Unpacking the Arterial Benefits of Natto
Disclaimer: This information is for general knowledge and should not be taken as medical advice. Consult with a healthcare professional before making any decisions about your health or treatment.
Natto, a traditional Japanese food made from fermented soybeans, has long been a staple in the diet of one of the world's longest-living populations. Its powerful reputation for promoting heart health is rooted in a unique combination of nutritional components, particularly the enzyme nattokinase and a high concentration of vitamin K2. These ingredients work through distinct biological mechanisms to protect and enhance arterial health.
The Role of Nattokinase in Vascular Health
Nattokinase is a potent fibrinolytic enzyme, meaning it effectively dissolves fibrin, the protein that forms the mesh-like structure of blood clots. This fibrinolytic activity is the primary reason nattokinase is referred to as a 'natural blood thinner'. By breaking down fibrin, nattokinase helps improve blood circulation and prevent dangerous blood clots that can lead to heart attacks and strokes.
Research has further revealed nattokinase's anti-atherosclerotic effects. A clinical study involving patients with pre-existing atherosclerotic plaques showed that nattokinase supplementation led to a significant reduction in the size of these plaques. Furthermore, a recent study demonstrated a reduction in arterial plaque size over 12 months with nattokinase, suggesting a direct impact on combating atherosclerosis. Beyond its anti-clotting and plaque-reducing abilities, nattokinase has also been shown to help lower blood pressure by inhibiting the angiotensin-converting enzyme (ACE), a key regulator of blood pressure.
The Importance of Vitamin K2 for Arteries
While nattokinase works to keep blood thin and free-flowing, vitamin K2 (specifically the MK-7 form, which is highly bioavailable in natto) plays a complementary role in maintaining arterial elasticity. Arterial calcification, the buildup of calcium in artery walls, contributes to hardening of the arteries, a primary feature of atherosclerosis. Vitamin K2 activates proteins that ensure calcium is deposited in bones and teeth, rather than accumulating in soft tissues like the arteries. By helping to regulate calcium distribution, natto's high vitamin K2 content directly supports the health and flexibility of your arterial walls.
Additional Heart-Healthy Components
Natto is more than just a source of nattokinase and vitamin K2. As a fermented food, it provides a number of other compounds that contribute to cardiovascular wellness:
- Dietary Fiber and Probiotics: Natto is rich in fiber and beneficial bacteria (probiotics) from the Bacillus subtilis strain. This supports a healthy gut microbiome, which is increasingly linked to reduced inflammation and better metabolic health, both critical factors in preventing heart disease.
- Reduced Cholesterol: Studies have shown that natto consumption can lead to lower levels of total cholesterol and LDL ('bad') cholesterol, while potentially increasing HDL ('good') cholesterol. This helps reduce the fatty deposits that fuel the progression of atherosclerosis.
- Anti-inflammatory Properties: The isoflavones and antioxidant compounds in natto have anti-inflammatory effects. Since chronic inflammation is a major driver of atherosclerosis, this property provides another layer of arterial protection.
Natto vs. Modern Therapies: A Comparison
While modern medicine offers powerful solutions for cardiovascular issues, natto and its key compounds provide a natural, food-based approach. The comparison below highlights the different focuses and mechanisms.
| Feature | Natto (via nattokinase/K2) | Conventional Therapy (e.g., Statins, Warfarin) | 
|---|---|---|
| Mechanism | Multi-faceted: enzyme activity (fibrinolysis), mineral regulation (K2), anti-inflammatory effects. | Targeted: Statins lower cholesterol synthesis; Warfarin blocks vitamin K-dependent clotting factors. | 
| Safety Profile | Generally recognized as safe with a low risk of side effects, but caution is advised for individuals on blood thinners. | Associated with potential side effects such as muscle pain from statins and significant bleeding risk with anticoagulants. | 
| Plaque Reduction | Clinical evidence shows significant reduction in atherosclerotic plaque size in some studies. | Primarily focuses on preventing further plaque growth by lowering cholesterol, though can induce some regression. | 
| Arterial Stiffness | Vitamin K2 helps prevent arterial calcification, which can improve arterial elasticity. | Primary focus is on cholesterol and clotting, not directly addressing calcium deposition. | 
| Overall Approach | A preventative and supportive dietary intervention that addresses multiple cardiovascular risk factors. | A targeted pharmacological intervention primarily used for active management and prevention of events in high-risk patients. | 
Conclusion
Based on decades of research and observational studies, there is substantial evidence to suggest that natto is good for arteries, primarily due to its rich content of nattokinase and vitamin K2. Nattokinase offers a potent, multi-pronged attack on cardiovascular risk by thinning the blood, dissolving existing clots, and directly reducing plaque buildup. Simultaneously, natto's abundant vitamin K2 works to prevent the calcification and hardening of arteries. Combined with its cholesterol-lowering and anti-inflammatory properties, incorporating natto into a heart-healthy diet offers a robust, natural strategy for supporting long-term vascular health. However, as with any supplement or significant dietary change, it is important to consult a healthcare provider, especially if you are on medication for blood thinning or blood pressure.
How to Incorporate Natto into Your Diet
For those new to natto's distinctive taste and texture, several strategies can make it a more palatable addition to your diet:
- Mix it with rice: The traditional Japanese method, often with soy sauce or mustard, helps balance the flavor.
- Blend it into sauces: For a less direct experience, natto can be incorporated into sauces or dressings, where its flavor is less prominent.
- Add it to soups or stews: Mix it in at the end of cooking to preserve its beneficial enzymes and probiotics.
- Combine with stronger flavors: Pairing natto with strong, flavorful ingredients like kimchi, green onions, or even a spicy sauce can mask its pungent characteristics.
- Try nattokinase supplements: For those who cannot tolerate the taste or texture, high-quality nattokinase supplements are available and provide the enzyme's benefits without consuming the fermented soybeans directly.