Shiitake: Benefits, Dosage, Contraindications
Other name(s)
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Scientific name(s)
Lentinus edodes, Lentinula edodes
Family or group:
Mushrooms
Active ingredients:
Polysaccharides
Linoleic Acid
GABA
Alpha-Glucan
Lentinan
Indications
Rating methodology
EFSA approval.
Hypercholesterolemia ✪✪✪✪✪
A study showed that taking dried Shiitake (9 g/day), in 10 young Japanese women, resulted in a 7% decrease in serum cholesterol after one week. Another group that consumed 90 g of fresh Shiitake per day showed a 12% drop in serum cholesterol after 7 days. Another study conducted on individuals aged 60 and over reported a cholesterol reduction of 9%, with dried or fresh shiitake.
Posologie
Modulation of human intestinal microbiota in a clinical trial by consumption of a β-D-glucan-enriched extract obtained from Lentinula edodes
Medicinal Value of Lentinus edodes (Berk.) Sing. (Agaricomycetideae). A Literature Review
Hypoglycemic effect of a Lentinus edodes exo-polymer produced from a submerged mycelial culture
Medicinal Mushrooms: Their Therapeutic Properties and Current Medical Usage with Special Emphasis on Cancer Treatments
Immune system enhancement ✪✪✪✪✪
Recent research has shown that LEM (a water-soluble matter preparation from powdered mycelium extract of Lentinula edodes) and lentinan are genuine immunopotentiators, as administering these bioactive polymers increases the proliferation of peripheral blood mononuclear cells (PBMC) from healthy donors. Indeed, lentinan and LEM seem to act as host defense potentiators capable of restoring or enhancing host cell reactivity to lymphokines, hormones, and other biologically active substances. Evidence suggests that this immune potentiation occurs by stimulating the maturation, differentiation, or proliferation of cells involved in the host's defense mechanisms. As such, lentinan has been shown to increase host resistance against various types of cancer and has the potential to restore the immune function of affected individuals.
Posologie
Medicinal Properties of Substances Occurring in Higher Basidiomycetes Mushrooms: Current Perspectives (Review)
Medicinal Value of Lentinus edodes (Berk.) Sing. (Agaricomycetideae). A Literature Review
Medicinal Mushrooms: Their Therapeutic Properties and Current Medical Usage with Special Emphasis on Cancer Treatments
Chemotherapy ✪✪✪✪✪
Shiitake (particularly its lentinan component) administered once or twice a week with chemotherapy to a patient with progressive cancer but without severe liver, kidney, or bone marrow dysfunction resulted in a statistically significant improvement in immune and anticancer functions compared to chemotherapy alone. Two hundred seventy-five patients with advanced or recurrent gastric cancer received either of two types of chemotherapy (mitomycin C with 5-fluorouracil or tegafur) alone or with lentinan injections. Statistically, the best results were obtained when lentinan was administered before chemotherapy.
Posologie
Medicinal Value of Lentinus edodes (Berk.) Sing. (Agaricomycetideae). A Literature Review
Medicinal Mushrooms: Their Therapeutic Properties and Current Medical Usage with Special Emphasis on Cancer Treatments
HIV Infection ✪✪✪✪✪
In vitro studies show that lentinan, when used in conjunction with azidothymidine (AZT), suppresses the expression of human immunodeficiency virus (HIV) surface antigens on T-lymphocytes more than AZT alone. When used to treat seropositive patients with AIDS symptoms, the number of T lymphocytes increased from a baseline of 1250/mm3 after 30 days to 2550/mm3 after 60 days. Improvement in clinical symptoms was also noted. To treat early stages of AIDS, the best oral dose of LEM (a water-soluble matter preparation from powdered mycelium extract of Lentinula edodes) is between 2 and 6 g/day in 2 to 3 divided doses. If the disease is stable, the dosage can be reduced to 0.5–1 g/day.
Posologie
Cancer ✪✪✪✪✪
Lentinan has been shown to restore or enhance the capacity of host cells to respond to lymphokines or other intrinsic bioactive factors and protect patients against infectious diseases and cancer metastases. Lentinan may also improve the physiological constitution of host defense mechanisms by restoring homeostasis and enhancing intrinsic disease resistance.
Posologie
Consuming Lentinula edodes (Shiitake) Mushrooms Daily Improves Human Immunity: A Randomized Dietary Intervention in Healthy Young Adults
Medicinal Mushrooms: Their Therapeutic Properties and Current Medical Usage with Special Emphasis on Cancer Treatments
POLYSACCHARIDE FROM LENTINUS EDODES FOR INTEGRATIVE CANCER TREATMENT: IMMUNOMODULATORY EFFECTS ON LYMPHOCYTE POPULATION
Gastric Cancer ✪✪✪✪✪
Lentinan has demonstrated antitumor activity and increased survival time in patients with inoperable gastric cancer and in women with recurrent breast cancer after surgical treatment.
