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Copyright © 2012 by Modern Scientific Press Company, Florida, USA
International Journal of Food Nutrition and Safety, 2012, 1(2): 75-98
International Journal of Food Nutrition and Safety
Journal homepage: www.ModernScientificPress.com/Journals/IJFNS.aspx
ISSN: 2165-896X Florida, USA
Review
Analytical Methods and Bioactivities of Lutein
Jing Zhou 1, Sha Li 1, Shan Wu 1, Xiang-Rong Xu 2, Gui-Fang Deng 1, Fang Li 1, Hua-Bin Li 1, *
1 Guangdong Provincial Key Laboratory of Food, Nutrition and Health, School of Public Health, Sun
Yat-Sen University, Guangzhou 510080, China 2 Key Laboratory of Marine Bio-resources Sustainable Utilization, South China Sea Institute of
Oceanology, Chinese Academy of Sciences, Guangzhou 510301, China
* Author to whom correspondence should be addressed; E-Mail: [email protected]; Tel.:
+86-20-87332391; Fax: +86-20-87330446.
Article history: Received 18 April 2012, Received in revised form 12 May 2012, Accepted 14 May
2012, Published 15 May 2012.
Abstract: Lutein is a fat-soluble carotenoid, and could be found in a wide range of natural
sources, such as algae, tea, herbs, fruits and vegetables. A variety of separation and
analytical methods have been developed for the determination of lutein, including solvent
extraction, supercritical fluid extraction, and high performance liquid chromatography.
Lutein has showed many bioactivities, such as antioxidant and free radicals scavenging,
eyes health protection, antitumor, anti-inflammation, and protective effects on diabetes and
cardiovascular diseases. The objective of this review is to provide an up-to-date coverage
of lutein with reference to analytical methods, natural sources and bioactivities, and special
attention is paid to its bioactivities.
Keywords: lutein; natural source; bioactivity; antioxidant; anti-inflammation; anticancer;
separation; determination.
1. Introduction
Lutein is classified into the carotenoids family and belongs to the group of xanthophylls, the
oxygenated derivatives of carotenes. It is fat-soluble and sensitive to light, heat, oxygen and acids, with
the ionone ring systems being substituted at both the 3 and 3′carbon. Its chemical structure is shown in
Fig. 1. Lutein can not be synthesized by human so it must be obtained through dietary sources. A great
amount of studies have found that lutein has a range of biological activities, for instance antioxidation,
Int. J. Food Nutr. Saf. 2012, 1(2): 75-98
Copyright © 2012 by Modern Scientific Press Company, Florida, USA
76
preventing cataract and age-related macular degeneration, antitumor, anti-inflammation, and protective
effects on diabetes and cardiovascular diseases (Astner et al., 2007; Goodman et al., 2007; Moeller et
al., 2008; Muriach et al., 2008; Rafi and Shafaie, 2007; SanGiovanni et al., 2007; Sato et al., 2011).
This review provides an up-to-date coverage of lutein with reference to natural source, analytical
method and bioactivities, and special attention is paid to its bioactivities.
HO
OH
Figure 1. The chemical structure of lutein
2. Separation and Analytical Methods of Lutein
Several methods, such as solvent extraction, supercritical fluid extraction and high performance
liquid chromatography, have been developed for the extraction, separation and determination of lutein.
Solvent extraction is a traditional method for extraction of lutein from various materials, such as corn,
carrots, microalgae, marigold flower, and plasma. The solvent extraction methods of lutein involve one
or more organic solvents, including hexane, tetrahydrofuran, methanol, acetone, acetonitrile, ethanol,
and petroleum ether (Azevedo-Meleiro and Rodriguez-Amaya, 2007; Hojnik et al., 2008; Kim et al.,
2007). A byproduct of corn and soybean industries, ethyl lactate, was found to be a potential solvent
for extraction of lutein from white corn and carrots prepared as dried powders (Ishida and Chapman,
2009). In a study on the solvent extraction kinetics behavior of lutein from marigold flower petals, the
result showed that the intra-particle diffusion was the rate-governing step of the extraction process, and
the isolation of free lutein could be achieved by a singlet-step procedure, in which the optimal
parameters includes as follow: hexane as organic solvent, temperature 40 �, plant particle size < 0.315
mm, Rs (solvent/material) =5 L/kg, Ra (alkali solution/material) = 3.75 L/kg and concentration of
alkali solution of potassium hydroxide in ethanol of 5% (w/v) (Hojnik et al., 2008). The most effective
solvent for extraction of lutein from marigold flower was reported to be methanol, in comparison with
utilizing hexane, acetone, petroleum ether, using astaxanthin as the internal standard (Bhattacharyya et
al., 2008). However, with regard to industrial applications in extraction of lutein, most of the
traditional organic solvents can not be helpful due to their toxic influence on human heath.
