Review Article

Management of Ocular Diseases Using Lutein and Zeaxanthin: What Have We Learned from Experimental Animal Studies?

Table 1

Effects of lutein and zeaxanthin on experimental animal models for ocular diseases.

AuthorsYearAnimalMethods for inducing diseasePathologic changesXanthophylls used Effectiveness

Diabetic retinopathyMuriach et al. [20]2006MiceDiabetes
Alloxan-induced
NFκB, ROS & MDA (+)
ERG damage
Antioxidant (−)
L (oral)Prevent all changes
Sasaki et al. [21]2010MiceDiabetes
STZ-induced
ROS & extracellular signal-regulated kinase (+)
Brain-derived neurotrophic factor (−)
ERG damage
RGC apoptosis
L (oral)Prevent all changes
Kowluru et al. [22]2008RatsDiabetes
STZ-induced
ROS, VEGF, ICAM & reactive nitrogen species (+)
Antioxidant (−)
Z (oral)Prevent all changes
Kowluru et al. [23]2014RatsDiabetes
STZ-induced
ERG damage
NFκB, VEGF & IL-1β (+)
Cell apoptosis
Z, L, and others (oral)Prevent all changes
Tang et al. [24]2011Micedb/db miceRPE & RGC damage
Mitochondria dysfunction
Wolfberry
(L Z) (oral)
Prevent all changes
Yu et al. [25]2013Micedb/db miceVEGF (+) antioxidant (−)
Mitochondria dysfunction
Wolfberry
(L Z) (oral)
Prevent all changes

Diabetic cataractArnal et al. [26]2009RatsDiabetes
STZ-induced
Lens opacity
MDA (+)
GSH (−)
L (oral)Prevent all changes except GSH

Age-related macular degenerationFernández-Robredo et al. [29]2009MiceApoE miceRPE & Bruch’s membrane changes
VEGF (+)
Z & other antioxidants (oral)Prevent all changes at high doses
Fernández-Robredo et al. [28]2013MiceApoE miceRPE & Bruch’s membrane changes
MMP-2 & VEGF (+)
L & others or
L alone (oral)
Only effective in L with others
Ramkumar et al. [30]2013MiceDKO miceRPE & PR damage
COX-2, IL-1, iNOS & VEGF (+)
L, Z, and others (oral)
(AREDS2)
Prevent all changes
Yu et al. [31]2012Miceβ5 miceRPE & PR damage
Lipofuscin (+)
Actin solubility (−)
L, Z, and others (oral)Prevent all changes
Izumi-Nagai et al. [32]2007MiceLASER-induced CNVCNV
NFκB, VEGF, ICAM-1 & MCP-1 (+)
L (oral)Prevent all changes at high doses

Ischemic/hypoxia retinopathyLi et al. [38]2009MiceCarotid artery blockRGC & ERG damage
Muller cells activation
ROS (+)
L (IP)Prevent all changes
Li et al. [37]2012MiceCarotid artery blockERG damage
ROS (+)
Muller cells activation
L (IP)Prevent all changes
Choi et al. [40]2006RatsHigh IOPCell death
nNOS & COX-2 (+)
L (IP or IVt)Prevent all changes
Dilsiz et al. [39]2006RatsHigh IOPMDA & caspase-3 (+)
GSH (−)
L (IC)Prevent all changes

Light damage retinopathyThomson et al. [42]2002QuailsIntensive white lightPR apoptosisZ & L (oral)Prevent all changes
Sasaki et al. [43]2012MiceIntensive white lightPR apoptosis & DNA damage, ERG damageL (oral)Prevent all changes

Retinitis pigmentosaMiranda et al. [45]2010Micerd1 micePR apoptosis
GSH & GPx (−) MDA (+)
L, Z & other antioxidants or L & Z alone (oral)Effective only in L, Z & other antioxidants

Retinal detachmentWoo et al. [44]2013RatsHyaluronate subretinal injectionPR apoptosis
Caspase-8 & caspase-3 (+)
Glial cell activation
L (IP)Prevent all changes

UveitisJin et al. [48]2006RatsLPS (SCI)Proinflammatory factors, NFκB & iNOS (+)L (IV)Prevent all changes
He et al. [49]2011MiceLPS footpad injectionNO & MDA (+)
SOD & GPX (−)
L (oral)Prevent all changes
Sasaki et al. [50]2009MiceLPS (IP)PR & ERG damage
ROS, IL-6, STAT-3 (+)
L (IC)Prevent all changes

Misc.Zou et al. [51]2014RatsNormalZ (oral)Akt, Nrf2 & GSH (+)
Peroxidation (−)

L: lutein; Z: zeaxanthin; IC: subcutaneous injection; IP: intraperitoneal injection; IV: intravenous injection; IVt: intravitreous injection. (−): decreased; (+): increased.
For other abbreviations, see the text.