Posologie
Medicinal Value of Lentinus edodes (Berk.) Sing. (Agaricomycetideae). A Literature Review
Shiitake, lentinus edodes: Functional properties for medicinal and food purposes
Immunological analysis and clinical effects of intraabdominal and intrapleural injection of lentinan for malignant ascites and pleural effusion
Medicinal Mushrooms: Their Therapeutic Properties and Current Medical Usage with Special Emphasis on Cancer Treatments
Properties
Immunomodulator
Lentinan is a polysaccharide capable of restoring or enhancing host cell reactivity to lymphocytokines, hormones, and other biologically active substances by stimulating the maturation, differentiation, or proliferation of cells involved in host defense mechanisms. Thus, lentinan can enhance the host's resistance against various types of cancer and infectious diseases, including acquired immune deficiency syndrome (AIDS). Many interesting biological activities of lentinan have been reported, including an increase in the activation of nonspecific inflammatory responses, activation, and generation of helper and cytotoxic T lymphocytes, and an improvement of immune mediators such as IL-1 and IL-3. On the other hand, lentinan can activate normal and alternate complement pathways and can split C3 into C3a and C3b thereby enhancing the activation of macrophages.
Usages associés
Hypocholesterolemic
The capacity of shiitake to reduce blood cholesterol was first reported by Kaneda and Tokuda (1966), who found that a diet supplemented with dried and ground shiitake sporophores reduced mean plasma cholesterol in rats. In hypertensive rats, shiitake decreases VLDL and HDL cholesterol levels. In human studies, serum cholesterol was decreased in groups of women fed fresh, dried, or UV-irradiated shiitake. A similar experience conducted on persons aged 60 or over showed that serum cholesterol dropped within 1 week.
Anticancer
By using methods for fractionating and purifying polysaccharides, Chihara et al. isolated a water-soluble antitumor polysaccharide named "lentinan." It showed significant antitumor activity not only against allogeneic tumors such as sarcoma 180 but also against various syngeneic and autologous tumors. Indeed, lentinan injections in mice resulted in either an 80% reduction in tumor size or complete regression in most test animals. This anticancer effect requires an intact immune system and a functional thymus. Administering immunosuppressive agents such as b-benzylthioguanosine or X-rays with lentinan diminishes the antitumor effect. Lentinan and other polysaccharides in shiitake mushrooms do not directly attack cancer cells but exert their antitumor effects by activating different host immune responses.
Usages associés
Antiviral
Lentinan is capable of inhibiting the replication of adenovirus type 12, Abelson virus, and Encephalitis virus (VSV). Lentinan and its sulfated form displayed strong anti-HIV activity in vitro leading to inhibition of viral replication and cell fusion. Additionally, a water-soluble mycelium extract known as JLS and JLS-18 has the ability to block the release of herpes simplex virus type 1 in animals.
Usages associés
Cardiovascular
Shiitake can lower blood serum cholesterol via a factor known as eritadenine, also referred to as "lentinacine" or "lentysine." In mice, eritadenine appears to reduce cholesterol levels by accelerating the excretion of ingested cholesterol and its metabolic breakdown rather than inhibiting its biosynthesis.
Hypolipidemic
In animal research, shiitake mushrooms reduce plasma levels of cholesterol, triglycerides, and phospholipids. Although the mechanism of action is unclear, potential active constituents include eritadenine, which has shown hypocholesterolemic effects in animal research.
Usages associés
Hepatoprotective
A polysaccharide fraction from shiitake mushrooms has shown liver protective effects in animals as well as the ability to improve liver function and increase antibody production against hepatitis B. Lentinan improved serum glutamic pyruvic transaminase (SGPT) and fully restored levels of transaminases (GPT) in mice with toxic hepatitis.
Antifungal
Laboratory studies suggest that shiitake mushroom extract inhibits the growth of various types of bacteria and fungi. It has shown activity against Candida albicans and Saccharomyces cerevisiae.
Antioxidant
In human research, shiitake mushroom increased levels of reduced glutathione. In a rat gestational diabetes model, it was reported that the antioxidant activity of shiitake mushrooms protects the fetus from damage caused by hyperglycemia.
Usages associés
Antibacterial
Lentinan is effective against Mycobacterium tuberculosis and Listeria monocytogenes. Oxalic acid is an agent responsible for the antimicrobial effect of Shiitake. It was bacteriostatic against Streptococcus pyogenes, Staphylococcus aureus, and Bacillus megaterium.
Safety dosage
Adult from 18 years: 4 g - 8 g (dry extract)
The shiitake mushroom is prescribed in various forms. It can be injected as a solution (1 mg/ampoule) or ingested in the form of a tablet, capsule, concentrate, powder extract, syrup, tea, wine, and/or medicinal dish. The anticancer effect of lentinan is highly dose-dependent. The standard dose of dried fruiting bodies in tea or mushroom dishes is 6 to 16 g, equivalent to about 90 g of fresh fruiting bodies. In tablet form, the dosage is usually 2 g tablets taken at 2 to 4 tablets/day. The tablets are generally made from a dried aqueous extract of the mycelium or fruiting bodies as the drying concentrates lentinan and other active principles.
Interactions
Médicaments
Immunosuppressant: moderate interaction
In vitro evidence suggests that shiitake extracts could stimulate immune function and reduce the effects of immunosuppressive treatment.
Precautions
Autoimmune diseases: use with caution
Shiitake could stimulate immune function. Theoretically, it could exacerbate autoimmune diseases by stimulating disease activity.
Bleeding disorder: use with caution
Aqueous shiitake extract decreases the efficacy of blood platelets during the coagulation process. Individuals who bleed easily or are on blood thinners should exercise caution.
Pregnant women: avoid
Avoid consuming amounts greater than those found in food due to a lack of reliable information.
Breastfeeding women: avoid
Avoid consuming amounts greater than those found in food due to a lack of reliable information.