Trehalose: A Promising Therapeutic Agent for Diverse Pathological Conditions

Mahboobeh Ghasemzadeh Rahbardar , Prashant Kesharwani , Amirhossein Sahebkar

Current Medical Science ›› : 1 -15.

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Current Medical Science ›› :1 -15. DOI: 10.1007/s11596-026-00174-z
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Trehalose: A Promising Therapeutic Agent for Diverse Pathological Conditions
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Abstract

Trehalose, a naturally occurring disaccharide, is gaining recognition for its therapeutic potential across a wide range of disorders. This review highlights the increasing importance of trehalose in clinical research and its applications in disease management. The unique biochemical properties of trehalose, including its ability to increase stress resistance and protect cellular structures, make it a promising therapeutic agent for various pathological conditions. Trehalose has demonstrated potential in addressing metabolic disorders such as diabetes and obesity by regulating glucose homeostasis, improving insulin sensitivity, and modulating lipid metabolism. Additionally, it has shown promise in cancer treatment by inhibiting tumor growth and promoting cell death. Beneficial effects have also been observed in models of cardiovascular diseases, ocular and dental conditions, osteoarthritis, Niemann–Pick disease, and genetic disorders. While existing clinical studies provide valuable insights into the therapeutic potential of trehalose, further research is needed to optimize its dosage, elucidate its mechanisms of action, and conduct large-scale trials to establish its efficacy and safety. In conclusion, trehalose represents a promising therapeutic compound with broad applications, offering a compelling avenue for future research and the development of innovative treatment strategies.

Keywords

Trehalose / Dry eye syndrome / Obesity / Diabetes mellitus / Cardiovascular diseases / Niemann-Pick disease / Insulin resistance / Osteoarthritis

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Mahboobeh Ghasemzadeh Rahbardar, Prashant Kesharwani, Amirhossein Sahebkar. Trehalose: A Promising Therapeutic Agent for Diverse Pathological Conditions. Current Medical Science 1-15 DOI:10.1007/s11596-026-00174-z

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References

[1]

Pupyshev AB, Klyushnik TP, Akopyan AAet al. . Disaccharide trehalose in experimental therapies for neurodegenerative disorders: Molecular targets and translational potential. Pharmacol Res.. 2022, 183. 106373

[2]

Crowe JH. Trehalose as a “chemical chaperone”. Molecular Aspects of the Stress Response: Chaperones, Membranes and Networks. New York, NY: Springer New York, 2007:143–158.

[3]

Elbein AD, Pan YT, Pastuszak Iet al. . New insights on trehalose: a multifunctional molecule. Glycobiology.. 2003, 13(4): 17R-27R.

[4]

Thevelein JM, Hohmann S. Trehalose synthase: guard to the gate of glycolysis in yeast?. Trends Biochem Sci.. 1995, 20(1): 3-10.

[5]

Singer MA, Lindquist S. Multiple effects of trehalose on protein folding in vitro and in vivo. Mol Cell.. 1998, 1(5): 639-648.

[6]

Jain NK, Roy I. Effect of trehalose on protein structure. Protein Sci.. 2009, 18(1): 24-36.

[7]

Kosar F, Akram NA, Sadiq Met al. . Trehalose: a key organic osmolyte effectively involved in plant abiotic stress tolerance. J Plant Growth Regul.. 2019, 38(2): 606-618.

[8]

Sarkar S, Chigurupati S, Raymick Jet al. . Neuroprotective effect of the chemical chaperone, trehalose in a chronic MPTP-induced Parkinson’s disease mouse model. Neurotoxicology.. 2014, 44: 250-262.

[9]

Olsson C, Jansson H, Swenson J. The role of trehalose for the stabilization of proteins. J Phys Chem B.. 2016, 120(20): 4723-4731.