Supercritical fluid extraction is an alternative extraction method to conventional solvent
extraction method, and could be used for extraction of lutein (Gomez-Prieto et al., 2007; Machmudah
et al., 2008; Macias-Sanchez et al., 2010). In the field of supercritical fluid extraction techniques, the
Int. J. Food Nutr. Saf. 2012, 1(2): 75-98
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77
prominent mobile phase is carbon dioxide in the form of supercritical fluid, which is non-toxic and low
environmental impact as well as easily separated from extracts by simply reducing the pressure. The
supercritical fluid extraction is sensitive to temperature and pressure conditions (Macias-Sanchezet al.,
2010), and increasing temperature could obtain higher extraction yields for lutein and cis-lutein from
Mentha spicata L. (Gomez-Prietoet al., 2007). The optimal conditions for supercritical fluid extraction
of lutein and zeaxanthin from a popular plant consumed as a nutritious food and traditional medicine in
China, daylily (Hemerocallis disticha) flowers were 80 � and 600 bar (Hsu et al., 2011). Except of the
appropriate increase of temperature and pressure, the extraction efficiency for lutein in the supercritical
fluid extraction-carbon dioxide process could be enhanced using ethanol and acetone called entrainer
or modifier (Kitada et al., 2009; Shi et al., 2010). Besides its strong power in extracting lutein from
various samples, the supercritical fluid extraction-carbon dioxide process can also used to re-crystallize
lutein from organic solvent solutions, and the best process conditions for extracting lutein from ethyl
acetate solutions has been studied, which came out to be pressure above 8 MPa, initial concentration
below 700 ppm and CO2 mol ratio above 96.4% (Miguel et al., 2008). Nevertheless, it is reported that
supercritical carbon dioxide was less effective than subcritical propane in the extraction of lutein
diesters from marigold (Tagetes erecta) flower petals (Skerget et al., 2010). Yet when compared to the
organic solvent extraction method, supercritical fluid extraction-carbon dioxide extraction achieved a
result of much higher content of lutein (Shi et al., 2010). In addition, other extraction methods have
been developed for extracting lutein or lutein esters, such as supercritical fluid extraction-carbon
dioxide combined with ultrasound (Gao et al., 2009), ultrasound-assisted solvent extraction (Yue et al.,
2006), and enzymatic treatment extraction (Li and Han, 2009).
A range of chromatographic techniques have been exploited to analyze lutein and its isomers as
well as associated pigments both quantitatively and qualitatively in many species like algae, higher
plants and in biological samples (e.g. plasma, milk). HPLC is widely used for the determination of
lutein and its derivatives (Al-Duais et al., 2009; Chu et al., 2010; Huang et al., 2010; Li et al., 2007;
Liu et al., 2007; Mamatha et al., 2011), and some examples are listed in Table 1.
In terms of the choice of the stationary phase, C30 and C18 columns with fillers (e.g. YMC,
polymeric silica) were usually taken into account, with C16-Amide column being selected sometimes,
in the size of 250 × 4.6 mm i.d. or 150 × 4.6 mm i.d. or 55 × 4 mm. Nonetheless, Kimura et al. (2007)
has compared the concentrations of lutein from sweet potato, cassava and maize samples obtained with
C30 and C18 columns, and found that the values were very similar. The results of the study utilizing
C16-Amide column supported the idea that C16-Amide column is more suitable for separating non-polar
hydrocarbon carotenes rather than the polar lutein. Some studies reported to use a pre-column or called
as a guard column, ranging from 10 × 4.6 mm i.d to 150 × 4.6 mm i.d. The particle size in the column
Int. J. Food Nutr. Saf. 2012, 1(2): 75-98
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78
ranged from 3 ~ 5 µm. On the chromatographic conditions, gradient elution procedure was more
frequently manipulated than its isocratic counterpart. There is a large variety in solvent composition,
but the types of them vary only a little. The solvent system often involved with solvent including
methanol, ter-butyl methyl ether, acetonitrile, ethyl acetate, methylene chloride and H2O, in the form
of unitary, binary or ternary solvent system. The column temperature ranged from 20 � to 30 �, with
flow rate was controlled in the range of 0.2 ~ 1.3 mL/min. The injection volume was either 10 µm or
20 µm. Several detection techniques have been used for HPLC analysis of lutein. Due to its time-
saving, high accuracy and reproductivity, photodiode array detector are usually coupled with HPLC to
analyze lutein and associated pigments, monitoring at wavelengths from 420 to 480 nm. In addition,
HPLC coupled with ultraviolet-visible and mass spectrometric detection seems to be a promising
technique for identifying and quantifying lutein in natural products. The evidences came from a
research on structural and geometrical isomers of carotenoids in mature grapes (Crupi et al., 2010), in
which simultaneous determination of four isomers of lutein and two β-carotenes (trans- and cis-
isomers) as well as many other phytochemicals that could not be identified and differentiated in many
studies, was realized.
