Collagen

Purported Benefits, Side Effects & More

Collagen

Purported Benefits, Side Effects & More
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Collagen

Common Names

  • Collagen peptides
  • Gelatin
  • Hydrolyzed collagen

For Patients & Caregivers

Tell your healthcare providers about any dietary supplements you’re taking, such as herbs, vitamins, minerals, and natural or home remedies. This will help them manage your care and keep you safe.


What is it?

Collagen is a protein that your body makes to support the skin and bones. It is found in foods such as bone broth, fish, skin-on chicken, beef, pork, organ meats, egg whites, and berries.

Collagen supplements come as powders, tablets, capsules and liquids. It is also added to skin creams and moisturizers.

What are the potential uses and benefits?

Collagen is used to:

  • Improve elasticity of skin and reduce wrinkles
  • Strengthen nails and hair
  • Help reduce joint pain and stiffness
  • Heal wounds

Collagen also has other uses that haven’t been studied by doctors to see if they work.

It’s generally safe to get collagen from food. Talk with your healthcare providers before taking collagen supplements. 

Supplements can interact with some medications and affect how they work. For more information, read the “What else do I need to know?” section below.

What are the side effects?
  • Side effects have not been reported.

For Healthcare Professionals

Clinical Summary

An important structural protein, collagen mainly consists of the amino acids glycine, proline, and hydroxyproline. It helps maintain skin elasticity, volume and moisture; and plays a role in keratin production that provides structure to hair, nails and skin. Collagen is made naturally in the body, but production decreases with aging, sun damage, smoking as well as alcohol consumption. Collagen supplements, for both oral and topical use, are promoted for improving skin, nail, and hair health.

There are no conclusive data on the skin protective effects of collagen. Although meta-analyses suggest that collagen peptides help improve skin hydration and elasticity (1) (2) (3), conflicting findings from another analysis showed no such benefits (4). Supplementation may improve nail health, but larger trials are needed to confirm efficacy and safety of long-term use (5) (6)

Collagen was also shown to have positive effects on pain and function in patients with osteoarthritis, but the quality of evidence is low (7) (8). Additionally, it may support recovery in physically active individuals by aiding connective tissue repair and reducing joint pain (9) (10).

In the context of cancer, preclinical findings show that collagen plays a dual role. High collagen levels may promote metastasis in breast cancer models (11) and  decrease efficacy of anti-PD-1/PD-L1 therapies in lung cancer models (12). But collagen also demonstrated tumor-suppressive effects in breast cancer cells (13) and conferred protection against pancreatic cancer (14)
Future research is needed to clarify the role of collagen in cancer and its treatments.

Food Sources
  • Bone broth, fish, skin-on chicken, beef, pork, organ meats, egg whites, berries
Purported Uses and Benefits
  • Skin health
  • Nail and hair health
  • Joint health
  • Wound healing 
Mechanism of Action

Collagen contributes to the extracellular matrix in connective tissues, providing structural strength and elasticity. Hydrolyzed collagen peptides are absorbed in the gastrointestinal tract and stimulate fibroblast activity, leading to increased collagen synthesis and extracellular matrix remodeling (1) (2). They also promote the production of glycosaminoglycans, supporting  skin hydration (2).

In other studies, collagen was shown to reduce inflammation and cartilage degradation through its effects on T-cell activity and macrophage polarization (15).

High-density collagen can affect the ability of T cells to kill cancer cells by regulating the migration of T cells into the tumor (16). However, it also showed tumor-suppressive effects in breast cancer models via its effects on fibrillar collagen deposited and remodeled by stromal fibroblasts/ECM functional units (13).

Adverse Reactions

Adverse effects have not been reported.

