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Does Natto Fight Inflammation? Unpacking the Science Behind This Japanese Superfood

5 min read

According to a 2023 study published in Nature, natto consumption was found to alter the intestinal microflora in mice, suppressing inflammation and preventing arteriosclerosis. This evidence points toward a fascinating possibility: does natto fight inflammation in humans with similar effectiveness?

Quick Summary

This article delves into the potential of natto, a fermented soybean superfood, to combat chronic inflammation. We explore how key components like nattokinase, probiotics, and antioxidants work to regulate inflammatory pathways and improve gut health, citing scientific studies.

Key Points

  • Nattokinase Enzyme: Natto contains the enzyme nattokinase, which studies show can break down fibrin, a protein involved in blood clotting and inflammation.

  • Probiotic Benefits: The Bacillus subtilis probiotic in natto helps balance the gut microbiome, which is crucial for reducing gut-related inflammation and strengthening the immune system.

  • Rich in Vitamin K2: Natto is one of the richest sources of Vitamin K2, which aids in regulating calcium and may help prevent arterial inflammation.

  • Antioxidant Protection: Antioxidants in natto combat oxidative stress, a key factor in chronic inflammation.

  • Whole Food Synergy: Research suggests the combination of compounds in whole natto provides a greater anti-inflammatory effect than isolated supplements.

  • Further Research Needed: While promising, much of the supportive research is from in vitro or animal studies, and more robust human clinical trials are required.

In This Article

Unpacking Natto's Anti-Inflammatory Compounds

Natto's unique properties are derived from the fermentation of soybeans with the bacterium Bacillus subtilis. This process creates several key compounds that are believed to contribute to its anti-inflammatory effects. The primary players are nattokinase, powerful probiotics, and various antioxidants and vitamins. Understanding how each component works is key to appreciating natto's potential health benefits.

The Role of Nattokinase and Fibrin

During fermentation, Bacillus subtilis produces nattokinase, a potent enzyme renowned for its fibrinolytic activity. Fibrin is a protein that plays a central role in blood clotting, but its accumulation is also linked to chronic inflammation.

  • Fibrin Breakdown: Nattokinase effectively breaks down excess fibrin, which can help improve blood flow and reduce the risk of inflammation-related conditions like atherosclerosis.
  • Suppression of Inflammatory Pathways: Studies, including a 2024 paper in the International Journal of Biological Macromolecules, suggest nattokinase can suppress inflammatory pathways in endothelial cells. It does this by inhibiting the NLRP3 inflammasome and necroptosis, and by reducing the activity of pro-inflammatory cytokines. This indicates a direct regulatory effect on the body's inflammatory response.

Probiotics, Gut Health, and Inflammation

The probiotics found in natto, particularly Bacillus subtilis, are essential for maintaining a healthy gut microbiome. A balanced gut flora is crucial, as a significant portion of the body's immune system resides in the gut, and gut dysbiosis can trigger widespread inflammation.

  • Balancing Gut Flora: The probiotic Bacillus subtilis helps promote beneficial bacteria while inhibiting harmful strains, which helps prevent disorders like inflammatory bowel disease.
  • Immune System Support: By improving the health of gut bacteria, natto strengthens the immune system's ability to fight off pathogens and modulate inflammatory responses.
  • Reducing Oxidative Stress: A healthy gut microbiome also helps reduce oxidative stress, which is a key driver of inflammation.

Vitamins and Antioxidants

Natto is a rich source of vitamins and antioxidants that further contribute to its anti-inflammatory profile.

  • Vitamin K2: Natto is a powerhouse of Vitamin K2, a nutrient vital for bone health that also helps prevent arterial calcification, a process linked to chronic inflammation. By directing calcium to the bones and teeth, it prevents buildup in the arteries.
  • Antioxidants: Natto contains various antioxidants, which combat free radicals that cause cellular damage and drive inflammation. A 2020 study noted that natto consumption was associated with lower levels of oxidative stress and inflammatory markers.

The Role of Natto's Components in Fighting Inflammation

The anti-inflammatory properties of natto are a synergistic effect of its many beneficial compounds. The following table compares how natto's key components contribute to fighting inflammation through different mechanisms.

Component Primary Mechanism Effect on Inflammation
Nattokinase Fibrinolytic enzyme that breaks down excess fibrin and modulates inflammatory pathways. Reduces systemic inflammation, particularly in the vascular system, by suppressing pro-inflammatory cytokines.
Probiotics (B. subtilis) Restores a healthy balance of gut microbiota and improves digestive function. Addresses inflammation originating in the gut and supports the body's overall immune response.
Vitamin K2 (MK-7) Regulates calcium metabolism and prevents arterial calcification. Reduces arterial inflammation and helps prevent inflammation-related cardiovascular diseases.
Antioxidants Neutralizes harmful free radicals that cause cellular damage. Lowers oxidative stress, which is a major contributor to chronic inflammation.
Soy Isoflavones Natural phytoestrogens with anti-inflammatory effects. May help reduce inflammation, particularly when related to hormonal changes like menopause.

