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Collection of medicinal mushrooms including Enoki, King Oyster mushrooms, and Shiitake
Medicinal mushrooms are mushrooms used in the practice of medicine. Many species of mushrooms have been used in folk medicine for thousands of years. The use of mushrooms in folk medicine, is best documented in the East. Medicinal mushrooms are now the subject of study for many ethnobotanists and medical researchers. The ability of some mushrooms to inhibit tumor growth and enhance aspects of the immune system has been a subject of research for approximately 50 years. In the span of this time, preclinical studies have shown 200 species of mushrooms that demonstrated the ability to markedly inhibit the growth of different kinds of tumors, however dosage and effects on humans is mostly unknown. More extensive information regarding the toxicology of some medicinal mushrooms is also needed.

Research with mushrooms and fungi in the past, has led to the discovery of important pharmaceuticals. For example, research with fungi is how the statin drugs were developed. Dr. Akira Endo isolated the first statin, mevastatin, from the fungus Penicillium citrinum in 1976. Later the pharmaceutical company Merck & Co. isolated lovastatin from the fungus Aspergillus terreus. Recent research has found that the oyster mushroom naturally produces lovastatin, mushrooms produce large amounts of vitamin D when exposed to UV light, and that certain fungi may be a future source of taxol. In the past, research conducted with fungi has also led to the discovery of penicillin, ciclosporin, griseofulvin, cephalosporin, and ergometrine. International mushroom research continues today, with a focus on mushrooms that may have hypoglycemic activity, anti-cancer activity, anti-pathogenic activity, and immune system enhancing activity.

History

The concept of a "medicinal mushroom" is far from new. The Ancient Egyptians considered mushrooms a special food item for royalty. For hundreds of years in China, Japan, and other Asian countries, certain mushrooms were thought to have medicinal acitivity. For centuries, Chaga mushrooms have been used in Russiamarker for medicinal purposes. In general, civilizations spanning throughout Asia, Eastern Europe, and Russiamarker have long been mushroom-friendly, taking part in mushroom hunting, and incorporating mushrooms in local cuisines.

Mushrooms have been viewed from a different light, in places like the UKmarker, Irelandmarker, and North America. Possible explanations are numerous. One explanation is due to the fact the Ancient Greeks and Romans were silent about any possible health benefits of mushrooms. Another possible explanation is that these countries often associated mushrooms with filth and were acutely aware of the fact that some are poisonous.

Currently in the East, mushrooms continue to enjoy a great reputation. The Western world is beginning to examine the concept of medicinal mushrooms and their potential. In 2008, UC Davismarker published a review of medicinal mushroom research and encouraged further research by way of clinical trials. However, the review stated that currently there is not enough known about medicinal mushrooms to begin promoting their use in the treatment of specific diseases. Institutions furthering medicinal mushroom research include the City of Hope National Medical Center, as well as the Memorial Sloan–Kettering Cancer Centermarker.

Medicinal properties

Polysaccharides



Research suggests the compounds in medicinal mushrooms most responsible for up-regulating the immune system, are a diverse collection of polysaccharides, particularly beta-glucans, and to a lesser extent, alpha-glucans. These polysaccharides are made up of repeating units of D-glucose monomers and come in a huge variety of shapes (due to the multiple locations available for glycosidic bonding between D-glucose units) and molecular weights (due to the varying lengths possible for D-glucose chains). Proteins can also be attached to these mushroom polysaccharides. An example of this would be the protein-bound beta-glucans that are contained in Polysaccharide-K.

Beta-glucans are currently known as "biological response modifiers", and their ability to activate the immune system is well documented. Specifically, beta-glucans stimulate the innate branch of the immune system. Research has shown beta-glucans have the ability to stimulate macrophage, NK cells, T cells, and the production of immune system cytokines. Research has also shown polysaccharides present in medicinal mushrooms may enhance dendritic cell function.The mechanisms in which beta-glucans stimulate the immune system is only partially understood. One mechanism in which beta-glucans are able to activate the immune system, is by interacting with the Macrophage-1 antigen (CD18) receptor on immune cells. Other human receptors have been identified as being able to receive signals from beta-glucans such as Toll-like receptor 2, Dectin-1, lactosylceramide, and scavenger receptors.

