Search Results (140)

Hepatocellular carcinoma is one of the most aggressive malignancies worldwide, with limited therapeutic options. Boswellia serrata Roxb., an Indian medicinal tree, produces a resin rich in essential oil and boswellic acids, particularly acetyl-11-keto-β-boswellic acid (AKBA), with demonstrated antiproliferative and pro-apoptotic activities. This study investigated the cytotoxic effects of B. serrata essential oil and AKBA on hepatocarcinoma Huh-7 cells in both monolayer and three-dimensional spheroid cultures and characterized the underlying molecular targets. Essential oil was extracted and analyzed by gas chromatography-mass spectrometry (GC-MS). Cytotoxicity was assessed using the cell counting kit-8 (CCK-8). Three-dimensional spheroid cultures were also established to evaluate anti-tumoral potential. Expression of cyclin D1, cyclin-dependent of kinase 4 (CDK4) (cyclin-dependent kinase inhibitor 1A (p21), E-cadherin, (alpha fetoprotein) AFP, epithelial cell adhesion molecule (EpCAM), Myeloid cell leukemia-1 (Mcl-1), and caspase-3 was analyzed by western blot. In addition, an in silico analysis was performed on the main constituents of B. serrata essential oil targeting 5-lipoxygenase (5LO). The results showed cytotoxic effects, with AKBA exhibiting greater potency than the essential oil. Cytotoxicity was associated with caspase-3-mediated apoptosis, with minimal effects on cell cycle and epithelial–mesenchymal transition markers. The in silico analysis predicted that some compounds may act as competitive inhibitors of the 5LO at the catalytic site and partially activate pro-apoptotic pathways. These data support the potential of B. serrata-derived compounds as novel anti-hepatocarcinoma agents, with AKBA and longifolene as leads for further preclinical and clinical research. Full article

Frankincense is a natural oleo-gum resin obtained from several Boswellia tree species, playing important roles in supporting the spiritual, cultural, and socioeconomic livelihoods of communities across East Africa. Despite their cultural and economic value, the Ethiopian market still lacks scientifically based criteria to evaluate and properly classify this raw material, with traditional grading relying on gum size, color, collection area, and impurity content. Frankincense-derived essential oil value is much higher than that of gum, making this valorization route very enticing. This work compares the extraction potential and chemical profiles of hydrodistilled essential oils from various commercial grades and also different Ethiopian harvest locations (Afar, Humera, Assosa, Shire, Metema, South Omo, Borena and Jigjiga). The essential oils were extracted using hydrodistillation with a Clevenger-type apparatus, and their chemical composition was identified with GC-MS. The results revealed no substantial quantitative and qualitative differences among commercial grades, showing that essential oils can be obtained indiscriminately from classification. As for harvesting locations, both the extraction yield and essential oil compositions varied substantially. With the economic value of frankincense essential oil around six times that of the raw resin required to obtain it, these results show the importance of revising the commercial grading system to reflect chemical composition and promote the value-added processing of both black and white frankincense, rather than relying mainly on raw resin exports. Full article

Background/Objectives: Knee osteoarthritis (KOA) is increasingly recognized as a function-limiting condition in which pain, neuromuscular impairment, and reduced physical activity interact with sarcopenic vulnerability to accelerate functional decline. This review reappraises commonly used oral nutraceuticals through a muscle–joint framework and examines whether they can be conservatively positioned as adjuncts that reduce symptom-related barriers to exercise-based care rather than as disease-modifying therapies. Methods: This review was conducted as a structured narrative synthesis informed by SANRA principles, using a structured and transparent search process and dual-independent study selection, without quantitative meta-analysis or formal certainty-of-evidence grading. PubMed/MEDLINE, Embase, and the Cochrane Library were searched for English-language studies published from January 2000 to March 2026, supplemented by reference screening of key reviews and international guidelines. Results: Mechanistic and clinical evidence supports a plausible pathway linking KOA pain, arthrogenic muscle inhibition, reduced loading, physical inactivity, and sarcopenic vulnerability. Across glucosamine/chondroitin, collagen peptides, omega-3 fatty acids, curcumin, and Boswellia, symptomatic benefits were modest, heterogeneous, and formulation-dependent, with no consistent evidence of structural disease modification. Direct evidence that nutraceuticals improve exercise adherence or long-term physical activity remains limited; however, selected exercise-integrated or function-oriented studies show participation-relevant signals in gait speed, activity volume, and performance-based outcomes. Conclusions: Nutraceuticals should be interpreted as optional, time-limited adjuncts within exercise-centered KOA management. Their potential value lies in modest symptom support that may facilitate rehabilitation participation in selected patients, not in stand-alone treatment of KOA or sarcopenia. Full article

