What we know, what we don't, and how we tell them apart.
Five pathways studied in the retina
The AREDS trials, stated accurately
| AREDS | AREDS2 | |
|---|---|---|
| Ran | 1992–2001 |
2006–2012 |
| Published | 2001 |
2013 |
| Participants | 3,640 |
4,203 |
| Key finding | Antioxidants plus zinc reduced the risk of progression to advanced AMD by about 25% at five years in participants at high risk |
Adding lutein and zeaxanthin produced no statistically significant reduction overall; a ~25% reduction appeared only in the subgroup with the lowest dietary lutein and zeaxanthin intake |
| Macular carotenoids | Not included |
Lutein 10 mg and zeaxanthin 2 mg added |
The five pathways, one at a time
1. Macular carotenoids
Lutein and zeaxanthin are concentrated in the macula, where they absorb short-wavelength light and act as antioxidants. Both were studied in AREDS2 and both are in this formula at the trial doses. Desert truffle additionally contains lycopene and anthocyanins.
Correction: an earlier version of this site said macular pigment filters "up to 90%" of blue light. We could not substantiate that figure and have removed it. Published estimates of macular pigment blue-light attenuation are considerably lower.
2. Ergothioneine
Ergothioneine is an unusually stable antioxidant found almost exclusively in fungi. The body has a dedicated transporter for it (OCTN1) and concentrates it in several tissues including the eye — which suggests it has a role there, though what that role is remains under study.
There is no human trial showing that supplemental ergothioneine benefits macular health.
3. Anti-inflammatory activity
In cultured mouse macrophages stimulated with LPS and interferon-gamma, Terfezia extracts reduced markers of inflammation. In that study T. boudieri reduced nitric oxide, iNOS, COX-2, TNF-α and IL-6; T. claveryi — the species in this product — showed comparable effects except that no significant effect on IL-6 or COX-2 was seen at protein level.
We state the species-specific result because it is what the paper actually reports. This is cell-culture work, not a study in people.
4. Retinal pigment epithelium support
The retinal pigment epithelium is the cell layer beneath the photoreceptors that clears waste and recycles visual pigments. Naringenin, a flavonoid present in desert truffle, has been examined in retinal cell models under oxidative stress.
Cell-model research. No human outcome data.
5. Anti-angiogenic signal
In an ex-vivo aortic ring assay, hexane and ethyl acetate extracts of Terfezia claveryi inhibited microvessel sprouting by 100% and 81.2% respectively at 100 µg/mL. Separately, T. boudieri extracts have shown suppression of VEGF expression.
These are isolated-tissue and cell studies. No clinical trial data in humans.
References
Every citation below has been checked against PubMed. Where the previous version of this site cited a PMID that resolved to a different paper, it has been corrected or removed.
Dahham SS, Al-Rawi SS, Ibrahim AH, Abdul Majid AS, Abdul Majid AMS. Antioxidant, anticancer, apoptosis properties and chemical composition of black truffle. Saudi J Biol Sci. 2018;25(8):1524–1534. doi:10.1016/j.sjbs.2016.01.031 · PMID 30591773
Dawood AS, Sedeek MS, Farag MA, Abdelnaser A. Terfezia boudieri and Terfezia claveryi inhibit the LPS/IFN-γ-mediated inflammation in RAW 264.7 macrophages through an Nrf2-independent mechanism. Sci Rep. 2023;13(1):10106. doi:10.1038/s41598-023-35612-8 · PMID 37344506
Al Obaydi MF, Hamed WM, Al Kury LT, Talib WH. Terfezia boudieri: a desert truffle with anticancer and immunomodulatory activities. Front Nutr. 2020;7:38. doi:10.3389/fnut.2020.00038 · PMID 32322585
Tejedor-Calvo E, Amara K, Reis FS, et al. Chemical composition and evaluation of antioxidant, antimicrobial and antiproliferative activities of Tuber and Terfezia truffles. Food Res Int. 2021;140:110071. doi:10.1016/j.foodres.2020.110071 · PMID 33648293
Baldelli S, Aiello G, De Bruno A, et al. Bioactive compounds and antioxidant potential of truffles: a comprehensive review. Antioxidants (Basel). 2025;14(11):1341. doi:10.3390/antiox14111341 · PMID 41300498
Lee H, Nam K, Zahra Z, Farooqi MQU. Potentials of truffles in nutritional and medicinal applications: a review. Fungal Biol Biotechnol. 2020;7:9. doi:10.1186/s40694-020-00097-x · PMID 32566240
Bryl A, Falkowski M, Zorena K, Mrugacz M. The role of resveratrol in eye diseases — a review of the literature. Nutrients. 2022;14(14):2974. doi:10.3390/nu14142974 · PMID 35889930
Cheah IK, Halliwell B. Ergothioneine, recent developments. Redox Biol. 2021;42:101868. doi:10.1016/j.redox.2021.101868