Direct anti-hormone activity

Mushrooms may be able to influence the production of certain human hormones, due to evidence from enzyme assay analysis. Mushrooms like Agaricus bisporus may be able to partially inhibit the activity of aromatase, the enzyme responsible for producing estrogen. Mushrooms like Reishi may be able to partially inhibit the activity of 5-alpha reductase, the enzyme responsible for producing dihydrotestosterone.

Direct anti-viral and anti-microbial properties



Research has shown that some mushrooms exhibit in vitro anti-viral properties.

Research has also shown that some mushrooms exhibit in vitro anti-microbial effects on the following organisms.

Although in vitro research has shown certain mushrooms contain anti-bacterial, anti-viral, and anti-fungal activity, their activity in humans is unknown.

Species

Ganoderma lucidum and Ganoderma tsugae (Reishi/Lingzhi)

Ganoderma lucidum
Ganoderma tsugae


Língzhī (Reishi Young-Ji, 灵芝, 영지) Chinese for "spirit plant" is the name for the mushroom Ganoderma lucidum. Several species of Ganoderma have been used in traditional Asian medicines for thousands of years. The medicinal effects of the mushroom are thought to be due to triterpenes like ganoderic acid, as well as beta-glucan compounds. The health benefits of reishi are described in Shen Nong's Herbal Classic and Pen T'sao Kang Mu ("Great Pharmacopoeia"). The Reishi mushroom is a symbol for health, and is depicted in the Emperor's residences in the Forbidden Citymarker as well as the Summer Palacemarker. The Chinese goddess of healing Kuan Yin is sometimes depicted holding a Reishi mushroom. Modern scientific research examining the Ganoderma mushrooms has revealed a variety of potential health benefits:



Trametes versicolor (Coriolus versicolor)

Trametes versicolor


Trametes versicolor (Coriolus versicolor, Turkey tail, Kawaratake, Yun-Zhi, 云芝) is probably the best documented medicinal mushroom. It is a mushroom which has provided the world with a leading cancer drug. The drug is known as Polysaccharide-K (Kresin, PSK, PSP) and its use is intended to counter-act the immune system depressing actions of common chemotherapeutic drugs. In Japan, the Health and Welfare Ministrymarker (equivalent to the United States' Food and Drug Administration) approved Polysaccharide-K in the 1980s. All health care plans in Japan cover the use of Polysaccharide-K.

Used in conjunction with chemotherapy, PSK has increased the survival time of cancer patients in randomized, control studies, with the following types of cancer

In vitro research has shown that PSK may enhance the activity of chemotherapeutic drugs doxorubicin and etoposide.

The United States' top-ranked cancer hospital, the MD Andersonmarker, has reported that Polysaccharide-K is a "promising candidate for chemoprevention due to the multiple effects on the malignant process, limited side effects and safety of daily oral doses for extended periods of time."

Grifola frondosa (Maitake)

Grifola frondosa


Maitake (Hen of the Woods) is an edible mushroom commonly found on oak trees.

Research into potential anti-cancer properties
Experimental Model Experimental Effect (in vitro) Experimental Effect (in vivo) Experimental Effect (Clinical)
Breast cancer, Liver cancer, Lung cancer Inhibited cancer development
Lung cancer Inhibited metastasis
Murine cancer Inhibited tumors and up-regulated immune system
Various cancer cell lines (including human and animal) Inhibited growth[793011]
This year, a phase I/II human trial, conducted by Memorial Sloan–Kettering Cancer Centermarker, showed Maitake could stimulate the immune systems of breast cancer patients.

In vitro research has also shown Maitake can stimulate immune system cells. An in vivo experiment showed that Maitake could stimulate both the innate immune system and adaptive immune system.

In 1997, the U.S. Food and Drug Administration (FDA) approved an Investigational New Drug Application for a portion of the mushroom.Research has shown Maitake has a hypoglycemic effect, and may be beneficial for the management of diabetes. The reason Maitake lowers blood sugar is due to the fact the mushroom naturally contains an alpha-glucosidase inhibitor. Maitake contains antioxidants and may partially inhibit the enzyme cyclooxygenase (the same enzyme which is the target of Advil, Tylenol, and other NSAIDS). An experiment showed that an exact of Maitake inhibited angiogenesis via inhibition of the growth factor VEGF.