Table1. Determination of lutein and its derivates by HPLC
Sample Column Condition Detection Reference
caper leaves
(Capparis
spinosa)
Zorbax C18
(250 × 4.6 mm) gradient procedure: A: acetonitrile/
water (90/10 , v/v), B: ethyl acetate;
flow rate, 1 mL/min; injection
volume, 10 µL
PAD,
440 nm
Tlili et al.,
2009
daylily
flowers
(Hemero-
callis
disticha)
RP-YMC C30
column (250 ×
4.6 mm, 5 µm)
isocratic procedure: methanol/
methyl-tert-butyl ether (86/14, v/v);
flow rate, 1 mL/min; injection
volumn, 20 µL
multi-
wavelength
detector,
450 nm
Hsu et al.,
2011
Dunaliella
salina RP-YMC C30
column
(250 × 4.6 mm,
5 µm)
isocratic procedure: mixing
methanol-acetonitrile-water (84/14/2,
v/v/v) and methylene chloride (75/25,
v/v); flow rate, 1 mL/min; injection
volume, 20 µL
PAD, 450
nm
Hu et al.,
2008
fruit, macula
of egg,
vegetables
Purospher Star
(55 ×4 mm, 3
µm)
isocratic procedure:100﹪pure ACN;
column temperature, 25 ± 1℃;
flow rate, 0.4 mL/min
PAD, 448,
450 nm
Velpandian
et al., 2010
grape
(Negro-
amaro)
RP-YMC C30 (
250 × 3 mm, 5
µm); a pre-
gradient procedure: A: 0.05﹪TEA in
H2O, B: 0.05﹪TEA in methanol,
C: 0.05﹪TEA in ter-butyl methyl
UV–vis
detector,
447 nm;
Crupi et al.,
2010
Int. J. Food Nutr. Saf. 2012, 1(2): 75-98
Copyright © 2012 by Modern Scientific Press Company, Florida, USA
79
column, YMC
C30 (20 × 3
mm, 5 µm)
ether; flow rate, 0.2 mL/min;
injection volumn, 10 µL
ESI-MS,
100 ~ 1200
m/z
Makino
(Gynos-
temma
pentaphy-
llum)
YMC C18
column (250 ×
4.6 mm, 5 µm)
gradient procedure: A: methanol/
acetonitrile/ water (84/14/2, v/v/v),
B: methylene chloride;
flow rate, 1.0 mL/minute;
column temperature, 25�
PAD, 450
nm;
ESI/APCI-
MS
Tsai et al.,
2010
leafy
vegetables
RP-Phenom-
enex C18 ( 250
× 4.60 mm, 5
µm)
gradient procedure: A: acetonitrile
and 0.05﹪TEA, B: methanol/ethyl
acetate (1/1, v/v); column
temperature, 25℃; flow rate, 1.0
mL/min; injection volumn,10 µL
UV-Vis
detector,
450 nm
Belanger et
al., 2010
Naranjilla or
Lulo
(Solanum
quitoense
Lam.)