Scientific Research and Limitations

While research on natto's anti-inflammatory potential is promising, it is not without its limitations. Many studies demonstrating anti-inflammatory effects have been conducted in vitro (in a test tube) or on animal models. While these findings provide a strong scientific rationale, they do not always translate perfectly to human health.

  • Limited Human Trials: Clinical trials in humans are currently limited. A 2025 article from Caring Sunshine notes that while some small-scale human studies show mild benefits, they are often secondary outcomes. More robust, natto-specific human studies are needed to validate its use for chronic inflammation.
  • Whole Food vs. Supplements: It is important to distinguish between consuming whole natto and taking nattokinase supplements. Some studies indicate that the synergistic effect of the compounds in the whole food provides greater antioxidant benefits than isolated nattokinase.
  • Mechanism vs. Outcome: We have a good understanding of the potential mechanisms—like nattokinase inhibiting inflammatory markers and probiotics improving gut health—but larger, long-term human studies are needed to confirm the magnitude of the anti-inflammatory effect in a real-world setting.

How to Incorporate Natto Into an Anti-Inflammatory Diet

For those looking to include natto in their diet for its potential anti-inflammatory benefits, it can be incorporated in several ways. While its pungent smell and sticky texture are a barrier for many, various preparations can make it more palatable.

Serving Suggestions

  • Traditional: Serve over warm rice with soy sauce and mustard.
  • Smoothies: Blend into smoothies with fruits like bananas or berries to mask the texture and flavor.
  • Sauces and Dressings: Mix into sauces or salad dressings. The fermentation creates a unique, umami-rich flavor that can enhance other dishes.
  • Soups: Stir a small amount into miso soup or other broths.
  • As an Ingredient: Use in omelets or on toast to add a nutritional boost.

Conclusion

The question, "Does natto fight inflammation?" receives a qualified "yes," based on the current scientific understanding. Its efficacy stems from a powerful combination of bio-active compounds. The enzyme nattokinase directly combats systemic inflammation by breaking down fibrin and regulating inflammatory cytokines. Meanwhile, the probiotics from Bacillus subtilis work to reduce gut-specific inflammation by promoting a healthy microbiome. Additionally, natto's richness in Vitamin K2 and antioxidants supports cardiovascular health and reduces oxidative stress, which are both critical factors in managing overall inflammation. However, most human studies are small-scale, meaning more extensive clinical trials are needed to fully confirm and quantify these effects. Ultimately, natto represents a promising and nutrient-dense addition to an anti-inflammatory diet, working in multiple ways to support the body's defenses against chronic inflammation.

Note: Individuals on blood-thinning medication should consult a healthcare provider before significantly increasing their natto intake due to its high Vitamin K2 and nattokinase content.

Practical Steps to Try Natto

  • Start Small: Begin with a small amount to acclimate your taste buds to its unique flavor and texture.
  • Flavor Pairings: Experiment with traditional Japanese seasonings like soy sauce and Japanese mustard, or modern additions like avocado or a dash of hot sauce.
  • Hidden Nutrition: For those particularly sensitive to the taste, mixing it into a strong-flavored smoothie or a savory sauce can help.
  • Consider Supplements: If consuming the food is unappealing, nattokinase is available in supplement form, though the full range of benefits from the whole food may be lost.
  • Consult a Professional: When incorporating a new functional food into your diet for specific health concerns, it is always wise to consult with a doctor or registered dietitian.

Frequently Asked Questions

Natto contains several components that combat inflammation, including the enzyme nattokinase, powerful probiotics from Bacillus subtilis, and high levels of Vitamin K2. Together, these compounds help regulate inflammatory pathways, promote gut health, and reduce oxidative stress.

Yes, natto can help with gut inflammation. The probiotic Bacillus subtilis helps maintain a healthy balance of gut microbiota. A balanced microbiome is essential for immune function and can reduce inflammation originating in the digestive tract.

Nattokinase has been shown in some studies to help inhibit inflammatory processes, particularly in the vascular system. It does this by suppressing certain inflammatory cytokines and pathways, though more human studies are needed to confirm these effects.

While some human studies have shown mild anti-inflammatory benefits, most of the strong evidence comes from in vitro and animal studies. More extensive human clinical trials are needed to fully confirm and validate its anti-inflammatory properties in people.

To maximize the benefits, eat natto as part of a balanced diet. It can be mixed with rice, added to smoothies, or incorporated into sauces to make it more palatable. The whole food is recommended over supplements to get the synergistic effect of all its beneficial compounds.

You can, but you may not receive the full benefits. While nattokinase supplements deliver the active enzyme, consuming the whole natto food provides additional antioxidants, fiber, and probiotics that work together synergistically.

For most people, natto is safe. However, due to its high Vitamin K2 and nattokinase content, individuals taking blood-thinning medications should consult a doctor before adding significant amounts to their diet, as it can affect blood clotting.

References

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Medical Disclaimer

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