Lycopene: The Tomato Compound That May Help Your Heart
Plant compound
This red plant pigment shows up again and again in research on blood pressure and cholesterol.
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Key takeaways
- Lycopene is a red carotenoid pigment found in tomatoes, watermelon, and other red fruits.
- Meta-analyses link it to modest reductions in systolic blood pressure and LDL cholesterol.
- Animal and cell studies suggest it may block cholesterol absorption in the gut.
- It appears safe from food, though supplement doses and forms vary widely.
What is lycopene?
Lycopene is a bright red carotenoid, the same family of plant pigments that includes beta-carotene and lutein.
It gives tomatoes, watermelon, and pink grapefruit their color.
Unlike some carotenoids, lycopene has no vitamin A activity. Its interest comes almost entirely from its antioxidant properties and its possible effects on cardiovascular markers[6].
How might it work?
Lycopene is a strong antioxidant, capable of neutralizing reactive molecules that can damage LDL cholesterol and blood vessel walls.
Some of the clearest mechanistic evidence points to the gut. In cell studies, lycopene downregulated NPC1L1, a transporter responsible for absorbing cholesterol from food[7][4].
Less cholesterol absorbed may mean less circulating in the blood over time.
Separately, lycopene appears to influence cholesterol handling inside immune cells called macrophages, encouraging cholesterol efflux rather than buildup, a process relevant to early atherosclerosis[11].
For blood pressure, researchers suspect improved endothelial function and reduced oxidative stress in blood vessel walls, though this pathway is less firmly established than the cholesterol mechanism[1].
Does the evidence hold up?
Lycopene is one of the better studied carotenoids for cardiovascular markers, with several systematic reviews and meta-analyses of randomized trials.
- Systolic Blood PressureAHuman trials
Research may lower Systolic Blood Pressure · strong agreement · 6 studies
View 5 studies on PubMed
- Protective effect of lycopene on serum cholesterol and blood pressure: Meta-analyses of intervention trials (2011)
- Lycopene supplement and blood pressure: an updated meta-analysis of intervention trials (2013)
- Effect of tomato, lycopene and related products on blood pressure: A systematic review and network meta-analysis (2021)
- Dietary Intervention to Improve Blood Pressure Control: Beyond Salt Restriction (2021)
- Lycopene: Food Sources, Biological Activities, and Human Health Benefits (2021)
- LDL CholesterolAHuman trials
Research may lower LDL Cholesterol · strong agreement · 6 studies
View 5 studies on PubMed
- Protective effect of lycopene on serum cholesterol and blood pressure: Meta-analyses of intervention trials (2011)
- Effects of lycopene intake on HDL-cholesterol and triglyceride levels: A systematic review with meta-analysis (2021)
- Lycopene regulation of cholesterol synthesis and efflux in human macrophages (2011)
- Lycopene Reduces Cholesterol Absorption and Prevents Atherosclerosis in ApoE(-/-) Mice by Downregulating HNF-1α and NPC1L1 Expression (2021)
- Lycopene reduces cholesterol absorption through the downregulation of Niemann-Pick C1-like 1 in Caco-2 cells (2015)
For LDL cholesterol, a 2021 meta-analysis found lycopene supplementation associated with meaningful reductions, alongside effects on HDL and triglycerides that were less consistent[3]. Earlier pooled analyses from 2011 and 2012 similarly reported LDL lowering with lycopene or tomato products[10][9].
For blood pressure, a 2021 network meta-analysis comparing tomato products, lycopene extracts, and combinations found reductions in systolic blood pressure, particularly at higher doses and in people who started with elevated readings[2]. An older 2013 meta-analysis of intervention trials reached a similar conclusion[8], as did a 2011 pooled analysis[10].
Not every trial agrees on magnitude or on which subgroups benefit most, and dietary intervention studies suggest lycopene works best as part of a broader pattern that also limits sodium[5].
Animal work in ApoE knockout mice, a standard model for atherosclerosis, found lycopene reduced cholesterol absorption and slowed plaque development, reinforcing the gut mechanism seen in human cell studies[4].
