Shiitake: Benefits, Dosage, Contraindications

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Shiitake is an edible mushroom native to East Asia, its name comes from the Japanese Shii (a variety of chestnut) and Take (wood mushroom). Shiitake is cultivated worldwide for its beneficial effects on health. It is considered a medicinal mushroom, used in traditional medicine and is also appreciated as an anti-cancer agent. The shiitake mushroom contains very low concentrations (0.02%) of lentinan, a polysaccharide. It also contains the bioactive compound eritadenine, tocopherols, and phenolic compounds, including p-hydroxybenzoic, p-coumaric, and vanillic acids. Shiitake is a dietary source of proteins, fatty acids (linoleic, palmitic, and oleic), carbohydrates, vitamins, and minerals. It also contains large amounts of dietary fiber, 83% of which is insoluble. Lentinan has been extensively studied for its biological effects and is thought to be responsible for the mushroom's beneficial effects. Lentinan has been shown to exert anti-cancer effects in vitro. Lentine, a protein component of shiitake, has demonstrated antifungal and antiproliferative properties and has suppressed the activity of HIV-1 reverse transcriptase. Moreover, preclinical trials with whole shiitake extracts have shown antiproliferative, immunomodulatory, hepatoprotective, antimutagenic, and anticariogenic effects.

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.

Several clinical trials (> 2) randomized controlled with double blind, including a significant number of patients (>100) with consistently positive outcomes for the indication.
Several clinical trials (> 2) randomized controlled with double blind, and including a significant number of patients (>100) with positive outcomes for the indication.
One or more randomized studies or multiple cohorts or epidemiological studies with positive outcomes for the indication.
Clinical studies exist but are uncontrolled, with conclusions that may be positive or contradictory.
Lack of clinical studies to date that can demonstrate the indication.


Hypercholesterolemia
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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

posologieOral

posologie4 - 6 g

formulationdry extract


Immune system enhancement
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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

posologieOral administration

posologie4 - 6 g

formulationdry extract


Chemotherapy
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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

posologieOral administration

posologie4 - 6 g

formulationdry extract


HIV Infection
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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

posologieOral administration

posologie2 - 6 g

formulationdry extract


Cancer
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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

posologieOral administration

posologie4 - 6 g

formulationdry extract


Properties


Immunomodulator

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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

Immune system enhancement

Hypocholesterolemic

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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

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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

Cancer, Gastric cancer, Chemotherapy

Antiviral

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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

HIV Infection

Cardiovascular

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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

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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

Hypercholesterolemia

Hepatoprotective

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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

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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

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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

Chemotherapy

Antibacterial

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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.