Pineapple for Anti-Inflammatory

Moderate evidence 20 studies

Research suggests that pineapple, and particularly its bromelain enzyme content, has demonstrated meaningful anti-inflammatory activity across a range of study types, including in vitro cell studies, animal models, narrative and systematic reviews, and at least one small randomized controlled trial involving post-surgical patients. The body of evidence, which is largely review-based and mechanistic, indicates that bromelain may reduce pro-inflammatory signaling molecules such as IL-1β, IL-6, and TNF-α, modulate immune cell activity, and lower markers of inflammation, with the 2024 RCT providing some clinical support showing reduced pain and swelling following wisdom tooth extraction compared to placebo. Studies also indicate that other pineapple compounds, including phenolic antioxidants found in the peel, may contribute to these effects, and fermentation of pineapple byproducts appears to enhance their anti-inflammatory properties. However, the evidence base has notable limitations — most findings come from laboratory or review studies rather than large-scale human trials, some reviewed research has mixed conclusions regarding the broader therapeutic applications, and researchers consistently call for more rigorous clinical investigation before firm conclusions can be drawn.

Related studies

Citations from PubMed and preprint sources. Match score (0-100) reflects automated search ranking, not clinical appraisal.

Title Type Year Direction Match
Beneficial Properties of Bromelain. Review 2021 Supports 100
Pineapple (Ananas comosus): A comprehensive review of nutritional values, vol... Review 2020 Supports 95
Bromelain as a natural anti-inflammatory drug: a systematic review. Systematic review 2025 Supports 90
Red cabbage juice-mediated gut microbiota modulation improves intestinal epit... Other 2023 Neutral 85
Bromelain: a review of its mechanisms, pharmacological effects and potential ... Review 2023 Supports 85
Nutritional Composition and Therapeutic Potential of Pineapple Peel - A Compr... Review 2024 Mixed 80
The Glycan-Specificity of the Pineapple Lectin AcmJRL and its Carbohydrate-De... Other 2022 Neutral 80
Bromelain, a Group of Pineapple Proteolytic Complex Enzymes (Ananas comosus) ... Review 2021 Supports 75
Bromelain Inhibits SARS-CoV-2 Infection in VeroE6 Cells Other 2020 Neutral 75
An Evaluation of the Effects of Pineapple-Extract and Bromelain-Based Treatme... RCT 2024 Supports 70
The combination of Bromelain and Acetylcysteine (BromAc) synergistically inac... Other 2020 Neutral 70
A novel ilarvirus protein CP-RT is expressed via stop codon readthrough and s... Other 2024 Neutral 65
Bromelain: A Potent Phytomedicine. Review 2022 Supports 65
Solid-State Fermented Pineapple Peel: A Novel Food Ingredient with Antioxidan... Other 2023 Supports 60
Bromelain in Obesity Therapy: A Review of Anti-Inflammatory and Metabolic Mec... Review 2025 Supports 55
Anti-inflammatory evaluation and characterization of leaf extract of Ananas c... Other 2018 Supports 50
Molecular insights into the anti-inflammatory activity of fermented pineapple... Other 2024 Supports 45
Anti-Inflammatory and Mineralization Effects of Bromelain on Lipopolysacchari... Other 2021 Supports 40
Anti-Inflammatory Effect of Pineapple Rhizome Bromelain through Downregulatio... Other 2021 Supports 35
Phytochemical characterization, anti-diarrhoeal, analgesic, anti-inflammatory... Other 2024 Supports 30

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