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Serrapeptase - Silkworm Enzyme
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Serrapeptase, also known as Serratia peptidase, is a proteolytic enzyme
isolated from the non-pathogenic enterobacteria Serratia E15. When
consumed in unprotected tablets or capsules, the enzyme is destroyed by
acid in the stomach. However, enterically-coated tablets enable the
enzyme to pass through the stomach unchanged, and be absorbed in the
intestine. Serrapeptase is found in negligible amounts in the urine,
suggesting that it is transported directly from the intestine into the
bloodstream (15,16).
Clinical studies show that serrapeptase induces fibrinolytic,
anti-inflammatory and anti-edemic (prevents swelling and fluid
retention) activity in a number of tissues, and that its
anti-inflammatory effects are superior to other proteolytic enzymes
(18).
Besides reducing inflammation, one of serrapeptase's most profound
benefits is reduction of pain, due to its ability to block the release
of pain-inducing amines from inflamed tissues (18). Physicians
throughout Europe and Asia have recognized the anti-inflammatory and
pain-blocking benefits of this naturally occurring substance and are
using it in treatment as an alternative to salicylates, ibuprofen and
other NSAIDs (19).
In Germany and other European countries, serrapeptase is a common
treatment for inflammatory and traumatic swellings, and much of the
research that exists on this substance is of European origin. One
double-blind study was conducted by German researchers to determine the
effect of serrapeptase on post-operative swelling and pain. This study
involved sixty-six patients who were treated surgically for fresh
rupture of the lateral collateral ligament of the knee. On the third
post-operative day, the group receiving serrapeptase exhibited a 50
percent reduction of swelling, compared to the controls. The patients
receiving serrapeptase also became more rapidly pain-free than the
controls, and by the tenth day, the pain had disappeared completely
(20).
Cystic Breast Disease
Serrapeptase has also been used in the successful treatment of
fibrocystic breast disease. In a double-blind study, 70 patients
complaining of breast engorgement randomly were divided into a treatment
group and a placebo group. Serrapeptase was superior to the placebo for
improvement of breast pain, breast swelling and induration (firmness).
85.7 percent of the patients receiving serrapeptase reported moderate to
marked improvement. No adverse reactions to serrapeptase were reported
and the researchers concluded that "serrapeptase is a safe and effective
method for the treatment of breast engorgement" (21,19).
Serrapeptase and Sinusitis
Due to its inflammatory properties, serrapeptase has been shown in
clinical studies to benefit chronic sinusitis sufferers. In this
condition, the mucus in patients’ nasal cavities is thickened and
hypersecreted. This thickening causes mucus to be expelled less
frequently. Japanese researchers evaluated the effects of
serratiopeptidase (30 mg/day orally for four weeks) on the elasticity
and viscosity of the nasal mucus in adult patients with chronic
sinusitis. Serratiopeptidase reduced the viscosity of the mucus,
improving the elimination of bronchopulmonary secretions (23). Other
clinical trials support serrapeptase's ability to relieve the problems
associated with chronic sinusitis. In one study, 140 patients with acute
or chronic ear, nose and throat pathologies were evaluated with either a
placebo or the active serratia peptidase. Patients taking the
serrapeptase experienced a significant reduction in severity of pain,
amount of secretion, purulence of secretions, difficulty in swallowing,
nasal dysphonia, nasal obstruction, anosmia, and body temperature after
three to four days and at the end of treatment. Patients suffering from
laryngitis, catarrhal rhinopharyngitis and sinusitis who were treated
with serrapeptase experienced a significant and rapid improvement of
symptoms after 3-4 days. Physicians assessed efficacy of treatment as
excellent or good for 97.3 percent of patients treated with serrapeptase
compared with only 21.9 percent of those treated with a placebo (24).
Respiratory diseases are characterized by increased production of a more
dense mucus modified in viscosity and elasticity. Traditionally, in
respiratory diseases, muco-active drugs are prescribed to reestablish
the physicochemical characteristics of the mucus in order to restore
respiratory function. Some of these drugs, however, cause a functional
depletion of mucus, whereas serrapeptase alters the elasticity of mucus
without depleting it (25,10).
A powerful agent by itself, serrapeptase teamed with antibiotics
delivers increased concentrations of the antimicrobial agent to the site
of the infection. Bacteria often endure a process called biofilm
formation, which results in resistance to antimicrobial agents. In an
attempt to prevent this bacterial immunity, researchers have
experimented with various means of inhibiting biofilm-embedded bacteria.
Their search may have ended with serrapeptase. One study conducted by
Italian researchers suggests that proteolytic enzymes could
significantly enhance the activities of antibiotics against biofilms.
Antibiotic susceptibility tests showed that serratiopeptidase greatly
enhances the activity of the antibiotic, ofloxacin, and that it can
inhibit biofilm formation (28). Another double-blind randomized study
evaluated the effects of administering the antibiotic cephalexin in
conjunction with serrapeptase or a placebo to 93 patients suffering from
either perennial rhinitis, chronic rhinitis with sinusitis or chronic
relapsing bronchitis. The serratia peptidase treated group experienced
significant improvement in rhinorrhea, nasal stuffiness, coryza and
improvement of the para-nasal sinus shadows (24). Researchers witnessed
equally impressive results in the treatment of infections in lung cancer
patients undergoing thoracotomy. Serrapeptase and cefotiam, an
antibiotic with a broad spectrum of activity against both Gram-positive
and Gram-negative microorganisms, were administered to 35 thoracotomy
patients with lung cancer. The patients were divided into two groups. A
single dose of cefotiam was administered to the 17 subjects in Group I.
The 18 subjects in Group II received a combination of Cefotiam and
serrapeptase. The level of the antibiotic in the tissues versus the
blood was significantly higher in the serrapeptase group than the single
dose group (22).
Cardiovascular Implications
Hans A. Nieper, M.D., an internist from Hannover, Germany, studied the
effects of serrapeptase on plaque accumulations in the arteries. The
formation of plaque involves deposits of fatty substances, cholesterol,
cellular waste products, calcium and fibrin (a clotting material in the
blood) on the inner lining of the arteries. Excessive plaque results in
partial or complete blockage of the blood's flow through an artery,
resulting in arteriosclerosis, or hardening of the arteries, and an
ensuing stroke or heart attack. The evidence to support serrapeptase's
role in preventing plaque build-up is anecdotal. Still, further studies
are called for in this area as Nieper's research indicated that the
protein-dissolving action of serrapeptase will gradually break down
atherosclerotic plaques (24).
Conclusion
Regardless of whether serrapeptase is used for inflammatory
diseases or to prevent plaque build up on the arteries, it is well
tolerated. Due to its lack of side effects and anti-inflammatory
capabilities, serrapeptase is a logical choice to replace harmful NSAIDs.
Thanks to the tiny larvae of the silk moth, researchers have taken a
large step toward finding relief for inflammatory disease sufferers.
References
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