{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,4]],"date-time":"2026-10-04T03:28:15Z","timestamp":1791084495540,"version":"4.1.0"},"reference-count":108,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,5,20]],"date-time":"2026-05-20T00:00:00Z","timestamp":1779235200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Nutr."],"abstract":"<jats:p>\n                    This review summarizes current knowledge on bromelain, a proteolytic enzyme complex derived from\n                    <jats:italic>Ananas comosus<\/jats:italic>\n                    (pineapple), with a focus on its structure, absorption, metabolism, and therapeutic mechanisms. Bromelain exhibits a wide range of biological activities, including antioxidative, anti-inflammatory, immunomodulatory, antinociceptive, antiulcerative, and antihyperlipidemic effects. These effects are primarily mediated through modulation of key inflammatory and oxidative stress pathways, including inhibition of NF-\u03baB signaling via suppression of I\u03baB\u03b1 degradation, downregulation of MAPK pathways (ERK, JNK, p38), and activation of antioxidant responses through Nrf2 signaling. Emerging evidence suggests that bromelain may have therapeutic potential in cancer, cardiovascular, metabolic, infectious, and neurodegenerative diseases; however, most findings are derived from\n                    <jats:italic>in vitro<\/jats:italic>\n                    and animal studies, with limited clinical evidence. Its efficacy is influenced by its bioavailability, which may be affected by gastrointestinal degradation, although advanced formulation approaches such as enzyme stabilization and delivery systems have been proposed to enhance its systemic activity. While current data support bromelain as a promising adjunct in disease management, further well-designed clinical studies are required to establish optimal dosing, long-term safety, and clinical efficacy.\n                  <\/jats:p>","DOI":"10.3389\/fnut.2026.1744666","type":"journal-article","created":{"date-parts":[[2026,5,20]],"date-time":"2026-05-20T13:11:37Z","timestamp":1779282697000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":2,"title":["Potential health benefits of bromelain: a critical review of the current literature"],"prefix":"10.3389","volume":"13","author":[{"given":"Nevin","family":"Sanlier","sequence":"first","affiliation":[{"name":"Department of Nutrition and Dietetics, Faculty of Health Sciences, Ankara Medipol University","place":["Ankara, T\u00fcrkiye"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Esra","family":"Irmak","sequence":"additional","affiliation":[{"name":"Department of Nutrition and Dietetics, Faculty of Health Sciences, Ankara Medipol University","place":["Ankara, T\u00fcrkiye"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erva","family":"Ankarali","sequence":"additional","affiliation":[{"name":"Department of Nutrition and Dietetics, Faculty of Health Sciences, Ankara Medipol University","place":["Ankara, T\u00fcrkiye"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,5,20]]},"reference":[{"key":"ref1","year":"2023"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"196","DOI":"10.1016\/j.phytol.2019.04.003","article-title":"Medicinal plants and bioactive natural compounds for cancer treatment: important advances for drug discovery","volume":"31","author":"Majolo","year":"2019","journal-title":"Phytochem Lett"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"12605","DOI":"10.53730\/ijhs.v6ns4.12131","article-title":"A study of the potential of 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