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Does boswellia inhibit MMP13?

In animal and lab studies, yes. AKBA, the lead boswellic acid, suppressed MMP13 in rats with chemically induced knee damage, and a frankincense extract lowered MMP13 gene activity in cartilage samples. Human trials of boswellia extracts measured other markers, such as MMP-3 and collagen breakdown fragments, not MMP13 itself.

AKBA in rats

Abo-Zalam and colleagues injected a chemical, monosodium iodoacetate, into the right knees of male rats to damage the joint, then gave AKBA by mouth daily from day 3 to day 14, with nine rats per group (Abo-Zalam 2025). AKBA suppressed MMP13 and raised TIMP-1, the body's own MMP brake, and SOX9, a cartilage-building control protein. It lowered CTX-II, a fragment of type II collagen, in the blood, and the cartilage scores returned to normal (Abo-Zalam 2025). It also calmed the HMGB1, TLR4 and NF-kB inflammatory pathway and raised the Nrf2 antioxidant pathway. The abstract labels the treated group AKBA250 without spelling out the unit.

Frankincense and cartilage samples

Blain and colleagues broke down cartilage samples over 28 days with two inflammatory messengers, IL-1 alpha and oncostatin M, with or without 100 micrograms per ml of a Boswellia frereana extract (Blain 2010). The extract stopped the breakdown of the collagen matrix and reduced MMP9 and MMP13 mRNA. Its main constituent turned out to be epi-lupeol rather than a boswellic acid (Blain 2010). Boswellia frereana is a different species from Boswellia serrata, the one used in most trials.

A serrata extract in rats

In rats with chemically induced knee damage, 5-Loxin, a Boswellia serrata extract, given by mouth, preserved glycosaminoglycans and aggrecan in the joint by turning down MMPs (Shin 2022). The abstract reports MMPs as a group and doesn't single out MMP13.

What the human trials measured

Four placebo-controlled trials in people with knee osteoarthritis have tested boswellia extracts:

  • 75 people took 100 or 250 mg of 5-Loxin, an extract with 30% AKBA, or placebo, for 90 days. MMP-3 in joint fluid fell (Sengupta 2008).
  • 60 people took 100 mg of 5-Loxin or of Aflapin, or placebo, for 90 days. Separate lab tests showed Aflapin inhibited MMP-3 (Sengupta 2010).
  • 80 people took 100 mg a day of Aflapin or placebo for 180 days. MRI cartilage volume and thickness increased against placebo, and serum MMP-3 and type II collagen breakdown fragments in blood and urine fell (Kumar 2025).
  • 62 people took 300 mg of boswellia gum resin with 250 mg of celery seed extract, or placebo, for 90 days. CTX-II and MMP-3 fell and markers of collagen building rose (Vaidya 2025).

None of these abstracts reports measuring MMP13. MMP-3 is a different MMP, and CTX-II shows collagen breakdown without naming the enzyme responsible.

What this can and can't tell you

The MMP13 evidence for boswellia comes from rats and cartilage samples (Abo-Zalam 2025; Blain 2010). The human trials each tested one extract at one dose, and their results belong to those extracts. They don't show what other boswellia preparations, other doses or combinations would do.

Other questions people ask

What is AKBA?

3-O-acetyl-11-keto-beta-boswellic acid, the lead boswellic acid in boswellia resin. In rats it suppressed MMP13 and raised the MMP inhibitor TIMP-1.

Is frankincense the same as boswellia?

Frankincense comes from Boswellia trees. The cartilage sample study used Boswellia frereana; most human trials used extracts of Boswellia serrata.

Did the boswellia trials measure MMP13?

Not according to their abstracts. They measured MMP-3 and type II collagen breakdown fragments such as CTX-II.

Sources

  1. Abo-Zalam HB, Gendy AM, Ali BM et al. Acetyl-11-keto-beta-boswellic acid ameliorates monosodium iodoacetate-induced osteoarthritis in rats: implications of HMGB1/TLR4/NF-κB and Nrf2/HO-1. Front Pharmacol 2025.
  2. Blain EJ, Ali AY, Duance VC. Boswellia frereana (frankincense) suppresses cytokine-induced matrix metalloproteinase expression and production of pro-inflammatory molecules in articular cartilage. Phytother Res 2010.
  3. Shin MR, Kim HY, Choi HY et al. Boswellia serrata Extract, 5-Loxin®, Prevents Joint Pain and Cartilage Degeneration in a Rat Model of Osteoarthritis through Inhibition of Inflammatory Responses and Restoration of Matrix Homeostasis. Evid Based Complement Alternat Med 2022.
  4. Sengupta K, Alluri KV, Satish AR et al. A double blind, randomized, placebo controlled study of the efficacy and safety of 5-Loxin for treatment of osteoarthritis of the knee. Arthritis Res Ther 2008.
  5. Sengupta K, Krishnaraju AV, Vishal AA et al. Comparative efficacy and tolerability of 5-Loxin and Aflapin Against osteoarthritis of the knee: a double blind, randomized, placebo controlled clinical study. Int J Med Sci 2010.
  6. Kumar B, Ghaytidak AB, Pandey AK et al. A Standardized Boswellia serrata Extract Improves Knee Joint Function and Cartilage Morphology in Human Volunteers with Mild to Moderate Osteoarthritis in a Randomized Placebo-Controlled Study. J Am Nutr Assoc 2025.
  7. Vaidya N, Agarwal R, Dipankar DG et al. Efficacy and Safety of Boswellia serrata and Apium graveolens L. Extract Against Knee Osteoarthritis and Cartilage Degeneration: A Randomized, Double-blind, Multicenter, Placebo-Controlled Clinical Trial. Pharm Res 2025.

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Last reviewed 3 November 2026Every study cited here is indexed on PubMed. How we read the evidence