. M., et al.
(1995). Discrimination in absorption or transport of β-carotene isomers after oral supplementation
with either all-trans-or 9-cis-β-carotene. American Journal of Clinical Nutrition, 61, 1248–1252.
Hama, S., Takahashi, K., Inai, Y., Shiota, K., Sakamoto, R., Yamada, A., et al. (2012). Protective
effects of topical application of a poorly soluble antioxidant astaxanthin liposomal formulation
on ultraviolet-induced skin damage. Journal of Pharmaceutical Sciences, 101, 2909–2916.
Harari, A., Harats, D., Marko, D., Cohen, H., Barshack, I., Kamari, Y., et al. (2008). A 9-cis β-
carotene–enriched diet inhibits atherogenesis and fatty liver formation in LDL receptor knockout
mice. Journal of Nutrition, 138, 1923–1930.
Honda, M., Kodama, T., Kageyama, H., Hibino, T., Wahyudiono, Kanda, H., & Goto, M. (2018a).
Enhanced solubility and reduced crystallinity of carotenoids, β-carotene and astaxanthin, by
Z-isomerization. The European Journal of Lipid Science and Technology, 120(1800191), 1–8.
Honda, M., Murakami, K., Watanabe, Y., Higashiura, T., Fukaya, T., Wahyudiono, Kanda, H., &
Goto, M. (2017a). The E/Z isomer ratio of lycopene in foods and effect of heating with edible
18 Nutraceutical and Pharmaceutical Applications of Carotenoids 465
oils and fats on isomerization of (all-E)-lycopene. The European Journal of Lipid Science and
Technology, 119(1600389), 1–8.
Honda, M., Watanabe, Y., Murakami, K., Hoang, N.N., Wahyudiono, Kanda, H., & Goto, M.
(2018b). Enhanced lycopene extraction from gac (Momordica cochinchinensis Spreng.) by the
Z-Isomerization induced with microwave irradiation pre-treatment. The European Journal of
Lipid Science and Technology, 120(1700293), 1–8.
Honda, M., Watanabe, Y., Murakami, K., Takemura, R., Fukaya, T., Kanda, H., et al. (2017b).
Thermal isomerization pre-treatment to improve lycopene extraction from tomato pulp. LWT—
Food Science and Technology, 86, 69–75.
Hosokawa, M., Kudo, M., Maeda, H., Kohno, H., Tanaka, T., & Miyashita, K. (2004). Fucoxanthin
induces apoptosis and enhances the antiproliferative effect of the PPARγ ligand, troglitazone, on
colon cancer cells. Biochimica et Biophysica Acta, 1675, 113–119.
Iwata, S., Imai, T., Shimazawa, M., Ishibashi, T., Hayashi, M., Hara, H., et al. (2018). Protective
effects of the astaxanthin derivative, adonixanthin, on brain hemorrhagic injury. Brain Research,
1698, 130–138.
Junghans, A., Sies, H., & Stahl, W. (2001). Macular pigments lutein and zeaxanthin as blue light
filters studied in liposomes. Archives of Biochemistry and Biophysics, 391, 160–164.
Kawee-ai, A., Kuntiya, A., & Kim, S. M. (2013). Anticholinesterase and antioxidant activi-
ties of fucoxanthin purified from the microalga Phaeodactylum tricornutum. Natural Products
Communications, 8, 1381–1386.
Khan, R. A., Elhassan, G. O., & Qureshi, K. A. (2014). Nutraceuticals: In the treatment & prevention
of diseases-an overview. Pharmaceutical Innovation, 3, 47–50.
Kidd, P. (2011). Astaxanthin, cell membrane nutrient with diverse clinical benefits and anti-aging
potential. Alternative Medicine Review, 16, 355–365.
Kijlstra, A., Tian, Y., Kelly, E. R., & Berendschot, T. T. (2012). Lutein: more than just a filter for
blue light. Progress in Retinal and Eye Research, 31, 303–315.
Kim, S., Ha, T. Y., & Hwang, I. K. (2009a). Analysis, bioavailability, and potential healthy effects
of capsanthin, natural red pigment from Capsicum spp. Food Reviews International, 25, 198–213.
