Shiitake: benefits, dosage, contraindications

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Le Shiitake est un champignon comestible originaire d'Asie orientale, son nom vient du Japonais Shii (une variété de châtaignier) et Take (champignon de bois). Le shiitake est cultivé dans le monde entier pour ses effets bénéfiques sur la santé. Considéré comme un champignon médicinal, il est employé en médecine traditionnelle et également apprécié comme agent anticancéreux. Le champignon shiitake contient de très faibles concentrations (0,02 %) de lentinane, un polysaccharide. Il contient également le composé bioactif éritadénine, des tocophérols et des composés phénoliques, dont les acides p-hydroxybenzoïque, p-coumarique et vanillique. Le shiitake est une source alimentaire de protéines, d'acides gras (acides linoléique, palmitique et oléique), de glucides, de vitamines et de minéraux. Il contient également de grandes quantités de fibres alimentaires, dont 83 % sont insolubles. Le lentinane, a été largement étudié pour ses effets biologiques et serait responsable des effets bénéfiques du champignon. Il a été démontré que le lentinane exerce des effets anticancéreux in vitro. Le lentine, composant protéique du shiitake, a démontré des propriétés antifongiques et antiprolifératives et a permis de supprimer l'activité de la transcriptase inverse du VIH-1. De plus, des essais préclinique avec des extraits entiers de shiitake ont révélé des effets antiprolifératifs, immunomodulateurs, hépatoprotecteurs, antimutagènes et anticaries.

Scientific name(s)

Lentinus edodes, Lentinula edodes

Family or group: 

Mushrooms

Active ingredients:

Polysaccharides

Linoleic acid

GABA

Alpha-glucan

Lentinan


Indications

Scoring methodology

EFSA approval.

Several randomized, double-blind, controlled clinical trials (> 2), including a significant number of patients (>100), with consistently positive conclusions for the indication.
Several randomized, double-blind, controlled clinical trials (> 2), including a significant number of patients (>100), with positive conclusions for the indication.
One or more randomized studies, or several cohorts or epidemiological studies, with positive conclusions for the indication.
Clinical studies exist but are uncontrolled, with conclusions that may be positive or conflicting.
No clinical studies to date that can demonstrate the indication.


Hypercholesterolemia
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One 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 ate 90 g of fresh Shiitake per day showed a 12% drop in serum cholesterol after 7 days. Another study conducted among people aged 60 or over found that the cholesterol reduction was 9% with either dried or fresh shiitake.

Posologie

posologieBy mouth

posologie4 - 6 g

formulationdry extract


Immune support
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Recent research has shown that LEM (a water-soluble material preparation from powdered mycelium extract of Lentinula edodes) and lentinan are genuine immuno-potentiators, as administration of these bioactive polymers increases the proliferation of peripheral mononuclear cells (PMNCs) from healthy donors. Indeed, lentinan and LEM appear to act as a host defense potentiator capable of restoring or enhancing the responsiveness of host cells to lymphocytokines, 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 mechanisms of host defense. Thus, 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

posologieOrally

posologie4 - 6 g

formulationdry extract


Chemotherapy
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Shiitake (in particular its component lentinan) administered once or twice a week together with chemotherapy to a patient with progressive cancer but without severe dysfunction of the liver, kidneys, or bone marrow produced a statistically significant improvement in immune and anticancer functions compared with chemotherapy alone. Two hundred seventy-five patients with advanced or recurrent gastric cancer received one of two types of chemotherapy (mitomycin C with 5-fluorouracil or tegafur) alone or with injections of lentinan. Statistically, the best results were obtained when lentinan was administered before chemotherapy.

Posologie

posologieOrally

posologie4 - 6 g

formulationdry extract


HIV infection
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In vitro studies have shown that lentinan, when used in combination with azidothymidine (AZT), suppresses the expression of human immunodeficiency virus (HIV) surface antigens on T lymphocytes more than AZT alone. When it was used to treat HIV-positive patients presenting symptoms of AIDS, the number of T lymphocytes rose from a baseline of 1250/mm3 after 30 days to 2550/mm3 after 60 days. A clinical improvement in symptoms was also noted. To treat the early stages of AIDS, the optimal oral dose of LEM (a water-soluble preparation made 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

posologieOrally

posologie2 - 6 g

formulationdry extract


Cancer
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It has been demonstrated that lentinan restores or increases the ability of host cells to respond to lymphocytokines or other intrinsic bioactive factors and protects patients against infectious diseases and cancer metastases. Lentinan may also improve the physiological makeup of the host's defense mechanisms by restoring homeostasis and enhancing intrinsic resistance to disease.