Background: Boswellia serrata has traditionally been used in Ayurvedic medicine for its anti-inflammatory and antioxidant properties. Although several studies support clinical analgesic efficacy, the underlying mechanisms have not been investigated in human experimental pain models. This randomized, double-blind, placebo-controlled, crossover pilot trial aimed to examine the mode of action of Boswellia serrata to differentiate between its peripheral and central effects. This exploratory pilot study was designed to generate preliminary effect size estimates and assess functional pain-processing outcomes, rather than to provide definitive evidence of clinical efficacy. Methods: Twelve healthy volunteers were recruited and received either 300 mg of Boswellia serrata extract or a visually identical placebo twice daily for 28 days, separated by a 4-week washout period. Pain and sensitization were induced using a topical capsaicin model. Outcomes included spontaneous pain intensity, mechanical allodynia, pinprick hyperalgesia, thermal thresholds, and conditioned pain modulation, alongside psychological assessments of mood, anxiety, sleep, and structured adverse-event monitoring. Results: Results showed no significant difference in the primary endpoint of spontaneous pain intensity between Boswellia and placebo (VAS 43 ± 21 vs. 47 ± 17; d = 0.18; p = 0.539). Conclusions: While Boswellia serrata did not significantly reduce acute peak pain in this model, the observed trends suggest a potential multi-level modulatory influence on nociceptive processing and endogenous pain inhibition. These findings warrant larger clinical trials to further elucidate its therapeutic potential, particularly in populations with impaired pain modulation. Full article

Boswellic acids (BAs), the major bioactive constituents of Boswellia serrata oleo–gum resin, exhibit well-documented anti-inflammatory and antioxidant activities, which correspond to their healing effects in arthritis, inflammatory bowel disease, asthma, metabolic syndrome, liver disorders, and certain cancers. However, their therapeutic potential is hindered by their poor aqueous solubility, low intestinal absorption, extensive metabolism, and overall low oral bioavailability. This review provides a comprehensive analysis of conventional Boswellia serrata products and advanced drug delivery systems designed to enhance the biological performance of BAs. We summarize recent developments in formulation strategies, including phytosomes, micelles, self-emulsifying drug delivery systems, solid lipid particles, polymeric nanoparticles, hydrogels, cyclodextrin complexes, metal-based nanocarriers, and hybrid delivery platforms. Available in vivo and cellular studies are critically evaluated, with a focus on disease-specific outcomes. Results indicate that emerging formulation technologies significantly increase the oral absorption, systemic exposure, and biological effectiveness of BAs. However, despite promising preclinical data, challenges remain regarding the standardization of Boswellia extracts, the stability of novel formulations, their safety, and limited clinical evaluation. By comparing the advantages and limitations of conventional preparations with modern drug delivery systems, this review outlines the most effective strategies to enhance the bioavailability of BAs and highlights future research directions for their translational development. Full article

In recent years, the emergence of drug-resistant pathogens and the limitations of current therapies have highlighted the need for innovative strategies to combat emerging viral infections. Natural compounds, derived from plants, are playing an increasingly significant role in the research of novel and effective therapies. Boswellia sacra, a frankincense-producing tree widely distributed in Yemen and Oman, and Nerium oleander, a common ornamental and medicinal plant, are examples of plants with well-documented antimicrobial properties. Their extracts have demonstrated good activity against a wide range of infections, which is attributed to the anti-inflammatory and immunomodulatory compounds they contain. Based on these findings, we assessed, in vitro, the broad-spectrum antiviral activity of combined extracts obtained from Boswellia sacra and Nerium oleander. The extract mixture NOBS7(1) was found to be active against the respiratory virus RSV, Herpesvirus simplex type 1, and Coxsackievirus 5. Furthermore, a combination of cell-based assays was performed to provide additional insights into their potential mechanism of action. Full article