RP-YMC
C30 (250 × 4.6
mm, 5 µm)
gradient procedure: A: water, B:
methanol, C: methyl tert-butyl ether;
column temperature, 25 �; flow rate,
1 mL/min; injection volume, 20 µL
PAD, 450
nm
Gancel et
al., 2008
Phyto-
plankton
C16-Amide
column (150
mm × 4.6 mm,
5 µm), a guard
column of the
same material
gradient procedure, A: methanol,
B: acetonitrile, C: 0.5 M ammonium
acetate; column temperature, 30 �
PAD, 440
and 450 nm
Jayaraman
et al., 2011
red blood
cells
YMC C30
(250 mm × 4.6
mm, 5 µm)
gradient procedure: A: methanol/
methyl tert-butyl ether/water
(83/15/2, v/v/v) containing 3.9
mmol/L ammonium acetate,
B: methanol/methyl tert-butyl
ether/water (8 /90 /2, v/v/v)
containing 2.6 mmol/L ammonium
acetate; column temperature: 20 �;
flow rate, 1 mL/min
PAD, 463
nm;
APCI-MS
scanning
range, 200
~ 800 m/z
Nakagawa
et al., 2008
pumpkin
(Curcurbita
moschata),
orange flesh
RP-YMC C30
(250 mm × 4.6
mm, 5 µm)
gradient procedure: A: methanol/
methyl tert-butyl ether/water
(81/15/4, v/v/v), B: methanol/
methyl-tert-butyl ether/water (4/92/4,
v/v/v); flow rate, 0.42 mL/min;
injection volumn, 20 µL
PAD,
450 nm
Shi et al.,
2010
potato YMC C30
(250 mm × 4.6
gradient procedure: methanol/methyl-
tert-butyl ether; flow rate,
PAD,
450 nm
Burgos et
al., 2009
Int. J. Food Nutr. Saf. 2012, 1(2): 75-98
Copyright © 2012 by Modern Scientific Press Company, Florida, USA
80
Ultra-performance liquid chromatography (UPLC), usually coupled with photodiode array
detection or tandem mass spectrometric detection, are also used for the analysis of lutein and its
derivatives (Dugo et al., 2008; Gentili and Caretti, 2011; Granado-Lorencio et al., 2010; Karlina et al.,
2008; Pham and Hatcher, 2011; Rivera et al., 2011). A comparison between a ultra-performance liquid
chromatography and a conventional HPLC method came to a conclusion that performance of the
former transcended that of the latter in separating lutein from forage (Chauveau-Duriot et al., 2010).
Aside from chromatographic method, there also were other methods applied in the analyses of lutein
and its derivatives, such as ultraviolet-visible spectrophotometry, near infrared reflectance
spectroscopy, and fluorescence quenching method (Belefant-Miller and Grace, 2010; Bonierbale et al.,
2009; Chen et al., 2009; Davey et al., 2009; Kupper et al., 2007).
3. Natural Sources of Lutein
The most well-known natural source of lutein is marigolden flower and this pigment has been
reported to be present in a wide rang of natural sources, like algae, tea, herbs, fruits and vegetables
(Chandrika et al., 2011; Daly et al., 2010; Guil-Guerrero and Rebolloso-Fuentes, 2008; Kobori and
Arnaya, 2008; Ren and Zhang, 2008; Wang et al., 2010; Yahia et al., 2011). It has been reported that
green leafy vegetables were the major contributors of dietary lutein (Perry et al., 2009). Many
researchers have tried to established databases of individual carotenoids including lutein contents in
vegetables and fruits, and these data would be helpful for estimating the dietary intake of lutein and
provide a base for epidemiological studies on the relation between lutein intake and the risk of chronic
diseases (Aizawa and Inakuma, 2007; Chandrika et al., 2010; Dias et al., 2009; Mamathaet al., 2011;
Murillo et al., 2010). Some natural sources of lutein are given in Table 2. It is believed that the quality
and quantity of lutein in various species is likely to be affected by plant variety, portions, growing
environment and seasonality, storage conditions, maturity stages and processing methods (Hidalgo and
mm, 3 µm) 0.8 mL/min; injection volumn, 10 µL
spiny sea-
star
(Marthas-
terias
glacialis)
Luna RP-C18
(250 × 4.6 mm,
5 µm)
isocratic procedure: acetonitrile;
flow rate, 0.5 mL/min; injection
volume, 40 µL
PAD, 300
~ 650 nm;
APCI- MS,
200 ~ 1500
m/z
Ferreres et
al., 2010
Vitaceae
(Cyphos-
temma
digitatum)
leaves
RP-C30 (250 ×
4.6 mm, 5 µm);
C30 guard
column (10 ×
4.6 mm, 5µm)
gradient procedure: TBME/MeOH;
column temperature, 17 ± 1 �; flow
rate, 1.3 mL/min
PAD, 470
nm
Al-Duais et
al., 2009
Int. J. Food Nutr. Saf. 2012, 1(2): 75-98
Copyright © 2012 by Modern Scientific Press Company, Florida, USA
81
Brandolini, 2008; Holasova et al., 2009; Lozano et al., 2011; Pinto et al., 2011; Provesi et al., 2011;
Wang et al., 2008; Yang et al., 2010; Zanatta and Mercadante, 2007; Zhang et al., 2009).
