Hesperidin under the microscope – inflammation and oxidative stress
Hesperidin is one of the best-studied flavonoids in citrus fruit. Current research focuses on its relationship with markers of inflammation and oxidative balance.
What hesperidin is
Hesperidin is a natural plant compound belonging to the flavonoids, and more precisely to the flavanones. It is neither a vitamin nor a mineral, and no recommended daily intake has been established for it. In the plant it occurs as a glycoside: a hesperetin molecule is linked to a disaccharide made of glucose and rhamnose. The presence of the sugar moiety affects the compound's solubility and the way it is processed in the digestive tract.
Hesperidin dissolves poorly in water and is not absorbed in full in the small intestine. A significant part reaches the large intestine, where gut-bacteria enzymes detach the sugar moiety and release hesperetin. The compound can then be absorbed and converted mainly into glucuronide and sulfate derivatives. Differences in microbiota composition, the form of the preparation, particle size and meal composition can cause considerable inter-individual differences in availability.
Sources of hesperidin
Citrus fruits provide the most hesperidin, especially sweet and bitter oranges, mandarins, clementines and lemons. Its content depends on the species and variety, ripeness, growing and storage conditions, and processing. The compound is not evenly distributed — more is found in the peel, the white layer beneath it, the membranes separating segments and pressing residues than in the flesh itself.
Orange juice also contains hesperidin, but the amount can vary with the proportion of fine fruit particles, filtration and production technology. Supplements use, among others, purified, micronized or modified hesperidin to increase its solubility.
Inflammation and oxidative stress
Inflammation is a natural response to infection or tissue damage. In the short term it supports defence and repair, but when it persists too long it can proceed without clear symptoms. It is assessed using, among others, C-reactive protein (CRP), high-sensitivity CRP (hs-CRP), tumour necrosis factor alpha (TNF-α) and interleukin 6 (IL-6).
Oxidative stress arises when the body cannot keep up with neutralising reactive oxygen and nitrogen species. Their excess can lead to changes in lipids, proteins and DNA. Studies assess, among others, malondialdehyde (MDA), 8-hydroxy-2′-deoxyguanosine (8-OHdG) and total antioxidant capacity (TAC). The two processes are linked and can amplify each other, yet a change in a single marker does not automatically mean an improvement in health.
Results of the latest meta-analysis
In 2026 a pooled analysis of 10 studies involving 532 adults was published. Participants included both healthy people and those with type 2 diabetes, metabolic syndrome, fatty liver disease, after a heart attack or with periodontitis. The studies differed in the dose and form of hesperidin and the duration of use.
After synthesising the results, hesperidin use was associated with lower CRP, hs-CRP and TNF-α values. No clear difference was found in IL-6 across the whole group. Lower IL-6 values were found only in studies involving people with type 2 diabetes or after a heart attack. There were too few data on oxidative stress to draw firm conclusions — only one study assessed MDA and TAC.
- Ouyang, L., Yu, M., Zhang, W., & Gong, Y. (2026). The effects of hesperidin supplementation on inflammation and oxidative stress in adults: a systematic review and meta-analysis. The British Journal of Nutrition, 1–11. https://doi.org/10.1017/S0007114526106898
- Ávila-Gálvez, M. Á., Giménez-Bastida, J. A., González-Sarrías, A., & Espín, J. C. (2021). New Insights into the Metabolism of the Flavanones Eriocitrin and Hesperidin. Antioxidants, 10(3), 435. https://doi.org/10.3390/antiox10030435
- Rizza, S., Muniyappa, R., Iantorno, M., et al. (2011). Citrus polyphenol hesperidin stimulates production of nitric oxide in endothelial cells… The Journal of Clinical Endocrinology and Metabolism, 96(5), E782–E792. https://doi.org/10.1210/jc.2010-2879