In the quiet forests and on the bark of trees, nature has been crafting sophisticated cancer-fighting medicines for millions of years. The secret lies not in rare plants, but in the humble mushroom.
Explore the ScienceFor centuries, traditional healers across Asia have revered certain mushrooms not just as food, but as powerful medicines. Today, modern science is validating these ancient practices, uncovering remarkable cancer-fighting properties in compounds derived from common mushrooms. Among the most promising of these are polysaccharides and polysaccharide-protein complexes—natural molecules that don't attack cancer directly, but instead empower our own immune systems to recognize and destroy tumor cells 1 .
Unlike conventional chemotherapy that attacks all rapidly dividing cells indiscriminately, mushroom polysaccharides work through immunomodulation—enhancing and directing the body's natural defenses with remarkable precision 2 .
This article explores how these natural compounds are revolutionizing our approach to cancer therapy, offering new hope where conventional treatments often fall short.
Mushroom polysaccharides are complex carbohydrates found in the cell walls of fungi. The most studied are β-glucans, which consist of glucose molecules linked together in specific arrangements, often with a backbone of β-(1→3)-glycosidic bonds and side-chain glucose residues joined by β-(1→6) linkages 1 .
These structural features are crucial—the specific arrangement of these molecular bonds determines how effectively our immune systems recognize and respond to these compounds. What makes these molecules truly remarkable is their ability to interact with our immune systems without the toxicity associated with conventional cancer treatments.
Mushroom polysaccharides function as Biological Response Modifiers (BRMs). Instead of directly killing cancer cells like chemotherapy, they enhance the body's own defense mechanisms 2 . Think of them as a sophisticated training program for your immune system—they teach your body to better recognize and eliminate cancer cells while minimizing damage to healthy tissues.
The anticancer effects of these compounds are mediated primarily through host immune responses rather than direct cytotoxicity 1 . This represents a paradigm shift in oncology—from poisoning cancer cells to empowering the immune system.
Various mushroom species have demonstrated significant anticancer properties through their unique polysaccharide compounds.
Active Compound: Lentinan
One of the most extensively studied mushroom polysaccharides. Lentinan has become a popular anticancer agent and is frequently employed in cancer chemotherapy as an immune adjuvant 1 .
Effects: Improves quality of life and promotes the efficacy of chemo and radiation therapies during cancer treatment 1 .
Active Compound: D-fraction
A polysaccharide-protein complex that has shown impressive results in both laboratory and clinical settings.
Effects: Enhances granulopoiesis (the production of white blood cells) and mobilizes granulocytes by increasing G-CSF production—particularly valuable for countering bone marrow suppression caused by conventional treatments 1 .
Active Compounds: PSK (Krestin), PSP
These polysaccharide-protein complexes have become large market items in Japan and China, widely used as anti-cancer and immunomodulatory agents 2 .
Effects: PSK has been shown to improve survival in certain cancer patients when combined with conventional therapies.
| Mushroom Species | Common Name | Active Compound | Documented Effects |
|---|---|---|---|
| Lentinula edodes | Shiitake | Lentinan | Improves quality of life during chemo/radiation; immune adjuvant |
| Grifola frondosa | Maitake | D-fraction | Enhances white blood cell production; counters bone marrow suppression |
| Trametes versicolor | Turkey Tail | PSK (Krestin), PSP | Improves survival in clinical studies; widely used in Asia |
| Schizophyllum commune | Split-Gill | Schizophyllan | Approved clinical immunomodulator; enhances conventional treatments |
| Inonotus obliquus | Chaga | AcF1, AcF3 | Activates multiple immune receptors; induces macrophage anti-cancer activity |
Mushroom polysaccharides employ multiple strategies to combat cancer:
β-glucans can bind to specific receptors on macrophages and dendritic cells, inducing the production of various cytokines that indirectly activate other immune cells such as T cells and B cells 1 . Key receptors involved include dectin-1 and Toll-like receptors (TLRs) 1 .
By activating dendritic cells, mushroom polysaccharides enhance the presentation of tumor antigens to T cells, leading to more robust and targeted anti-tumor responses 4 .
These compounds act as multi-cytokine inducers, triggering gene expression of various immunomodulatory cytokines and cytokine receptors 2 . This cytokine network is essential for coordinating effective immune responses against cancer.
While immunomodulation is their primary mechanism, some mushroom polysaccharides also exhibit direct anti-cancer properties:
In breast cancer studies, β-glucans have shown cytotoxic effects on MCF-7 tumor growth through suppressing cell proliferation and enhancing apoptosis 1 .
Research demonstrates that polysaccharides from certain mushrooms inhibit cancer cell proliferation by inducing cell cycle arrest in the G0 phase 1 .