Kim, Y. G., Lee, Y. H., Kang, M. K., Lee, B. H., Yun, J. K., Kim, S. B., et al. (2009b). Preparation
of functional cosmetics containing β-carotene derived from recombinant escherichia coli and
evaluation of anti-wrinkle efficacy by clinical testing. Microbiology and Biotechnology Letters,
37(4), 399–404.
Kodama, T., Honda, M., Takemura, R., Fukaya, T., Uemori, C., Kanda, H., et al. (2018). Effect of
the Z-isomer content on nanoparticle production of lycopene using solution-enhanced dispersion
by supercritical fluids (SEDS). Journal of Supercritical Fluids, 133, 291–296.
Köpcke, W., & Krutmann, J. (2008). Protection from sunburn with β-carotene—A meta-analysis.
Photochemistry and Photobiology, 84, 284–288.
Kowshik, J., Baba, A. B., Giri, H., Reddy, G. D., Dixit, M., & Nagini, S. (2014). Astaxanthin inhibits
JAK/STAT-3 signaling to abrogate cell proliferation, invasion and angiogenesis in a hamster model
of oral cancer. PLoS One, 9(e109114), 1–14.
Kuhad, A., Sethi, R., & Chopra, K. (2008). Lycopene attenuates diabetes-associated cognitive
decline in rats. Life Sciences, 83, 128–134.
Lavy, A., Amotz, A. B., & Aviram, M. (1993). Preferential inhibition of LDL oxidation by the
all-trans isomer of β-carotene in comparison with 9-cis β-carotene. Clinical Chemistry and
Laboratory Medicine, 31, 83–90.
Leoncini, E., Nedovic, D., Panic, N., Pastorino, R., Edefonti, V., & Boccia, S. (2015). Carotenoid
intake from natural sources and head and neck cancer: a systematic review and meta-analysis of
epidemiological studies. Cancer Epidemiology, Biomarkers & Prevention, 24, 1003–1011.
Levin, G., Yeshurun, M., & Mokady, S. (1997). In vivo antiperoxidative effect of 9-cis β-carotene
compared with that of the all-trans isomer. Nutrition and Cancer, 1997, 293–297.
Liu, X., & Osawa, T. (2007). Cis astaxanthin and especially 9-cis astaxanthin exhibits a higher
antioxidant activity in vitro compared to the all-trans isomer. Biochemical and Biophysical
Research Communications, 357, 187–193.
466 M. Honda
Lorenzo, Y., Azqueta, A., Luna, L., Bonilla, F., Domínguez, G., & Collins, A. R. (2008). The
carotenoid β-cryptoxanthin stimulates the repair of DNA oxidation damage in addition to acting
as an antioxidant in human cells. Carcinogenesis, 30, 308–314.
Ma, L., & Lin, X. M. (2010). Effects of lutein and zeaxanthin on aspects of eye health. Journal of
the Science of Food and Agriculture, 90, 2–12.
Maeda, H. (2015). Nutraceutical effects of fucoxanthin for obesity and diabetes therapy: A review.
Journal of Oleo Science, 64, 125–132.
Maeda, H., Hosokawa, M., Sashima, T., Funayama, K., & Miyashita, K. (2005). Fucoxanthin from
edible seaweed, Undaria pinnatifida, shows antiobesity effect through UCP1 expression in white
adipose tissues. Biochemical and Biophysical Research Communications, 332, 392–397.
Maeda, H., Hosokawa, M., Sashima, T., Murakami-Funayama, K., & Miyashita, K. (2009). Anti-
obesity and anti-diabetic effects of fucoxanthin on diet-induced obesity conditions in a murine
model. Molecular Medicine Reports, 2, 897–902.
Männistö, S., Smith-Warner, S. A., Spiegelman, D., Albanes, D., Anderson, K., van den Brandt, P.
A., et al. (2004). Dietary carotenoids and risk of lung cancer in a pooled analysis of seven cohort
studies. Cancer Epidemiology, Biomarkers & Prevention, 13, 40–48.
Männistö, S., Yaun, S. S., Hunter, D. J., Spiegelman, D., Adami, H. O., Albanes, D., et al. (2006).
