Papain: benefits, dosage, contraindications

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Papain is an enzyme extracted from the latex or leaves of papaya (Carica papaya). It is part of the cysteine protease family, which includes caricaeine (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 at their active site to cleave peptide bonds in proteins. This cysteine action is essential for catalyzing the reaction of cutting proteins into smaller fragments, thus facilitating various biological processes, such as digestion, regulation of cellular processes, and immune response. Thus, like bromelain, papain is capable of digesting proteins. Papain possesses anti-inflammatory and immunomodulatory properties. Its anti-inflammatory action is particularly interesting in the treatment of wounds and burns, where it accelerates the healing process by reducing inflammation. When applied topically, papain is used against insect or jellyfish stings, wound healing, and ulcers.

Other name(s) 

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Enzymes


Indications

Rating methodology

EFSA approval.

Several clinical trials (> 2) randomized controlled with double blind, including a significant number of patients (>100) with consistently positive outcomes for the indication.
Several clinical trials (> 2) randomized controlled with double blind, and including a significant number of patients (>100) with positive outcomes for the indication.
One or more randomized studies or multiple cohorts or epidemiological studies with positive outcomes for the indication.
Clinical studies exist but are uncontrolled, with conclusions that may be positive or contradictory.
Lack of clinical studies to date that can demonstrate the indication.


Pharyngitis
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Clinical research shows that taking papain orally, in combination with other agents, can relieve pharynx inflammation and swelling more quickly than placebo.

Posologie

posologieOral

posologie2 mg


Digestive disorders
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Papain plays a key role in improving digestion, especially in older people. This population often faces reduced chewing capacity, decreased digestive function, and reduced nutrient absorption, contributing to malnutrition and 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, particularly in the elderly. This population often faces reduced chewing capacity due to tooth loss, decreased digestive function, and reduced nutrient absorption, contributing to malnutrition and increased risk of chronic diseases such as sarcopenia and dementia. During digestion, papain facilitates the breakdown of proteins, a crucial process for seniors whose protein digestion is often compromised. Due to tooth loss and decreased saliva secretion, consuming meat, an important protein source, 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 action, effectively breaks down protein bonds, including in hard-to-digest connective tissues like collagen. It works by hydrolyzing bonds between amino acids, thereby facilitating the digestion of meat proteins. Its ability to operate across a wide pH range and at relatively high temperatures makes it particularly suitable for improving food digestibility.

Posologie

posologieOral


Properties


Digestive effect

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Papain is an enzyme that allows for the effective breakdown of complex proteins present in food, thus reducing the load on the digestive system. Papain contributes to better nutrient assimilation and can help alleviate digestive discomforts related to ineffective protein digestion.

Usages associés

Digestive disorders

Dermatological effect

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Papain plays an important role in wound treatment, thanks to its specific enzymatic properties. It works by breaking down damaged tissues, facilitating the skin's natural healing process. Papain's ability to remove dead or infected tissues without damaging surrounding healthy tissues 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

Immunomodulator

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Papaya extract, notably due to the presence of papain, has demonstrated interesting immunomodulatory effects. Microarray studies have revealed that adding 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, suggesting that papaya contains active components capable of inhibiting the development of tumor cells. This activity could contribute to strengthening the body's immune defenses against certain types of cancer, such as lung cancer.


Safety dosage

Adult: 2 mg - 1200 mg

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


Precautions

Breastfeeding woman: avoid

Insufficient data.


Contraindications

Pregnant woman: forbidden

There is a risk that papain may be teratogenic.