Papain: benefits, dosage, contraindications

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Papain is an enzyme extracted from the latex or leaves of papaya (Carica papaya). It belongs to the family of cysteine proteases, which includes caricain (papaya), bromelain (pineapple), ficin (fig), and others. A cysteine protease is a type of enzyme that plays a crucial role in the breakdown of proteins. These proteases use a cysteine amino acid residue in their active site to cleave peptide bonds in proteins. This action of cysteine is essential to catalyze the reaction that cuts proteins into smaller fragments, thereby facilitating various biological processes such as digestion, regulation of cellular processes, and immune response. Thus, similar to bromelain, papain is capable of digesting proteins. Papain has anti-inflammatory and immunomodulatory properties. Its anti-inflammatory action is particularly interesting in the treatment of wounds and burns, where it speeds up the healing process by reducing inflammation. When applied topically, papain is used for insect or jellyfish stings, wound healing, and ulcers.

Family or group: 

Enzymes


Indications

Scoring methodology

EFSA approval.

Several randomized, double-blind, controlled clinical trials (> 2), including a significant number of patients (>100), with consistently positive conclusions for the indication.
Several randomized, double-blind, controlled clinical trials (> 2), including a significant number of patients (>100), with positive conclusions for the indication.
One or more randomized studies, or several cohorts or epidemiological studies, with positive conclusions for the indication.
Clinical studies exist but are uncontrolled, with conclusions that may be positive or conflicting.
No clinical studies to date that can demonstrate the indication.


Pharyngitis
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Clinical research shows that oral administration of papain, in combination with other agents, can relieve inflammation and swelling of the pharynx more quickly than placebo.

Posologie

posologieOrally

posologie2 mg


Digestive disorders
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Papain plays a key role in improving digestion, especially in older adults. This population often faces a decreased ability to chew, reduced digestive function, and diminished nutrient absorption, thereby contributing to malnutrition and an increased risk of chronic diseases. Meat, rich in essential amino acids and minerals, is crucial for maintaining muscle mass and combating age-related anabolic resistance. Papain, a proteolytic enzyme extracted from papaya latex, plays a key role in improving digestion, especially in older adults. This population often faces a decreased ability to chew due to tooth loss, reduced digestive function, and diminished nutrient absorption, thereby contributing to malnutrition and an increased risk of chronic diseases such as sarcopenia and dementia. During digestion, papain helps break down proteins, a process that is crucial for older adults whose protein digestion is often compromised. Because of tooth loss and decreased salivary secretion, consuming meat, an important source of protein, becomes difficult. Meat, rich in essential amino acids and minerals, is crucial for maintaining muscle mass and combating age-related anabolic resistance. Papain, with its broad spectrum of activity, effectively breaks down protein bonds, including connective tissues that are difficult to digest such as collagen. It acts by hydrolyzing the bonds between amino acids, thereby facilitating the digestion of meat proteins. Its ability to operate across an extended pH range and at relatively high temperatures makes it particularly well-suited to improving food digestibility.

Posologie

posologieBy mouth


Properties


Digestive effect

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Papain is an enzyme that efficiently breaks down complex proteins present in food, thereby reducing the burden on the digestive system. Papain contributes to better nutrient absorption and can help relieve digestive discomfort associated with inefficient protein digestion.

Usages associés

Digestive disorders

Dermatological effect

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Papain plays an important role in wound care due to its specific enzymatic properties. It acts by breaking down damaged tissue, thereby facilitating the skin's natural healing process. This ability of papain to remove dead or infected tissue without damaging surrounding healthy tissue is particularly beneficial in the treatment of infected burns. By applying papain topically, it is possible to prevent infection while promoting the formation of a new layer of healthy skin, a process known as granulation.

Usages associés

Skin healing

Immunomodulatory

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Papaya extract, notably due to the presence of papain, has shown interesting immunomodulatory effects. Microarray studies have revealed that the addition of papaya extract enhances the expression of 23 immunomodulatory genes, including CCL2, CCL7, CCL8 and SERPINB2. These genes play a role in modulating the immune system, which suggests that papaya contains active components capable of inhibiting tumor cell development. This activity could help strengthen the body's immune defenses against certain types of cancer, such as lung cancer.


Safe dosage

Adult: 2 mg - 1200 mg

Papain has been used in combination with other proteolytic enzymes at doses up to 1200 mg per day for periods of up to 9 weeks.


Precautions

Breastfeeding woman: avoid

Insufficient data.


Contraindications

Pregnant woman: prohibited

There is a risk that papain may be teratogenic.