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Biomed Rep. 2016 Sep;5(3):283-288. doi: 10.3892/br.2016.720. Epub 2016 Jul 18.

Potential role of bromelain in clinical and therapeutic applications.

Biomedical reports

Vidhya Rathnavelu, Noorjahan Banu Alitheen, Subramaniam Sohila, Samikannu Kanagesan, Rajendran Ramesh

Affiliations

  1. Department of Oral Pathology and Microbiology, Faculty of Dental Science, Sri Ramachandra University, Chennai, Tamilnadu 600116, India.
  2. Department of Cell and Molecular Biology, Faculty of Biotechnology and Biomolecular Sciences, University Putra Malaysia, Serdang, Selangor 43400, Malaysia.
  3. Department of Physics, K. S. Rangasamy College of Technology, Tiruchengode, Tamilnadu 637215, India.
  4. Materials Synthesis and Characterization Laboratory, Institute of Advanced Technology, University Putra Malaysia, Serdang, Selangor 43400, Malaysia.
  5. Department of Physics, Periyar University, Salem, Tamilnadu 636011, India.

PMID: 27602208 PMCID: PMC4998156 DOI: 10.3892/br.2016.720

Abstract

Pineapple has been used as part of traditional folk medicine since ancient times and it continues to be present in various herbal preparations. Bromelain is a complex mixture of protease extracted from the fruit or stem of the pineapple plant. Although the complete molecular mechanism of action of bromelain has not been completely identified, bromelain gained universal acceptability as a phytotherapeutic agent due to its history of safe use and lack of side effects. Bromelain is widely administered for its well-recognized properties, such as its anti-inflammatory, antithrombotic and fibrinolytic affects, anticancer activity and immunomodulatory effects, in addition to being a wound healing and circulatory improvement agent. The current review describes the promising clinical applications and therapeutic properties of bromelain.

Keywords: anti-microbial; anticancer; bromelain; inflammation; pineapple; therapeutics