[10]

Mari E, Ricci C, Pieraccini Set al. . Trehalose effect on the aggregation of model proteins into amyloid fibrils. Life (Basel).. 2020, 10(5): 60

[11]

Hu Y, Liu X, Liu Fet al. . Trehalose in biomedical cryopreservation–properties, mechanisms, delivery methods, applications, benefits, and problems. ACS Biomater Sci Eng.. 2023, 931190-1204.

[12]

Stokich B, Osgood Q, Grimm Det al. . Cryopreservation of hepatocyte (HepG2) cell monolayers: impact of trehalose. Cryobiology.. 2014, 69(2): 281-290.

[13]

Khalifeh M, Barreto GE, Sahebkar A. Trehalose as a promising therapeutic candidate for the treatment of Parkinson’s disease. Br J Pharmacol.. 2019, 176(9): 1173-1189.

[14]

Khalifeh M, Read MI, Barreto GEet al. . Trehalose against Alzheimer’s disease: insights into a potential therapy. Bioessays.. 2020, 42(8. e1900195

[15]

Heras-Sandoval D, Pérez-Rojas JM, Hernández-Damián Jet al. . The role of PI3K/AKT/mTOR pathway in the modulation of autophagy and the clearance of protein aggregates in neurodegeneration. Cell Signal.. 2014, 2612): 2694-2701.

[16]

Lee HJ, Yoon YS, Lee SJ. Mechanism of neuroprotection by trehalose: controversy surrounding autophagy induction. Cell Death Dis.. 2018, 9(7): 712.

[17]

Hosseinpour-Moghaddam K, Caraglia M, Sahebkar A. Autophagy induction by trehalose: Molecular mechanisms and therapeutic impacts. J Cell Physiol.. 2018, 23396524-6543.

[18]

Mizote A, Yamada M, Yoshizane Cet al. . Daily intake of trehalose is effective in the prevention of lifestyle-related diseases in individuals with risk factors for metabolic syndrome. J Nutr Sci Vitaminol.. 2016, 62(6): 380-387.

[19]

Hashemian S, Shojaei M, Radbakhsh Set al. . The effects of oral trehalose on glycaemia, inflammation, and quality of life in patients with type 2 diabetes: a pilot randomized controlled trial. Arch Med Sci.. 2023, 19(6): 1693-1700

[20]

Arai C, Suyama A, Arai Set al. . Trehalose itself plays a critical role on lipid metabolism: Trehalose increases jejunum cytoplasmic lipid droplets which negatively correlated with mesenteric adipocyte size in both HFD-fed trehalase KO and WT mice. Nutr Metab.. 2020, 17: 22.

[21]

Yu W, Zha W, Peng Het al. . Trehalose protects against insulin resistance-induced tissue injury and excessive autophagy in skeletal muscles and kidney. Curr Pharm Des.. 2019, 25(18): 2077-2085.

[22]

Yaribeygi H, Yaribeygi A, Sathyapalan Tet al. . Molecular mechanisms of trehalose in modulating glucose homeostasis in diabetes. Diabetes Metab Syndr.. 2019, 1332214-2218.

[23]

Chaitanya SN, Devi A, Sahu Set al. . Molecular mechanisms of action of Trehalose in cancer: a comprehensive review. Life Sci.. 2021, 269: 118968.

[24]

Sharma E, Shruti PS, Singh Set al. . Trehalose and its diverse biological potential. Curr Protein Pept Sci.. 2023, 24(6): 503-517.

[25]

Ichihara H, Kuwabara K, Matsumoto Y. Trehalose liposomes induce apoptosis of breast tumor cells in vitro and in vivo. Biochem Biophys Res Commun.. 2020, 5324505-512.

[26]

Jamialahmadi T, Emami F, Bagheri RKet al. . The effect of trehalose administration on vascular inflammation in patients with coronary artery disease. Biomedecine Pharmacother.. 2022, 147. 112632

[27]

Cagini C, Torroni G, Mariniello Met al. . Trehalose/sodium hyaluronate eye drops in post-cataract ocular surface disorders. Int Ophthalmol.. 2021, 41(9): 3065-3071.