4. Bioactivities of Lutein
4.1. Antioxidant and Free Radicals Scavenging Activities
Many experiments have been done in the area of antioxidative assays of lutein and the pigment
has been identified as an important protective agent offering resistance to oxidative stress by
scavenging free radicals, inhibiting cell membrane damage and lipid peroxidation, etc. Several in vitro
researches confirmed that lutein was an effective scavenger of hydrogen peroxide (H2O2), superoxide
anion and free radicals, such as hydroxyl free radical, lipid free radical, 1,1-diphenyl-2-picrylhydrazyl
(DPPH) radical, and 2,2-azinobis(3-ethylbenzothiazoline-6-sulfonic acid) radical cation (ABTS•+), as
well as an active inhibitor of lipid peroxidation and iron-mediated Fenton reaction (Bhattacharyya et
al., 2010; Hsuet al., 2011; Kumar et al., 2010). Another in vitro experimental study indicated that the
free radical scavenging ability of lutein exhibited in a concentration-dependent manner, and the
effective inhibition concentration (IC50) values were 7.54, 3.54, 7.70, 7.75 mg/mL for the 2,2-
diphenyl-1-picrylhydrazyl radicals, 2,2-azobis-3-ethylbenzthiazoline-6-sulphonic acid radicals,
inhibition of RBC hemolysis induced by peroxide, and inhibition of lipid peroxidation assays,
respectively (Fu et al., 2011). Lutein was also able to capture peroxynitrite and nitrogen dioxide
radicals from their molecules and so it may be reasonable to presume that this pigment could protect
DNA, protein and low density lipoprotein since peroxynitrite is known to be capable of inducing these
substances to alter (Tsuboi et al., 2010). This is in accordance with the results of a study, which
showed that lutein protected against DNA damage in SK-N-SH human neuroblastoma cells induced by
reactive nitrogen species, including S-nitrosoglutathione monoethyl ester, Na2N2O3 and 3-morpholino-
sydnonimine (Santocono et al., 2007). An in vitro study reported that lutein protected HT-29 cells from
deoxynivalenol-induced oxidative stress through suppressing expression of inflammatory genes, NF-
κB and cyclo-oxygenase-2, and cytotoxicity by maintaining cell viability and reducing lactate
dehydrogenase leakage (Krishnaswamy et al., 2010).
The efficacy of quenching free radicals of lutein was compared with other natural pigments or
products. The results of a fundamental study about the free radical scavenging activity of lutein, β-
carotene and violaxanthin purified from water spinach revealed that the free radicals scavenging ability
followed the order, considering the effective inhibition concentration (IC50) values: β-carotene > lutein
> violaxanthin for the 1,1-diphenyl-2-picrylhydrazyl radical assay; violaxanthin > lutein > β-carotene
for the 2,2-azinobis(3-ethylbenzothiazoline-6-sulfonic acid) radical cation assay; violaxanthin > β-
carotene > lutein for the inhibition of RBC hemolysis induced by hydrogen peroxide and inhibition of
Int. J. Food Nutr. Saf. 2012, 1(2): 75-98
Copyright © 2012 by Modern Scientific Press Company, Florida, USA
82
lipid peroxidation assays (Fu et al., 2011). When comparisons of in vitro antioxidant capacity among
the four commercially available natural products lutein, olive leaf extract, sesamol and ellagic acid
were carried out, antioxidant efficacy followed the order: ellagic acid > sesamol > olive leaf extract >
lutein for all the antioxidant test methods, 1,1-Diphenyl-2-picrylhydrazyl, 2,2-Azinobis(3-ethylbenzo-
thiazoline-6-sulfonic acid) radical cation, ferric reducing antioxidant capacity, oxygen reducing
antioxidant capacity and β-carotene-linoleic acid assays (Hayes et al., 2011).
