Evidence map›Paper›PMID 42885189›Full record

Trial reportPharmacology research & perspectives2026

Chios Mastic in Well-Controlled Hypertension: Findings From the HYPER-MASTIC Randomized Controlled Trial.

Ioanna Panagiota Kalafati, Anastasia-Areti Kyriazopoulou-Korovesi, Evangelia Mentsiou-Nikolaou, Maria Papaioannou, Christina Konstantaki, Lasthenis Angelidakis, Despoina D Gianniou, Eleni V Mikropoulou, Panagiota Giardoglou, Dimitrios Valakos and 8 more

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Pharmacology research & perspectives, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

18 authors.

Ioanna Panagiota KalafatiDepartment of Nutrition and Dietetics, School of Health Science and Education, Harokopio University of Athens, Athens, Greece.ORCID https://orcid.org/0000-0001-5572-7491
Anastasia-Areti Kyriazopoulou-KorovesiDepartment of Clinical Therapeutics, School of Medicine, National and Kapodistrian University of Athens, Greece.
Evangelia Mentsiou-NikolaouDepartment of Nutrition and Dietetics, School of Health Science and Education, Harokopio University of Athens, Athens, Greece.ORCID https://orcid.org/0009-0007-7965-155X
Maria PapaioannouDepartment of Clinical Therapeutics, School of Medicine, National and Kapodistrian University of Athens, Greece.ORCID https://orcid.org/0000-0003-4268-3527
Christina KonstantakiDepartment of Clinical Therapeutics, School of Medicine, National and Kapodistrian University of Athens, Greece.ORCID https://orcid.org/0000-0002-5937-4117
Lasthenis AngelidakisDepartment of Clinical Therapeutics, School of Medicine, National and Kapodistrian University of Athens, Greece.
Despoina D GianniouDepartment of Cell Biology and Biophysics, Faculty of Biology, National and Kapodistrian University of Athens, Athens, Greece.ORCID https://orcid.org/0000-0002-8111-6528
Eleni V MikropoulouDivision of Pharmacognosy and Natural Products Chemistry, Department of Pharmacy, National and Kapodistrian University of Athens, Athens, Greece.ORCID https://orcid.org/0000-0002-4033-5580
Panagiota GiardoglouDepartment of Nutrition and Dietetics, School of Health Science and Education, Harokopio University of Athens, Athens, Greece.
Dimitrios ValakosMulti-Omics Laboratory, Center of Systems Biology, Biomedical Research Foundation of the Academy of Athens, Athens, Greece.ORCID https://orcid.org/0000-0001-8905-9516
Giannis VatsellasMulti-Omics Laboratory, Center of Systems Biology, Biomedical Research Foundation of the Academy of Athens, Athens, Greece.ORCID https://orcid.org/0000-0002-1631-1060
HYPER‐MASTIC ConsortiumDepartment of Nutrition and Dietetics, School of Health Science and Education, Harokopio University of Athens, Athens, Greece.
Ioanna AndreadouLaboratory of Pharmacology, Faculty of Pharmacy, National and Kapodistrian University of Athens, Athens, Greece.
Efstathios ManiosDepartment of Clinical Therapeutics, School of Medicine, National and Kapodistrian University of Athens, Greece.ORCID https://orcid.org/0000-0003-1449-6492
Maria HalabalakiDivision of Pharmacognosy and Natural Products Chemistry, Department of Pharmacy, National and Kapodistrian University of Athens, Athens, Greece.ORCID https://orcid.org/0000-0001-5620-0165
Ioannis P TrougakosDepartment of Cell Biology and Biophysics, Faculty of Biology, National and Kapodistrian University of Athens, Athens, Greece.ORCID https://orcid.org/0000-0002-6179-2772
George V DedoussisDepartment of Nutrition and Dietetics, School of Health Science and Education, Harokopio University of Athens, Athens, Greece.ORCID https://orcid.org/0000-0002-7798-6221
Kimon StamatelopoulosDepartment of Clinical Therapeutics, School of Medicine, National and Kapodistrian University of Athens, Greece.

Funding

European Regional Development Fund of the European Union and Greek national funds T2EDK-00547
6 · The paper itself

Abstract

Residual cardiovascular risk persists in patients with adequately controlled hypertension, driven partly by inflammation, oxidative stress and endothelial dysfunction. Chios mastic (Pistacia lentiscus var. Chia) has shown antihypertensive, antioxidant and vascular effects in experimental and clinical settings. This trial evaluated whether Chios mastic supplementation confers additional cardiovascular benefits in well-controlled hypertensive individuals. In this double-blind, randomized, placebo-controlled trial, 106 adults with stable, well-controlled hypertension and variable cardiovascular risk, based on SCORE2, received low-dose Chios mastic (1500 mg/day), high-dose Chios mastic (2800 mg/day) or placebo for 3 months. Primary endpoints were changes in 24-h ambulatory systolic and diastolic blood pressure. Secondary endpoints included vascular function, oxidative stress and proteasome activity in peripheral blood mononuclear cells and red blood cells. Transcriptomic profiling was performed in a predefined high-risk subgroup. Chios mastic supplementation was well tolerated, with high adherence confirmed by dose-dependent increases in plasma masticadienonic and isomasticadienonic acids. No significant between-group differences were observed in 24-h systolic or diastolic blood pressure after the intervention. Oxidative stress markers and proteasome activity remained unchanged across groups. In high-risk participants, mastic supplementation induced distinct transcriptomic changes, particularly in pathways related to endothelial junction organization and vascular integrity. Overall, in adults with well-controlled hypertension and low baseline cardiovascular risk, Chios mastic supplementation did not lower blood pressure over 3 months, likely reflecting a ceiling effect. Transcriptomic findings suggest biologically meaningful vascular effects in individuals with higher residual cardiovascular risk, supporting future investigation in higher-risk populations.

Indexed as

Antihypertensive AgentsHypertensionPistaciaPlant ExtractsAdultAgedBlood PressureDouble-Blind MethodFemaleHumansMaleMastic ResinMiddle AgedOxidative StressAntihypertensive AgentsMastic ResinPlant ExtractsChios mastichypertensionrandomized controlled trialresidual cardiovascular risktranscriptomicsvascular function

Identifiers

PMID42885189

What OpenQuestion holds

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Read underepoch 390

Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.