[28]

Rawat P, Hon S, Teodorof-Diedrich Cet al. . Trehalose inhibits human immunodeficiency virus type 1 infection in primary human macrophages and CD4+T lymphocytes through two distinct mechanisms. J Virol.. 2020, 94(17): e00237-e1220.

[29]

van Tilborg MM, Murphy PJ, Evans KS. Impact of dry eye symptoms and daily activities in a modern office. Optom Vis Sci.. 2017, 94(6): 688-693.

[30]

Wu M, Liu X, Han Jet al. . Association between sleep quality, mood status, and ocular surface characteristics in patients with dry eye disease. Cornea.. 2019, 38(3): 311-317.

[31]

Matsuo T, Tsuchida Y, Morimoto N. Trehalose eye drops in the treatment of dry eye syndrome. Ophthalmology.. 2002, 109(11): 2024-2029.

[32]

Matsuo T. Trehalose versus hyaluronan or cellulose in eyedrops for the treatment of dry eye. Jpn J Ophthalmol.. 2004, 48(4): 321-327.

[33]

Pinto-Bonilla JC, Del Olmo-Jimeno A, Llovet-Osuna Fet al. . A randomized crossover study comparing trehalose/hyaluronate eyedrops and standard treatment: patient satisfaction in the treatment of dry eye syndrome. Ther Clin Risk Manag.. 2015, 11: 595-603

[34]

Schmidl D, Schmetterer L, Witkowska KJet al. . Tear film thickness after treatment with artificial tears in patients with moderate dry eye disease. Cornea.. 2015, 34(4): 421-426.

[35]

Mateo Orobia AJ, Casas Pascual P, Cristóbal Bescós et al. . Effects of 3% trehalose as an adjuvant treatment after LASIK. Clin Ophthalmol.. 2017, 11: 347-353.

[36]

Chiambaretta F, Doan S, Labetoulle Met al. . A randomized, controlled study of the efficacy and safety of a new eyedrop formulation for moderate to severe dry eye syndrome. Eur J Ophthalmol.. 2017, 27(1): 1-9.

[37]

Hom MM, Berdy GJ, Downie LEet al. . Clinical evaluation of a novel lipid-containing lubricant eye drop with omega-3 oil and trehalose. Investigative Ophthalmology & Visual Science.. 2017, 58(8): 2671-2671

[38]

Fondi K, Wozniak PA, Schmidl Det al. . Effect of hyaluronic acid/trehalose in two different formulations on signs and symptoms in patients with moderate to severe dry eye disease. J Ophthalmol.. 2018, 2018: 4691417.

[39]

Fariselli C, Giannaccare G, Fresina Met al. . Trehalose/hyaluronate eyedrop effects on ocular surface inflammatory markers and mucin expression in dry eye patients. Clin Ophthalmol.. 2018, 121293-1300.

[40]

Ozek D, Kemer OE. Effect of the bioprotectant agent trehalose on corneal epithelial healing after corneal cross-linking for keratoconus. Arq Bras Oftalmol.. 2018, 81(6): 505-509.

[41]

Vagge A, Giannaccare G, Traverso CE. Comparison of the efficacy of topical chloramphenicol 0.5%-betamethasone 0.2% (CB) and CB associated with sodium hyaluronate/trehalose/carbomer gel following strabismus surgery. J Ocul Pharmacol Ther.. 2019, 35(7): 403-406.

[42]

Kaarniranta K, Järvinen R, Wylegala Eet al. . Disease etiology-based design of multifunctional trehalose emulsion eye drops for moderate or severe dry eye: a randomised, quadruple-masked and active-controlled clinical trial. Acta Ophthalmol.. 2019, 97(S263): 5265.

[43]

Downie LE, Hom MM, Berdy GJet al. . An artificial tear containing flaxseed oil for treating dry eye disease: a randomized controlled trial. Ocul Surf.. 2020, 181148-157.

