Abstract: Reactive oxygen species are normal by-products of cellular metabolism but may have detrimental effects on cellular matrices and excite inflammatory pathways when overproduced. To test the hypothesis that supplementation of an herbal extract combination would: 1) improve antioxidant status; 2) increase anti-inflammatory cytokines; and 3) decrease pro-inflammatory cytokines, 40 mature, sedentary stock-type horses (32 mares, 8 geldings, mean±SD; 15.7 ± 4.9 yr, 519 ± 46 kg) were stratified by age, sex, and body weight and randomly assigned to one of four dietary treatment groups for 56 d: 1) 0 mg (CON); 2) 675 mg (Pro1); 3) 2,025 mg (Pro3); or 4) 4,050 mg (Pro6) Protandim Nrf2 Synergizer (LifeVantage Corporation) per day (n = 10/group). Horses were group housed and received a basal diet of mixed warm-season grass pasture and hay ad libitum and a custom-formulated concentrate grain. Blood collected prior to the morning feeding on day 0, 28, and 56 was analyzed for hydrogen peroxide (H2O2) production and concentration, superoxide dismutase (SOD), glutathione peroxidase (GPx), and catalase (CAT) activities, concentrations of malondialdehyde (MDA), cytokines [interleukin (IL)-4, IL -6, IL -8, IL -10 and tumor necrosis factor α], and caffeine, and mRNA expression of IL -1β, Nrf2, and HMOX1. Activities of GPx and SOD were also quantified in gluteus medius samples collected at day 0 and 56. Data were analyzed using linear models in SAS v9.4; sex, time, treatment, and time×treatment were fixed effects and time was a repeated effect with horse(treatment) as the subject. Plasma caffeine concentrations increased from day 0 to 56 in supplemented horses (P ≤ 0.05) in a dose-dependent fashion but did not change in CON horses, resulting in Pro6 horses having the greatest concentration of caffeine at day 56, followed by Pro3, Pro1, then CON horses. No other measure was impacted by treatment though whole blood H2O2 production, SOD activity, and IL -1β mRNA, and plasma IL -8 and MDA concentrations decreased by day 28 (P ≤0.006), whole blood Nrf2 mRNA and IL -10 concentrations decreased by day 56 (P≤0.04), and skeletal muscle GPx activity increased by day 56 (P = 0.05) in all horses. Dietary supplementation of up to 4,050 mg/d Protandim Nrf2 Synergizer did not impact antioxidant status or plasma cytokines in mature, sedentary horses. Effects of supplementation on these variables should be investigated in horses subjected to elevated oxidative and/or inflammatory insult, such as during exercise or aging. Reactive oxygen species (ROS) are byproducts of energy production that have the potential to detrimentally interact with cellular components, creating damage or dysfunction within the body. In small quantities, ROS are important signaling molecules, essential for stimulating adaptation to stimuli such as inflammation and exercise. However, when ROS production exceeds that of antioxidants, neutralizing agents of ROS, negative consequences such as inflammation may result. To combat this, antioxidants are prophylactically supplemented in various forms with herbal formulated blends becoming a growing field of interest. To evaluate the antioxidant and anti-inflammatory potential of Protandim Nrf2 Synergizer, an herbal blend containing milk thistle, bacopa, ashwagandha, green tea, and turmeric, four concentrations were provided to mature, sedentary horses for 56 d. Blood caffeine concentrations increased in a dose-dependent manner but remained below the acceptable concentration for competition horses within the United States, allowing its potential use in equine athletes. No other differences were observed at the Protandim concentrations tested but further research evaluating an increased dosage or to horses experiencing elevated stress is warranted.
The Equine Research Bank provides access to a large database of publicly available scientific literature. Inclusion in the Research Bank does not imply endorsement of study methods or findings by Mad Barn.
This research summary has been generated with artificial intelligence and may contain errors and omissions. Refer to the original study to confirm details provided. Submit correction.
Research Overview
This study evaluated the effects of a herbal supplement, Protandim Nrf2 Synergizer, on antioxidant and inflammatory markers in mature, sedentary horses over 56 days.
The researchers found no significant impact of the supplement on antioxidant enzymes or inflammatory cytokines, though caffeine levels increased in supplemented horses.
They suggest that future studies should investigate the supplement’s effects in horses under stress conditions like exercise or aging.
Background and Hypothesis
Reactive oxygen species (ROS) are natural by-products of cellular metabolism that can cause cellular damage and inflammation if overproduced.
Antioxidants neutralize ROS to prevent potential harm, and supplementation with herbal antioxidant blends is gaining interest as a preventive strategy.
Protandim Nrf2 Synergizer is a herbal combination containing milk thistle, bacopa, ashwagandha, green tea, and turmeric, proposed to boost antioxidant defenses and modulate inflammation.
The study tested whether supplementation would:
Improve antioxidant status (increase enzymes like SOD, GPx, and CAT)
Increase anti-inflammatory cytokines
Decrease pro-inflammatory cytokines
Experimental Design
Subjects: 40 mature, sedentary stock-type horses (32 mares, 8 geldings), mean age ~15.7 years, mean weight ~519 kg.
