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Astaxanthin Technical Bulletin | Brain

KEEP YOUR
MIND IN
TUNE
Advantages of Astaxanthin for
Brain Health

Clinical Benefits of Astaxanthin


• Improves age-related forgetfulness, multitasking, and alertness
• Decreases oxidation of red blood cells, which is linked to prevention of dementia
• Enhances capillary blood flow and blood antioxidant quality
• Modulates blood pressure, lowering stroke risk and vascular endothelial health

Astaxanthin: The Latest Science


• Quenches oxidative stress and inflammation in the brain’s circulatory system
• Reduces incidences of stroke and ischemia-reperfusion injury, and speeds up neurological recovery after stroke
• Modulates key cellular factors that promote neurodegenerative diseases
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THE BRAIN:

The Grand
Maestro

T he brain is the Grand Maestro of the human life: It


coordinates all the basic and complex functions that
link the body and mind. Indeed, any alteration of the brain’s intruders or the formation of internal injuries. Nevertheless,
the brain remains vulnerable to attack and damage by free
structural dynamics and biochemistry can directly disrupt
cognitive, physical, and emotional well-being. We are the radicals, especially in people over the age of 50 in whom
brain and the brain is us. the brain’s natural antioxidant enzymes progressively lose
effectiveness. In fact, excessive persistent oxidative stress
and chronic inflammation in the brain have been linked to
The Brain: A Symphony of Interrelated Cellular the development and progression of neurodegenerative
Activities conditions, such as Alzheimer’s disease and Parkinson’s
The brain contains more than 100 billion neurons, disease, and to cerebrovascular diseases, such as
which is more than 14 times the world population. It is ischemic stroke and vascular dementia. For these reasons,
interconnected with over 180,000 km of nerve fibers, long neurologists have started to pay close attention to the
enough to encircle the globe four-and-a-half times. The brain preventive and therapeutic effects of micronutrients on
is supported by more than 100 trillion tiny communication
brain health.
junctions called synapses that allow neurotransmitters to
pass information between neurons. The speed at which
information travels between neurons is roughly 400 km/h,
which is faster than a Formula 1 racing car. All this is
packed into something that has a volume of only 1,130 cm
and weighs just 1.5 kg on average, about the size of a large
grapefruit or a small head of cauliflower.

T wo clinical studies suggest that natural


astaxanthin extract from Haematococcus
pluvialis microalgae improves mental quickness,
multitasking, memory, and learning speed in
older adults who had complained of age-related
forgetfulness and loss of mental sharpness. An
additional clinical study indicates that astaxanthin
can improve mental function in older adults suffering
from symptoms of mild cognitive impairment (MCI).
Supporting studies suggest that astaxanthin maintains
Because the brain is so important it has an excellent
a healthy brain by providing antioxidant protection,
defense system. Firstly, it is well protected by the blood
and by maintaining healthy blood flow and quality.
brain barrier, which prevents harmful substances from
Other beneficial factors may include maintaining a
reaching the brain. Secondly, the brain has a specialized
healthy blood pressure.
immune system, which monitors the presence of any

2 Astaxanthin Technical Bulletin | Brain


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Why Does the Brain Need Powerful Specialized Antioxidants?

Reason 1: Among all the body’s organs, the brain Reason 3: Almost 1 liter of blood flows through the
generates the largest amount of free radicals. It capillaries of the brain every minute. The likelihood of
accounts for only 3% of body weight but requires 25% developing ischemia, stroke and vascular insufficiency are
of our total energy consumption. The brain generates dramatically increased by decades of a poor blood profile,
exceptional amounts of free radicals as a by-product of reduction of the blood antioxidant capacity, oxidation of
the energy conversion process. red blood cells, and loss of capillary integrity.

Reason 2: The brain is prone to peroxidation and Reason 4: The brain’s defense system. The brain is
inflammation. More than 60% of the brain is made of shielded by the blood brain barrier and immune system
polyunsaturated fatty acids, so neural cell membranes which stops many antioxidants from reaching the brain.
are highly vulnerable to lipid peroxidation and Therefore, for antioxidants to be effective, they must
subsequent chronic inflammation. pass the brain’s barrier and avoid inactivation by the
brain’s immune system.