[44]

Yildirim Y, Ozsaygili C, Kucuk B. The short term effect of trehalose and different doses of sodium hyaluronate on anterior corneal aberrations in dry eye patients. Cutan Ocul Toxicol.. 2021, 40(1): 14-20.

[45]

Morya AK, Solanki K, Prakash Set al. . Randomized controlled trial of trehalose: an efficient autophagic bioprotectant in the management of dry eye disease. Taiwan J Ophthalmol.. 2020, 11(2): 161-167.

[46]

Shin J, Rho CR, Hyon JYet al. . A randomized, placebo-controlled phase II clinical trial of 0.01% or 0.02% cyclosporin A with 3% trehalose in patients with dry eye disease. J Ocul Pharmacol Ther.. 2021, 37(1): 4-11.

[47]

Cagini C, Di Lascio G, Torroni Get al. . Dry eye and inflammation of the ocular surface after cataract surgery: effectiveness of a tear film substitute based on trehalose/hyaluronic acid vs hyaluronic acid to resolve signs and symptoms. J Cataract Refract Surg.. 2021, 47(11): 1430-1435.

[48]

Mateo-Orobia AJ, Del Prado SE, Blasco-Martínez Aet al. . Efficacy of artificial tears containing trehalose and hyaluronic acid for dry eye disease in women aged 42–54 versus ≥ 55 years. Cont Lens Anterior Eye.. 2023, 46(4. 101845

[49]

Sánchez-González JM, Silva-Viguera C, Sánchez-González MCet al. . Tear film stabilization and symptom improvement in dry eye disease: the role of hyaluronic acid and trehalose eyedrops versus carmellose sodium. J Clin Med.. 2023, 1220): 6647.

[50]

Laudenbach JM, Kumar SS. Common dental and periodontal diseases. Dermatol Clin.. 2020, 384413-420.

[51]

Chan AKY, Tamrakar M, Jiang CMet al. . Common medical and dental problems of older adults: a narrative review. Geriatrics (Basel).. 2021, 6(3): 76.

[52]

Baiju RM, Peter E, Varghese NOet al. . Oral health and quality of life: current concepts. J Clin Diagn Res.. 2017, 116ZE21-ZE26

[53]

Mori Y, Yano F, Shimohata Net al. . Trehalose inhibits oral dryness by protecting the cell membrane. Int J Oral Maxillofac Surg.. 2010, 39(9): 916-921.

[54]

Kruse AB, Akakpo DL, Maamar Ret al. . Trehalose powder for subgingival air-polishing during periodontal maintenance therapy: a randomized controlled trial. J Periodontol.. 2019, 90(3): 263-270.

[55]

Kruse AB, Maamar R, Akakpo DLet al. . Effects of subgingival air-polishing with trehalose powder on oral biofilm during periodontal maintenance therapy: a randomized-controlled pilot study. BMC Oral Health.. 2020, 20(1): 123.

[56]

Kruse AB, Wölki BJ, Woelber JPet al. . Subgingival air polishing with trehalose powder during supportive periodontal therapy: use of a conical shaped tip during a randomized clinical trial. BMC Oral Health.. 2022, 22170.

[57]

Lockhart PB, Sun YP. Diseases of the cardiovascular system. Burket's Oral Medicine. 2021:505–552.

[58]

Kaplon RE, Hill SD, Bispham NZet al. . Oral trehalose supplementation improves resistance artery endothelial function in healthy middle-aged and older adults. Aging.. 2016, 861167-1183.

[59]

Jamialahmadi T, Emami F, Bagheri RKet al. . The effect of trehalose administration on vascular inflammation in patients with coronary artery disease. Biomed Pharmacother.. 2022, 147. 112632

[60]

Ganjali S, Jamialahmadi T, Banach Met al. . The effect of trehalose administration on miRNA-10a expression in patients with history of myocardial infarction (MI) and systemic inflammation. Eur Heart J.. 2022, 43(Supplement_2): ehac544.2336.

