A comprehensive overview on the anti-inflammatory, antitumor, and ferroptosis functions of bromelain: an emerging cysteine protease

ABSTRACT Introduction Bromelain belongs to the cysteine protease endopeptidase class of enzymes isolated from the stem and fruit tissue component of Ananas comosus. The commercial and translational therapeutic potential of bromelain is ever increasing due to its augmented stability, easier purification, and salubrious pan-cancer effects. Areas Covered This paper presents the current state of knowledge about the isolation methods of bromelain, its safety, efficacy and tolerability. In addition, bromelains’ role in eliciting pharmacological effects and its healing ability to mitigate cancer side effects based on accumulated in vitro, in vivo, and clinical evidence is relatively considerable. Expert Opinion Identification of molecular targets and crucial signalling pathways that bromelain regulates suggest it genuinely prospects for combating cancer and mitigation of chemotherapy or radiotherapy mediated side effects. Further research on the development of bromelain-entrapped drug delivery systems for augmented enzyme stability, processing ability and translational potential against cancer can be beneficial.

[1]  W. Oh,et al.  Anti-Inflammatory and Mineralization Effects of Bromelain on Lipopolysaccharide-Induced Inflammation of Human Dental Pulp Cells , 2021, Medicina.

[2]  P. Vaithanomsat,et al.  Anti-Inflammatory Effect of Pineapple Rhizome Bromelain through Downregulation of the NF-κB- and MAPKs-Signaling Pathways in Lipopolysaccharide (LPS)-Stimulated RAW264.7 Cells , 2021, Current issues in molecular biology.

[3]  Debabrata Majumder,et al.  Bromelain and Olea europaea (L.) leaf extract mediated alleviation of benzo(a)pyrene induced lung cancer through Nrf2 and NFκB pathway , 2021, Environmental Science and Pollution Research.

[4]  S. S. Murthy,et al.  Cytotoxic Effect of Bromelain on HepG2 Hepatocellular Carcinoma Cell Line , 2021, Applied Biochemistry and Biotechnology.

[5]  B. Owoyele,et al.  Bromelain reduced pro-inflammatory mediators as a common pathway that mediate antinociceptive and anti-anxiety effects in sciatic nerve ligated Wistar rats , 2021, Scientific reports.

[6]  A. Sehirli,et al.  Protective effect of bromelain on corrosive burn in rats. , 2020, Burns : journal of the International Society for Burn Injuries.

[7]  N. M'Rabet,et al.  Structures of the free and inhibitors-bound forms of bromelain and ananain from Ananas comosus stem and in vitro study of their cytotoxicity , 2020, Scientific Reports.

[8]  C. O. Onwosi,et al.  Enhancement of the Anti-inflammatory Effect of Bromelain by Its Immobilization on Probiotic Spore of Bacillus cereus , 2020, Probiotics and Antimicrobial Proteins.

[9]  A. Arora,et al.  Extraction and crosslinking of bromelain aggregates for improved stability and reusability from pineapple processing waste. , 2020, International journal of biological macromolecules.

[10]  B. Owoyele,et al.  Antinociceptive and neuroprotective effects of bromelain in chronic constriction injury-induced neuropathic pain in Wistar rats , 2020, The Korean journal of pain.

[11]  S. Badar,et al.  A novel treatment of bromelain and acetylcysteine (BromAc) in patients with peritoneal mucinous tumours: A phase I first in man study. , 2019, European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology.

[12]  Z. Zong,et al.  CircWHSC1 promotes ovarian cancer progression by regulating MUC1 and hTERT through sponging miR-145 and miR-1182 , 2019, Journal of Experimental & Clinical Cancer Research.

[13]  Y. Lemoigne,et al.  Bromelain Inhibitory Effect on Colony Formation: An In vitro Study on Human AGS, PC3, and MCF7 Cancer Cells , 2019, Journal of medical signals and sensors.

[14]  Yan Song,et al.  The role of ferroptosis in digestive system cancer. , 2019, Oncology letters.

[15]  Bo Bai,et al.  Role of the Extracellular Signal-Regulated Kinase 1/2 Signaling Pathway in Ischemia-Reperfusion Injury , 2019, Front. Physiol..

[16]  M. Mabandla,et al.  Effects of bromelain on motor responses following intra-medial forebrain bundle 6-OHDA injection in rat model of parkinsonism , 2019, Metabolic Brain Disease.

[17]  Jermen Mamo Antibacterial and Anticancer Property of Bromelain: A Plant Protease Enzyme from Pineapples (Ananas comosus) , 2019, Current Trends in Biomedical Engineering & Biosciences.

