Life Extension Magazine®

Astaxanthin and the Liver

Known for its eye and brain benefits, preclinical studies now show that astaxanthin can help protect the liver in multiple ways.

Scientifically reviewed by: Amanda Martin, DC, in May 2023. Written by: Lisa Stuart.

Chronic liver disease is reported as one of the 15 leading causes of death in the U.S.

In the year 2020 it contributed to over 50,000 fatalities.1

These liver diseases include nonalcoholic fatty liver disease, alcoholic liver disease, viral hepatitis, and other toxic conditions.

A large proportion of the population is at risk of long-term liver damage.

Researchers are intrigued by animal, preclinical and human data about the carotenoid astaxanthin and its potential ability to protect the liver in multiple ways.2-5

Studies show that this plant carotenoid can help defend the liver against injury and may help reverse damage that has already been done.2,3

Astaxanthin has been studied for potential clinical benefits, including for eye,6-8 heart,8-10 and brain health.8,11

Protecting the liver is one more area where astaxanthin may prove valuable.2

Astaxanthin

Astaxanthin is a red carotenoid produced by marine microorganisms such as microalgae and phytoplankton. It is responsible for the pinkish color of shrimp, salmon, and flamingos, as a result of how much astaxanthin they consume.10

Astaxanthin is an anti-inflammatory and antioxidant.10

More recent research has found that astaxanthin protects against various forms of injury that can cause chronic liver disease.2,3

Role in Liver Fibrosis

Several factors can cause liver damage, including poor diet, metabolic disease, alcohol consumption, hepatitis viruses, and others. These lead to a cycle of chronic inflammation, and tissue destruction that over time can cause liver fibrosis (scarring).12

In the late stages of liver disease, this scarring becomes permanent. When large sections of the liver are replaced by scar tissue and can no longer function, it is known as cirrhosis. The end-stage result is liver failure. At this point, the only effective treatment is a liver transplant.12

Several in vivo and in vitro studies have found that astaxanthin is protective against fibrosis.2,3,13,14

With fibrosis, a certain type of liver cell becomes activated and begins synthesizing fibrous tissue. In animal models and human liver cells, astaxanthin prevents and reverses this process, blocking the activation of these cells and shutting down cells that have already been activated.15,16

The chemical carbon tetrachloride is a powerful liver toxin. It causes severe liver damage, leading to fibrosis.17

In an animal trial, with liver damage induced by this liver toxin, rats were given astaxanthin at a dose of 10 mg/kg. After two weeks it was observed that the liver in the treatment group was protected from oxidative damage induced by the toxin, with a significant reduction of inflammation and fibrosis.17

Role in Fatty Liver Disease

A condition called nonalcoholic fatty liver disease causes the liver to accumulate fat, resulting in inflammation and damage that can lead to liver fibrosis and loss of function. More than 20% of adults in the U.S. and North America may suffer from this condition.18

Preclinical studies show that astaxanthin may help to prevent or even reverse it.

Several rodent model studies have shown that astaxanthin can prevent and reverse the development of fatty liver changes. It also improved markers of metabolism and insulin sensitivity.5,13,14,19-21

One group of scientists studying different models of fatty liver disease in mice found that giving them astaxanthin:5

  • Prevented fatty liver changes,
  • Reversed existing changes, decreasing liver fat,
  • Reduced inflammation and fibrosis, and
  • Improved insulin sensitivity.

The same research group performed a preliminary study in humans with existing fatty liver. Subjects were randomized to receive either 12 mg of astaxanthin per day for 24 weeks or a placebo. Compared to the placebo, astaxanthin was able to reduce liver fat and slow the progression of fatty liver.5

Several studies have illustrated some ways that astaxanthin can protect the liver.2 In addition to shielding against oxidative damage and inflammation, it inhibits the signaling proteins NF-kB and PPARs, which are both drivers of liver inflammation and formation of fatty deposits. These effects can even help decompose existing fat droplets in the liver.20,21

Other Liver Benefits

Preclinical studies have found that astaxanthin administration holds promise for a wide range of liver disorders.2

  • One notable example is alcoholic liver disease—multiple changes that are normally seen in the liver with excessive alcohol intake—including inflammation, fatty change, fibrosis, and mitochondrial dysfunction. Excessive alcohol intake over time is one of the most common causes of cirrhosis and liver failure. Several animal model studies have shown that astaxanthin protects against alcohol-induced liver damage.22-27 It was shown in a mouse model that by improving gut health and reducing inflammation and oxidative stress caused by alcohol, astaxanthin guarded against liver damage.26
  • In a study of mice on a high-fat diet, astaxanthin inhibited the increases in body weight, and reduced liver weight, liver triglyceride, plasma triglyceride, and total cholesterol.28 This suggests astaxanthin might be of value in reducing the likelihood of obesity and metabolic syndrome
  • Even in a study of healthy older women, astaxanthin reduced liver enzymes in the blood, which can be markers of liver damage.4 This provides evidence that astaxanthin intake may protect the liver in people with or without any obvious signs of liver damage.

Conclusion

The carotenoid astaxanthin is a powerful antioxidant as well as an anti-inflammatory.

Preclinical models show that astaxanthin is protective of the liver, and some preliminary research in humans is also promising. Astaxanthin may guard against fatty liver changes, damage due to alcohol and other toxins, and liver fibrosis.

If you have any questions on the scientific content of this article, please call a Life Extension Wellness Specialist at 1-866-864-3027.