Nearly The global numbers of people with One new


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ĐĂƌĞŝŶϮϬϭϬǁĂƐ Early
diagnosis
$604 improves the quality of life
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References:
World health organization, 10 facts on dementia, http://www.who.int/features/factfiles/dementia/dementia_facts/en/index5.html
Alzheimer’s Disease International, infographic, http://visual.ly/dementia-global-epidemic

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Mild Cognitive Impairment Increases 12 weeks after the start of administration. The findings,
with Age published in the Journal of Clinical Biochemistry and
Nutrition, showed that pretreatment with astaxanthin
Mild cognitive impairment improved the participants’ information processing, memory,
(MCI) is a syndrome and learning. The improvement was assessed by an
rather than a disease, and internationally recognized cognitive function test called
encompasses a set of CogHealth. The tasks tested by CogHealth are essential for
symptoms including subtle performing activities of daily living (Figure 1)3. In the same
problems with memory, study, astaxanthin was also found to increase the amplitude
planning, language, of the P300 event related potential, a brain wave that is
attention, visuospatial skills, used to assess cognitive function.
and decision-making. The
estimated prevalence of MCI is 10%–20% for people aged Taking oral astaxanthin significantly improved:
over 65, and the causes of MCI are currently unknown. 1. Reaction time [simple reaction test] – how fast a
Several longitudinal studies have shown that the majority person responds when facing a simple obstacle
of people affected by MCI have a substantially increased 2. Mental quickness [choice reaction test] – how fast
risk of developing dementia. By 2040 more than 81 million a person can match incoming words with pictures
people worldwide will be living with MCI and Alzheimer’s 3. Multitasking [divided attention test] – how fluently
disease1, 2. a person can perform a physical task and a mental
task at the same time (e.g., repeating a phone number
Astaxanthin Improves Cognitive while walking in a straight line)
Impairment in the Elderly 4. Working memory [short-term memory test] – how
fast a person can recall a sequence of events or objects
MCI is a syndrome that involves cognitive impairments
5. Medium-term memory [delayed recall test] – how
exceeding those normally expected based on the
fluently a person can recall a list of words seen a few
age of the individual. Symptoms include difficulty
days before
recalling important information such as appointments,
conversations, and recent events. Decision-making and the
ability to complete complex tasks may also be affected. In 2012, Juntendo University, Japan, conducted a larger
The problems caused by MCI are not severe enough randomized, double-blind, placebo-controlled study
to affect daily life, and thus do not meet the diagnostic involving a total of 96 healthy middle-aged and elderly
guidelines for dementia. Individuals with MCI are at participants who reported age-related forgetfulness4. The
increased risk of developing Alzheimer’s disease and other participants took a placebo, 6 mg (low dosage), or 12 mg
types of dementia1, 2. (high dosage) of natural astaxanthin for 12 weeks. Despite
In 2009, a team of researchers from Juntendo University a strong placebo effect, participants in the high-dosage
and Kyorin University investigated the effects of astaxanthin group showed improvement in the choice reaction (mental
on 10 healthy men aged 50-69 years, who had complained quickness), delayed recall (medium-term memory), and
of age-related forgetfulness3. The participants were divided attention (multitasking) tests. Working memory
given 12 mg of astaxanthin daily for 12 weeks and had (short term memory) improved significantly (p<0.05) over
their cognitive function assessed at baseline and 6 and baseline in the high-dosage group (Figure 2)4. Furthermore,
participants in the low-dosage and high-dosage groups
Figure 1. Astaxanthin Supplementation Ameliorated the Perfor- showed significantly faster learning in the short-term spatial
mance of Cognitive Function3 memory test in comparison with the placebo group, as
assessed by the Groton Maze Learning Test (GMLT). The
Medium-term memory 9.1%
GMLT assesses how fast someone learns the location of
Working memory 14.2% obstacles in order to avoid them when tracking a target
Multitasking 16.6%
destination under time pressure. It assesses spatial
memory, which is considered crucial in everyday tasks such
Mental quickness 8.1%
as remembering objects and locations.
Reaction time 17.5%
These clinical findings have been further validated in
Healthy male participants (n=10, 50-69 years old) complaining age-related experimental studies. Pretreatment with astaxanthin was
forgetfulness took 12 mg daily astaxanthin for 12 weeks to observe the
response time on a cognitive function test called CogHealth. found to significantly improve learning, short term memory,

