For centuries, noni (Morinda citrifolia) has been used in Polynesia, India, and Southeast Asia as a natural remedy for wellness. Today, scientists are studying whether noni truly lives up to its reputation as a superfruit—especially when it comes to immune health.

A peer-reviewed study published in Foods (2022) examined the effects of fermented noni polysaccharides (FMP) on immune function in macrophages and mice. The findings suggest that fermented noni may help strengthen both innate and adaptive immunity.


Why Noni?

The noni fruit contains a variety of bioactive compounds, including:

  • Iridoids such as deacetylasperulosidic acid (DAA)
  • Polysaccharides (plant-based immune-active molecules)
  • Vitamins, minerals, and antioxidants

Fermentation enhances these compounds, increasing DAA levels and boosting immune activity compared to raw noni.


Key Findings From the Study: Immunomodulatory Effect of Polysaccharide from Fermented Morinda citrifolia L. (Noni) on RAW 264.7 Macrophage and Balb/c Mice

1. Innate Immunity Boost

Innate immunity is the body’s first defense against pathogens. The study found that fermented noni polysaccharides:

  • Increased nitric oxide (NO) production in macrophages.
  • Stimulated release of immune messengers (IL-6, IL-1β, TNF-α).
  • Enhanced expression of COX-2 and iNOS, proteins critical for immune signaling.
  • Strengthened NK (natural killer) cell activity, which helps eliminate viruses and abnormal cells.

2. Support for Adaptive Immunity

Adaptive immunity provides long-term protection by creating antibodies and memory cells. In the study, mice given fermented noni showed:

  • Higher Th1 cytokines (IL-2, IL-12, IFN-γ), which support cellular immunity.
  • Higher Th2 cytokines (IL-4, IL-10), which support antibody production.

➡️ This suggests fermented noni may enhance both cellular and humoral immunity without disrupting the balance between Th1 and Th2 responses.


3. Immune Cell Regulation

Researchers measured immune cell populations across several tissues (spleen, mesenteric lymph nodes, peritoneal exudate cells, Peyer’s patches, and peripheral blood). They found:

  • Increased T cells (CD3+, CD4+), NK cells, and B cells in immune organs.
  • In peripheral blood mononuclear cells (PBMCs):
    • T cells and NK cells increased
    • B cells decreased

This suggests fermented noni may help regulate immune activity, though the authors note that further studies are needed to confirm these effects in humans.


Why Fermented Noni Matters

While traditional noni juice has been consumed for centuries, this study focused on fermented noni polysaccharides. Fermentation appears to increase the potency of noni by enriching active compounds and enhancing bioavailability.

💡 Important note: This research was conducted in cells and mice, not humans. While promising, more clinical studies are needed before making definitive health claims.


Practical Takeaway

The findings indicate that fermented noni polysaccharides:

  • Enhance both innate and adaptive immunity
  • Increase production of immune-signaling molecules
  • Improve immune cell activity in multiple tissues
  • Support immune balance without overstimulation

This makes fermented noni a promising candidate as a functional food ingredient to support immune health.


Adding Noni to Your Routine

Although the study used extracted polysaccharides, you can find noni in several forms today:

  • Fermented noni juice (closest to the study conditions)
  • Noni powder or capsules
  • Blended supplements with other superfoods

If you’re considering noni products, choose fermented options from trusted brands, since fermentation was a key factor in the study’s results.


Final Thoughts

The study published in Foods (2022) provides strong scientific evidence that fermented noni polysaccharides may enhance immune function by boosting both immediate and long-term defenses. While these results were seen in laboratory and animal models, they align with centuries of traditional noni use for wellness.

As research continues, fermented noni could play a larger role in functional foods designed to naturally support immune health.


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