References

  1. Mutat Res. 2004 Nov 2;555(1-2):53-64 - PubMed
  2. Angiology. 1962 Nov;13:508-10 - PubMed
  3. Int Immunopharmacol. 2005 Apr;5(4):783-93 - PubMed
  4. Cancer Lett. 2003 Feb 20;190(2):151-6 - PubMed
  5. Phytomedicine. 2002 Dec;9(8):681-6 - PubMed
  6. Gastroenterology. 1997 Jul;113(1):175-84 - PubMed
  7. Toxicol Appl Pharmacol. 2008 Jan 1;226(1):30-7 - PubMed
  8. Obstet Gynecol. 1967 Feb;29(2):275-8 - PubMed
  9. Planta Med. 2007 Oct;73(13):1377-83 - PubMed
  10. Neoplasia. 2007 Sep;9(9):723-33 - PubMed
  11. Int J Tissue React. 1999;21(4):105-11 - PubMed
  12. Arch Int Pharmacodyn Ther. 1963 Sep 1;145:166-89 - PubMed
  13. Int Immunopharmacol. 2004 Feb;4(2):255-64 - PubMed
  14. Evid Based Complement Alternat Med. 2008 Mar;5(1):61-9 - PubMed
  15. Cell. 2008 Jul 25;134(2):215-30 - PubMed
  16. BioDrugs. 2001;15(12):779-89 - PubMed
  17. Pathobiology. 1996;64(6):339-46 - PubMed
  18. In Vivo. 2005 Mar-Apr;19(2):417-21 - PubMed
  19. Clin Allergy. 1988 Sep;18(5):445-50 - PubMed
  20. J Assoc Physicians India. 2002 Apr;50:527-31 - PubMed
  21. J Assoc Physicians India. 1981 Mar;29(3):207-9 - PubMed
  22. Clin Immunol. 2005 Aug;116(2):135-42 - PubMed
  23. Biochemistry. 1964 Feb;3:180-5 - PubMed
  24. Farmaco Prat. 1972 Aug;27(8):453-66 - PubMed
  25. Cancer Lett. 2010 Apr 28;290(2):148-56 - PubMed
  26. Nat Rev Cancer. 2006 Jul;6(7):506-20 - PubMed
  27. Gut. 1998 Aug;43(2):196-202 - PubMed
  28. Pa Med J. 1964 Jun;67:27-30 - PubMed
  29. J Ethnopharmacol. 1988 Feb-Mar;22(2):191-203 - PubMed
  30. J Surg Res. 2007 May 1;139(1):88-96 - PubMed
  31. Cell Immunol. 2005 Sep;237(1):68-75 - PubMed
  32. Prostaglandins Leukot Essent Fatty Acids. 1994 Dec;51(6):457-62 - PubMed
  33. Pharmacology. 2002 May;65(2):83-6 - PubMed
  34. J Biomed Nanotechnol. 2012 Oct;8(5):720-9 - PubMed
  35. Parasitology. 2006 May;132(Pt 5):681-9 - PubMed
  36. Ann Emerg Med. 1987 Sep;16(9):1063-5 - PubMed
  37. Neoplasia. 2001 Nov-Dec;3(6):469-79 - PubMed
  38. Evid Based Complement Alternat Med. 2004 Dec;1(3):251-257 - PubMed
  39. Br Med J. 1970 Oct 3;4(5726):21-4 - PubMed
  40. J Pathol. 1986 Aug;149(4):307-13 - PubMed
  41. Cancer Lett. 2009 Sep 18;282(2):167-76 - PubMed
  42. Oncol Rep. 1999 Nov-Dec;6(6):1191-9 - PubMed
  43. Cell Immunol. 2001 May 25;210(1):66-75 - PubMed
  44. Eur J Med Res. 2005 Aug 17;10(8):325-31 - PubMed
  45. Parasitology. 2005 Feb;130(Pt 2):203-11 - PubMed
  46. Biochemistry. 1964 Jan;3:48-55 - PubMed
  47. Biopharm Drug Dispos. 1988 Jul-Aug;9(4):397-403 - PubMed
  48. Integr Cancer Ther. 2002 Mar;1(1):7-37; discussion 37 - PubMed
  49. Nutrition. 2001 Apr;17(4):348-50 - PubMed
  50. In Vivo. 2003 Nov-Dec;17(6):633-40 - PubMed
  51. J Surg Res. 2012 Aug;176(2):503-9 - PubMed
  52. Nutr J. 2016 Jan 05;15:1 - PubMed
  53. Clin Immunol. 2008 Mar;126(3):345-52 - PubMed
  54. Cancer Biother. 1995 Summer;10(2):147-52 - PubMed
  55. Free Radic Res. 2007 May;41(5):603-14 - PubMed
  56. Clin Cancer Res. 2007 Oct 1;13(19):5663-4 - PubMed
  57. Hawaii Med J. 1978 May;37(5):143-6 - PubMed
  58. Exp Mol Pathol. 2007 Dec;83(3):341-6 - PubMed
  59. Immunol Invest. 2008;37(4):263-77 - PubMed
  60. Headache. 1967 Apr;7(1):13-7 - PubMed
  61. Sports Med. 2007;37(6):519-32 - PubMed
  62. Angiology. 1969 Jan;20(1):22-6 - PubMed
  63. Platelets. 2006 Feb;17(1):37-41 - PubMed
  64. Eur J Med Res. 2001 May 29;6(5):193-200 - PubMed
  65. Arzneimittelforschung. 1986;36(1):110-2 - PubMed
  66. Am J Physiol. 1997 Jul;273(1 Pt 1):G139-46 - PubMed
  67. Arch Int Pharmacodyn Ther. 1962 Mar 1;136:230-6 - PubMed
  68. Int Rev Immunol. 2008;27(4):183-204 - PubMed
  69. Scand J Immunol. 2011 Aug;74(2):135-43 - PubMed
  70. Practitioner. 1960 Jul;185:78-9 - PubMed
  71. Cancer Biother. 1994 Fall;9(3):253-63 - PubMed
  72. Thromb Res. 1979;14(4-5):665-72 - PubMed
  73. Exp Med Surg. 1961;19:143-60 - PubMed
  74. J Agric Food Chem. 2006 Mar 22;54(6):2193-8 - PubMed
  75. Lik Sprava. 2003 Apr-Jun;(3-4):109-13 - PubMed
  76. Minerva Gastroenterol Dietol. 2009 Sep;55(3):227-35 - PubMed
  77. Biochemistry. 1967 Dec;6(12):3942-50 - PubMed
  78. Ann Intern Med. 2000 Apr 18;132(8):680 - PubMed
  79. Fortschr Med. 1981 Apr 16;99(15):554-6 - PubMed
  80. Eye Ear Nose Throat Mon. 1967 Oct;46(10):1281-8 - PubMed
  81. Planta Med. 1990 Jun;56(3):249-53 - PubMed
  82. Am J Physiol Heart Circ Physiol. 2008 Mar;294(3):H1365-70 - PubMed
  83. Med Hypotheses. 1980 Nov;6(11):1123-33 - PubMed
  84. J Dermatolog Treat. 2007;18(4):219-22 - PubMed
  85. Int J Oncol. 1994 Aug;5(2):197-203 - PubMed
  86. Acta Obstet Gynaecol Jpn. 1972 Jul;19(3):147-53 - PubMed
  87. Cell Immunol. 2001 May 25;210(1):5-10 - PubMed
  88. J Cell Mol Med. 2004 Oct-Dec;8(4):432-44 - PubMed
  89. Nature. 2005 Jun 2;435(7042):677-81 - PubMed
  90. Nature. 2008 Jul 24;454(7203):436-44 - PubMed
  91. Trends Immunol. 2005 Jun;26(6):318-25 - PubMed
  92. Cochrane Database Syst Rev. 2001;(2):CD000046 - PubMed
  93. Planta Med. 1985 Dec;51(6):538-9 - PubMed
  94. Cell Mol Life Sci. 2001 Aug;58(9):1234-45 - PubMed
  95. Minerva Med. 1965 Apr 18;56:SUPPL:1-4 - PubMed
  96. Gut. 1996 Jan;38(1):28-32 - PubMed
  97. In Vivo. 2005 Mar-Apr;19(2):483-5 - PubMed

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