Group Allocation: Horses stratified by age, sex, weight and randomized into 4 groups (n=10 per group):
Control (CON): 0 mg Protandim
Pro1: 675 mg/day Protandim
Pro3: 2,025 mg/day Protandim
Pro6: 4,050 mg/day Protandim
Housing and Diet: Group housed with pasture and hay ad libitum plus custom concentrate grain.
Duration: 56 days supplementation.
Sample Collection: Blood sampled at baseline (day 0), day 28, and day 56; skeletal muscle biopsies at day 0 and day 56.
Measurements
Antioxidant markers measured in blood and muscle:
Hydrogen peroxide (H2O2) production and concentration
Activities of superoxide dismutase (SOD), glutathione peroxidase (GPx), catalase (CAT)
Malondialdehyde (MDA), a lipid peroxidation marker
Inflammatory markers and cytokines in plasma and mRNA expression:
mRNA expression of IL-1β, Nrf2 (a key antioxidant transcription factor), and HMOX1 (heme oxygenase 1)
Plasma caffeine concentration as a marker of supplement intake.
Key Results
Plasma caffeine concentrations:
Increased in a dose-dependent fashion with Protandim supplementation.
Pro6 group (highest dose) had the greatest increase at day 56, confirming supplement consumption.
Levels remained below thresholds set for competition horses in the United States, indicating potential future use.
No significant effect of Protandim treatment on:
Antioxidant enzyme activities (SOD, GPx, CAT)
ROS levels (H2O2, MDA)
Inflammatory cytokines (IL-4, IL-6, IL-8, IL-10, TNF-α) or mRNA expression of IL-1β, Nrf2, HMOX1
Time effects observed across all horses (regardless of treatment):
Decreases in H2O2 production, SOD activity, IL-1β mRNA, plasma IL-8 and MDA by day 28
Decrease in Nrf2 mRNA and plasma IL-10 by day 56
Increase in skeletal muscle GPx activity by day 56
Interpretation and Conclusions
Supplementing Protandim up to 4,050 mg/day in mature, sedentary horses did not improve antioxidant status or change inflammatory markers under normal conditions.
The confirmed increase in plasma caffeine indicates compliance and bioavailability of the supplement.
Observed time-related changes suggest natural fluctuations in oxidative and inflammatory markers independent of treatment.
The lack of significant effects might be due to the horses’ sedentary status and lack of oxidative stress or inflammatory challenge.
Authors recommend future studies to:
Test higher doses of the supplement
Assess effects in horses undergoing oxidative or inflammatory stress, such as exercise, aging, or disease states
Significance and Implications
This study provides foundational data about the safety and limited efficacy of Protandim supplementation in healthy, inactive horses.
It helps establish a baseline for future research on nutraceutical antioxidant supplements in equine health.
The increase in caffeine without adverse effects supports potential future use in competitive horses, pending further research.
Cite This Article
APA
Semanchik PL, Wesolowski LT, Artman JL, Seward RL, Beer C, Barnes ED, White-Springer SH.
(2025).
Limited impacts of dietary Protandim Nrf2 Synergizer on antioxidant and inflammatory status of mature, sedentary horses.
J Anim Sci, 104, skaf433.
https://doi.org/10.1093/jas/skaf433
Altan Ö, Pabuçcuoğlu A, Altan A, Konyalioğlu S, Bayraktar H. Effect of heat stress on oxidative stress, lipid peroxidation and some stress parameters in broilers.. Br. Poult. Sci. 44(4):545–550.
Bechtel P, Kline K. Muscle fiber type changes in the middle gluteal of quarter and standardbred horses from birth through one year of age.. Proc. Int. Conf. Equine Exer. Phys. No. 2. p. 265–270. Davis, Calif.: ICEEP Publications, 1987, San Diego, CA.
Bhatia K, Elmarakby A A, EL -Remessy A B, Sullivan J C. Oxidative stress contributes to sex differences in angiotensin II-mediated hypertension in spontaneously hypertensive rats.. Am. J. Physiol. Regul. Integr. Comp. Physiol. 302(2):R274–R282.
Bhattacharyya S, Gutti U, Mercado J, Moore C, Pollard H B, Biswas R. MAPK signaling pathways regulate IL -8 mRNA stability and IL -8 protein expression in cystic fibrosis lung epithelial cell lines.. Am. J. Physiol. Lung Cell. Mol. Physiol. 300(1):L81–L87.
Bruns D R, Ehrlicher S E, Khademi S, Biela L M, Peelor F F, Miller B F, Hamilton K L. Differential effects of vitamin C or protandim on skeletal muscle adaptation to exercise.. J. Appl. Physiol. (1985). 125(2):661–671.
Halloran K M, Hoskins E C, Stenhouse C, Moses R M, Dunlap K A, Satterfield M C, Seo H, Johnson G A, Wu G, Bazer F W. Pre-implantation exogenous progesterone and pregnancy in sheep. II. Effects on fetaL -placental development and nutrient transporters in late pregnancy.. J. Anim. Sci. Biotechnol. 12(1):46–65.