Table 2. Some natural sources of lutein
Source Lutein (%) Method Reference
camu-camu fruit (Myrciaria
dubia)
peel
160.5 ± 93.1a µg/100 g FW
601.9 ± 75.6a µg/100 g FW
HPLC-PAD Zanatta and
Mercadante,
2007
C. maxima × C. moschata hybrid
‘Tetsukabuto’
C. pepo ‘Mogango’ flesh
56.6 ± 9.7 µg/g FW
9.8 ± 2.9 µg/g FW
HPLC-PAD Azevedo-Meleiro
and Rodriguez-
Amaya, 2007
caper (Capparis Spinosa)
leaves
buds
flowers
2346.3 ± 1292.9 µg/g FW
672.9 ± 402.7 µg/g FW
214 ± 117.9 µg/g FW
HPLC-PAD Tlili et al., 2009
daylily (Hemerocallis disticha)
flowers
245.61 ± 5.12 µg/g DW HPLC Hsuet al., 2011
jackfruit (Artocarpus
heterophyllus) pulp
37.02a µg/100 g FW HPLC-PDA de Faria et al.,
2009
jambolao fruits (Syzygium
cumini) pulp and peel
39.0 ± 2.2a µg/100 g FW HPLC-PAD-
MS/MS
Faria et al., 2011
Merlot grape berries (Vitis
vinifera cv. Merlot)
1.51 µg/g FW
1.73 µg/g FW
HPLC-PAD Kamffer et al.,
2010
spinach (Spinacia oleraceea)
variety Leopold leopard leaves
52.2 ± 0.9 mg/kg FW HPLC Bunea et al.,
2008
Violadeclinata herba aerial parts 896 µg/100g FW HPLC Toiu et al., 2009
Note: a All-trans-lutein; FW = fresh weight; DW = dried weight.
The role of lutein as an antioxidant was reinforced by the results of several in vivo tests (Sato et
al., 2011; Serpeloni et al., 2010; Sindhu et al., 2010). The results of one in vivo experiment
demonstrated that lutein exerted a hepatoprotective role, which was believed to be related to lutein’s
capacity to scavenging reactive oxygen radicals, in rats treated with paracetamol, carbon tetrachloride
or ethanol (Sindhuet al., 2010). Another in vivo study using ischemia-reperfusion model rats found that
lutein had a potent protective effect against oxidative injury (Sato et al., 2011). In addition, this
Int. J. Food Nutr. Saf. 2012, 1(2): 75-98
Copyright © 2012 by Modern Scientific Press Company, Florida, USA
83
carotenoid was found to be capable of reducing the formation of crosslink and chromosome instability
induced by cisplatin as well as increasing glutathione levels in mice (Serpeloni et al., 2010). An
investigation on the individual carotenoid content by HPLC revealed that lutein was relatively lacking
in human skin as compared to plasma (Scarmo et al., 2010). Two randomized, double-blind, placebol-
controlled clinical trials discovered that lutein may improve skin health upon its increasing skin
hydration, lipid content and elasticity as well as decreasing skin lipid peroxidation activity (Maci 2007;
Palombo et al., 2007). However, it should be pointed out that extra supplementation with lutein or
compounds rich-in lutein may not significantly affect body antioxidant status or oxidative stress in
normal healthy subjects when sufficient amounts of antioxidants already exist. This has been verified
by an investigation on whether supplementation of lutein and/or green tea can alter overall antioxidant
status/oxidative stress in a well nourished population aged 50 – 70 years (Li et al., 2010).
4.2. Activities on Eyes Health
Potential benefits on eyes health of lutein have received extensive attention since this pigment
was reported as a component of the human retina together with zeaxanthin (Bone et al., 1985). A
number of in vitro tests, animals models, clinical trials or epidemiological studies have been conducted
to evaluate the potential protective effect of lutein against retinal neural damage, age-related macular
degeneration, cataract and so forth (Cho et al., 2008; Hu and Xu, 2008; Johnson et al., 2008; Li and
Lo, 2010; Sasaki et al., 2009). The most well-known activity of lutein has been implicated in the
protection of age-related macular degeneration (AMD). High levels of lutein/zeaxanthin intake from
diet were observed to relate to low risk of generating age-related macular degeneration, geographic
atrophy, and large or extensive intermediate drusen (SanGiovanni et al., 2007). Lutein supplementation
may increase the macular pigment optical density, thus benefit visual function in patients with age-
related macular degeneration (Weigert et al., 2011). However, it is reported that the combination of
lutein with vitamins and minerals at 6 mg dose did not benefit patients with age-related maculopathy
and atrophic age-related macular degeneration participants (Bartlett and Eperjesi, 2007). In addition, a
study showed that associations between lutein/zeaxanthin intake and the risk of self-reported early
AMD did not exist according to the data from a prospective follow-up investigation of 71, 494 women
and 41, 564 men (Choet al., 2008). The same conclusion was reached by a systematic review and
meta-analysis (Chong et al., 2007), in which nine prospective cohort studies and three randomized
clinical trials were finally included, using standardized criteria. The results of the meta-analysis
supported that evidence to the protective role which dietary lutein or other antioxidants like vitamin A
and vitamin C, including their supplements, play against early AMD was insufficient.