[18]  E. Tamir,et al.  Bromelain‐based enzymatic debridement of chronic wounds: A preliminary report , 2018, International wound journal.

[19]  E. Montanari,et al.  Medical Expulsive Therapy for Symptomatic Distal Ureter Stones: Is the Combination of Bromelain and Tamsulosin More Effective than Tamsulosin Alone? Preliminary Results of a Single-Center Study , 2018, Urologia Internationalis.

[20]  E. Jin,et al.  Bromelain effectively suppresses Kras-mutant colorectal cancer by stimulating ferroptosis , 2018, Animal cells and systems.

[21]  R. Illias,et al.  Bromelain: from production to commercialisation. , 2017, Journal of the science of food and agriculture.

[22]  L. Livi,et al.  Use of an alpha lipoic, methylsulfonylmethane and bromelain dietary supplement (Opera®) for chemotherapy-induced peripheral neuropathy management, a prospective study , 2017, Medical Oncology.

[23]  Suraini Abdul Aziz,et al.  Combination of cisplatin and bromelain exerts synergistic cytotoxic effects against breast cancer cell line MDA-MB-231 in vitro , 2016, Chinese Medicine.

[24]  Hisham S. Elbatarny,et al.  Bromelain has paradoxical effects on blood coagulability: a study using thromboelastography , 2016, Blood coagulation & fibrinolysis : an international journal in haemostasis and thrombosis.

[25]  S. Kanagesan,et al.  Potential role of bromelain in clinical and therapeutic applications. , 2016, Biomedical reports.

[26]  R. Thakur,et al.  Enhancement of anti-inflammatory activity of bromelain by its encapsulation in katira gum nanoparticles. , 2016, Carbohydrate polymers.

[27]  M. V. Ramos,et al.  Effects on fibrinogen, fibrin, and blood coagulation of proteolytic extracts from fruits of Pseudananas macrodontes, Bromelia balansae, and B. hieronymi (Bromeliaceae) in comparison with bromelain , 2016, Blood coagulation & fibrinolysis : an international journal in haemostasis and thrombosis.

[28]  Sonia Verma,et al.  Cysteine Proteases: Modes of Activation and Future Prospects as Pharmacological Targets , 2016, Front. Pharmacol..

[29]  Jing Wan,et al.  Reverse micellar extraction of bromelain from pineapple peel--Effect of surfactant structure. , 2016, Food chemistry.

[30]  D. Morris,et al.  Utility of Bromelain and N-Acetylcysteine in Treatment of Peritoneal Dissemination of Gastrointestinal Mucin-Producing Malignancies , 2016, Springer International Publishing.

[31]  L. Vogler Encyclopedia Of Common Natural Ingredients Used In Food Drugs And Cosmetics , 2016 .

[32]  P. Mazzola,et al.  Stability, purification, and applications of bromelain: A review , 2016, Biotechnology progress.

[33]  I. Haq,et al.  Bromelain: Methods of Extraction, Purification and Therapeutic Applications , 2016 .

[34]  G. Zauli,et al.  The Combination of N-Acetyl Cysteine, Alpha-Lipoic Acid, and Bromelain Shows High Anti-Inflammatory Properties in Novel In Vivo and In Vitro Models of Endometriosis , 2015, Mediators of inflammation.

[35]  K. Gupta,et al.  Bromelain nanoparticles protect against 7,12-dimethylbenz[a]anthracene induced skin carcinogenesis in mouse model. , 2015, European journal of pharmaceutics and biopharmaceutics : official journal of Arbeitsgemeinschaft fur Pharmazeutische Verfahrenstechnik e.V.

[36]  Amit Kumar Srivastava,et al.  Anti-cancer activity of bromelain nanoparticles by oral administration. , 2014, Journal of biomedical nanotechnology.

[37]  D. Morris,et al.  Bromelain and N-acetylcysteine inhibit proliferation and survival of gastrointestinal cancer cells in vitro: significance of combination therapy , 2014, Journal of experimental & clinical cancer research : CR.

[38]  C. Mehedințu,et al.  Endometriosis still a challenge , 2014, Journal of medicine and life.

[39]  A. Amid,et al.  Bromelain: an overview of industrial application and purification strategies , 2014, Applied Microbiology and Biotechnology.

[40]  A. Amid,et al.  Gene Expression Analysis in MCF-7 Breast Cancer Cells Treated with Recombinant Bromelain , 2014, Applied Biochemistry and Biotechnology.