This study investigated the effects of supplementing a commercial milk replacer with Boswellia serrata resin (BSR), a natural frankincense extract rich in boswellic acids that possess anti-inflammatory and antioxidant properties, on the growth performance, serum biochemical parameters, and meat quality of suckling lambs. Twenty-four Assaf lambs were randomly assigned to three groups (n = 8 per group): natural suckling (NS), milk replacer (MR), and MR supplemented with BSR (MR+BSR). The experimental period lasted 60 days, during which growth performance and blood indices were evaluated, followed by meat quality assessment at the end of the trial. Lambs reared artificially (MR and MR+BSR) showed greater growth performance than naturally suckled lambs, as evidenced by significantly higher final body weight (p = 0.003) and average daily gain (p = 0.002), while initial body weight did not differ among treatments (p = 0.881). Within the artificially reared groups, however, BSR supplementation did not further increase growth relative to milk replacer alone. Supplementation with BSR improved the health and metabolic profile of lambs, resulting in higher serum total protein (p < 0.001), albumin (p < 0.001), and globulin (p < 0.001) concentrations. Moreover, BSR supplementation reduced the increase in aspartate aminotransferase (p < 0.001) and alanine aminotransferase (p < 0.001) activities observed in the MR group. No significant differences were detected in meat proximate composition (p > 0.05). However, meat from the NS group was significantly harder (p = 0.002) and more cohesive (p = 0.003) than meat from lambs fed MR or MR+BSR. In addition, the MR+BSR group produced meat with a higher redness (a*) value (p = 0.041), indicating an improved color quality. In conclusion, supplementing milk replacers with BSR enhanced the physiological and biochemical health of suckling lambs and enhanced specific meat quality traits, suggesting its potential as a natural functional additive in artificial rearing systems. Full article

Porphyromonas gingivalis is a keystone pathogen in periodontitis, known for its ability to invade gingival epithelial cells and persist intracellularly. Conventional antimicrobials are often ineffective against intracellular pathogens, and natural products remain poorly explored in this context. Here, we investigated the antimicrobial effects of Boswellia serrata extract and its bioactive compounds on the dynamics of P. gingivalis infection in human gingival epithelial cells. During early times of infection, B. serrata extracts stimulated phagocytosis and increased bacterial internalization, suggesting modulation of epithelial uptake mechanisms. At later times of infection, B. serrata increased production of reactive oxygen species (ROS) in host cells and markedly reduced intracellular bacterial load. The antimicrobial effect was abolished by the ROS scavenger N-acetylcysteine, confirming a role for oxidative mechanisms in the clearance of P. gingivalis. Similar results were obtained with 3-O-acetyl-11-keto-β-boswellic acid (AKBA), one of the major boswellic acid derivatives found in B. serrata extract. These findings reveal a dual role of B. serrata compounds in response to P. gingivalis infection, in which B. serrata initially facilitates bacterial entry and subsequently promotes ROS-dependent intracellula These findings provide new mechanistic insights into the regulation of host–pathogen interactions by the natural products found in B. serrata. Our results support the therapeutic potential of B. serrata-derived compounds for managing periodontal infections. Full article

This study evaluated the effects of chitosan composite edible coatings with frankincense essential oil on microbial growth and strawberry quality. Four coatings were prepared using 1% and 3% chitosan aqueous solutions, with or without 1% (v/v) frankincense essential oil derived from Boswellia sacra. Fresh strawberries were coated with chitosan and chitosan–frankincense solutions and stored under controlled conditions for eight days. The physical properties of strawberries, such as color, texture, moisture content, pH, and total soluble solids, were evaluated throughout the storage period. Results indicated that neither chitosan nor chitosan–frankincense oil coatings significantly altered the physical properties of the strawberries, such as the color, pH, moisture content, total soluble solids, and hardness at each time point. However, a significant effect of time (2-way ANOVA, p < 0.05) was observed on pH, TSS, color and hardness characteristics of strawberries. All tested coatings effectively inhibited bacterial growth. The strawberries covered with 3% chitosan–frankincense oil coating had the lowest bacterial count (74 CFU/mL). The addition of frankincense to 1% of chitosan significantly reduced the number of bacteria by 1.6-fold. Additionally, chitosan–frankincense oil films significantly reduced the growth of E. coli compared to both the chitosan film and the control. These findings suggest that chitosan combined with frankincense oil can serve as an effective natural alternative for edible coating in food preservation, offering both antimicrobial benefits and quality retention during storage. Full article

Background: Burn wound repair is driven by oxidative balance and keratinocyte regeneration. Polyphenol-rich botanicals are considered promising due to combined antioxidant and pro-regenerative properties. This study compares four ethnopharmacologically relevant species—Boswellia serrata (BS), Sambucus nigra (SN), Ocimum basilicum (OB), and Galium verum (GV)—to determine how their polyphenolic class profiles relate to in vitro regenerative activity. Methods: Ethanolic (E—99.5%) and hydroalcoholic (H—70%) extracts were profiled by LC–MS, total polyphenol content (TPC), and DPPH assays. Biological effects were assessed in HaCaT keratinocytes using Alamar Blue (24/48 h) and scratch wound closure (24 h), and results were correlated with chemical profiles. Results: The H extract of OB (OB-H) and of GV (GV-H) had the highest TPC (62.6 and 63.9 mg GAE/g) and lowest DPPH IC₅₀ (18.7 and 17.1 μg/mL), aligning with the strongest biological responses—HaCaT viability up to 169.1% and wound closure up to 414%. SN extracts, dominated by rutin, promoted moderate migration with preserved viability, whereas BS produced modest viability gains. Conclusions: Polyphenolic composition—particularly the dominance of phenolic acids—correlates strongly with in vitro regenerative responses in HaCaT keratinocytes. O. basilicum and G. verum hydroalcoholic extracts displayed the most favorable profiles. Full article