Dietary carotenoids and risk of colorectal cancer in a pooled analysis of 11 cohort studies.
American Journal of Epidemiology, 165, 246–255.
Maoka, T. (2009). Recent progress in structural studies of carotenoids in animals and plants. Archives
of Biochemistry and Biophysics, 483, 191–195.
Maoka, T., Yasui, H., Ohmori, A., Tokuda, H., Suzuki, N., Osawa, A., et al. (2013). Anti-oxidative,
anti-tumor-promoting, and anti-carcinogenic activities of adonirubin and adonixanthin. Journal
of Oleo Science, 62, 181–186.
Manabe, Y., Komatsu, T., Seki, S., & Sugawara, T. (2018). Dietary astaxanthin can accumulate in
the brain of rats. Bioscience, Biotechnology, and Biochemistry, 82, 1433–1436.
Marcotorchino, J., Romier, B., Gouranton, E., Riollet, C., Gleize, B., Malezet-Desmoulins, C., et al.
(2012). Lycopene attenuates LPS-induced TNF-α secretion in macrophages and inflammatory
markers in adipocytes exposed to macrophage-conditioned media. Molecular Nutrition & Food
Research, 56, 725–732.
Mathews-Roth, M. M., Pathak, M. A., Fitzpatrick, T. B., Harber, L. H., & Kass, E. H. (1974).
β-Carotene as an oral photoprotective agent in erythropoietic protoporphyria. JAMA, 228, 1004–
1008.
Mathews-Roth, M. M., Pathak, M. A., Fitzpatrick, T. B., Harber, L. H., & Kass, E. H. (1977). Beta
carotene therapy for erythropoietic protoporphyria and other photosensitivity diseases. Archives
of Dermatology, 113, 1229–1232.
Mein, J. R., Lian, F., & Wang, X. D. (2008). Biological activity of lycopene metabolites: implication
for cancer prevention. Nutrition Reviews, 66, 667–683.
Miyashita, K., Maeda, H., Okada, T., Abe, M., & Hosokawa, M. (2010). Anti-obesity and anti-
diabetic effects of allenic carotenoid, fucoxanthin. Agro Food Industry Hi Tech, 21, 24–27.
Mordente, A., Guantario, B., Meucci, E., Silvestrini, A., Lombardi, E., Martorana, G. E., et al.
(2011). Lycopene and cardiovascular diseases: an update. Current Medicinal Chemistry, 18,
1146–1163.
Müller, L., Fröhlich, K., & Böhm, V. (2011a). Comparative antioxidant activities of carotenoids
measured by ferric reducing antioxidant power (FRAP), ABTS bleaching assay (αTEAC), DPPH
assay and peroxyl radical scavenging assay. Food Chemistry, 129, 139–148.
Müller, L., Goupy, P., Fröhlich, K., Dangles, O., Caris-Veyrat, C., & Böhm, V. (2011b). Comparative
study on antioxidant activity of lycopene (Z)-isomers in different assays. Journal of Agriculture
and Food Chemistry, 59, 4504–4511.
Murakami, K., Honda, M., Takemura, R., Fukaya, T., Kubota, M., Kanda, H., et al. (2017). The
thermal Z-isomerization-induced change in solubility and physical properties of (all-E)-lycopene.
Biochemical and Biophysical Research Communications, 491, 317–322.
18 Nutraceutical and Pharmaceutical Applications of Carotenoids 467
Nagaki, Y., Mihara, M., Takahashi, J., Kitamura, A., Horita, Y., Sugiura, Y., et al. (2005). The
effect of astaxanthin on retinal capillary blood flow in normal volunteers. Journal of Clinical
Therapeutics Medicine, 21, 537–542.
Nagaki, Y., Mihara, M., Tsukahara, H., & Ono, S. (2006). The supplementation effect of astaxanthin
on accommodation and asthenopia. Journal of Clinical Therapeutics Medicine, 22, 41–54.
Nakamura, M., Sugiura, M., & Aoki, N. (2006). High β-carotene and β-cryptoxanthin are associated
with low pulse wave velocity. Atherosclerosis, 184, 363–369.
