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Can Natto Cause Inflammation? Separating Fact from Fiction

4 min read

For over a thousand years, natto has been a staple of Japanese cuisine, prized for its health benefits. Despite its reputation as a superfood, some people wonder: can natto cause inflammation? The answer for most people is no; in fact, it is primarily known for its anti-inflammatory effects.

Quick Summary

Natto is a potent anti-inflammatory food due to its probiotics and enzymes like nattokinase. Negative reactions are typically from high fiber or specific intolerances, not a general inflammatory effect.

Key Points

  • Natto is largely anti-inflammatory: For most people, natto's probiotics and nattokinase help fight inflammation, not cause it.

  • Digestive issues are not inflammation: Gas and bloating can occur due to natto's high fiber content, especially for new consumers, but this is different from systemic inflammation.

  • Histamine intolerance is a key factor: Some individuals have histamine intolerance and may react to natto's biogenic amines, experiencing allergy-like symptoms.

  • Soy allergy is a specific risk: People with soy allergies must avoid natto entirely to prevent an immune-mediated inflammatory response.

  • Nattokinase actively reduces inflammation: The enzyme nattokinase has been shown to downregulate pro-inflammatory cytokines, benefiting both cardiovascular and neurological health.

  • Proper introduction is important: To minimize initial digestive side effects, introduce natto slowly and in moderation.

In This Article

Natto’s Anti-Inflammatory Profile

Scientific research largely indicates that natto possesses anti-inflammatory properties, making it an unlikely cause of general inflammation for most people. The primary drivers of this effect are the beneficial compounds produced during the fermentation process by the bacterium Bacillus subtilis.

The Role of Probiotics and Nattokinase

Natto is an excellent source of probiotics, the beneficial bacteria that contribute to a healthy gut microbiome. A balanced gut flora is crucial for a robust immune system and for regulating inflammatory responses throughout the body. Bacillus subtilis specifically has been shown to have anti-inflammatory effects within the gut itself.

Another key compound is nattokinase, an enzyme unique to natto fermentation. Numerous studies, both in vitro and animal models, suggest nattokinase can directly modulate inflammatory pathways. This includes downregulating pro-inflammatory cytokines like TNF-α and IL-6, and inhibiting NF-κB activation, a central regulator of inflammation. This effect has been observed in various contexts, including vascular and neuroinflammation.

Soy Isoflavones and Other Antioxidants

Beyond fermentation byproducts, the soybeans themselves contribute anti-inflammatory benefits. Soy isoflavones found in natto may help reduce inflammation, particularly in cases related to hormonal changes. Additionally, natto is rich in antioxidants that help combat oxidative stress, another key contributor to chronic inflammation.

Potential Negative Reactions and Misconceptions

While natto is overwhelmingly anti-inflammatory, some people may experience negative side effects that can be misinterpreted as inflammation. These issues are typically caused by pre-existing conditions or sensitivities rather than natto itself being a pro-inflammatory food.

High Fiber Content and Digestive Discomfort

For individuals unaccustomed to high-fiber diets, introducing natto can cause temporary digestive upset. The high fiber content may lead to:

  • Gas
  • Bloating
  • Abdominal discomfort
  • Changes in bowel habits, such as diarrhea

Histamine Intolerance

As a fermented food, natto naturally contains biogenic amines, including histamine. While this is not an issue for most, those with histamine intolerance may experience adverse reactions after consumption. Symptoms can mimic an allergic response and may include hives, flushing, headaches, or digestive upset. This is a specific intolerance to histamine, not a general inflammatory reaction caused by natto.

Soy Allergy

For people with a soy allergy, natto consumption is dangerous and should be avoided. An allergic reaction is a distinct immune response and can cause inflammation, but it is not a property of the food itself. A rare form of delayed anaphylaxis linked to natto has also been documented, particularly in individuals with prior sensitization to jellyfish stings due to a shared allergen, poly-γ-glutamic acid (PGA).