4 Astaxanthin Technical Bulletin | Brain


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expressed permission from AstaReal Co., Ltd. Contents may not be copied or modified, in print or electronic form, without the express consent of AstaReal Co., Ltd.

Figure 2. 12 mg of astaxanthin supplementation improves sections of the ADAS-cog test, with decreases of 15% and
cognitive function in the healthy aged individuals4
32% respectively (p ≤ 0.002) (Figure 3)7.
† p< 0.1 vs baseline, *p< 0.05 vs baseline Start 12 weeks Although the mechanism of action is unclear, the beneficial
1000 (Astaxanthin 12 mg group :n=32)
effects seen in this study may have been related to a
7.1% 880 †
800 Reduced 818 reduction in oxidative stress in the brain arising from the
Mean response time (ms)

6.0% 656 *
8.1% antioxidant activity of astaxanthin8. The results of this
Reduced
600 Reduced 609
study point to the potential of astaxanthin, either alone

480 † or combination with other antioxidants, to support and
400 451
419
7.0% 385
maintain healthy cognitive function.
Reduced
200

Figure 3. Significant improvement of ADAS-cog subscale after


0
astaxanthin-containing supplementation7
Choice reaction Working memory Delayed recall Divided attention

Healthy participants (n=96, aged 55.7±3.7) complaining age-related


forgetfulness were randomly allocated into 3 groups and given 0,6 and 12 mg * * p<0.001 Day 0 Day 60
of astaxanthin daily for 12 weeks. The cognitive functions were measured by 6

Alzheimer’s disease assessment scale-cognitine subscale


CogHealth battery in response times on a computer. 5.9

spatial memory, and development of vascular dementia 5


5.0
0
in hypertensive animal models. In 2005, researchers at
15 32
(ADAS-cog)
% * %
Toyama University in Japan found that pretreatment of
4 Decreased 4
4.1 Decreased
ischemic mice with astaxanthin significantly reduced the
time required for the mice to escape from a maze5. These
results were verified in 2007 when researchers at Qingdao 3

University in China found that healthy rats supplemented 2.8


2

with doses of astaxanthin corresponding to 10 mg/day for


2
an adult man also showed improved memory performance Word Recall Word Recognition

in maze tests6. Patients diagnosed with MCI (n=98, aged≥50, under non-pharmacological
therapy) received 4 mg of astaxanthin daily in combination with Bacopa
Monnieri and other antioxidants for 60 days. A higher score indicates greater
In 2014, a prospective cohort study examined the efficacy dysfunction.

of a combination of astaxanthin and other antioxidants for


improving memory and cognitive function in patients with
In a
MCI7. Ninety-eight participants over 50 years old received 4 Nutshell
mg of natural astaxanthin daily in combination with Bacopa
monnieri, which is a plant traditionally used as a brain tonic, Combined clinical and experimental studies
and other antioxidants for 60 days. The subjects’ cognitive have shown that supplementation with natural
function was assessed using the Alzheimer’s Disease astaxanthin may improve mental quickness,
Assessment Scale—cognitive subscale (ADAS-cog) and the multitasking, memory, and learning speed.
clock drawing test (CDT).
After 60 days of supplementation, a significant
improvement was seen in the CDT scores, which increased
Astaxanthin Improves Blood Quality
from 8.5 ± 2.3 to 9.1 ± 1.9 (p ≤ 0.001). The ADAS-cog
scores also improved significantly from Red blood cells are the principal means of delivering oxygen
13.7±5.8 at baseline to 9.7± 4.9 on and nutrients to the brain via the circulatory system. Red
day 60 (p ≤ 0.001). The greatest blood cells take up oxygen in the lungs and release it as
improvements were seen in the they travel through the brain’s capillaries. The membranes
word recall and word recognition of red blood cells are particularly susceptible to oxidation
compared with other parts of the cell. Oxidation of red blood
cells is linked to loss of mental sharpness. In fact, abnormally
What did I eat last night? high levels of phospholipid hydroperoxides (PLOOH), which
are the oxidation by-products of phospholipids, accumulate in
What’s my number?
the red blood cell membranes of dementia patients. Oxidized
What was her name? red blood cells have a decreased capacity for transporting
oxygen to the brain; therefore, the increase in PLOOH levels
is linked to the severity of dementia9.

