Life Extension Magazine®

Basket of reishi mushrooms that bolster the immune system

Fight Immune Decline With Reishi

With aging, our immune system declines in a process called immuno-senescence. A weakened immune system encourages deadly infection and disease. Scientists have confirmed that the medicinal mushroom reishi contains pharmacologically active compounds that bolster the immune system and help defend against age-induced immune decline.

Scientifically reviewed by: Dr. Amanda Martin , DC, in October 2024. Written by: Walter Thompson.

Fight Immune Decline With Reishi  

As we age, the steady decline of our immune system opens the door for infection and inflammation that underlies heart disease, diabetes, and cancer.1-4 Known as immunosenescence, the deterioration of a once-vital immune system hastens the decay of our body’s defenses and functions.5

In the search for remedies to ward off the dangers of immunosenescence, researchers have found that the medical mushroom known as Reishi contains multiple bioactive components that have a proactive effect on the immune system.

Ancient Chinese physicians discovered the multiple properties of Reishi and it has been used for centuries to promote health and longevity, which earned Reishi the title, “Mushroom of Immortality.”6,7

The complex compounds in Reishi have been shown to safely modulate an aging immune system, combat cancer, and reduce some of the causes of cardiovascular disease.6,8-12

Modern scientists utilizing sophisticated technology and laboratory studies are providing evidence backing more than 2,000 years of traditional use in China. Reishi mushrooms contain a multitude of the pharmacologically active compounds that may ward off various factors of aging.6

Reishi Balances Aging Immune Systems

A youthful immune system prevents infection by bacterial, viral, fungal, and other organisms, and also conducts immune surveillance to track, identify, and destroy abnormal molecular patterns that might indicate an early cancer.13 Furthermore, an optimal immune system is capable of slowing and stopping the inflammatory response to an invader once the threat had been neutralized.14

But over time, the immune system slows down in its normal function. There are three main results of this process known as immunosenescence.

Reishi Balances Aging Immune Systems  
  1. First, with a reduced immune function, a person becomes increasingly vulnerable to infections that can produce fatal pneumonia in older adults.15-18 Even with the widespread pneumonia vaccine coverage among elderly people, the death rate continues to climb due to the debilitating effect of immunosenescence and the increase in antibiotic resistance.16,19-22 Other infections, such as influenza and herpes viruses, also threaten older adults as their immunity wanes.17,23
  2. The second major impact of immunosenescence is an apparent loss of the immune system’s ability to identify and destroy emerging cancer cells. Cancer cells display unusual molecular patterns that a healthy immune system routinely recognizes and eliminates. With a decline in natural immunity, there’s an increased likelihood that malignant cells will escape detection and evolve into a full-blown tumor. This is one of the reasons why cancer is largely a disease of older people.5,24,25
  3. The third component of immunosenescence is loss of the ability to turn off the inflammatory response once the threat has been eliminated. With the inflammatory response switch left in the “on” position, this type of persistent, low-grade inflammation is potentially at the root of many “diseases” of aging, including cardiovascular disease, neurodegeneration, bone and joint disorders, and again, cancer.26-28

The numerous chemical components of the Reishi mushroom exert subtle, but powerful effects that may reverse many of the impacts of immunosenescence.29 Reishi extracts boost the function of dendritic cells, which help other immune cells recognize foreign antigens and destroy them.14,29,30

Reishi also promotes development of B and T lymphocytes, immune cells involved in the production of antibodies and the regulation of immune function.29 Extracts of Reishi enhance development of specialized “natural killer” cells that target viral invaders and cancer cells for destruction.8-10,29

Reishi Targets Age-Related Infections

Reishi mushrooms and their extracts have potent antiviral and antibacterial properties that can help protect the body from deadly microorganisms that threaten health as one ages.