[61]

Ganjali S, Jamialahmadi T, Abbasifard M, et al. Trehalose-induced alterations in serum expression levels of microRNAs associated with vascular inflammation in patients with coronary artery disease - the pilot results from the randomized controlled trial. Arch Med Sci. 2022:154987.

[62]

Ganjali S, Mansouri A, Reiner Ž, et al. The effect of trehalose administration on the serum expression levels of microRNAs associated with lipid metabolism and autophagy process in patients with myocardial infarction - the post-hoc analysis of the TREAT-IR trial. Arch Med Sci. 2023:170159.

[63]

Najafi N, Mehri S, Ghasemzadeh Rahbardar Met al. . Effects of alpha lipoic acid on metabolic syndrome: a comprehensive review. Phytother Res.. 2022, 3662300-2323.

[64]

Ardakanian A, Ghasemzadeh Rahbardar M, Omidkhoda Fet al. . Effect of alpha-mangostin on olanzapine-induced metabolic disorders in rats. Iran J Basic Med Sci.. 2022, 25(2): 198-207

[65]

Jalali J, Ghasemzadeh Rahbardar M. Ameliorative effects of Portulaca oleracea L. (purslane) on the metabolic syndrome: a review. J Ethnopharmacol.. 2022, 299: 115672.

[66]

Naraki K, Ghasemzadeh Rahbardar M, Ajiboye BOet al. . The effect of ellagic acid on the metabolic syndrome: a review article. Heliyon.. 2023, 9(11. e21844

[67]

Oskouei Z, Ghasemzadeh Rahbardar M, Hosseinzadeh H. The effects of Dendrobium species on the metabolic syndrome: a review. Iran J Basic Med Sci.. 2023, 267): 738-752

[68]

Yahyazadeh R, Ghasemzadeh Rahbardar M, Razavi BMet al. . The effect of Elettaria cardamomum (cardamom) on the metabolic syndrome: Narrative review. Iran J Basic Med Sci.. 2021, 24111462-1469

[69]

Collaborators GBDD. Global, regional, and national burden of diabetes from 1990 to 2021, with projections of prevalence to 2050: a systematic analysis for the Global Burden of Disease Study 2021. Lancet.. 2023, 402(10397): 203-234.

[70]

Liang J, He Y, Huang Cet al. . The regulation of selenoproteins in diabetes: a new way to treat diabetes. Curr Pharm Des.. 2024, 30(20): 1541-1547.

[71]

Ren W, Xia Y, Chen Set al. . Glutamine metabolism in macrophages: a novel target for obesity/type 2 diabetes. Adv Nutr.. 2019, 10(2): 321-330.

[72]

Gieroba B, Kryska A, Sroka-Bartnicka A. Type 2 diabetes mellitus–conventional therapies and future perspectives in innovative treatment. Biochem Biophys Rep.. 2025, 42102037

[73]

van Can JG, van Loon LJ, Brouns Fet al. . Reduced glycaemic and insulinaemic responses following trehalose and isomaltulose ingestion: implications for postprandial substrate use in impaired glucose-tolerant subjects. Br J Nutr.. 2012, 108(7): 1210-1217.

[74]

Yoshizane C, Mizote A, Yamada Met al. . Glycemic, insulinemic and incretin responses after oral trehalose ingestion in healthy subjects. Nutr J.. 2017, 16(1): 9.

[75]

Yoshizane C, Mizote A, Arai Cet al. . Daily consumption of one teaspoon of trehalose can help maintain glucose homeostasis: a double-blind, randomized controlled trial conducted in healthy volunteers. Nutr J.. 2020, 19168.

[76]

Mobini M, Radbakhsh S, Kubaski Fet al. . Impact of intravenous trehalose administration in patients with niemann-pick disease types a and B. J Clin Med.. 2022, 111247.

