Life Extension Magazine®
Cardiovascular disease is the number one killer on the planet.1 By 2030 it is projected to affect a staggering 44% of the U.S. adult population.2
Lycopene has caught the attention of researchers for its potential cardiovascular benefits.
In preclinical studies, lycopene has demonstrated the ability to slow harmful changes that can lead to stroke and heart attack.3-5
A review and meta-analysis of dozens of human population studies found that those with the highest intake or blood levels of lycopene had a:6
- 4% lower risk of cardiovascular disease,
- 26% lower risk of stroke, and
- 37% lower risk of death from any cause.
A human study published in 2025 demonstrated that consumption of lycopene-rich tomato juice improved a marker of endothelial dysfunction that threatens to progress into cardiovascular disease.7
Arteries and Heart Health
Arteries carry blood from the heart to the rest of the body where it is needed.
When healthy, arteries actively direct blood flow, dilating when more blood is needed and constricting when less is required.8
This regulation of blood flow is largely controlled by a layer of cells, the endothelium, lining the inside walls of the blood vessels.9
Several risk factors can lead to damage to arteries, including diet, smoking, high blood pressure, insulin resistance, high blood glucose, and abnormal blood lipid levels.9,10
This damage can result in endothelial dysfunction, arterial stiffness, and the buildup of atherosclerotic plaque. The results: increased risk of cardiovascular diseases, peripheral vascular disease, blood clots causing heart attacks and strokes, and more.9
Maintaining healthy endothelial function is a critical step in preventing progression to atherosclerosis and cardiovascular disease.9,10 That’s where lycopene comes in.
Better Blood Vessel Function
Lycopene is a carotenoid with antioxidant, anti-inflammatory, and anti-glycation properties.11
It is a naturally occurring red pigment found in plants, particularly in fruits and vegetables such as tomatoes, pink guava, papaya, pink grapefruit, and watermelon.12
Humans cannot synthesize carotenoids. Therefore, they must be obtained through diet and/or by taking supplements.13
Preclinical evidence suggests that when present in ample amounts, lycopene may help protect arterial health by reducing oxidative stress,4,12 attenuating inflammation,4,14 and inhibiting glycation—a harmful process in which sugar molecules attach to proteins or fats in the body that can cause widespread tissue damage,15 including kidney injury.16
Lycopene may also improve endothelial function, thereby supporting the ability of blood vessels to dilate in the face of various circulatory challenges.7,17
A human study published in 2025 demonstrated that consumption of lycopene-rich tomato juice improved a marker of endothelial dysfunction that threatens to progress into cardiovascular disease.7
In that study, researchers in Japan recruited healthy adults with signs of early arterial dysfunction. They determined this using ultrasound to measure flow-mediated dilation, the ability of arteries to dilate in response to increased blood flow. Poor flow-mediated dilation is a marker of risk for future cardiovascular disease.
In this clinical study, participants had flow-mediated dilation in the borderline range of 4-7%.7 Normal function is considered above 7.1%, with a higher percentage indicating better function.18
One group received a placebo juice with barely any lycopene, another took 15 mg of lycopene as tomato juice, and a third took 26.7 mg of lycopene from high-lycopene tomato juice daily.
After 12 weeks, those receiving either of the tomato juices had significant improvements in arterial function. While the placebo group had an average score of 5.4%, the lower-dose lycopene group improved to an average of 6.1% and the higher-dose lycopene group was almost normal at 7%.7
Lycopene intake improved arterial function, which is associated with better cardiovascular health. In another trial, male participants were randomized to receive 6 mg or 15 mg of lycopene or a placebo. After eight weeks, the 15 mg lycopene group showed a significant 23% improvement in endothelial function from baseline, along with significant reductions in inflammatory markers and a beneficial increase in LDL particle size—effects not observed in the low-dose or placebo groups.19 The findings are consistent with the results of prior human studies showing that lycopene intake may help improve endothelial dysfunction and maintain cardiovascular health.20
In another trial, male participants were randomized to receive 6 mg or 15 mg of lycopene or a placebo. After eight weeks, the 15 mg lycopene group showed a significant 23% improvement in endothelial function from baseline, along with significant reductions in inflammatory markers and a beneficial increase in LDL particle size—effects not observed in the low-dose or placebo groups.19
The findings are consistent with the results of prior human studies showing that lycopene intake may help improve endothelial dysfunction and maintain cardiovascular health.20
Improved Cardiovascular Outcomes
These protective effects could have dramatic results. In human observational studies, higher lycopene intake has been associated with lower rates of cardiovascular disease and cardiovascular events.
One review and meta-analysis of population studies totaling more than 100,000 subjects found that those with the highest intake or blood levels of lycopene had a:6
- 14% lower risk of cardiovascular disease,
- 26% lower risk of stroke, and
- 37% lower risk of death from any cause.
What You Need To Know
Lycopene's Benefits for Heart Health
- Cardiovascular disease is the leading cause of death worldwide. It is expected to affect up to 44% of adults in the U.S. by 2030.
- Lycopene is a carotenoid found in tomatoes, watermelon, and some other fruits and vegetables. Research suggests that it may support blood vessel function and favorably affect several cardiovascular risk factors.
- In a 2025 clinical trial, taking oral lycopene improved flow-mediated dilation, a measure of endothelial function, in adults with impaired vascular function.
- Observational human studies have found that higher lycopene intake or blood levels are associated with lower risk of cardiovascular disease, stroke, and overall mortality.
