We’re busy updating our review of lycopene and will provide a rating when that’s complete. While we’re working, we share a summary from our predecessor website, Beyond Conventional Cancer Therapies. The information we share here was last updated in July 2021.
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Lycopene
Lycopene is a carotenoid, a natural pigment made by plants and microorganisms. The best sources of lycopene are tomatoes and tomato products. Small amounts are also found in guava, watermelon and pink grapefruit.1Physicians Committee for Responsible Medicine. How Lycopene Helps Protect against Cancer. Viewed December 28, 2017. Tomato products have tended to be used most in studies related to lycopene and cancer. Lycopene is absorbed better when taken with dietary fats such as olive oil.
Lycopene may also be taken as a dietary supplement. NCI’s PDQ summary states: “The FDA has accepted the determination by various companies that their lycopene-containing products meet the FDA’s requirements for the designation of GRAS” (generally regarded as safe).2National Cancer Institute. Prostate Cancer, Nutrition, and Dietary Supplements (PDQ®)–Health Professional Version: Lycopene. October 20, 2017. Viewed December 28, 2017. However, quality control is an issue. Memorial Sloan Kettering Cancer Center’s About Herbs summary states that lycopene content varied from the labeled dosage by as much as 43 percent in an analysis of six commercially prepared brands.3Memorial Sloan Kettering Cancer Center. About Herbs: Lycopene. December 12, 2017. Viewed December 28, 2017.
Lycopene is of interest to CancerChoices because of its potential cancer preventive, anticancer and chemotherapy-enhancing properties. It is included in the integrative cancer care protocols/plans of three of CancerChoices medical advisors, all integrative cancer care physicians.
Treating the Cancer
Working against cancer growth or spread, improving survival, or working with other treatments or therapies to improve their anticancer action
Clinical Evidence
Small clinical trials suggest lycopene may provide benefit in cancer, among other conditions. However, results in prostate cancer patients in different stages of the disease have been inconsistent.4Morgia G, Voce S et al. Association between selenium and lycopene supplementation and incidence of prostate cancer: results from the post-hoc analysis of the Procomb trial. Phytomedicine. 2017 Oct 15;34:1-5. One study found that lycopene supplementation stabilized serum PSA level in men with rising serum PSA following local therapy or while on hormone therapy, both alone or in combination with soy isoflavones.5Vaishampayan U, Hussain M et al. Lycopene and soy isoflavones in the treatment of prostate cancer. Nutrition and Cancer. 2007;59(1):1-7.
Lab and Animal Evidence
Reducing Risk
Reducing the risk of developing cancer or the risk of recurrence
Clinical Evidence
- High intake of lycopene has been effective in decreasing the damage from both natural toxins—including mycotoxins and bacterial toxins—and chemical toxics, including heavy metals and pesticides.11Hedayati N, Naeini MB et al. Protective effect of lycopene against chemical and natural toxins: a review. Biofactors. 2018 Oct 19.
- Lycopene is chemopreventive against head and neck squamous cell carcinoma.12Crooker K, Aliani R et al. A review of promising natural chemopreventive agents for head and neck cancer. Cancer Prevention Research (Phila). 2018 Aug;11(8):441-450.
- Clinical studies have reported an association of lycopene and other components of a Mediterranean diet with a reduction in colorectal cancer initiation and progression.13Farinetti A, Zurlo V, Manenti A, Coppi F, Mattioli AV. Mediterranean diet and colorectal cancer: a systematic review. Nutrition. 2017 Nov – Dec;43-44:83-88.
- Large, population-based studies associate lycopene with lower risk of these cancers:14Cataño JG, Trujillo CG et al. [Efficacy of lycopene intake in primary prevention of prostate cancer: a systematic review of the literature and meta-analysis.] [Article in Spanish]. Archivos Espanoles de Urologia. 2018 Mar;71(2):187-197; Baena Ruiz R, Salinas Hernández P. Cancer chemoprevention by dietary phytochemicals: epidemiological evidence. Maturitas. 2016 Dec;94:13-19; Abar L, Vieira AR et al. Blood concentrations of carotenoids and retinol and lung cancer risk: an update of the WCRF-AICR systematic review of published prospective studies. Cancer Medicine. 2016 Aug;5(8):2069-83. doi: 10.1002/cam4.676; Kim MJ, Kim H. Anticancer effect of lycopene in gastric carcinogenesis. Journal of Cancer Prevention. 2015 Jun;20(2):92-6; Bae JM. Reinterpretation of the results of a pooled analysis of dietary carotenoid intake and breast cancer risk by using the interval collapsing method. Epidemiology and Health. 2016 Jun 2;38:e2016024.
- Estrogen-receptor-positive (ER+) and progesterone-receptor-positive (PR+) breast cancers
- ER−/PR+ or ER−/PR− breast cancers
- Lung cancer
- Stomach cancer
- Findings in human trials of risk reduction in prostate cancer have been inconsistent, with some reviews finding little or no effect15Morgia G, Voce S et al. Association between selenium and lycopene supplementation and incidence of prostate cancer: Results from the post-hoc analysis of the Procomb trial. Phytomedicine. 2017 Oct 15;34:1-5. and others finding a protective effect, with increasing benefit up to circulating lycopene of 85 μg/dL,16Chen P, Zhang W et al. Lycopene and risk of prostate cancer: a systematic review and meta-analysis. Medicine (Baltimore). 2015 Aug;94(33):e1260. but not against advanced prostate cancer.17Rowles JL 3rd, Ranard KM, Smith JW, An R, Erdman JW Jr. Increased dietary and circulating lycopene are associated with reduced prostate cancer risk: a systematic review and meta-analysis. Prostate Cancer Prostatic Diseases. 2017 Dec;20(4):361-377.