[77]

Khoshakhlagh M, Hasanpour M, Iranshahi M, et al. Metabolic improvement in patients with Niemann-Pick disease following intravenous trehalose administration: An untargeted pharmacometabolomic study. 2023.

[78]

Emadi SA, Ghasemzadeh Rahbardar M, Mehri Set al. . A review of therapeutic potentials of milk thistle ( Silybum marianum L.) and its main constituent, silymarin, on cancer, and their related patents. Iran J Basic Med Sci.. 2022, 25101166-1176

[79]

Rajabalizadeh R, Ghasemzadeh Rahbardar M, Hosseinzadeh H. Medicinal herbs in treating chemotherapy-induced nausea and vomiting: a review. Phytother Res.. 2022, 36(10): 3691-3708.

[80]

Rahbardar MG, Eisvand F, Rameshrad Met al. . In vivo and in vitro protective effects of rosmarinic acid against doxorubicin-induced cardiotoxicity. Nutr Cancer.. 2022, 74(2): 747-760.

[81]

Vosika G, Schmidtke J, Goldman Aet al. . Phase I-II study of intralesional immunotherapy with oil-attached Mycobacterium smegmatis cell wall skeleton and trehalose dimycolate. Cancer Immunol Immunother.. 1979, 6(3): 135-142.

[82]

Vosika G, Schmidtke J, Goldman Aet al. . Phase I study of intradermal immunotherapy with oil-attached Mycobacterium smegmatis cell wall skeleton and trehalose dimycolate. Cancer Immunol Immunother.. 1980, 7(4): 221-224.

[83]

Piboonratanakit P, Ferreira JN, Pravinvongvuthi Ket al. . Trehalose versus carboxymethylcellulose oral spray for relieving radiation-induced xerostomia in head and neck cancer patients: a randomized controlled trial. BMC Oral Health.. 2023, 23(1): 288.

[84]

Razavi BM, Ghasemzadeh Rahbardar M, Hosseinzadeh H. A review of therapeutic potentials of turmeric (Curcuma longa) and its active constituent, curcumin, on inflammatory disorders, pain, and their related patents. Phytother Res.. 2021, 35126489-6513.

[85]

Nakisa N, Ghasemzadeh Rahbardar M. Action mechanisms of antirheumatic herbal medicines. Rheumatoid Arthritis. London: IntechOpen, 2022.

[86]

Nakisa N. Therapeutic potential of rosemary ( Rosmarinus officinalis L.) on sports injuries: a review of patents. Res J Pharmacogn.. 2022, 9(3): 71-83

[87]

Gobbi A, Morales M, Avio Get al. . Double-blinded prospective randomized clinical trial in knee joint osteoarthritis treatment: safety assessment and performance of trehalose hyaluronic acid versus standard infiltrative therapy based on medium-weight sodium hyaluronate. J Cartil Jt Preserv.. 2022, 2(3100043

[88]

Mobini M, Radbakhsh S, Kubaski Fet al. . Effects of trehalose administration in patients with Mucopolysaccharidosis type III. Curr Med Chem.. 2024, 3120): 3033-3042.

[89]

Radbakhsh S, Mobini M, Gumpricht Eet al. . The effect of intravenous trehalose administration in a patient with multiple sulfatase deficiency. Arch Med Sci.. 2023, 19(5): 1564-1568.

[90]

Doan S, Bremond-Gignac D, Chiambaretta F. Comparison of the effect of a hyaluronate-trehalose solution to hyaluronate alone on Ocular Surface Disease Index in patients with moderate to severe dry eye disease. Curr Med Res Opin.. 2018, 34(8): 1373-1376.

[91]

Brar S, Vanga HR, Ganesh S. Comparison of efficacy of trehalose-based eye drops versus topical 0.1% Hyaluronic Acid for management of clinically significant dry eye using non-invasive investigational modalities. Int Ophthalmol.. 2021, 41(10): 3349-3359.

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