Agaricus subrufescens (Agaricus blazei)

Agaricus blazei
Agaricus blazei (Agaricus brasiliensis, Agarikusutake, Kawarihiratake, Himematsutake, 姫松茸) is a species of mushroom, that research has shown can stimulate the immune system and exhibit anti-cancer activity. These effects are thought to be due to the mushroom's high concentration of low molecular weight polysaccharides. Unlike some other medicinal mushrooms, Agaricus blazei was not cultivated in the East until fairly recently. This mushroom was imported to Japanmarker from Brazilmarker and cultivated in the 1970s. In Japan, Agaricus blazei is a highly popular alternative medicine, which is used by close to 500,000 people. In Japan, Agaricus blazei is also the most popular complementary and alternative medicine used by cancer patients. According to the Memorial Sloan–Kettering Cancer Centermarker, the number 2 ranked cancer hospital in the US according to U.S. News,[793012] "there is some proof showing Agaricus extract may benefit patients with certain cancers. But more studies are needed to confirm these observations."

Agaricus blazei contains a high concentration of beta-glucan a compound which has been shown to stimulate immune system cells like NK cells, macrophage, and polymorphonuclear leukocytes. In addition, cellular and animal model experiments have shown that Agaricus blazei may stimulate immune system cytokines like interferons, interleukins, and TNF-alpha.Additional research suggests, Agaricus blazei has a beneficial effect on cellular health, blood glucose, cholesterol, inhibiting angiogenesis (via inhibition of VEGF) and inhibiting pathogenic factors. This mushroom also contains antioxidants.

Research into potential anti-cancer properties
Experimental Model Experimental Effect (in vitro) Experimental Effect (in vivo) Experimental Effect (Clinical)
Fibrosarcoma Inhibited growth via apoptosis Inhibited growth
Sarcoma Inhibited angiogenesis. Inhibited growth
Gynaecological cancer Increased NK cell activity, quality of life
Ovarian cancer Inhibited growth and metastasis via apoptosis induction Inhibited metastasis, growth
Lung cancer Inhibited growth via apoptosis Inhibited metastasis, growth
Leukaemia Inhibited growth via apoptosis Inhibited growth
Myeloma Inhibited growth
Hepatocarcinoma Inhibited abnormal collagen formation Inhibited growth
Stomach cancer Inhibited growth via apoptosis
Prostate cancer Inhibited growth via apoptosis Inhibited growth
Skin cancer Inhibited growth[793013]


Pleurotus ostreatus (Oyster mushroom)

Pleurotus ostreatus


The Oyster mushroom (Hiratake, píng gū, 平菇) is a natural source of the statin drug Lovastatin (brand name: Mevacor, Altoprev), a drug used to lower cholesterol. Tests have shown the oyster mushroom contains up to 2.8% Lovastatin on a dry weight basis. Animal research has demonstrated that oyster mushroom consumption lowers cholesterol levels. Research has also shown the oyster mushroom has anti-cancer properties. In vitro research has shown oyster mushrooms can reduce thegrowth of human breast and colon cancer cells. An in vivo experiment showed a beta-glucan isolated from the mushroom reduced colon cancer growths and increased antioxidant activities in rats. An in vivo experiment, demonstrated the mushroom's anti-cancer activity in rats with 1,2-dimethylhydrazine induced cancer.

Agaricus bisporus (Common mushroom, Portobello, Champignon mushroom)

Agaricus bisporus


The Portobello (Common mushroom, Champignon mushroom) is the world's most popular edible mushroom, and is known by many names. The French, play a role in this mushroom's popularity, having cultivated the mushroom since the 1600's. Researchers at the City of Hope National Medical Center are studying whether this mushroom may inhibit breast cancer development.The reason Portobello mushrooms may reduce the risk of breast cancer, is because they have been shown in vitro to inhibit the enzyme aromatase, which is used by the body to create estrogen. In 2009, a case control study examined the diets of 2018 women, half of whom had been diagnosed with breast cancer. It found a statistically significant decrease of incidence of the disease in those women whose diets included more than 10 grams of fresh mushrooms per day (or the dry equivalent). A similar case control study involving 362 women, found another strong association between mushroom consumption and decreased risk of breast cancer. The FDA and the National Cancer Institute have organized research to investigate whether Portobello mushroom consumption may reduce the risk of breast cancer.[793014]

In vivo research conducted on mice suggests the Portobello mushroom may enhance dendritic cell function. In vitro testing has shown a compound present in the Portobello mushroom has anti-cancer properties, inhibiting the growth of various cancer cell lines. The Portobello mushroom, is a rare vegetable source of conjugated linoleic acid, and naturally possess antioxidants, like ergothioneine.