References

  1. Available at: https://www.cdc.gov/nchs/fastats/liver-disease.htm. Accessed February, 7, 2023.
  2. Li J, Guo C, Wu J. Astaxanthin in Liver Health and Disease: A Potential Therapeutic Agent. Drug Des Devel Ther. 2020;14:2275-85.
  3. Ota T. Prevention of NAFLD/NASH by Astaxanthin and beta-Cryptoxanthin. Adv Exp Med Biol. 2021;1261:231-8.
  4. Chen JT, Kotani K. Effects of Astaxanthin on Liver and Leukocyte Parameters in Healthy Climacteric Women: Preliminary Data. J Med Food. 2017 Jul;20(7):724-5.
  5. Ni Y, Nagashimada M, Zhuge F, et al. Astaxanthin prevents and reverses diet-induced insulin resistance and steatohepatitis in mice: A comparison with vitamin E. Sci Rep. 2015 Nov 25;5:17192.
  6. Otsuka T, Shimazawa M, Inoue Y, et al. Astaxanthin Protects Against Retinal Damage: Evidence from In Vivo and In Vitro Retinal Ischemia and Reperfusion Models. Curr Eye Res. 2016 Nov;41(11):1465-72.
  7. Giannaccare G, Pellegrini M, Senni C, et al. Clinical Applications of Astaxanthin in the Treatment of Ocular Diseases: Emerging Insights. Mar Drugs. 2020 May 1;18(5).
  8. Donoso A, González-Durán J, Muñoz AA, et al. "Therapeutic uses of natural astaxanthin: An evidence-based review focused on human clinical trials". Pharmacol Res. 2021 Apr;166:105479.
  9. Kato T, Kasai T, Sato A, et al. Effects of 3-Month Astaxanthin Supplementation on Cardiac Function in Heart Failure Patients with Left Ventricular Systolic Dysfunction-A Pilot Study. Nutrients. 2020 Jun 26;12(6).
  10. Kumar S, Kumar R, Diksha, et al. Astaxanthin: A super antioxidant from microalgae and its therapeutic potential. J Basic Microbiol. 2022 Sep;62(9):1064-82.
  11. Galasso C, Orefice I, Pellone P, et al. On the Neuroprotective Role of Astaxanthin: New Perspectives? Mar Drugs. 2018 Jul 24;16(8).
  12. Sharma A, Nagalli S. Chronic Liver Disease. StatPearls. Treasure Island (FL): StatPearls PublishingCopyright © 2022, StatPearls Publishing LLC.; 2022.
  13. Yang M, Kimchi ET, Staveley-O'Carroll KF, et al. Astaxanthin Prevents Diet-Induced NASH Progression by Shaping Intrahepatic Immunity. Int J Mol Sci. 2021 Oct 13;22(20).
  14. Kim B, Farruggia C, Ku CS, et al. Astaxanthin inhibits inflammation and fibrosis in the liver and adipose tissue of mouse models of diet-induced obesity and nonalcoholic steatohepatitis. J Nutr Biochem. 2017 May;43:27-35.
  15. Yang Y, Bae M, Kim B, et al. Astaxanthin prevents and reverses the activation of mouse primary hepatic stellate cells. J Nutr Biochem. 2016 Mar;29:21-6.
  16. Yang Y, Kim B, Park YK, et al. Astaxanthin prevents TGFbeta1-induced pro-fibrogenic gene expression by inhibiting Smad3 activation in hepatic stellate cells. Biochim Biophys Acta. 2015 Jan;1850(1):178-85.
  17. Islam MA, Al Mamun MA, Faruk M, et al. Astaxanthin Ameliorates Hepatic Damage and Oxidative Stress in Carbon Tetrachloride-administered Rats. Pharmacognosy Res. 2017 Dec;9(Suppl 1):S84-S91.
  18. Mitra S, De A, Chowdhury A. Epidemiology of non-alcoholic and alcoholic fatty liver diseases. Transl Gastroenterol Hepatol. 2020;5:16.
  19. Wu L, Mo W, Feng J, et al. Astaxanthin attenuates hepatic damage and mitochondrial dysfunction in non-alcoholic fatty liver disease by up-regulating the FGF21/PGC-1alpha pathway. Br J Pharmacol. 2020 Aug;177(16):3760-77.
  20. Jia Y, Wu C, Kim J, et al. Astaxanthin reduces hepatic lipid accumulations in high-fat-fed C57BL/6J mice via activation of peroxisome proliferator-activated receptor (PPAR) alpha and inhibition of PPAR gamma and Akt. J Nutr Biochem. 2016 Feb;28:9-18.
  21. Kobori M, Takahashi Y, Sakurai M, et al. Hepatic Transcriptome Profiles of Mice with Diet-Induced Nonalcoholic Steatohepatitis Treated with Astaxanthin and Vitamin E. Int J Mol Sci. 2017 Mar 8;18(3).
  22. Han JH, Ju JH, Lee YS, et al. Astaxanthin alleviated ethanol-induced liver injury by inhibition of oxidative stress and inflammatory responses via blocking of STAT3 activity. Sci Rep. 2018 Sep 20;8(1):14090.
  23. Kang H, Lee Y, Bae M, et al. Astaxanthin inhibits alcohol-induced inflammation and oxidative stress in macrophages in a sirtuin 1-dependent manner. J Nutr Biochem. 2020 Nov;85:108477.
  24. Krestinina O, Odinokova I, Sotnikova L, et al. Astaxanthin Is Able to Prevent Alcohol-Induced Dysfunction of Liver Mitochondria. Antioxidants (Basel). 2022 Oct 12;11(10).
  25. Liu H, Liu H, Zhu L, et al. Comparative Transcriptome Analyses Provide Potential Insights into the Molecular Mechanisms of Astaxanthin in the Protection against Alcoholic Liver Disease in Mice. Mar Drugs. 2019 Mar 19;17(3).
  26. Liu H, Liu M, Fu X, et al. Astaxanthin Prevents Alcoholic Fatty Liver Disease by Modulating Mouse Gut Microbiota. Nutrients. 2018 Sep 13;10(9).
  27. Wu YC, Huang HH, Wu YJ, et al. Therapeutic and Protective Effects of Liposomal Encapsulation of Astaxanthin in Mice with Alcoholic Liver Fibrosis. Int J Mol Sci. 2019 Aug 20;20(16).
  28. Ikeuchi M, Koyama T, Takahashi J, et al. Effects of astaxanthin in obese mice fed a high-fat diet. Biosci Biotechnol Biochem. 2007 Apr;71(4):893-9.