Multiple signaling pathways are involved, including PI3K/Akt/mTOR, NF-κB-, ERK-, ERα-, caspase- and p53-dependent pathways 1 .
| Mechanism Type | Specific Action | Result |
|---|---|---|
| Immunomodulation | Macrophage activation via dectin-1/TLR receptors | Enhanced cytokine production and antigen presentation |
| Immunomodulation | T cell priming and differentiation | More targeted attack on cancer cells |
| Immunomodulation | Cytokine network induction | Coordinated immune response |
| Direct Anti-tumor | Cell cycle arrest (G0 phase) | Inhibited cancer proliferation |
| Direct Anti-tumor | Apoptosis induction | Programmed cell death of cancer cells |
| Direct Anti-tumor | Signaling pathway modulation | Disruption of cancer growth signals |
A landmark 2024 study published in Communications Biology systematically evaluated six polysaccharides isolated from Inonotus obliquus (Chaga) for their ability to activate mouse and human macrophages 8 . The research team identified two water-soluble polysaccharides—AcF1 and AcF3—that demonstrated remarkable abilities to trigger critical antitumor functions in macrophages.
Researchers purified six distinct polysaccharides from I. obliquus, removing proteins and low molecular weight compounds through multiple purification steps 8 .
Mouse bone marrow-derived macrophages were incubated with the polysaccharides both alone and in combination with interferon-γ (IFN-γ) 8 .
Using the Griess assay, researchers measured nitric oxide (NO) production—a key marker of macrophage activation—in supernatants after 24 hours 8 .
iNOS mRNA levels were quantified to confirm activation of the pathway responsible for NO production 8 .
Researchers employed an in vitro growth inhibition assay co-culturing activated macrophages with Lewis lung carcinoma cells, measuring cancer cell growth through radiolabeled thymidine incorporation 8 .
Using knockout cells and specific inhibitors, the team identified which pattern recognition receptors were activated by the polysaccharides 8 .
The findings were striking. Both AcF1 and AcF3 demonstrated:
This multi-receptor activation is particularly significant. As the researchers noted, "The ability of both AcF1 and AcF3 to activate multiple receptors on macrophages using one single molecule makes them attractive novel tools for cancer immunotherapy" 8 .
| Polysaccharide | NO Production | Receptor Activation | Anti-cancer Effect | Synergy with IFN-γ |
|---|---|---|---|---|
| AcF1 | Strong | TLR2, TLR4, Dectin-1 | Significant growth inhibition | Strong |
| AcF3 | Strong | TLR2, TLR4, Dectin-1 | Significant growth inhibition | Strong |
| A1 (β-glucan) | Weak | Dectin-1 only | Minimal | Weak |
| Zymosan (control) | Moderate | Dectin-1 only | Moderate | Moderate |
Studying mushroom polysaccharides requires specialized reagents and approaches:
Antibodies and inhibitors for TLR2, TLR4, and Dectin-1 are essential for identifying which receptors mediate the immune effects of mushroom polysaccharides 8 .
ELISA kits for measuring TNF-α, IL-6, IL-12p70, and other cytokines help quantify immune activation 8 .
Bone marrow-derived macrophages from mice provide a normal, non-immortalized cell source for functional studies 8 .
Griess reagent kits allow measurement of NO production as an indicator of macrophage activation 8 .
qPCR reagents for detecting iNOS mRNA levels confirm activation of relevant pathways at the genetic level 8 .
Mushroom polysaccharides have already made the transition from traditional medicine to clinical practice in some parts of the world. In Japan, lentinan is approved as an adjuvant for gastric cancer therapy, while PSK from turkey tail mushrooms is widely used as an immunotherapeutic agent 2 .
However, challenges remain. The heterogeneity and low water solubility of many polysaccharides present obstacles for pharmaceutical development 1 . Additionally, while hot-water extraction is the most common method for obtaining these compounds, the high temperatures required may modify polysaccharide structures and reduce their bioactivities 1 .
Developing standardized extraction and purification methods to ensure consistent quality and efficacy 1 .
Conducting more human clinical trials to establish efficacy and optimal dosing protocols 1 .
Developing combination therapies with conventional treatments to enhance overall effectiveness 3 .
Exploring the role of gut microbiota in mediating the effects of mushroom polysaccharides 3 .
Engineering more soluble and bioavailable derivatives to improve therapeutic potential 1 .
Further understanding the complex molecular mechanisms and signaling pathways involved.
Mushroom polysaccharides represent a promising frontier in the fight against cancer. As natural compounds with minimal toxicity and multiple mechanisms of action, they offer an attractive complement to conventional cancer therapies. The growing body of scientific evidence—from traditional use to modern clinical trials—supports their potential as effective immunomodulatory agents.
As research continues to unravel the complex interactions between these natural compounds and our immune systems, we move closer to harnessing the full power of these remarkable fungi. In the words of researchers in the field, "Mycotherapy is one of the most promising integrative methods for treating cancer" 1 —a testament to the enduring power of nature's pharmacy.