[41]  A. Amid,et al.  Cytokinetic study of MCF-7 cells treated with commercial and recombinant bromelain. , 2013, Asian Pacific journal of cancer prevention : APJCP.

[42]  B. Schneider,et al.  Complementary medicine on side-effects of adjuvant hormone therapy in patients with breast cancer. , 2013, In vivo.

[43]  H. U. Hebbar,et al.  Extraction of bromelain from pineapple core and purification by RME and precipitation methods , 2013 .

[44]  T. Chua,et al.  Anticancer Property of Bromelain With Therapeutic Potential in Malignant Peritoneal Mesothelioma , 2013, Cancer investigation.

[45]  D. Morris,et al.  Cytotoxic effects of bromelain in human gastrointestinal carcinoma cell lines (MKN45, KATO-III, HT29-5F12, and HT29-5M21) , 2013, OncoTargets and therapy.

[46]  Shraddha,et al.  Properties and Therapeutic Application of Bromelain: A Review , 2012, Biotechnology research international.

[47]  A. Masood,et al.  Role of proteases in cancer: A review , 2012 .

[48]  E. Secor,et al.  Bromelain limits airway inflammation in an ovalbumin-induced murine model of established asthma. , 2012, Alternative therapies in health and medicine.

[49]  U. Kandalam,et al.  Bromelain-induced apoptosis in GI-101A breast cancer cells. , 2012, Journal of medicinal food.

[50]  Amit Kumar Srivastava,et al.  Bromelain inhibits nuclear factor kappa‐B translocation, driving human epidermoid carcinoma A431 and melanoma A375 cells through G2/M arrest to apoptosis , 2012, Molecular carcinogenesis.

[51]  H. Salleh,et al.  Expression, purification, and characterization of a recombinant stem bromelain from Ananas comosus , 2011 .

[52]  Y. Shukla,et al.  Pineapple bromelain induces autophagy, facilitating apoptotic response in mammary carcinoma cells , 2010, BioFactors.

[53]  Fadzilah Adibah Abdul Majid,et al.  Bromelain's activity and potential as an anti-cancer agent: Current evidence and perspectives. , 2010, Cancer letters.

[54]  Y. Shukla,et al.  Bromelain inhibits COX-2 expression by blocking the activation of MAPK regulated NF-kappa B against skin tumor-initiation triggering mitochondrial death pathway. , 2009, Cancer letters.

[55]  N. Maulik,et al.  Bromelain induces cardioprotection against ischemia-reperfusion injury through Akt/FOXO pathway in rat myocardium. , 2008, American journal of physiology. Heart and circulatory physiology.

[56]  Y. Shukla,et al.  Regulation of p53, nuclear factor kappaB and cyclooxygenase-2 expression by bromelain through targeting mitogen-activated protein kinase pathway in mouse skin. , 2008, Toxicology and applied pharmacology.

[57]  C. Salas,et al.  In Vivo Antitumoral Activity of Stem Pineapple (Ananas comosus) Bromelain , 2007, Planta medica.

[58]  F. Atyabi,et al.  Cross-linked starch microspheres: Effect of cross-linking condition on the microsphere characteristics , 2006, Archives of pharmacal research.

[59]  K. Jeng,et al.  Cross-linked bromelain inhibits lipopolysaccharide-induced cytokine production involving cellular signaling suppression in rats. , 2006, Journal of agricultural and food chemistry.

[60]  B. Crossett,et al.  Proteolytic Inhibition of Salmonella enterica Serovar Typhimurium-Induced Activation of the Mitogen-Activated Protein Kinases ERK and JNK in Cultured Human Intestinal Cells , 2002, Infection and Immunity.

[61]  C. Engwerda,et al.  Bromelain, from pineapple stems, proteolytically blocks activation of extracellular regulated kinase-2 in T cells. , 1999, Journal of immunology.

[62]  J. Morrissey,et al.  A METASTATIC BREAST TUMOR CELL LINE, GI‐101A, IS ESTROGEN RECEPTOR POSITIVE AND RESPONSIVE TO ESTROGEN BUT RESISTANT TO TAMOXIFEN , 1998, Cell biology international.

[63]  Yuan-Kun Lee Encyclopedia of Common Natural Ingredients Used in Food, Drugs and Cosmetics, 2nd edn, Albert Y. Leung, Steven Foster. John Wiley & Sons (1996), xxxv + 649, £95.00, ISBN: 0 471 50826 8 , 1997 .

[64]  P. Webb,et al.  Attachment of human placental-type alkaline phosphatase via phosphatidylinositol to syncytiotrophoblast and tumour cell plasma membranes. , 1988, European journal of biochemistry.