Int. J. Food Nutr. Saf. 2012, 1(2): 75-98
Copyright © 2012 by Modern Scientific Press Company, Florida, USA
84
Evidence to the neuroprotective role of lutein has been supported by an in vitro model of
hypoxia and oxidative stress, results of which revealed that retinal ganglion cells RGC-5 were
protected by lutein from chemical hypoxia induced by cobalt chloride and oxidative stress induced by
hydrogen peroxide (Li and Lo, 2010). The role of lutein as a neuroprotectant has been reinforced by
data from a model of acute retinal ischemia/reperfusion (Li et al., 2009). Lutein might also be applied
to prevent after-cataract, based on the conclusion of an in vitro experiment using bovine lens epithelial
cells model, in which lutein could inhibit the proliferation and migration of cells at concentration of ≥
1 µmol/L (Hu and Xu, 2008). The risk of nuclear cataract in older women might be decreased with
diets rich in lutein and zeaxanthin (Moelleret al., 2008).
Filtering blue-light and quenching reactive oxygen species have been proposed to be major
mechanisms for how lutein performs its biological function on ocular health (Krinsky et al., 2003;
Snodderly, 1995). The former has been authenticated indirectly by an animal experiment (Barker et al.,
2011), in result of the fovea of rhesus monkey eyes being protected against blue light-induced damage
by lutein supplementation after long-term xanthophyll deficiency. In support of the reducing oxidation
mechanism, Li et al. (2010) reported that singlet oxygen was generated in human retinal pigment
epithelium/choroid but not retina, and lutein along with other macular pigments located in
photoreceptor outer segments might be able to directly quench them. Pintea et al. (2011) also agreed
with the ideas that lutein and zeaxanthin supplementation could protect human retinal pigment
epithelium cells D407 RPE by helping them against hydrogen peroxide induced oxidative stress.
4.3. Antitumor Activities
Many studies related to the risk for cancer and carcinogenesis have been performed to probe
into the role which lutein play in protecting from several cancers. An in vitro test found that lutein
showed inhibiting action to human hepatoma cell Hep3B in G (0)/G (1) phase of cell cycle and
inducing Hep3B cells necrosis or apoptosis (Tsai et al., 2010). Additionally, a Wistar rat model
clarified lutein as a suppressing agent during diethyllnitrosamine-induced hepatocarcinogenesis
(Moreno et al., 2007). The extract almost completely composed of lutein from Chlorella vulgaris has
been found to exhibit antiproliferative activity on human colon cancer cells HCT116 in a dose-
dependent manner, with an effective inhibition concentration (IC50) value of 40.31 ± 4.43 µg/mL (Cha
et al., 2008). Moreover, a dimethylhydrazine-treated rat model demonstrated the chemo-protective
effect of lutein against colon carcinoma through regulating the proliferative activity of K-ras, protein
kinase B, and β-catenin proteins in tumors (Reynoso-Camacho et al., 2011). The ultraviolet B-
irradiated Skh-1 hairless mice model confirmed that dietary supplementation with lutein/zeaxanthin (in
a ratio of 20:1) reduced photoaging and photocarcinogenesis in mice skin (Astneret al., 2007). The
Int. J. Food Nutr. Saf. 2012, 1(2): 75-98
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85
results of quite a few investigations or clinical trials have suggested that a diet rich in lutein along with
other carotenoids may reduce the risk of several kinds of cancers, such as prostate cancer, epithelial
ovarian cancer, endometrial cancer, and cervical or breast cancer (Beydoun et al., 2011; Ghosh et al.,
2008; Mignone et al., 2009; Pelucchi et al., 2008; Zhang et al., 2007a & b). However, a case-control
study reported that lutein/zeaxanthin did not appear to be protective agents for lung cancer(Comstock
et al., 2008). In addition, a cohort study suggested that lung cancer prevention should avoid long-term
use of individual lutein, β-carotene and retinol supplements, particularly among smokers (Satia et al.,
2009).