Introduction: Chronic low back pain (CLBP) with neuropathic components poses a therapeutic challenge due to the limited efficacy and tolerability of conventional pharmacologic options. Botanical extracts such as Acmella oleracea and Boswellia serrata have demonstrated anti-inflammatory and analgesic properties. This study aimed to explore the role of a food supplement containing a standard formulation of these extracts as an adjunct to standard care in patients with CLBP. Methods: In this prospective, multicenter, observational, real-world, cohort study, 103 patients with CLBP and neuropathic pain received a standardized A. oleracea and B. serrata extract for 8 weeks as an add-on to ongoing therapy. Neuropathic pain was assessed using the painDETECT (PD-Q) and Neuropathic Pain Symptom Inventory (NPSI). General pain intensity (NRS), disability (ODI), quality of life (SF-12), concomitant analgesic use, and safety were also monitored at baseline, and at Weeks 2, 4, and 8. Results: PD-Q scores significantly decreased by 13.4% at Week 2, 25.5% at Week 4, and 37.1% at Week 8 and NPSI scores decreased by 15.8%, 24.4%, and 36.9%, respectively (all p < 0.0001 vs. baseline). NRS pain intensity improved by 28.0% by Week 8 (p < 0.0001). ODI scores reduced by 20.8% (p < 0.0001) and SF-12 scores improved by 4.1% (p < 0.001) compared to baseline. Use of NSAIDs and gabapentinoids decreased by 23.7%, and 22.2%, respectively (p < 0.05). No serious adverse events occurred; mild and transient effects were reported in 8.7% of patients. Conclusions: The A. oleracea and B. serrata extract as adjunctive therapy resulted in significant improvements in neuropathic pain, functional disability, and reduced medication use, with good tolerability. While these findings suggest a potential role for this botanical combination in managing CLBP with neuropathic components, the absence of a control group limits causal inference. Randomized controlled trials are needed to establish efficacy and confirm these preliminary observations. Full article

Respiratory and food allergy conditions are increasing internationally and the most commonly used drugs in these conditions are antihistamines, products that can interfere as histamine receptor antagonists. In accordance with the need to test new principals capable of developing fewer side effects, we preliminarily studied the therapeutic antihistamine effect in vitro and in vivo of an innovative nutraceutical blend based on Quercetin, Perilla frutescens, Boswellia serrata, Blackcurrant, Parthenium, Helichrysum, Lactobacillus acidophilus and Bifidobacterium animalis. The in vitro test demonstrated the interaction between the examined mixture and a rat leukemia cell line (RBL-2H3) widely used as a model simulating mast cells in immunological and allergological studies; this pre-clinical test demonstrated a statistically significant reduction in cell histamine degranulation (about 30%). The in vivo test demonstrated instead that the mixture interferes up to 30% in the development of histamine wheal. In addition, during the in vitro test, we also tested the effect of the mixture on allergic inflammation, so we evaluated the interference of the mixture on TNF alpha levels, determining a reduction in tested concentrations of about 13%. Full article

