Abstract

The bergamot is a citrus fruit native to southern Italy with traditional uses that include improving immune response and cardiovascular function. There are a variety of phytochemicals that have been found in the bergamot including brutieridin and melitidin as well as other flavonoids, flavones O-glucosides and C-glucosides. Multiple clinical trials have provided evidence that different forms of orally administered bergamot can reduce total cholesterol and low-density lipoprotein cholesterol. In vitro mechanistic studies have provided evidence that polyphenols from the bergamot can alter the function of AMPK and pancreatic cholesterol ester hydrolase (pCEH). The use of bergamot in multiple clinical trials has consistently shown that it is well tolerated in studies ranging from 30 days to 12 weeks. This mini-review reports on the clinical studies performed with different forms of bergamot along with their effectiveness in reducing total cholesterol and LDL cholesterol in patients with hypercholesterolemia.

Highlights

  • Citrus fruits are rich in flavonoids and have long been associated with improving human health outcomes in areas that include improved immune response, coronary artery disease, heart failure, and high cholesterol

  • Several studies suggested that bergamot polyphenols can reduce triglycerides and increase high-density lipoprotein cholesterol (HDL-C), the results were not consistent across all studies

  • In all of the clinical trials bergamot appeared to be well tolerated with studies ranging from 30 days to 6 months

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Summary

Introduction

Citrus fruits are rich in flavonoids and have long been associated with improving human health outcomes in areas that include improved immune response, coronary artery disease, heart failure, and high cholesterol. Neoeriocitrin, and rutin from the bergamot have been reported to lower the oxidation of LDL particles. A statistically significant decrease in triglycerides, LDL and total cholesterol was observed. Bergamot juice was found to reduce cholesterol (29.27%), triglycerides (46.12%), and LDL (51.72%) and an increase in HDL (27.61%) levels versus hypercholesterolemic controls.

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