Horohov DW, Sinatra ST, Chopra RK, Jankowitz S, Betancourt A, Bloomer RJ. The effect of exercise and nutritional supplementation on proinflammatory cytokine expression in young racehorses during training. J Equine Vet Sci 32(12):805–815.
Hybertson BM, Gao B, Bose SK, McCord JM. Oxidative stress in health and disease: the therapeutic potential of Nrf2 activation. Mol. Aspects Med. 32(4–6):234–246.
Ide T, Tsutsui H, Ohashi N, Hayashidani S, Suematsu N, Tsuchihashi M, Tamai H, Takeshita A. Greater oxidative stress in healthy young men compared with premenopausal women. Arterioscler Thromb. Vasc. Biol. 22(3):438–442.
nInternational Federation of Horseracing Authorities. 2024. Residue limits—urine and plasma. https://www.ifhaonline.org/default.asp? section=IABRW&area=18.
Jakubczyk K, Drużga A, Janda K, Skonieczna-Żydecka K. Antioxidant potential of curcumin—a meta-analysis of randomized clinical trials. Antioxidants 9(11):1092–1104.
Kander MC, Cui Y, Liu Z. Gender difference in oxidative stress: a new look at the mechanisms for cardiovascular diseases. J. Cell. Mol. Med. 21(5):1024–1032.
Kim JS, Lee YH, Chang YU, Yi HK. PPARγ regulates inflammatory reaction by inhibiting the MAPK/NF-κB pathway in C2C12 skeletal muscle cells. J. Physiol. Biochem. 73(1):49–57.
Koenig A, Buskiewicz-Koenig IA. Redox activation of mitochondrial DAMPs and the metabolic consequences for development of autoimmunity. Antioxid. Redox Signal. 36(7–9):441–461.
Konopka AR, Laurin JL, Musci RV, Wolff CA, Reid JJ, Biela LM, Zhang Q, Peelor FF, Melby CL, Hamilton KL. Influence of Nrf2 activators on subcellular skeletal muscle protein and DNA synthesis rates after 6 weeks of milk protein feeding in older adults. Geroscience 39(2):175–186.
Liu J, Gu X, Robbins D, Li G, Shi R, McCord JM, Zhao Y. Protandim, a fundamentally new antioxidant approach in chemoprevention using mouse two-stage skin carcinogenesis as a model. PLoS One 4(4):e5284.
Loboda A, Damulewicz M, Pyza E, Jozkowicz A, Dulak J. Role of Nrf2/HO-1 system in development, oxidative stress response and diseases: an evolutionarily conserved mechanism. Cell. Mol. Life Sci. 73(17):3221–3247.
Mujahid A, Yoshiki Y, Akiba Y, Toyomizu M. Superoxide radical production in chicken skeletal muscle induced by acute heat stress. Poult. Sci. 84(2):307–314.
National Research Council. 2007. Nutrient requirements of horses. 6th ed. Washington, DC: National Academies Press.
Nelson SK, Bose SK, Grunwald GK, Myhill P, McCord JM. The induction of human superoxide dismutase and catalase in vivo: a fundamentally new approach to antioxidant therapy. Free Radic. Biol. Med. 40(2):341–347.
Németh E, Halász A, Baráth A, Domokos M, Gálfi P. Effect of hydrogen peroxide on interleukin-8 synthesis and death of Caco-2 cells. Immunopharmacol. Immunotoxicol. 29(2):297–310.
Osada K, Takahashi M, Hoshina S, Nakamura M, Nakamura S, Sugano M. Tea catechins inhibit cholesterol oxidation accompanying oxidation of low density lipoprotein in vitro. Comp. Biochem. Physiol. C Toxicol. Pharmacol. 128(2):153–164.
Pelaia G, Cuda G, Vatrella A, Gallelli L, Fratto D, Gioffrè V, D’Agostino B, Caputi M, Maselli R, Rossi F. Effects of hydrogen peroxide on MAPK activation, IL -8 production and cell viability in primary cultures of human bronchial epithelial cells. J. Cell. Biochem. 93(1):142–152.
Singh IS, Gupta A, Nagarsekar A, Cooper Z, Manka C, Hester L, Benjamin IJ, He J, Hasday JD. Heat shock co-activates interleukin-8 transcription. Am. J. Respir. Cell. Mol. Biol. 39(2):235–242.
Ueberschlag SL, Seay JR, Roberts AH, DeSpirito PC, Stith JM, Folz RJ, Carter KA, Weiss EP, Zavorsky GS. The effect of Protandim supplementation on athletic performance and oxidative blood markers in runners. PLoS One 11(8):e0160559.
Velmurugan K, Alam J, McCord JM, Pugazhenthi S. Synergistic induction of heme oxygenase-1 by the components of the antioxidant supplement protandim. Free Radic. Biol. Med. 46(3):430–440.
White SH, Warren LK. Submaximal exercise training, more than dietary selenium supplementation, improves antioxidant status and ameliorates exercise-induced oxidative damage to skeletal muscle in young equine athletes. J. Anim. Sci. 95(2):657–670.