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.
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 |