Natto's Anti-inflammatory vs. Adverse Effects

Feature Anti-Inflammatory Effects (General Population) Adverse Effects (Specific Sensitivities)
Mechanism Beneficial bacteria (B. subtilis) promote gut health and modulate inflammatory pathways. Nattokinase and isoflavones act as anti-inflammatories. Histamine intolerance triggers mast cells; soy allergy is an IgE-mediated response; high fiber causes digestive gas.
Impact on Health Supports heart health, aids digestion, strengthens immune function, and reduces chronic inflammation. Can cause digestive discomfort, headaches, skin reactions, or in rare cases, anaphylaxis for sensitive individuals.
Relevant Compounds Probiotics, nattokinase, soy isoflavones, antioxidants. Histamine, poly-γ-glutamic acid (PGA), soy protein, high fiber.
Prevalence Observed in the majority of healthy individuals who consume natto regularly. Occurs in a smaller subset of the population with specific pre-existing conditions.

Conclusion

In summary, the notion that natto can cause inflammation is largely a misconception for the general population. The vast majority of evidence points to natto being a powerful anti-inflammatory superfood, rich in beneficial probiotics and the enzyme nattokinase. Its potential anti-inflammatory effects extend from gut health to cardiovascular and neurological systems. Negative reactions, such as gas and bloating, are typically related to its high fiber content or specific sensitivities like histamine intolerance or a soy allergy, rather than general inflammatory properties. As with any food, individuals with underlying health conditions or known allergies should exercise caution and consult a healthcare professional. For those seeking to reduce inflammation, incorporating natto into a balanced diet can be a highly effective strategy.

How to safely add natto to your diet

  • Start slowly and in moderation: If you are new to high-fiber foods, begin with a small portion of natto to allow your digestive system to adjust and minimize initial gas and bloating.
  • Observe how your body reacts: Pay attention to any unusual symptoms, especially if you have known food sensitivities or suspect histamine intolerance.
  • Combine with other ingredients: Mixing natto with rice or other foods can help mitigate its strong flavor and adjust to its texture, making it more palatable.
  • Consult a doctor if necessary: If you have a thyroid condition, take blood-thinning medications, or have a known soy allergy, speak with a healthcare provider before making natto a regular part of your diet.
  • Consider a dietary trial: For those with histamine intolerance, a trial under medical supervision may be necessary to assess if natto is suitable.

Resources

To learn more about the research behind nattokinase and its therapeutic applications, consider reviewing this article: Nattokinase as a functional food ingredient: therapeutic applications and molecular mechanisms.

Natto and Inflammation: Beyond the Gut

Numerous studies point to natto's benefits beyond just digestive health. For instance, research has shown that nattokinase helps attenuate endothelial inflammation, a key factor in cardiovascular health, by inhibiting inflammatory pathways. Its ability to regulate the immune system is also well-documented, with probiotics helping to boost natural antibodies and ward off infections. These far-reaching effects on systemic inflammation are what solidify natto's status as a superfood.

Frequently Asked Questions

No, natto is not inflammatory for most people. In fact, it is considered an anti-inflammatory food due to its rich probiotic content and the enzyme nattokinase.

Yes, natto can cause gas, bloating, and other digestive discomforts, particularly in individuals not accustomed to high-fiber diets. It is best to start with small portions and increase gradually.

As a fermented food, natto contains biogenic amines, including histamine. For people with histamine intolerance, these compounds can trigger allergy-like symptoms, which is a specific reaction rather than general inflammation.

Yes, natto has significant anti-inflammatory benefits. Its probiotics promote a healthy gut, while the enzyme nattokinase helps regulate inflammatory pathways throughout the body.

Yes, in very rare cases, a delayed anaphylaxis has been reported in individuals allergic to the poly-γ-glutamic acid (PGA) in natto's mucilage. This allergy can sometimes be related to prior sensitization from jellyfish stings.

Natto contains beneficial Bacillus subtilis probiotics that support a balanced gut microbiota, improve digestion, and help counter inflammation in the gut.

Yes, studies have shown that nattokinase, an enzyme produced during natto fermentation, can reduce inflammation by downregulating pro-inflammatory cytokines and inhibiting inflammatory responses in blood vessels.

References

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Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice.