In Vitro Effect of Bromelain on the Regenerative Properties of Mesenchymal Stem Cells

J Craniofac Surg. 2019 Jun;30(4):1064-1067. doi: 10.1097/SCS.0000000000004862.

Abstract

Background: Bromelain belongs to a group of protein-digesting enzymes obtained commercially from the fruit or stem of pineapple. Several studies demonstrated that bromelain exhibits various fibrinolytic, anti-edematous, antithrombotic, and anti-inflammatory activities supporting its application for many therapeutic benefits. The aim of this study was to analyze the effects of bromelain on the pro-wound healing activities and the regenerative properties of mesenchymal stem cells.

Methods: Mesenchymal stem cells were treated in vitro with bromelain alone or combined with dexamethasone sodium phosphate. Real-time polymerase chain reaction was performed to profile the expression of extracellular matrix components and remodeling enzymes, and cytokines.

Results: The combination of bromelain and dexamethasone sodium phosphate induced a great activation of mesenchymal stem cells with an increase in hyaluronan and collagen production and anti-inflammatory cytokines release.

Conclusion: Based on the results of this in vitro study, the combined use of bromelain and dexamethasone sodium phosphate stimulated the pro-wound healing activities and the regenerative properties of mesenchymal stem cells better than bromelain and dexamethasone alone.

MeSH terms

  • Adult
  • Anti-Inflammatory Agents / pharmacology
  • Bromelains / pharmacology*
  • Bromelains / therapeutic use
  • Cells, Cultured
  • Cytokines / metabolism
  • Dexamethasone / analogs & derivatives*
  • Dexamethasone / pharmacology
  • Drug Therapy, Combination
  • Gene Expression
  • Humans
  • In Vitro Techniques
  • Mesenchymal Stem Cells / drug effects*
  • Mesenchymal Stem Cells / metabolism
  • Mesenchymal Stem Cells / physiology
  • Middle Aged
  • Real-Time Polymerase Chain Reaction
  • Wound Healing / drug effects*

Substances

  • Anti-Inflammatory Agents
  • Cytokines
  • dexamethasone 21-phosphate
  • Dexamethasone
  • Bromelains