Hydroxytyrosol: Benefits, Dosage, Contraindications

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Hydroxytyrosol is a phenolic compound naturally found in olive oil and olive leaves. Its relevance as a healthy substitute is supported by numerous reports showcasing its remarkable antioxidant, anti-inflammatory, antimicrobial, and neuroprotective properties, giving it a central role in the prevention of cardiovascular and neurodegenerative diseases, as well as metabolic syndrome. These attributes have earned it positive scientific opinions from the EFSA, highlighting the importance of dietary hydroxytyrosol in protecting low-density lipoproteins (LDL) and thus reducing the incidence of cardiovascular diseases, stating that a dietary intake of 5 mg is sufficient to obtain these benefits.

Other name(s) 

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Phytosubstances


Indications

Rating methodology

EFSA approval.

Several clinical trials (> 2) randomized controlled with double blind, including a significant number of patients (>100) with consistently positive outcomes for the indication.
Several clinical trials (> 2) randomized controlled with double blind, and including a significant number of patients (>100) with positive outcomes for the indication.
One or more randomized studies or multiple cohorts or epidemiological studies with positive outcomes for the indication.
Clinical studies exist but are uncontrolled, with conclusions that may be positive or contradictory.
Lack of clinical studies to date that can demonstrate the indication.


Oxidative stress
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Several studies have shown that hydroxytyrosol is capable of scavenging peroxynitrite, thereby preventing DNA damage and nitration of protein 'tyrosine' residues, and hydroxytyrosol is also capable of protecting against lipid peroxidation and oxidation of low-density lipoproteins (LDL), known for their involvement in the development of atherosclerosis. The health claim, published by the European Food Safety Authority (EFSA), pertains only to olive oil that contains at least 5 mg of hydroxytyrosol and its derivatives (e.g., oleuropein complex and tyrosol) per 20 g of olive oil.

Posologie

posologieOral

posologie5 - 15 mg


Lipid balance
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Hydroxytyrosol is highly effective in preventing lipid peroxidation and protecting LDL from oxidation. The European Food Safety Authority (EFSA) has published a health claim regarding the role of olive oil polyphenols in protecting LDL against oxidation in vivo: "A daily intake of 20 g of olive oil, containing at least 5 mg of hydroxytyrosol and its derivatives (e.g., oleuropein and tyrosol), provides the expected beneficial effects". Additionally, olive oil is capable not only of increasing the resistance of LDL to oxidation but also decreasing the oxidative damage caused to LDL. Nevertheless, high phenolic content olive oils could have more significant effects than low phenolic content olive oils in reducing LDL oxidation. Overall, olive leaf extracts and olive oil can be beneficial in cases of dyslipidemia, particularly with elevated LDL-C, in conjunction with an adapted diet and/or cholesterol-lowering treatment.

Posologie

posologieOral

posologie5 mg


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

Posologie

posologieOral

posologie9.7 mg


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

Posologie

posologieOral

posologie9.9 mg


Synergies


Properties


Cardiovascular

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

Usages associés

Atherosclerosis, Lipid balance

Antioxidant

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

Usages associés

Metabolic syndrome, Oxidative stress

Hypoglycemic

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It has been demonstrated that the improvement in glucose tolerance depends on the concentration of polyphenols and olive oil. Clinical trials on the impact of Hydroxytyrosol on carbohydrate metabolism are still lacking, but experiments on rodent models of metabolic syndrome suggest that Hydroxytyrosol may reduce plasma glucose concentration and insulin secretion, leading to a decrease in insulin resistance.

Usages associés

Metabolic syndrome

Anticancer

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Hydroxytyrosol has an antiproliferative effect and induces apoptotic cell death by generating free radicals in human colon cancer cells. Furthermore, it has been shown that Hydroxytyrosol reduces the expression of the epidermal growth factor receptor, which has been associated with decreased cell proliferation of human colon cancer cells and a reduction in tumor growth. Studies on the effect of Hydroxytyrosol on the cell lines of breast cancer, prostate, and colon revealed antiproliferative activity.


Anti-inflammatory

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

Usages associés

Metabolic syndrome


Safety dosage

Adult from 18 years: 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 (e.g., oleuropein and tyrosol) provides the expected beneficial effects.


Interactions

Médicaments

Antidiabetic: moderate interaction

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

Antihypertensive: moderate interaction

Theoretically, the concomitant use of olive may enhance the hypotensive effect. Some antihypertensive medications include Captopril, enalapril, Losartan, valsartan, Diltiazem, Amlodipine...


Precautions

Pregnant woman: avoid

Avoid due to lack of information.

Breastfeeding woman: avoid

Avoid due to lack of information.