Nakazawa, Y., Sashima, T., Hosokawa, M., & Miyashita, K. (2009). Comparative evaluation of
growth inhibitory effect of stereoisomers of fucoxanthin in human cancer cell lines. Journal of
Functional Foods, 1, 88–97.
Narisawa, T., Fukaura, Y., Hasebe, M., Nomura, S., Oshima, S., & Inakuma, T. (2000). Prevention of
N-methylnitrosourea-induced colon carcinogenesis in rats by oxygenated carotenoid capsanthin
and capsanthin-rich paprika juice. Proceedings of the Society for Experimental Biology and
Medicine, 224, 116–122.
Omenn, G. S., Goodman, G. E., Thornquist, M. D., Balmes, J., Cullen, M. R., Glass, A., et al. (1996).
Effects of a combination of beta carotene and vitamin A on lung cancer and cardiovascular disease.
The New England Journal of Medicine, 334, 1150–1155.
Ono, M., Honda, M., Yasuda, K., Kanda, H., & Goto, M. (2018). Production of β-carotene
nanosuspensions using supercritical CO2 and improvement of its efficiency by Z-isomerization
pre-treatment. Journal of Supercritical Fluids, 138, 124–131.
Østerlie, M., Bjerkeng, B., & Liaaen-Jensen, S. (2000). Plasma appearance and distribution of
astaxanthin E/Z and R/S isomers in plasma lipoproteins of men after single dose administration
of astaxanthin. Journal of Nutritional Biochemistry, 11, 482–490.
Ouchi, A., Aizawa, K., Iwasaki, Y., Inakuma, T., Terao, J., Nagaoka, S. I., et al. (2010). Kinetic study
of the quenching reaction of singlet oxygen by carotenoids and food extracts in solution. Devel-
opment of a singlet oxygen absorption capacity (SOAC) assay method. Journal of Agriculture
and Food Chemistry, 58, 9967–9978.
Palozza, P., Parrone, N., Simone, R. E., & Catalano, A. (2010). Lycopene in atherosclerosis preven-
tion: An integrated scheme of the potential mechanisms of action from cell culture studies.
Archives of Biochemistry and Biophysics, 504, 26–33.
Palozza, P., Torelli, C., Boninsegna, A., Simone, R., Catalano, A., Mele, M. C., et al. (2009). Growth-
inhibitory effects of the astaxanthin-rich alga Haematococcus pluvialis in human colon cancer
cells. Cancer Letters, 283, 108–117.
Perry, A., Rasmussen, H., & Johnson, E. J. (2009). Xanthophyll (lutein, zeaxanthin) content in
fruits, vegetables and corn and egg products. Journal of Food Composition and Analysis, 22,
9–15.
Rahman, S. O., Panda, B. P., Parvez, S., Kaundal, M., Hussain, S., Akhtar, M., et al. (2019).
Neuroprotective role of astaxanthin in hippocampal insulin resistance induced by Aβ peptides in
animal model of Alzheimer’s disease. Biomedicine & Pharmacotherapy, 110, 47–58.
Rammuni, M. N., Ariyadasa, T. U., Nimarshana, P. H. V., & Attalage, R. A. (2019). Compara-
tive assessment on the extraction of carotenoids from microalgal sources: Astaxanthin from H.
pluvialis and β-carotene from D. salina. Food Chemistry, 277, 128–134.
Relevy, N. Z., Rühl, R., Harari, A., Grosskopf, I., Barshack, I., Ben-Amotz, A., et al. (2015). 9-cis
β-Carotene inhibits atherosclerosis development in female LDLR-/-Mice. Functional Foods in
Health and Disease, 5, 67–79.
Roberts, R. L., Green, J., & Lewis, B. (2009). Lutein and zeaxanthin in eye and skin health. Clinics
in Dermatology, 27, 195–201.
Sachindra, N. M., Sato, E., Maeda, H., Hosokawa, M., Niwano, Y., Kohno, M., et al. (2007).
Radical scavenging and singlet oxygen quenching activity of marine carotenoid fucoxanthin and
its metabolites. Journal of Agriculture and Food Chemistry, 55, 8516–8522.