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expressed permission from AstaReal Co., Ltd. Contents may not be copied or modified, in print or electronic form, without the express consent of AstaReal Co., Ltd.

In 2011, Tohoku University in Japan conducted a the brain capillaries. A series of experimental and
randomized, double-blind, placebo-controlled study, involving clinical studies suggest that astaxanthin can modulate
30 older adults who took 6 or 12 mg of astaxanthin daily blood pressure; therefore, it is considered a promising
for 12 weeks9. In this study, published in the British Journal micronutrient for the prevention and alleviation of the
of Nutrition, astaxanthin supplementation reduced oxidative effects of hypertension.
by-products in red blood cells, attenuated lipid peroxidation
of the red blood cell membranes, and improved the Two clinical studies were conducted in Japan to determine
antioxidant status of the red blood cells. The results suggest the effects of astaxanthin in humans. In an open clinical
that astaxanthin may help prevent vascular dementia by study conducted at Doshisha University in Japan, 20
improving the quality of the blood and the quantity of oxygen healthy postmenopausal women took 12 mg of astaxanthin
and nutrients that reach the brain tissues (Figure 4)9. daily for 8 weeks and their systolic blood pressure and
diastolic blood pressure were reduced by 7% and 4%,
respectively12. In a second clinical study conducted at
Figure 4. 12 mg of astaxanthin supplementation significantly Juntendo University, 73 participants aged 20-60 years
decreased the concentration of PLOOH in red blood cells9
took 4 mg of astaxanthin daily for 4 weeks and showed a
Start 12 weeks 5% decrease in systolic blood pressure3. Overall, studies
20
suggest that astaxanthin can combat hypertension because
PLOOH Concentration (pmol/ml)

48%
18.6
it improves vascular integrity, vessel dilation/constriction,
15
13.9 14.9 and blood rheology or capillary circulation13. These finding
Reduced are supported by a series of experimental studies involving
10
9.7 hypertensive animal models5, 14-17.
5
In a
0 Nutshell
Placebo Group Astaxanthin (12 mg)

Healthy participants (n=30, 56.3 mean years old) were randomly received 0 Clinical studies also suggest that astaxanthin
(placebo), 6 or12 mg of daily astaxanthin for 12 weeks to measure the level of fights vascular dementia by reducing the
PLOOH in red blood cells. This figure shows changes of placebo and 12 mg group.
amount of oxidative by-products in red blood
cells, improving circulation in capillaries, and
by reducing blood pressure—major factors in
Astaxanthin Improves Circulation and
preventing vascular dementia.
Blood Flow
In addition to blood
quality, good circulation Latest Science
and capillary blood flow
Experimental studies using animal and in vitro models have
is essential to deliver
shown that astaxanthin supplementation helps prevent and
antioxidant and nutrient rich
alleviate neurodegenerative and cerebrovascular diseases.
blood to all portions of the
Astaxanthin has been shown to:
brain. In 2005, Nagaki et
1. Reduce the incidence of stroke, limit neurological
al. conducted a randomized double-blind study in which
damage in the areas affected by ischemia, and
36 subjects who received 6 mg/day of astaxanthin for 4
scavenge oxidative by-products during ischemic
weeks experienced a 4% improvement in capillary blood
reperfusion5, 18, 19.
flow10. These results were complemented by a 2008 study
2. Inhibit aggressive immune-inflammatory responses that
by Miyawaki et al. in which adult men taking 6 mg/day of
can accelerate capillary disintegration and neural cell
astaxanthin for 10 days showed a 10% increase in blood
death after a stroke20-23.
flow as measured by blood transit times11.
3. Limit the inflammatory responses and premature
senescence of dopaminergic cells typically observed in
Astaxanthin Reduces Blood Pressure Parkinson’s patients24-26.
4. Attenuate the biochemical disruption, cytotoxicity,
High blood pressure is the most important risk factor and oxidative stress associated with the abnormal
for stroke and a leading cause of cerebrovascular presence of beta-amyloid peptides in Alzheimer’s
complications, including hardening and narrowing of disease27, 28.