Lab and Animal Evidence
Optimizing Your Terrain
Creating an environment within your body that does not support cancer development, growth or spread
- Lycopene is a potent antioxidant.20Chaudhary P, Sharma A, Singh B, Nagpal AK. Bioactivities of phytochemicals present in tomato. Journal of Food Science and Technology. 2018 Aug;55(8):2833-2849.
Cautions
In clinical trials for prostate cancer prevention or treatment, lycopene was generally well tolerated. Side effects were typically mild and tended to be gastrointestinal. A possible interaction between lycopene and alcohol consumption was found in studies with animals.
Access
Lycopene is widely available in food sources and in supplements.
Dosing
CancerChoices does not recommend therapies or doses, but only provides information for patients and providers to consider as part of a complete treatment plan. Patients should discuss therapies with their physicians, as contraindications, interactions and side effects must be evaluated. Levels of active ingredients of natural products can vary widely between and even within products. See Sourcing Quality Herbs and Supplements.
Although no optimal lycopene dose in cancer prevention or treatment has been established, suggested dosages are found from these sources:
- Natural Medicines Database (requires purchase)
- Also see the protocols listed below.
Integrative Programs, Protocols and Medical Systems
- Programs and protocols
- Alschuler & Gazella complementary approaches21Alschuler LN, Gazella KA. The Definitive Guide to Cancer, 3rd Edition: An Integrative Approach to Prevention, Treatment, and Healing. Berkeley, California: Celestial Arts. 2010; Alschuler LN, Gazella KA. The Definitive Guide to Thriving after Cancer: A Five-Step Integrative Plan to Reduce the Risk of Recurrence and Build Lifelong Health. Berkeley, California: Ten Speed Press. 2013.
- Gastric cancer (lifestyle and diet)
- Head and neck cancer
- Prostate cancer
- Foundation diet
- Immune enhancement
- Block program22Block KI. Life over Cancer: The Block Center Program for Integrative Cancer Treatment. New York: Bantam Dell. 2009.
- Targeted therapy when other treatment isn’t working
- Chang strategies23Chang R. Beyond the Magic Bullet: The Anti-Cancer Cocktail. New York: Square One Publishers. 2012.
- Lemole, Mehta & McKee protocols24Lemole G, Mehta P, McKee D. After Cancer Care: The Definitive Self-Care Guide to Getting and Staying Well for Patients with Cancer. New York, New York: Rodale, Inc. 2015.
- Endometrial cancer
- Prostate cancer
- McKinney protocols25McKinney N. Naturopathic Oncology, Fourth Edition. Victoria, BC, Canada: Liaison Press. 2020.
- Cervical cancer
- Colorectal cancer
- Prostate cancer
- Alschuler & Gazella complementary approaches21Alschuler LN, Gazella KA. The Definitive Guide to Cancer, 3rd Edition: An Integrative Approach to Prevention, Treatment, and Healing. Berkeley, California: Celestial Arts. 2010; Alschuler LN, Gazella KA. The Definitive Guide to Thriving after Cancer: A Five-Step Integrative Plan to Reduce the Risk of Recurrence and Build Lifelong Health. Berkeley, California: Ten Speed Press. 2013.
Commentary
Integrative oncology physician and CancerChoices advisor Keith Block, MD, cites a randomized study of patients awaiting surgery to remove the prostate who ate a daily tomato concentrate for several weeks after their cancer diagnosis. Those in the intervention group (eating tomatoes) had smaller tumors and lower PSA levels than those in the control group. Dr. Block states: “That raises the intriguing possibility that lycopene can play an important supporting role in ‘watchful waiting’ after a diagnosis of prostate cancer, taming the malignancy so that you die of old age before it ever threatens your life.”26Block KI. Life over Cancer: The Block Center Program for Integrative Cancer Treatment. New York: Bantam Dell. 2009.
Note: CancerChoices has not conducted an independent review of research of lycopene. This summary draws from the National Cancer Institute’s PDQ®, Memorial Sloan Kettering Cancer Center About Herbs and other sources as noted.
Helpful links
- National Cancer Institute’s PDQ: Prostate Cancer, Nutrition, and Dietary Supplements
- Gurdev Parmar and Tina Kaczor: Textbook of Naturopathic Oncology: A Desktop Guide of Integrative Cancer Care. 1st edition
- Keith Block and others: A Broad-Spectrum Integrative Design for Cancer Prevention and Therapy
- National Cancer Institute at the National Institutes of Health: PDQ® Cancer Information Summaries
- Raymond Chang, MD: Beyond the Magic Bullet: The Anti-Cancer Cocktail
- Donald I. Abrams, MD, and Andrew T. Weil, MD: Integrative Oncology, 2nd Edition
- Lise Alschuler, ND, FABNO, and Karolyn Gazella: The Definitive Guide to Cancer, 3rd Edition
- Keith I. Block, MD: Life over Cancer: The Block Center Program for Integrative Cancer Treatment
- CAM-Cancer Collaboration: CAM-Cancer
- Memorial Sloan Kettering Cancer Center: About Herbs, Botanicals and Other Products
- National Cancer Institute: Complementary and Alternative Medicine for Health Professionals
- National Cancer Institute: Office of Cancer Complementary and Alternative Medicine
- ConsumerLab.com
References