Shirakura, Y., Takayanagi, K., Mukai, K., Tanabe, H., & Inoue, M. (2011). β-Cryptoxanthin
suppresses the adipogenesis of 3T3-L1 cells via RAR activation. Journal of Nutritional Science
and Vitaminology, 57, 426–431.
468 M. Honda
Siems, W., Wiswedel, I., Salerno, C., Crifò, C., Augustin, W., Schild, L., et al. (2005). β-Carotene
breakdown products may impair mitochondrial functions—Potential side effects of high-dose
β-carotene supplementation. Journal of Nutritional Biochemistry, 16, 385–397.
Silaste, M. L., Alfthan, G., Aro, A., Kesäniemi, Y. A., & Hörkkö, S. (2007). Tomato juice decreases
LDL cholesterol levels and increases LDL resistance to oxidation. British Journal of Nutrition,
98, 1251–1258.
Stahl, W., Schwarz, W., Sundquist, A. R., & Sies, H. (1992). Cis-trans isomers of lycopene and
β-carotene in human serum and tissues. Archives of Biochemistry and Biophysics, 294, 173–177.
Stahl, W., Schwarz, W., von Laar, J., & Sies, H. (1995). All-trans β-carotene preferentially accu-
mulates in human chylomicrons and very low density lipoproteins compared with the 9-cis
geometrical isomer. Journal of Nutrition, 125, 2128–2133.
Stringham, J. M., Bovier, E. R., Wong, J. C., & Hammond, B. R., Jr. (2010). The influence of dietary
lutein and zeaxanthin on visual performance. Journal of Food Science, 75, R24–R29.
Sugawara, T., Ganesan, P., Li, Z., Manabe, Y., & Hirata, T. (2014). Siphonaxanthin, a green algal
carotenoid, as a novel functional compound. Marine Drugs, 12, 3660–3668.
Sugawara, T., Matsubara, K., Akagi, R., Mori, M., & Hirata, T. (2006). Antiangiogenic activity of
brown algae fucoxanthin and its deacetylated product, fucoxanthinol. Journal of Agriculture and
Food Chemistry, 54, 9805–9810.
Sugiura, M., Nakamura, M., Ogawa, K., Ikoma, Y., Ando, F., & Yano, M. (2008). Bone mineral
density in post-menopausal female subjects is associated with serum antioxidant carotenoids.
Osteoporosis International, 19, 211–219.
Sun, Q., Yang, C., Li, J., Raza, H., & Zhang, L. (2016). Lycopene: Heterogeneous catalytic E/Z
isomerization and in vitro bioaccessibility assessment using a diffusion model. Journal of Food
Science, 81, C2381–C2389.
Takayanagi, K., Morimoto, S. I., Shirakura, Y., Mukai, K., Sugiyama, T., Tokuji, Y., et al. (2011).
Mechanism of visceral fat reduction in Tsumura Suzuki obese, diabetes (TSOD) mice orally
administered β-cryptoxanthin from Satsuma mandarin oranges (Citrus unshiu Marc). Journal of
Agriculture and Food Chemistry, 59, 12342–12351.
Tan, J. S., Wang, J. J., Flood, V., Rochtchina, E., Smith, W., & Mitchell, P. (2008). Dietary antioxi-
dants and the long-term incidence of age-related macular degeneration: The blue mountains eye
study. Ophthalmology, 115, 334–341.
Tanaka, T., Shnimizu, M., & Moriwaki, H. (2012). Cancer chemoprevention by carotenoids.
Molecules, 17, 3202–3242.
Terasaki, M., Iida, T., Kikuchi, F., Tamura, K., Endo, T., Kuramitsu, Y., et al. (2019). Fucoxanthin
potentiates anoikis in colon mucosa and prevents carcinogenesis in AOM/DSS model mice.
Journal of Nutritional Biochemistry, 64, 198–205.
Uchiyama, S., & Yamaguchi, M. (2005). β-Cryptoxanthin stimulates cell proliferation and transcrip-
tional activity in osteoblastic MC3T3-E1cells. International Journal of Molecular Medicine, 15,
675–681.
Unlu, N. Z., Bohn, T., Francis, D. M., Nagaraja, H. N., Clinton, S. K., & Schwartz, S. J. (2007).
