Boswellia

Boswellia [Salai guggal, Boswellia serrata] has been used in Indian or
Ayurvedic medicine for thousand years. Its gummy exudate, containing
boswellic acids, has been believed to benefit various conditions including
diarrhea, dysentery, pulmonary disease, ringworm, osteoarthritis and
rheumatoid arthritis. [1] Some studies do show benefits of boswellic acids
on inflammation including arthritis and colitis. [2-6].

A typical extract contains 37.5-65% ob boswellic acids.

Biswellia may benefit inflammatory conditions.

Researchers demonstrated the anti-inflammatory effects of ethanolic
extracts of the gum resin exudate of Boswellia serrata in rat peritoneal
neutrophils. [8] And also, other researchers found mixed acetylboswellic
acids, pentacyclic triterpenes extracted from the gum resin of Boswellia
serrata significantly inhibited the ionophore-stimulated release of the
leukotrienes B4 and C4 from intact human polymorphonuclear neutrophil
leukocytes. [14]

In other experiments, researchers isolated isomers of boswellic acids
(BAs), 11-keto-beta-boswellic acid and acetyl derivatives from the gum
resin of Boswellia serrata. They found that boswellic acids and derivatives
decreased the formation of leukotriene B4 in rat peritoneal neutrophils.
[9] This experiment together with other experiments showed that
boswellic acids are specific, non-reducing-type inhibitors of the leukotriene
synthesis either interacting directly with the 5-lipoxygenase or blocking its
translocation. [9,11]

A study of sheep erythrocytes showed the anti-complementary activity of
boswellic acid. It inhibits the in vitro immunohaemolysis of antibody-
coated sheep erythrocytes by pooled guinea-pig serum via inhibition of
C3-convertase of the classical complement pathway. Boswellic acid also
exhibited weak inhibitory effects on individual components of the
complement system. [10]

Arthritis

Indian researchers evaluated a formula containing Boswellia serrata,
Withania somnifera, Curcuma longa and zinc complex in a study of
patients with osteoarthritis. They found that treatment with this formula
produced a significant drop in severity of pain and disability score.  
However, they also observed side effects during the treatments. [7]

Asthma

The gum resin of Boswellia serrata, known in Indian Ayurvedic system of
medicine as Salai guggal, contains boswellic acids, which have been shown
to inhibit leukotriene biosynthesis. In a double-blind, placebo-controlled
study forty patients, 23 males and 17 females in the age range of 18 - 75
years having mean duration of illness, bronchial asthma, of 9.58 +/- 6.07
years were treated with a preparation of gum resin of 300 mg thrice daily
for a period of 6 weeks. 70% of patients showed improvement of disease
as evident by disappearance of physical symptoms and signs such as
dyspnoea, number of attacks as well as decrease in eosinophilic count and
ESR. [15]

Ulcerative Colitis

In patients suffering from ulcerative colitis grade II and III the effect of
Boswellia serrata gum resin preparation (350 mg thrice daily for 6 weeks)
on stool properties, histolopathology and scan microscopy of rectal
biopsies, blood parameters including Hb, serum iron, calcium,
phosphorus, proteins, total leukocytes and eosinophils was studied.
Patients receiving sulfasalazine (1 g thrice daily) served as controls. All
parameters tested improved after treatment with Boswellia serrata gum
resin, the results being similar compared to controls: 82% out of treated
patients went into remission; in case of sulfasalazine remission rate was
75%. [12]

Liver Protection

With very limited studies, Indian researchers proposed that hexane
extract of oleo-gum-resin of Boswellia serrata might benefit liver injury
induced by carbon tetrachloride, paracetamol or thioacetamide. [17]

Boswellia may have benefits of cutting cancer risks

Researchers found four major triterpene acids from the gum resin of
Boswellia serrata inhibited the synthesis of DNA, RNA and protein in
human leukemia HL-60 cells in a dose dependent manner. Among them, 3-
O-acetyl-11-keto-beta-boswellic acid significantly inhibited the cellular
growth of HL-60 cells. [13]

On the other hand, boswellic acid acetate, a compound isolated from the
herb Boswellia carterii Birdw, can also induce differentiation and apoptosis
of leukemia cells. In one study, boswellic acid acetate failed to induce
erythroid leukemia DS-19 and K562 cells differentiation. However, only 20
microg/ml of boswellic acid acetate decreased viable cell number of myeloid
leukemia HL-60 cells by 60% within 24 h. Morphologic and DNA
fragmentation analysis proved that boswellic acid acetate induced cell
apoptosis. [16]

SIDE EFFECTS

Side effects of Boswellia are mild, including diarrhea, dysentery, pulmonary
disease, and ringworm.