Lentinula edodes (Shiitake)

Lentinula edodes


Shiitake (椎茸, 香菇, 표고) is a popular culinary mushroom used in dishes around the world. The mushroom also has a extensive history as a folk remedy. During the Ming Dynastymarker (AD 1368–1644), physician Wu Juei wrote that Shiitake was a remedy for upper respiratory diseases, poor blood circulation, liver trouble, exhaustion, and weakness. Modern research has demonstrated the Shiitake mushroom

Active Hexose Correlated Compound (AHCC) is an α-glucan rich compound isolated from Shiitake. In Japan, AHCC is the second most popular complementary and alternative medicine used by cancer patients. AHCC is a well tolerated compound that possess antioxidant activity, and is metabolized via the CYP450 2D6 pathway. Research has indicated AHCC possesses the following activity.
  • Increasing resistance to pathogens in vivo (influenza virus) (west nile encephalitis) (bacterial infection) (various infectious agents) (bacterial infection) (influenza virus)
  • Producing an anti-cancer effect (269 human hepatocellular carcinoma patients) (1 patient case study) (44 hepatocellular carcinoma patients)
  • Enhancing immune function (double-blind, placebo-controlled trial of 21 people)


Lentinan, a compound isolated from Shiitake, is used as an intravenous anti-cancer agent in some countries. Lentinan was developed by the Japanese pharmaceutical company Ajinomoto, to treat cancers of the stomach. Studies have demonstrated lentinan, possesses anti-tumor properties, and human clinical studies have associated lentinan with a higher survival rate, higher quality of life, and lower re-occurrence of cancer. Clinical research with lentinan includes studies with, 78 hepatocellular carcinoma patients 32 gastric cancer patients, a multi-institutional study of lentinan and gastric cancer, a meta-analysis of lentinan and gastric cancer, 80 colorectal cancer patients, 20 gastric cancer patients, 36 hepatocellular carcinoma patients, and 29 pancreatic cancer patients. The City of Hope National Medical Center is currently conducting clinical trials to determine if a select portion of the Shiitake mushroom, which includes Lentinan, can inhibit lung cancer.

Hericium erinaceus

Hericium erinaceus


Hericium erinaceus (Lion's Mane Mushroom, Yamabushitake, 山伏茸, 猴头菇) has been researched for possible anti-dementia activity. Primary research has demonstrated the following:
  • Stimulated rat nerve cells in vitro.
  • A double-blind, parallel-group, placebo-controlled trial showed improved cognitive ability.
  • Stimulated nerve growth factor in an in vitro experiment with human astrocytoma cells.
  • Stiumlated myelination in an in vitro experiment.


Flammulina velutipes (Enokitake)

Flammulina velutipes


Enokitake (えのき茸, 팽이버섯) are long, thin white mushrooms commonly used in Asian cuisines. Enokitake mushrooms contain compounds with anti-tumor activity and epidemiological studies in Japan have associated the mushroom with lower cancer rates. In addition these mushrooms contain the antioxidant ergothioneine. In vivo research showed that Proflamin, a compound isolated from Enokitake provided an 85% longer survival time in mice with cancer. Another in vivo study showed that Enokitake demonstrated anti-cancer activity in Swiss albino mice with Sarcoma 180.

Inonotus obliquus (Chaga mushroom)

Inonotus obliquus


The Chaga mushroom (Kabanoanatake) has anti-cancer properties and may be able to stimulate the immune system. In one experiment, mice implanted with B16F10-melanoma, showed a 4.07-fold increase in survival rate when given a compound isolated from the Chaga mushroom. The Chaga mushroom contains betulin and inotodiol, two compounds which have demonstrated ability to induce apoptosis of certain cancer cell lines (mouse leukemia P388 cells, Jurkat cells). Researchers have noted the Chaga mushroom has potent antioxidant activity, anti-inflammatory properties and may be able to lower blood sugar levels. For centuries, Chaga mushrooms have been used in Russiamarker for medicinal purposes.