4.4. Other Bioactivities
Additional biological functions of lutein have been demonstrated, including protective effects
on diabetes and related diseases, anti-inflammatory and antibiosis, and protective effects on
cardiovascular diseases, which are summarized in Tables 3-6, except the aforementioned.
Table 3. Effects of lutein on diabetes and associated diseases
Model Function Reference
diabetic Wistar rats normalize the diabetes-induced biochemical,
histological, and functional modifications in the retina
Arnal et al., 2009
streptozotocin-
induced diabetic rat
attenuate the oxidative changes of the diabetic cerebral
cortex
Arnal et al., 2010
streptozotocin-
induced diabetic rat
prevent the development and progression of cataracts Arnal et al., 2009
lymphocytes from
diabetic rats
prevent oxidative stress, suppressed the NF-κ B
activation induced by high glucose
Muriachet al.,
2008
human-derived retinal
pigment epithelial
ARPE-19 cells
suppress cell proliferation and mRNA upregulation of
vascular endothelial growth factor and matrix
metalloproteinases-2 induced by exogenous advanced
glycation endproducts
Sun et al., 2011
patients with
nonproliferative
diabetic retinopathy
improve visual acuity, increase contrast sensitivity,
decrease fovea thickness
Hu et al., 2011
streptozotocin-
induced diabetes
C57BL/6 mice
prevent local oxidative stress in the diabetic retina,
prevent decrease in the thickness of the inner
plexiform and nuclear layers and ganglion cell number
Sasaki et al., 2010
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86
Table 4. Anti-inflammatory effects of lutein
Model Possible Mechanism Reference
LPS-stimulated
mouse macrophage
cell line RAW 264.7
decrease the expression of the inducible nitric oxide
synthase at both the mRNA and protein levels
Rafi and Shafaie,
2007
lipopolysaccharide
(LPS)-stimulated
macrophages
inhibit the redox-sensitive activation of the NF-κ B-
inducing kinase and phosphatidylinositol 3-kinase as
well as oxidative inactivation of PTEN
Kim et al., 2008
specific isoforms of
mammalian DNA
polymerases
inhibit mammalian DNA polymerases β and λ Horie et al., 2010
gastric epithelial
AGS cells
inhibit hydrogen peroxide-induced activation of NF-κB
and IL-8 expression
Kim et al., 2011
Table 5. Antibiosis effects of lutein
Model Possible Mechanism Reference
stable HBV-producing
human hepatoblastoma
HepG2 2.2.15 cells
suppress the secretion of HBsAg, inhibit the
activity of HBV full-length promoter (Fp),
inhibited HBV transcription
Pang et al., 2010
a cohort of 279 Hawaiian
residents
reduce the risk of anal human papillomavirus
infections
Shvetsov et al.,
2010
Table 6. Protective effects of lutein on cardiovascular disease
Model Function Reference
cohort of 63, 257
Chinese men and women
decreased risk of acute myocardial infarction (Koh et al., 2011)
Aorta of guinea pigs prevent cholesterol accumulation, decrease
oxidized LDL and inflammatory cytokines
(Kim et al., 2011)
5. Conclusions and Prospects
Lutein could be extracted from various natural sources or biological samples using solvent
extraction, supercritical fluid extraction, ultrasound-assisted extraction, and enzymatic treatment
extraction. Lutein is usually determined by HPLC or UPLC with PAD or mass spectrometric detection.
As a result of the attempt to uncovering possible contributions to human health of lutein, the pigment
has been reported to be associated with antioxidant and free radicals scavenging, eyes health protection,
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87
antitumor, anti-inflammatory, and antibiosis activities, and protective effects on diabetes along with
associated diseases. In the future, more widely pharmacological studies should be carried out to
explore new pharmacodynamic effects. Furthermore, the action mechanism of lutein should be
investigated thoroughly. In addition, more attentions should be paid to develop methods for
simultaneous determination of lutein and the associated pigments.
Acknowledgments
This research was supported by the Hundred-Talents Scheme of Chinese Academy of Sciences,
and the Hundred-Talents Scheme of Sun Yat-Sen University.
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