THIS ARICLE CAN BE USED AS REFERENCE ONLY. YOUR MEDICAL DOCTOR SHOULD BE
CONSULTED FOR ALL QUESTIONS. ALL RIGHTS RESERVED ZHION 2006.

References 1. Safayhi H, Sailer ER, Amnon HPT. 5-lipoxygenase inhibition by acetyl-11-keto-
b-boswellic acid. Phytomed 1996;3:71–2. 2. Safayhi H, Mack T, Saieraj J, et al. Boswellic
acids: Novel, specific, nonredox inhibitors of 5-lipoxygenase. J Pharmacol Exp Ther 1992;261:
1143–6. 3. Singh GB, Atal CK. Pharmacology of an extract of salai guggal ex-Boswellia
serrata, a new non-steroidal anti-inflammatory agent. Agents Actions 1986;18:407–12. 4.
Gupta I, Parihar A, Malhotra P, et al. Effects of Boswellia serrata gum resin in patients with
ulcerative colitis. Eur J Med Res 1997;2:37–43. 5. Etzel R. Special extract of Boswellia serrata
(H15) in the treatment of rheumatoid arthritis. Phytomed 1996;3:91–4. [6] Reddy GK, et al,
Studies on the metabolism of glycosaminoglycans under the influence of new herbal anti-
inflammatory agents. Biochem Pharmacol. 1989 Oct 15;38(20):3527-34. [7] Kulkarni RR, et
al, Treatment of osteoarthritis with a herbomineral formulation: a double-blind, placebo-
controlled, cross-over study. J Ethnopharmacol. 1991 May-Jun;33(1-2):91-5. [8] Ammon HP,
et al, Inhibition of leukotriene B4 formation in rat peritoneal neutrophils by an ethanolic
extract of the gum resin exudate of Boswellia serrata. Planta Med. 1991 Jun;57(3):203-7. [9]
Safayhi H, et al, Boswellic acids: novel, specific, nonredox inhibitors of 5-lipoxygenase. J
Pharmacol Exp Ther. 1992 Jun;261(3):1143-6. [10] Kapil A, Moza N. Anticomplementary
activity of boswellic acids--an inhibitor of C3-convertase of the classical complement pathway.
Int J Immunopharmacol. 1992 Oct;14(7):1139-43. [11] Ammon HP, et al, Mechanism of
antiinflammatory actions of curcumine and boswellic acids. J Ethnopharmacol. 1993 Mar;38(2-
3):113-9. [12] Gupta I, et al, Effects of Boswellia serrata gum resin in patients with ulcerative
colitis. Eur J Med Res. 1997 Jan;2(1):37-43. [13] Shao Y, et al, Inhibitory activity of boswellic
acids from Boswellia serrata against human leukemia HL-60 cells in culture. Planta Med. 1998
May;64(4):328-31. [14] Wildfeuer A, et al, Effects of boswellic acids extracted from a herbal
medicine on the biosynthesis of leukotrienes and the course of experimental autoimmune
encephalomyelitis. Arzneimittelforschung. 1998 Jun;48(6):668-74. [15] Gupta I, et al, Effects
of Boswellia serrata gum resin in patients with bronchial asthma: results of a double-blind,
placebo-controlled, 6-week clinical study. Eur J Med Res. 1998 Nov 17;3(11):511-4. [16] Jing
Y, et al, Boswellic acid acetate induces differentiation and apoptosis in leukemia cell lines.
Leuk Res. 1999 Jan;23(1):43-50. [17] Y J, et al Effect of hexane extract of Boswellia serrata
oleo-gum resin on chemically induced liver damage. Pak J Pharm Sci. 2006 Apr;19(2):129-33.
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