Lycopene from heat-induced cis-isomer-rich tomato sauce is more bioavailable than from all-
trans-rich tomato sauce in human subjects. British Journal of Nutrition, 98, 140–146.
Upritchard, J. E., Sutherland, W. H., & Mann, J. I. (2000). Effect of supplementation with tomato
juice, vitamin E, and vitamin C on LDL oxidation and products of inflammatory activity in type
2 diabetes. Diab. Care, 23, 733–738.
Venugopalan, V., Tripathi, S. K., Nahar, P., Saradhi, P. P., Das, R. H., & Gautam, H. K. (2013). Char-
acterization of canthaxanthin isomers isolated from a new soil Dietzia sp. and their antioxidant
activities. Journal of Microbiology and Biotechnology, 23, 237–245.
Venugopalan, V., Verma, N., Gautam, H. K., Saradhi, P. P., & Das, R. H. (2009). 9-cis-Canthaxanthin
exhibits higher pro-apoptotic activity than all-trans-canthaxanthin isomer in THP-1 macrophage
cells. Free Radical Research, 43, 100–105.
18 Nutraceutical and Pharmaceutical Applications of Carotenoids 469
Wang, Y., Ausman, L. M., Greenberg, A. S., Russell, R. M., & Wang, X. D. (2010). Dietary
lycopene and tomato extract supplementations inhibit nonalcoholic steatohepatitis-promoted
hepatocarcinogenesis in rats. International Journal of Cancer, 126, 1788–1796.
Wang, Y., Hodge, A. M., Wluka, A. E., English, D. R., Giles, G. G., O’Sullivan, R., Forbes, A., &
Cicuttini, F. M. (2007). Effect of antioxidants on knee cartilage and bone in healthy, middle-aged
subjects: a cross-sectional study. Arthritis Research & Therapy, 9(R66), 1–9.
West, S., Vitale, S., Hallfrisch, J., Muñoz, B., Muller, D., Bressler, S., et al. (1994). Are antioxidants
or supplements protective for age-related macular degeneration? Archives of Ophthalmology, 112,
222–227.
Yamaguchi, M. (2012). Role of carotenoid β-cryptoxanthin in bone homeostasis. Journal of
Biomedical Science, 19(3), 1–13.
Yamaguchi, M., & Uchiyama, S. (2003). Effect of carotenoid on calcium content and alkaline
phosphatase activity in rat femoral tissues in vitro: The unique anabolic effect of β-cryptoxanthin.
Biological & Pharmaceutical Bulletin, 2003(26), 1188–1191.
Yamaguchi, M., & Uchiyama, S. (2004). β-Cryptoxanthin stimulates bone formation and inhibits
bone resorption in tissue culture in vitro. Molecular and Cellular Biochemistry, 258, 137–144.
Yamashita, E. (2013). Astaxanthin as a medical food. Functional Foods in Health and Disease, 3,
254–258.
Yang, C., Fischer, M., Kirby, C., Liu, R., Zhu, H., Zhang, H., et al. (2018). Bioaccessibility, cellular
uptake and transport of luteins and assessment of their antioxidant activities. Food Chemistry,
249, 66–76.
Yang, C., Zhang, H., Liu, R., Zhu, H., Zhang, L., & Tsao, R. (2017a). Bioaccessibility, cellular
uptake, and transport of astaxanthin isomers and their antioxidative effects in human intestinal
epithelial Caco-2 cells. Journal of Agriculture and Food Chemistry, 65, 10223–10232.
Yang, C., Zhang, L., Zhang, H., Sun, Q., Liu, R., Li, J., et al. (2017b). Rapid and efficient conversion
of all-E-astaxanthin to 9Z-and 13Z-isomers and assessment of their stability and antioxidant
activities. Journal of Agriculture and Food Chemistry, 65, 818–826.
Zhang, Y., Fang, H., Xie, Q., Sun, J., Liu, R., Hong, Z., et al. (2014). Comparative evaluation of the
radical-scavenging activities of fucoxanthin and its stereoisomers. Molecules, 19, 2100–2113.
Zhang, L., & Wang, H. (2015). Multiple mechanisms of anti-cancer effects exerted by astaxanthin.
Marine Drugs, 13, 4310–4330.