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expressed permission from AstaReal Co., Ltd. Contents may not be copied or modified, in print or electronic form, without the express consent of AstaReal Co., Ltd.

Outlook References
1. Ferri CP et al., (2006). Global prevalence of dementia: a Delphi consensus study.
Human clinical studies have shown that astaxanthin can Lancet. 366:2112–2117.
improve mental function and memory in middle aged and 2. Lopez OL et al., (2003). Prevalence and classification of mild cognitive impairment
in the Cardiovascular Health Study Cognition Study: Part 1. Arch Neurol. 2003; 63
elderly adults experiencing age related forgetfulness as well (4):494-506.
3. Satoh et al., (2009). Preliminary Clinical Evaluation of Toxicity and Efficacy of A New
in persons suffering from the symptoms of mild cognitive Astaxanthin-rich Haematococcus pluvialis Extract. J Clin Biochem Nutr. May;44(3):280-4.
4. Katagiri et al., (2012). Effects of astaxanthin-rich Haematococcus pluvialis extract on
impairment. The mechanism of action for these benefits cognitive function: a randomised, double-blind, placebo-controlled study. J Clin Biochem
are likely related to astaxanthin’s strong antioxidant and Nutr. Sep;51(2):102-7.
5. Hussein et al., (2005). Antihypertensive and neuroprotective effects of astaxanthin in
anti-inflammatory effects. Astaxanthin’s positive effects on experimental animals. Biol Pharm Bull. Jan;28(1):47-52.
6. Zhang et al., (2007). Impact of astaxanthin-enriched algal powder of Haematococcus
blood quality, circulation, and blood pressure also support pluvialis on memory improvement in BALB/c mice. Environ Geochem Health.
Dec;29(6):483-9.
brain health. Experimental studies with animal models 7. Zanotta D et al., (2014). Cognitive effects of a dietary supplement made from extract
strongly suggest that astaxanthin has the potential to of Bacopa monnieri, astaxanthin, phosphatidylserine, and vitamin E in subjects with mild
cognitive impairment: a noncomparative, explorative clinical study. Neuropsychiatr Dis
prevent and support recovery from strokes, and to improve Treat. Feb 3; 10:225-30.
8. Nakajima Y et al., (2008). Astaxanthin, a dietary carotenoid, protects retinal cells against
biomarkers associated with the development of Parkinson’s oxidative stress in vitro and in mice in vivo. J. Pharm. Pharmacol. 60, 1365–1374.
9. Nakagawa et al., (2011). Antioxidant effect of astaxanthin on phospholipid peroxidation
and Alzheimer’s disease; additional research is needed in human erythrocytes. Br J Nutr. Jun;105(11):1563-71.
in these areas. The totality of the evidence suggests that 10. Nagaki et al., (2005). The Effect of Astaxanthin on Retinal Capillary Blood Flow
in Normal Volunteers. Journal of Clinical Therapeutics & Medicines (Rinsho Iyaku).
astaxanthin is an excellent choice as natural, side effect 21(5):537-42.
11. Miyawaki et al., (2005). Effects of Astaxanthin on Human Blood Rheology. Journal of
free supplement to support and maintain brain health and to Clinical Therapeutics and Medicines., 21(4):421-429.7.
12. Iwabayashi et al., (2009). Efficacy and safety of eight-week treatment with astaxanthin in
improve mental function and memory. individuals screened for increased oxidative stress burden. Anti-aging Med. 6:15-21.
13. Kidd et al., (2011). Astaxanthin, cell membrane nutrient with diverse clinical benefits and
anti-aging potential. Altern Med Rev. Dec;16(4):355-64.