Dosage (OneMSK Only)
References
  1. de Miranda RB, Weimer P, Rossi RC. Effects of hydrolyzed collagen supplementation on skin aging: a systematic review and meta-analysis. Int J Dermatol. 2021;60(12):1449-1461.
  2. Barati M, Jabbari M, Navekar R, et al. Collagen supplementation for skin health: A mechanistic systematic review. J Cosmet Dermatol. 2020;19(11):2820-2829.
  3. Pu SY, Huang YL, Pu CM, Kang YN, Hoang KD, Chen KH, Chen C. Effects of Oral Collagen for Skin Anti-Aging: A Systematic Review and Meta-Analysis.  Nutrients. 2023 Apr 26;15(9):2080.
  4. Myung SK, Park Y. Effects of Collagen Supplements on Skin Aging: A Systematic Review and Meta-analysis of Randomized Controlled Trials. Am J Med. 2025 May 3:S0002-9343(25)00283-9.
  5. Hexsel D, Zague V, Schunck M, Siega C, Camozzato FO, Oesser S. Oral supplementation with specific bioactive collagen peptides improves nail growth and reduces symptoms of brittle nails.  J Cosmet Dermatol. 2017 Dec;16(4):520-526.
  6. Vleminckx S, Virgilio N, Asserin J, Prawitt J, Silva CIF. Influence of collagen peptide supplementation on visible signs of skin and nail health and -aging in an East Asian population: A double blind, randomized, placebo-controlled trial.  J Cosmet Dermatol. 2024 Nov;23(11):3645-3653.
  7. Honvo G, Lengelé L, Charles A, Reginster JY, Bruyère O. Role of Collagen Derivatives in Osteoarthritis and Cartilage Repair: A Systematic Scoping Review With Evidence Mapping.  Rheumatol Ther. 2020 Dec;7(4):703-740.
  8. Liu X, Machado GC, Eyles JP, Ravi V, Hunter DJ. Dietary supplements for treating osteoarthritis: a systematic review and meta-analysis.  Br J Sports Med. 2018 Feb;52(3):167-175.
  9. Kirmse M, Lottmann TM, Volk NR, et al. Collagen Peptide Supplementation during Training Does Not Further Increase Connective Tissue Protein Synthesis Rates. Med Sci Sports Exerc. 2024;56(12):2296-2304.
  10. Khatri M, Naughton RJ, Clifford T, Harper LD, Corr L. The effects of collagen peptide supplementation on body composition, collagen synthesis, and recovery from joint injury and exercise: a systematic review. Amino Acids. 2021;53(10):1493-1506.
  11. Papanicolaou, M., Parker, A.L., Yam, M. et al. Temporal profiling of the breast tumour microenvironment reveals collagen XII as a driver of metastasis. Nat Commun13, 4587 (2022). https://doi.org/10.1038/s41467-022-32255-7
  12. Peng DH, Rodriguez BL, Diao L, et al. Collagen promotes anti-PD-1/PD-L1 resistance in cancer through LAIR1-dependent CD8+ T cell exhaustion. Nat Commun. 2020 Sep 9;11(1):4520.
  13. Stewart DC, Brisson BK, Dekky B, et al. Prognostic and therapeutic implications of tumor-restrictive type III collagen in the breast cancer microenvironment.  NPJ Breast Cancer. 2024 Oct 2;10(1):86.
  14. Chen Y, Kim J, Yang S, Wang H, et al. Type I collagen deletion in αSMA+ myofibroblasts augments immune suppression and accelerates progression of pancreatic cancer. Cancer Cell. 2021 Apr 12;39(4):548-565.e6.
  15. Lugo JP, Saiyed ZM, Lane NE. Efficacy and tolerability of an undenatured type II collagen supplement in modulating knee osteoarthritis symptoms: a multicenter randomized, double-blind, placebo-controlled study. Nutr J. 2016;15:14.
  16. Rømer AMA, Thorseth ML, Madsen DH. Immune Modulatory Properties of Collagen in Cancer. Front Immunol. 2021;12:791453.
  17. Seong SH, Lee YI, Lee J, et al. Low-molecular-weight collagen peptides supplement promotes a healthy skin: A randomized, double-blinded, placebo-controlled study. J Cosmet Dermatol. 2024 Feb;23(2):554-562.
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