How Does Evening Primrose Oil Work in the Body?

Evening primrose oil (EPO) is derived from the seeds of the evening primrose plant, Oenothera biennis. This botanical oil has a history of traditional use, with interest in its applications spanning various cultures and periods. EPO is commonly available as a dietary supplement in capsule form, and some products are designed for topical application.

Unveiling the Key Compound

The primary active component within evening primrose oil is Gamma-Linolenic Acid (GLA). GLA is an omega-6 polyunsaturated fatty acid, a type of fat molecule. Evening primrose oil is notably rich in GLA, with concentrations typically ranging between 7% and 14% of its total fatty acid content.

While the human body can produce a small amount of GLA from another omega-6 fatty acid called linoleic acid, this conversion process can be slow or inefficient in some individuals. Supplementing with evening primrose oil provides a direct source of preformed GLA, bypassing this initial conversion step. This direct supply sets the stage for GLA to participate in various internal processes.

The Body’s Internal Pathways

Once ingested, GLA undergoes a series of biochemical transformations within the body. It is efficiently converted into dihomo-gamma-linolenic acid (DGLA), which then becomes incorporated into the phospholipids of cell membranes. This integration positions DGLA to influence cellular functions and responses.

DGLA can be further metabolized through two primary enzymatic pathways: the cyclooxygenase (COX) pathway and the lipoxygenase (LOX) pathway. The COX pathway leads to the production of series 1 prostaglandins, particularly prostaglandin E1 (PGE1). Concurrently, the LOX pathway converts DGLA into 15-hydroxyeicosatrienoic acid (15-HETrE).

PGE1 and 15-HETrE are compounds with anti-inflammatory properties. They can modulate inflammatory responses by competing with arachidonic acid (AA), another omega-6 fatty acid, for the same metabolic enzymes. By increasing the ratio of DGLA to AA, the body may produce fewer pro-inflammatory eicosanoids derived from AA, thereby promoting a more balanced inflammatory state.

Connecting Mechanism to Common Uses

For skin conditions like eczema, the anti-inflammatory properties of DGLA and PGE1 are considered relevant. It is hypothesized that GLA supplementation can help reduce skin inflammation and contribute to the improvement of the skin barrier function, which is often compromised in eczema.

For premenstrual symptoms (PMS), the connection involves the body’s fatty acid metabolism. Individuals experiencing PMS may have altered levels of essential fatty acids, and GLA’s role in synthesizing specific prostaglandins could help regulate hormonal responses. Specifically, GLA may influence the activity of hormones such as prolactin, which is thought to contribute to certain PMS symptoms like breast tenderness and mood fluctuations.

Considerations for Use

Evening primrose oil is generally considered safe for most individuals when taken orally for a limited duration. Some people might experience mild digestive upset, such as nausea or diarrhea, or headaches. These effects are mild and temporary.

It is important to be aware of potential interactions with certain medications. Evening primrose oil might increase the risk of bruising and bleeding when taken with blood-thinning medications. Individuals on certain mental health or HIV medications should also exercise caution. Consulting a healthcare professional is advisable before beginning evening primrose oil supplementation, especially for those with pre-existing conditions (e.g., bleeding disorders, epilepsy), or if pregnant or taking other medications. Dietary supplements, including evening primrose oil, are not monitored by the FDA.