14. Hussein et al., (2005). Antihypertensive potential and mechanism of action of
astaxanthin: II. Vascular reactivity and hemorheology in spontaneously hypertensive rats.
Biol Pharm Bull. Jun;28(6):967-71.
Recommended daily dosage: 6-12 mg 15. Hussein et al., (2006). Antihypertensive potential and mechanism of action of
Warning: Consult your physician prior to use if you are pregnant astaxanthin: III. Antioxidant and histopathological effects in spontaneously hypertensive
or nursing, or if you have any medical condition or are taking any rats. Biol Pharm Bull. Apr;29(4):684-8.
16. Monroy-Ruiz et al., (2011). Astaxanthin-enriched-diet reduces blood pressure and
medication or other dietary supplements. improves cardiovascular parameters in spontaneously hypertensive rats. Pharmacol
Res. Jan;63(1):44-50.
17. Preuss et al., (2011). High dose astaxanthin lowers blood pressure and increases insulin
sensitivity in rats: are these effects interdependent? Int J Med Sci. Feb 9;8(2):126-38.
18. Shen et al., (2009). Astaxanthin reduces ischemic brain injury in adult rats. FASEB J.
AstaREAL® Natural Algae Astaxanthin Jun;23(6):1958-68.
19. Sasaki et al., (2011). Astaxanthin inhibits thrombosis in cerebral vessels of stroke-prone
spontaneously hypertensive rats. Nutr Res. 2011 Oct;31(10):784-9.
Astaxanthin is a naturally occurring pigment that 20. Kudo et al., (2002). Effects of astaxanthin on brain damages due to ischemia.
gives the reddish pink color to marine organisms Carotenoid Science. 5(25).
21. Lee et al., (2010). Neuroprotective Effects of Astaxanthin in Oxygen-Glucose
such as crabs, shrimp, and salmon. It is often called Deprivation in SH-SY5Y Cells and Global Cerebral Ischemia in Rat. J Clin Biochem Nutr.
the King of Carotenoids because of its powerful Sep;47(2):121-9.
22. Chan et al., (2009). Antioxidative and anti-inflammatory neuroprotective effects of
antioxidant potency. Astaxanthin also possesses astaxanthin and canthaxanthin in nerve growth factor differentiated PC12 cells. J Food
a unique molecular structure that spans the cell Sci. Sep;74(7):H225-31.
23. Lu et al., (2010). Neuroprotective effect of astaxanthin on H(2)O(2)-induced neurotoxicity
membrane’s hydrophillic and hydrophobic layers, in vitro and on focal cerebral ischemia in vivo. Brain Res. Nov 11;1360:40-8.
attracting and quenching free radicals. AstaREAL® 24. Ikeda et al., (2008). Protective effects of astaxanthin on 6-hydroxydopamine-induced
apoptosis in human neuroblastoma SH-SY5Y cells. J Neurochem. Dec;107(6):1730-40.
astaxanthin is derived from a wholly natural source, 25. Liu et al., (2009). Astaxanthin inhibits reactive oxygen species-mediated cellular toxicity
the microalgae Haematococcus pluvialis, and in dopaminergic SH-SY5Y cells via mitochondria-targeted protective mechanism. Brain
Res. Feb 13;1254:18-27.
contains the same form of astaxanthin found in wild 26. Lee et al., (2011). Astaxanthin protects against MPTP/MPP+-induced mitochondrial
salmon. dysfunction and ROS production in vivo and in vitro. Food Chem Toxicol. Jan;49(1):271-80.
27. Wang et al., (2010). Astaxanthin upregulates heme oxygenase-1 expression through
ERK1/2 pathway and its protective effect against beta-amyloid-induced cytotoxicity in
SH-SY5Y cells. Brain Res. Nov 11;1360:159-67.
28. Chang et al., (2010). Astaxanthine secured apoptotic death of PC12 cells induced by
beta-amyloid peptide 25-35: its molecular action targets. J Med Food. Jun;13(3):548-56.

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