Sparassis crispa

Sparassis crispa


Sparassis crispa (Cauliflower mushroom, Hanabiratake) has been found, in vivo, to contain compounds which stimulate the immune system and offer an anti-cancer effect. In vivo research showed a compound contained in the mushroom inhibited solid Sarcoma 180 tumors in mice. An in vivo experiment with leukopenic mice, noted that a beta-glucan isolated from the mushroom stimulated white blood cell production. One in vitro experiment with human blood cells noted an extract of the mushroom could stimulate IL-8 production.

Pleurotus eryngii

Pleurotus eryngii


Pleurotus eryngii (King oyster mushroom, 杏鮑菇, エリンギ) is an edible mushroom. In vitro research with murine T-cells, showed King Oyster mushrooms may stimulate the immune system by way of increasing production of interferon-gamma and IL-4.

Piptoporus betulinus



Piptoporus betulinus (Birch bracket mushroom, Kanbatake) may posses anti-cancer properties (due to the mushroom's ability to inhibit matrix metalloproteinase enzymes), anti-inflammatory properties, anti-bacterial properties, and anti-viral properties. Ötzi the Iceman, a mummified human from 3300 BC, was found carrying Piptoporus betulinus wrapped in a leather string.http://www.abc.net.au/news/indepth/featureitems/s1305469.htm Some have speculated it was used medicinally, due to the fact the mummy was found to have intestinal parasites, including whipworm.

Agrocybe aegerita

Agrocybe aegerita
Agrocybe aegerita (Chestnut mushroom, Velvet pioppino, Agrocybe cylindracea, Yanagimatsutake, Zhuzhuang-tiantougu) possess hypoglycemic properties, antioxidant compounds, as well as compounds with inhibitory properties against the enzyme cyclooxygenase (the same enzyme which is the target of Advil, Tylenol, and other NSAIDS). An in vitro experiment, revealed the mushroom may offer anti-cancer and immune-stimulating properties.

Fomes fomentarius

Fomes fomentarius (Tinder conk mushroom, Tsuriganetabe) contains compounds with anti-cancer activity.

Cordyceps

Cordyceps


Cordyceps (Caterpillar fungus, Tochukasu) are a parasitic fungi which grow out of insects it has infected. The fungus remains essentially dormant until the caterpillar dies; the fungus then replaces the caterpillar's body with its own material and grows its stalk upward and above-ground. The mushroom has a long history in traditional Chinese medicine as well as traditional Tibetan medicine.In Tibet Cordyceps is a cash crop with an ever increasing value.During the Nepalese Civil War fractions fought for control of the Cordyceps trade.

Modern research has indicated the mushroom has:
  • Hypoglycemic activity
  • Cellular health properties
  • Possible anti-depressent activity


Phellinus linteus

Extracts from Phellinus linteus (Mesima, Meshimakobu, Song-gen, Sang-hwang) have been used for centuries in traditional Koreanmarker medicine. A paper published by Harvard Medical Schoolmarker, reported that Phellinus linteus is a promising anti-cancer agent. However the paper states more research is needed to understand the mechanisms behind Phellinus linteus. In vitro research published by the British Journal of Cancer, demonstrated one anti-cancer mechanism behind Phellinus linteus. It was found that the mushroom inhibited the growth of breast cancer cells by way of inhibiting the enzyme AKT,as well as inhibiting angiogenesis.

See also

  • Dr. Andrew Weil advocates "unlimited amounts" of Shiitake, Enokitake, Maitake and Oyster mushrooms. Dr. Weil's thoughts on medicinal mushrooms and integrative oncology appear in his new book co-authored with Dr. Donald Abrams, Integrative Oncology (2009, ISBN 0-19530-944-8)
  • Beta-glucan
  • Effect of sunlight on mushrooms article about how ultraviolet light boosts vitamin D levels in mushrooms.
  • Paul Stamets author of Growing Gourmet and Medicinal Mushrooms (1996, ISBN 1-58008-175-4) and Mycelium Running: How Mushrooms Can Help Save the World (2005, ISBN 1-58008-579-2).


External links



References


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