What foods contain lycopene?
- Tomatoes and tomato products, especially cooked or concentrated forms like tomato paste and sauce
- Watermelon
- Pink and red grapefruit
- Guava
- Papaya
- Red bell peppers (in smaller amounts)
Cooking tomatoes in a bit of oil actually increases how much lycopene the body can absorb, since it is fat soluble[6].
How much do you need, and in what form?
There is no established daily requirement for lycopene, since it is not an essential nutrient.
Trials showing benefits for blood pressure and LDL cholesterol have used doses ranging from about 10 mg to over 25 mg per day, often from concentrated tomato extracts rather than whole food[2][8][3].
Supplement forms include softgels with tomato oleoresin or synthetic lycopene, and doses vary considerably between products, which makes comparing studies difficult[6].
A diet rich in tomatoes and other lycopene sources, paired with a source of dietary fat, remains the best studied way to raise lycopene levels.
Is lycopene safe?
Lycopene from food sources is considered very safe and has a long history of dietary consumption without issue[6].
High intakes, mostly from concentrated supplements, have occasionally been linked to a harmless skin discoloration called lycopenemia, which resolves once intake is reduced.
Because lycopene may lower blood pressure and cholesterol, people already taking medications for these conditions might want to be mindful of combined effects, though this has not been well studied in trials.
Who might consider it?
- People looking to support healthy cholesterol levels through diet
- People with mildly elevated blood pressure interested in food based approaches
- Anyone already eating a Mediterranean style diet rich in tomatoes and other produce
- Researchers and clinicians tracking carotenoid intake as part of overall antioxidant status
Bottom line
Lycopene has some of the more consistent trial evidence among carotenoids for two cardiovascular markers, systolic blood pressure and LDL cholesterol[2][3][8][10].
The effects are modest, not dramatic, and best viewed as a supporting player alongside broader dietary patterns rather than a standalone fix.
Getting lycopene from tomatoes, watermelon, and other colorful produce remains a reasonable, low risk way to work it into a heart healthy diet.
Frequently asked questions
Does lycopene really lower blood pressure?
Several meta-analyses of intervention trials report reductions in systolic blood pressure with lycopene or tomato products, especially at higher doses[2][8][10].
Can lycopene lower cholesterol?
Trial data suggest lycopene supplementation is associated with lower LDL cholesterol, likely through reduced intestinal cholesterol absorption[3][7][4].
What is the best food source of lycopene?
Cooked tomato products like sauce and paste are especially concentrated sources, and pairing them with a fat source improves absorption[6].
Is lycopene supplementation safe?
Lycopene appears well tolerated in studies, with high intakes occasionally linked to a harmless skin discoloration[6].
Sources
- Dietary carotenoids to improve hypertension · PMID 37662767
- Effect of tomato, lycopene and related products on blood pressure: A systematic review and network meta-analysis · PMID 33676812
- Effects of lycopene intake on HDL-cholesterol and triglyceride levels: A systematic review with meta-analysis · PMID 34268742
- Lycopene Reduces Cholesterol Absorption and Prevents Atherosclerosis in ApoE(-/-) Mice by Downregulating HNF-1α and NPC1L1 Expression · PMID 34428895
- Dietary Intervention to Improve Blood Pressure Control: Beyond Salt Restriction · PMID 34533781
- Lycopene: Food Sources, Biological Activities, and Human Health Benefits · PMID 34840666
- Lycopene reduces cholesterol absorption through the downregulation of Niemann-Pick C1-like 1 in Caco-2 cells · PMID 26264562
- Lycopene supplement and blood pressure: an updated meta-analysis of intervention trials · PMID 24051501
- Effect of lycopene and tomato products on cholesterol metabolism · PMID 22965217
- Protective effect of lycopene on serum cholesterol and blood pressure: Meta-analyses of intervention trials · PMID 21163596
- Lycopene regulation of cholesterol synthesis and efflux in human macrophages · PMID 21208793