Evidence from preclinical, clinical, and observational studies suggests that lycopene may support arterial and cardiovascular health and may favorably affect several cardiovascular disease risk factors.6,12,17,20-24
How Lycopene Helps
Lycopene may improve arterial function, which also protects the heart. Preclinical evidence indicates that higher lycopene blood levels or intake may have these effects through the following mechanisms:
- Help protect against oxidative damage and chronic inflammation,4,12
- Help reduce damage caused by high blood sugar—including protecting blood vessel cells and blocking harmful chemical reactions (called glycation) linked to diabetes, and metabolic disease,15,25
- Help inhibit abnormal proliferation of smooth muscle cells in the arterial walls that contribute to stiffness and arterial dysfunction,17,26
- Help modulate factors associated with abnormal blood clotting,27
- May help improve blood lipid levels,3,28-30
- Help slow the progression of atheroscle-rosis,17,21,31 and
- Help protect heart muscle from damage and preserve heart function following ischemic injury.5,32,33
Human observational studies suggest that higher lycopene intake and circulating levels are associated with a lower prevalence of metabolic syndrome.34-36 An observational study in a Chinese population reported that individuals in the highest quartile of serum lycopene concentrations had 61% lower odds of having metabolic syndrome compared to those in the lowest quartile.34
Human observational studies also suggest that higher lycopene intake, or consumption of lycopene-rich foods such as tomatoes, may be associated with lower blood pressure.20,37-39
In addition, a meta-analysis of 34 trials found that lycopene significantly reduced levels of malondialdehyde, a marker of oxidative stress.40
Summary
Cardiovascular disease is the most common cause of death worldwide.
The carotenoid lycopene has been shown to improve endothelial function in clinical studies and has demonstrated antioxidant, anti-inflammatory, and vascular protective effects in preclinical research.
In clinical studies, lycopene improved measures of endothelial function in individuals with impaired vascular function.
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
- Available at: https://www.who.int/news-room/fact-sheets/detail/the-top-10-causes-of-death. Accessed May 29, 2026.
- Benjamin EJ, Blaha MJ, Chiuve SE, et al. Heart Disease and Stroke Statistics-2017 Update: A Report From the American Heart Association. Circulation. 2017 Mar 7;135(10):e146-e603.
- Liu H, Liu J, Liu Z, et al. Lycopene Reduces Cholesterol Absorption and Prevents Atherosclerosis in ApoE(-/-) Mice by Downregulating HNF-1alpha and NPC1L1 Expression. J Agric Food Chem. 2021 Sep 8;69(35):10114-20.
- Saini RK, Rengasamy KRR, Mahomoodally FM, et al. Protective effects of lycopene in cancer, cardiovascular, and neurodegenerative diseases: An update on epidemiological and mechanistic perspectives. Pharmacol Res. 2020 May;155:104730.
- Wu S, Guo X, Shang J, et al. Effects of Lycopene Attenuating Injuries in Ischemia and Reperfusion. Oxid Med Cell Longev. 2022 2022/01/01;2022(1):9309327.
- Cheng HM, Koutsidis G, Lodge JK, et al. Lycopene and tomato and risk of cardiovascular diseases: A systematic review and meta-analysis of epidemiological evidence. Crit Rev Food Sci Nutr. 2019;59(1):141-58.
- Yoshida K, Nakazawa Y, Takahashi S, et al. Improvement of vascular endothelial function by intake of lycopene-rich tomato juice in healthy adults: a randomized, placebo-controlled, double-blind, parallel-group comparative study. Food Funct. 2025 Sep 29;16(19):7812-22.
- Murtada SI, Humphrey JD. Regional Heterogeneity in the Regulation of Vasoconstriction in Arteries and Its Role in Vascular Mechanics. Adv Exp Med Biol. 2018;1097:105-28.
- Naderi-Meshkin H, Setyaningsih WAW. Endothelial Cell Dysfunction: Onset, Progression, and Consequences. Front Biosci (Landmark Ed). 2024 Jun 20;29(6):223.
- Zaman S, Wasfy JH, Kapil V, et al. The Lancet Commission on rethinking coronary artery disease: moving from ischaemia to atheroma. Lancet. 2025 Apr 12;405(10486):1264-312.
- Khan UM, Sevindik M, Zarrabi A, et al. Lycopene: Food Sources, Biological Activities, and Human Health Benefits. Oxid Med Cell Longev. 2021 2021/01/01;2021(1):2713511.
- Bin-Jumah MN, Nadeem MS, Gilani SJ, et al. Lycopene: A Natural Arsenal in the War against Oxidative Stress and Cardiovascular Diseases. Antioxidants (Basel). 2022 Jan 26;11(2).
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- Maruhashi T, Kajikawa M, Kishimoto S, et al. Diagnostic Criteria of Flow-Mediated Vasodilation for Normal Endothelial Function and Nitroglycerin-Induced Vasodilation for Normal Vascular Smooth Muscle Function of the Brachial Artery. J Am Heart Assoc. 2020 Jan 21;9(2):e013915.
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- Sawardekar SB, Patel TC, Uchil D. Comparative evaluation of antiplatelet effect of lycopene with aspirin and the effect of their combination on platelet aggregation: An in vitro study. Indian J Pharmacol. 2016 Jan-Feb;48(1):26-31.
- Alvi SS, Iqbal D, Ahmad S, et al. Molecular rationale delineating the role of lycopene as a potent HMG-CoA reductase inhibitor: in vitro and in silico study. Nat Prod Res. 2016 Sep;30(18):2111-4.
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- Tu T, Liu H, Liu Z, et al. Amelioration of Atherosclerosis by lycopene is linked to the modulation of gut microbiota dysbiosis and related gut-heart axis activation in high-fat diet-fed ApoE(-/-) mice. Nutr Metab (Lond). 2023 Dec 1;20(1):53.
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