Posologie

posologieOrally

posologie4 - 6 g

formulationdry extract


Properties


Immunomodulator

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Lentinan is a polysaccharide capable of restoring or increasing the responsiveness of host cells to lymphocytokines, hormones and other biologically active substances by stimulating the maturation, differentiation or proliferation of the cells involved in the host defense mechanisms. Thus, lentinan is able to increase the host's resistance against various types of cancer and infectious diseases, including acquired immunodeficiency 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 increase in immune mediators such as IL-1 and IL-3. Moreover, lentinan can activate the classical and alternative pathways of the complement system and can split C3 into C3a and C3b, thereby enhancing macrophage activation.

Usages associés

Immune support

Hypocholesterolemic

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The ability of shiitake to reduce blood cholesterol was first reported by Kaneda and Tokuda (1966), who found that a diet supplemented with dried, ground shiitake sporophores reduced mean plasma cholesterol in rats. In hypertensive rats, shiitake lowers VLDL and HDL cholesterol levels. In human studies, serum cholesterol was reduced in groups of women fed fresh, dried, or UV-irradiated shiitake. A similar experiment, conducted on people aged 60 and over, showed that serum cholesterol decreased after 1 week.


Anticancer

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Using fractionation and purification methods for 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 spontaneous tumors. Indeed, injections of lentinan into mice produced either an 80% reduction in tumor size or complete regression in most of the animals tested. This anticancer effect requires an intact immune system and a functional thymus. Administration of immunosuppressive agents such as b-benzylthioguanosine or X-rays together with lentinan reduces the antitumor effect. Lentinan and other polysaccharides from shiitake mushrooms do not directly attack cancer cells, but produce their antitumor effects by activating various immune responses in the host.

Usages associés

Cancer, Gastric cancer, Chemotherapy

Antiviral

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Lentinan is capable of inhibiting the replication of adenovirus type 12, the Abelson virus and the vesicular stomatitis virus (VSV). Lentinan and its sulfated form showed potent anti-HIV activity in vitro, resulting in inhibition of viral replication and cell fusion. On the other hand, a water-soluble mycelial extract known as JLS and JLS-18 is capable of blocking the release of herpes simplex virus type 1 in animals.

Usages associés

HIV infection

Cardiovascular

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The shiitake mushroom is able to reduce serum cholesterol via a factor known as eritadenine, also called "lentinacin" or "lentysine". In mice, eritadenine appears to lower cholesterol levels by accelerating the excretion of ingested cholesterol and its metabolic breakdown, rather than by inhibiting its biosynthesis.


Hypolipidemic

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In animal research, the shiitake mushroom reduces plasma levels of cholesterol, triglycerides, and phospholipids. Although the mechanism of action is not clear, potential active constituents include eritadenine, which has shown hypocholesterolemic effects in animal studies.

Usages associés

Hypercholesterolemia

Hepatoprotective

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A polysaccharide fraction from shiitake mushrooms has shown a hepatoprotective effect in animals as well as the ability to improve liver function and to increase the production of antibodies against hepatitis B. Lentinan improved serum glutamic-pyruvic transaminase (SGPT) and completely restored transaminase (GPT) levels in the livers of mice with toxic hepatitis.


Antifungal

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Laboratory research suggests that shiitake mushroom extract inhibits the growth of various types of bacteria and fungi. Indeed, it showed activity against Candida albicans and Saccharomyces cerevisiae.


Antioxidant

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In human research, the shiitake mushroom increased levels of reduced glutathione. In a rat model of gestational diabetes, the antioxidant activity of the shiitake mushroom was reported to protect 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.


Safe dosage

Adults aged 18 and over: 4 g - 8 g (dry extract)

The shiitake mushroom is prescribed in various forms. It can be injected as a solution (1 mg/vial) or taken orally as a tablet, capsule, concentrate, powdered extract, syrup, tea, wine, and/or medicinal dish. The anticancer effect of lentinan is highly dose-dependent. The standard dose of dried fruiting body in tea or in mushroom dishes is 6 to 16 g, which is equivalent to about 90 g of fresh fruiting body. In tablet form, the dosage is generally in 2 g tablets at a rate of 2 to 4 tablets/day. Tablets are typically made from a dried aqueous extract of the mycelium or fruiting bodies because drying concentrates lentinan and other active constituents.


Interactions

Médicaments

Immunosuppressants: moderate interaction

In vitro evidence suggests that shiitake extracts may stimulate immune function and reduce the effects of immunosuppressive treatment.


Precautions

Autoimmune diseases: use with caution

Shiitake may stimulate immune function. Theoretically, it could exacerbate autoimmune diseases by stimulating disease activity.

Bleeding disorders: use with caution

An aqueous extract of shiitake reduces platelet effectiveness during the coagulation process. People who bleed easily or who are taking anticoagulants should be cautious.

Pregnancy: avoid

Avoid consuming amounts greater than those found in food due to a lack of reliable information.

Breastfeeding: avoid

Avoid consuming amounts greater than those found in food due to a lack of reliable information.