Background: Knee osteoarthritis (KOA) is a prevalent degenerative joint disease that can greatly affect quality of life in middle-aged and elderly individuals. Nutritional supplements are increasingly used for KOA due to their low risk, but direct comparative evidence on their efficacy and safety remains scarce. This study aimed to systematically compare the effectiveness and safety of seven common nutritional supplements for KOA. Methods: A systematic review and network meta-analysis were conducted following PRISMA guidelines. Embase, PubMed, and the Cochrane Library were searched through December 2024 for randomized controlled trials (RCTs) evaluating use of eggshell membrane, vitamin D, Boswellia, curcumin, ginger, krill oil, or collagen, versus placebo, in adults with KOA. Primary outcomes included changes in scores for WOMAC pain, stiffness and function, and pain visual analog scale (VAS). Adverse events were also assessed. Bayesian network meta-analyses estimated ranking probabilities for each intervention. Results: In total, 39 RCTs (42 studies; 4599 patients) were included. Compared with placebo, Boswellia showed significant improvements in WOMAC pain (mean difference [MD] = 10.58, 95% CI: 6.45 to 14.78, p < 0.05), stiffness (MD = 9.47, 95% CI: 6.39 254 to 12.74, p < 0.05), function (MD = 14.00, 95% CI: 7.74 to 20.21, p < 0.05), and VAS pain (MD = 17.26, 95% CI: 8.06 to 26.52, p < 0.05). Curcumin, collagen, ginger, and krill oil also demonstrated benefits in some outcomes. No supplement was associated with increased adverse events compared to placebo. Bayesian rankings indicated Boswellia had the highest probability of being most effective for pain and stiffness, with krill oil and curcumin showing potential for function improvement. Conclusions: Nutritional supplements, particularly Boswellia, appear to be effective and well-tolerated for improving KOA symptoms and function. These results suggest that certain supplements may be useful as part of non-pharmacological KOA management. However, further large-scale, well-designed randomized controlled trials (RCTs) are needed to confirm these findings, particularly those that include more standardized dosages and formulations, as well as to evaluate their long-term efficacy. Full article

Background: Glioblastoma (GBM IDH-wildtype WHO 2021) is an aggressive central nervous system malignancy with a poor prognosis despite standard therapy. Integrative oncology approaches involving natural compounds have shown potential in preclinical studies to enhance the efficacy of chemoradiotherapy. Methods: This prospective, longitudinal observational pilot study, lacking a randomized control group, followed 72 newly diagnosed glioblastoma patients (diagnosed by histological examination and MGMT promoter molecular study alone, grade 4 glioma patients) treated with the STUPP protocol. This group could voluntarily opt to receive integrative therapy (IT), which included polydatin, curcumin, and Boswellia serrata, in addition to standard care. Survival outcomes were compared between IT-adherent and non-adherent patients. Multivariate Cox regression was employed to adjust for potential confounders, including age, extent of surgical resection, and corticosteroid use. Results: The median overall survival (OS) for the entire cohort was 13.3 months. Patients who adhered to IT (n = 60) had a median OS of 25.4 months, which increased to 34.4 months for those who underwent gross total resection. The non-IT group (n = 12) exhibited a median OS of 10.6 months. Multivariate analysis confirmed that IT adherence and the extent of resection were independent predictors of prolonged survival (p < 0.05). No severe adverse events were reported with IT. Conclusions: Integrative therapy combining polydatin, curcumin, and Boswellia serrata with standard treatment would appear to be associated with prolonged survival in glioblastoma patients, particularly among those who underwent gross total resection. However, the small size of the control group, the absence of randomization, and the inclusion solely of primary glioblastoma limit the generalizability of these findings. These results underscore the need for further investigation through randomized controlled trials. Full article

Background: In burn injuries, wound healing effectiveness is complex and influenced significantly by the local biochemical environment and the physicochemical properties of topical preparations. pH lesions modulation can influence protection barrier integrity, inflammatory responses, and microbial colonization. Their antioxidant, antimicrobial, and anti-inflammatory properties, of the topical formulations enriched with plant extracts have demonstrated promising results. Objective: The aim of the study was to develop and characterize topical oleogel and hydrogel formulations containing ethanolic and hydroalcoholic extracts of medicinal plants (Boswellia serrata, Ocimum basilicum, Sambucus nigra, and Galium verum), and to evaluate the impact of their physicochemical properties, rheological behavior, in contrast with the wound pH modulation, and healing efficacy in an experimental burn model. Methods: Second-degree burns were induced uniformly on Wistar rats using the validated RAPID-3D device. All formulations were applied daily for 21 days, and wound healing was assessed through several measurements specific to the wound surface, skin temperature, pH, and, last but not least, histological analyses. Formulations’ physicochemical and rheological properties, including pH, viscosity, and spreadability, were also analyzed and systematically characterized. Results: Oleogel formulations demonstrated superior wound healing performance compared to hydrogels. Formulations containing Boswellia serrata and Ocimum basilicum extracts significantly reduced wound size, inflammation, and melanin production by days 9 and 21 (p < 0.05). The beneficial outcomes correlated strongly with formulation acidity (pH < 6), high viscosity, and enhanced thixotropic behavior, indicating improved adherence and sustained bioactive compound release. Histological evaluations confirmed enhanced epithelialization and reduced inflammation. Conclusions: Particularly Boswellia serrata and Ocimum basilicum in oleogel formulations in ethanolic solvent effectively modulated wound pH, enhanced topical adherence, and improved burn wound healing. These findings highlight their potential clinical application and justify further clinical investigations. Full article