• Fights Inflammation and Swelling

One of serrapeptase’s most well-known benefits is its ability to reduce inflammation, which it does by prompting immune cell movement and regulating levels of white blood cells at the site of inflammation.

Serrapeptase also reduces swelling by decreasing fluid buildup in tissues, improving fluid drainage, and dissolving dead tissue around the injured area (similar to how it dissolves a silkworm’s cocoon).

These factors allow for accelerated healing in the injured or inflamed area.

Serrapeptase also fights inflammation by binding with cyclooxygenase molecules called COX-I and COX-II.

COX-I breaks down arachidonic acid, which then produces pro-inflammatory compounds called interleukins and prostaglandins.

Therefore, serrapeptase can bind to COX-I and suppress this inflammatory release, which is similar to how fish oil acts as an anti-inflammatory agent.

A systematic review identified 24 studies in which serrapeptase positively impacted inflammation in conditions like dental surgery, swelling after sports injuries, venous inflammatory disease, sinusitis, laryngitis, and more.

However, the authors note that most of these studies have subpar methodology, including small sample sizes, short duration, or not comparing serrapeptase to another active compound.

• Antibacterial and Wound Healing Properties

Serrapeptase may be used in conjunction with antibiotics, as it helps to disrupt bacterial biofilms and allow antibiotics to kill the bacteria more effectively.

This is especially true with antibiotic-resistant bacteria, which often have strong biofilms that don’t allow antibiotic penetration.

Research has found that serrapeptase acts synergistically with several types of antibiotics, including penicillin, fluoroquinolone, tetracycline, and cephalosporin.

It also facilitates wound healing by dissolving dead tissue around an injury or trauma site, improving circulation, and draining fluids, all of which improve tissue repair.

•  Relieves Pain

Similar to how it fights inflammation, serrapeptase has also shown promise as a natural pain reliever.

In one study, combining serrapeptase with paracetamol reduced pain after dental surgery more than taking paracetamol alone.

As mentioned, serrapeptase suppresses COX I and COX II activity, which are known to produce prostaglandins that cause pain—this is also how non-steroidal anti-inflammatory drugs (NSAIDs) work as pain relievers.

Serrapeptase also relieves pain by blocking the release of bradykinin, a molecule that causes a pain response.

•  Reduces Mucus

Serrapeptase has exhibited mucolytic—the breakdown of mucus—properties, which may help manage respiratory infections like sinusitis and bronchitis.

It’s thought that serrapeptase does this by reducing neutrophil accumulation.

Neutrophils are white blood cells that increase with infection, causing thicker mucus in areas like the lungs, ears, nose, or throat.

In one study, serrapeptase reduced the viscosity and elasticity of sputum (saliva and mucus coughed up from the respiratory tract) and lowered neutrophil count in people with chronic airway disease more than in those taking a placebo.

• May Lower Risk of Atherosclerosis

Serrapeptase acts as a fibrinolytic, breaking down the blood-clotting protein called fibrin.

As it dissolves fibrin and other dead tissue, serrapeptase is thought to also dissolve harmful arterial plaque deposits without damaging the arteries themselves.

Inflammation is another cause of atherosclerosis, so serrapeptase may be able to reduce this risk through its anti-inflammatory action.

However, we don’t have studies looking at the effects of serrapeptase on atherosclerosis in humans.

• May Increase Brain-Derived Neurotrophic Factor

Lastly, some research has shown that serrapeptase may benefit some aspects of brain health.

One animal study found that serrapeptase (and another enzyme, nattokinase) significantly increased levels of brain-derived neurotrophic factor (BDNF), a protein that facilitates the growth and survival of neurons.

However, like with atherosclerosis, we need more research on humans to determine whether serrapeptase supplementation benefits brain health or cognition.