Specialist for Enzymes and Inflammation Welcome! Synonyms: • Systemic Enzyme Support = SET • Oral Enzyme Support Systemic Enzyme Support The founder of SET - History Prof. Max Wolf (1885 – 1976) • Physician und Scientist from Vienna • Developed Enzyme Therapy together with Helen Benitez in New York • (Wolf-Benitez-Enzyme-Therapy) Prof. Max Wolf and Karl Ransberger An established naturopathic treatment The position of SES within naturopathy PhytoTherapy Substitution at pancreatic insufficiency EnzymeTherapy Physical Therapy Homeopathy Systemic Enzyme Support Enzyme classes Primary classes Catalytic reaction 1. Oxidoreductases Redox reactions 2. Transferases Transfer of functional groups 3. Hydrolases Hydrolytic cleavage 4. Lyases Cleavage of functional groups with the formation of double bonds 5. Isomerases Transformation of isomeric compounds 6. Ligases Formation of new bonds during the ATP-cleavage Which type of enzymes in SES? Proteases are macromolecular proteins • Chain of amino acids • The three-dimensional structure is necessary for their biological effectiveness Units for proteins: 20.000 - 30.000 m.w. Model of Chymotrypsin Hydrolases Amylases Hydrolytic cleavage of sugars Lipases Hydrolytic cleavage of fat Proteases Hydrolytic cleavage of proteins & immunological effects Enzymes used by Mucos Naturally, high effective substances Bromelain from pineapple (Ananas comosus) Papain from latex of unriped fruits of papaya (Carica papaya) Enzymes from Pancreas: (high purification technology): additional active substance: •Trypsin and Chymotrypsin •Pankreatin (mixture of Trypsin and Chymotrypsin) Rutosid, a bioflavonoide from the flower bud of japanese pagoda tree Absorption Absorption of enzymes is a proven fact Conditions for effective absorption: • Taking beyond of mealtimes (45 min before or 1,5 hours after) • Gastric acid resistant coating • Dissolving in small intestine Dosages and serum concentration Average serum concentrations of Bromelain after oral dose of 4 x 4 respectively 4 x 8 tablets Wobenzym® N per day (mean value from 20 test subjects) Individuality AUC of Bromelain after oral dose of 4 tablets Wobenzym® N (2 subjects) What happens after absorption? Linkage to Antiproteases Proteases combine with Antiproteases • Alpha-2-Macroglobulin (2-MG) • Alpha-1-Antitrypsin Results in: • Loss of antigenetic potential of Proteases • while maintaining the biological activity of proteases Protease-Inhibitors Molecular weight Concentration mg/dl Bonding Function 1-antitrypsin 54.000 200 – 400 Partially reversible Multipurpose-Serinproteases-Inhibitor Regulatory molecule 2-macroglobuline 725.000 175 – 290 Irreversible General proteases-inhibitor Transport- and regulatory molecule The key role of 2-Macroglobulin One 2-macroglobulin combines two enzyme molecules 2-MG place where the cytokines combines Different Cytokine pools INF-γ, TNF-α, IL-2, IL-6, IL-12 stimulate the immune system IL-4, IL-5, IL-10, TGF-ß suppress the immune system Th1 Th2 Cytokine-imbalance leads to immune system problems Enzyme combinations? Different enzymes – different effects! Effect Bromelain Chymotrypsin Papain Trypsin +++ ++ ++ +++ + - +++ +++ +++ + ++ + Reduction of circulating immuncomplexes (CIC) ++ +++ - + Balancing of Cytokines ++ ++ ++ ++ Regulation of Immune Function Haemodilution Supports Circulatory Function Source: Modified from,Klaschka, Neue Perspektiven der Tumortherapie, Forum Medizin Verlag, 1996 Wobenzym® N Pankreatin Trypsin Chymotrypsin Bromelain Papain Rutosid 3 H2O 100 mg 24 mg 1 mg 45 mg 60 mg 50mg 940 F.I.P.-Units Wobenzym® N • Dosage • 1. week: • beginning 2. week: 3 x 5 tablets per day 3 x 3 tablets per day If you have any questions …. Please contact us by email: mis@online.ms Ruth Miller M.D. or Winfried Miller M.D. / D.V.M