Review Article

Non-Provitamin A and Provitamin A Carotenoids as Immunomodulators: Recommended Dietary Allowance, Therapeutic Index, or Personalized Nutrition?

Table 5

Effects of carotenoid and carotenoid-rich food and beverages on test of immune function.

Subjects (study)TreatmentOutcomes [ref.]

Healthy (RCT)β-Carotene (15–120 mg), 4–7 wk↔ lymphocyte proliferation [153], ROS production [154]
↑ DTH (30 mg) versus control (↓ after UV exposure response only in the placebo group) [155]

Elderly (RCT)β-Carotene (8.2, 30, 50, and 90 mg), 3–6 wk to 10–12 y↑ DTH (30 mg) versus control (↓ after UV exposure response only in the placebo group) [156]
↑ NK activity [157]
↔ production of IL-12 and IFN-γ (50, 90 mg) [157]
↔ DTH (50 and 90 mg), production of IL-2 [158], and lymphocyte proliferation [158, 159]

Smokers (RCT)β-Carotene (40 mg), 4 and 6 wk↓ ROS production [160]

Type 2 diabetes (RCT)Lycopene (10 mg/d), 8 wk↔ DHT [161, 162]

Elderly (RCT)Lycopene (13.3 mg), 12 wk↔ lymphocyte proliferation [159]

Elderly (RCT)Mixed supplement
β-Carotene (0.75 mg), vitamin C (90 mg), and vitamin E (20 mg), 1 y↑ DHT [163]
β-Carotene (6 mg), vitamin C (120 mg), and vitamin E (15 mg), 1–2 y↔ DHT [164], lymphocyte proliferation [165]

Healthy (RCT)Mixed supplement
β-Carotene (12 mg), vitamin E (288 mg), and vitamin C (375 mg), 6 and 10 wk↑ DTH [166]
↔ lymphocyte proliferation, ROS production [166]
↔ DHT [167]
β-Carotene (30 mg), lycopene (15 mg), and lutein (9 mg), 5 wk↓ IL-2 [167] and ROS [167, 168] production versus depletion (↑)

Healthy (RCT/longitudinal)Carrot juice (330 mL, 21.6–27.1 mg β-carotene, and 13.1–15.7 mg α-carotene), 2 wk↑ TNF-α versus depletion (arm carrot juice-tomato juice, arm tomato juice-carrot juice) [169]
↑ IL-2 versus depletion (arm carrot juice-tomato juice) [169]
↔ lymphocyte proliferation and IL-4 production [169, 170]
↑ NK activity [169]

Healthy (longitudinal)Dried spinach powder 10 g (11.3 mg lutein and 3.1 mg β-carotene), 2 wk↔ lymphocyte proliferation, IL-2 and IL-4 production [170]

Healthy (RCT/longitudinal)Tomato-based drink (Lyc-o-Mato) (5.7 mg lycopene, 1 mg β-carotene, and 1.8 mg α-tocopherol), 26 days Tomato juice (330 mL, 37.0–40 mg lycopene and 1.5 mg β-carotene), 2 wk↓ TNF-α production [171]
↔ IFN-γ production (versus baseline, ↑ in placebo versus baseline) [171]
↔ lymphocyte proliferation [169, 170], IL-2 and IL-4 production [169]
↑ TNF-α versus depletion (arm tomato juice-carrot juice) [169]
↑ IL-2 and IL-4 production versus depletion (↑) [170],
↑ NK activity [169]

Elderly (RCT)Tomato juice (330 mL, 47.1 mg lycopene), 8 wk↔ DTH, lymphocyte proliferation [172]
↓ IL-2 production (versus baseline, ns versus water) [172]
↑ activity of NK, IL-4, and TNF-α production (versus baseline, ns versus water) [172]

Healthy (RCT)Vegetables and fruit: 2, 5, or 8 servings/d, 4 wk↔ NK activity, IL-2, IL-12, IFN-γ, TNF-α production, lymphocyte proliferation [173]

↓: decrease; ↑: increase; ↔: no change; d: days; DTH: delayed-type hypersensitivity; IFN: interferon; IL: interleukin; mo: months; NK: natural killer cells; RCT: randomized controlled trials; TNF: tumor necrosis factor; UV: ultraviolet light; wk: weeks; y: years.