Many of the components found in Reishi have been shown to inhibit infection of herpes simplex, the virus that causes cold sores and genital herpes. It also may defend against herpes zoster, reducing pain associated with shingles and demonstrating a treatment response in several manifestations of the herpes zoster virus in one pilot trial of a Reishi combination formula.31 Reishi components directly bind to the viruses,32 interfering with the process in which viruses attach to and enter healthy body cells in order to create an infection.33 Unlike medications, research showed that Reishi did not cause toxicity to cells.34,35

In patients who had already developed shingles, administration of Reishi extract was shown to dramatically reduce the painful effects of the viral outbreak.36 As with many natural therapies, Reishi is most effective against herpes viruses when it is administered prior to, rather than following, development of the infection.33,37

Influenza viruses are also the targets of Reishi mushroom extracts, which are rich in trace elements like zinc and selenium that are known to be essential for preventing viral infections and mitigating their severity.38-40 Studies also show that Reishi extracts potently inhibit the Epstein-Barr virus that causes mononucleosis syndrome and is also strongly implicated in several kinds of lymphomas.41-44 And Reishi extracts also target the hepatitis B virus, while protecting the liver against its damaging effects in preclinical research.45,46

Remarkably, Reishi extracts have now been shown to produce a dramatic drop in the number of active virus particles known as “viral load” in monkeys infected with simian acquired immunodeficiency syndrome (SAIDS), a model of the human HIV/AIDS disease.47 Laboratory studies demonstrate that active compounds from Reishi mushrooms act by inhibiting HIV enzymes called proteases: an action similar to that of some of the most successful anti-HIV drugs on the market.6 In this context, Reishi mushrooms have been said to have “huge potential for HIV drug discovery.”6

Components from Reishi increase the activity of cell surface receptors that trigger the release of inflammatory cytokines signaling molecules and thereby helping the immune system identify and destroy bacterial invaders.48

What You Need To Know
Reishi Mushroom Boosts Immune Vitality

Reishi Mushroom Boosts Immune Vitality

  • Reishi mushrooms were well-known to ancient Chinese practitioners for their wide array of life-giving properties.
  • Today’s science reveals that these mushrooms contain myriad bioactive molecules, many of which help boost immune function, helping to reverse immunosenescence, the waning immunity that accompanies advancing age.
  • By improving immune function, Reishi mushroom extracts contribute to your body’s ability to protect itself from infections and cancers, while also reducing your risk of inflammatory conditions such as cardiovascular disease.
  • Reishi extracts are proving to be a “virtual pharmacy” in a single supplement, one that can favorably affect your health across a broad spectrum of conditions.
  • To strengthen and balance your immune system and prevent infection, heart disease, and cancer, give strong consideration to adding Reishi mushroom extracts to your current supplement regimen.

Reishi Immunomodulation Slashes Inflammation And Lowers Cholesterol

Reishi Immunomodulation Slashes Inflammation And Lowers Cholesterol  

Inflammation is a major component of atherosclerosis and cardiovascular disease, which promotes the development of cholesterol-containing plaques and increases the tendency of platelets and white blood cells to stick to those plaques, further narrowing and blocking arteries.49,50 Reishi mushrooms’ potent immune-modulating properties have been shown to lower these inflammatory stimuli by reducing cells’ ability to stick to vessel walls and preventing the overgrowth of smooth muscle cells that stiffens and “hardens” arteries.49,50

But Reishi components have other means of improving cardiovascular health as well.

Polysaccharides from Reishi significantly reduced triglycerides and total cholesterol (including LDL) cholesterol after 12 weeks of supplementation in rats, while also raising HDL cholesterol levels.11,12 In the same experiments, Reishi supplementation lowered markers of oxidation, while increasing natural cellular antioxidant systems. Microscopic examination of the animals’ livers revealed a remarkable reduction in fatty degeneration of liver cells, an inflammatory stage that readily leads to cirrhosis and liver failure.11,12,51,52

Basic laboratory studies demonstrate that certain “sterol” compounds in Reishi can interfere with the cholesterol synthesis pathway in human cells, diminishing the amount of new cholesterol produced each day.53,54 This mechanism is similar to that of the statin cholesterol-lowering drugs, but operates on an entirely different enzyme system.55

Human studies with Reishi have been conducted in patients with mild hypertension and elevated blood lipids. While the results showed little change in blood pressure, the researchers found a marked reduction in serum triglycerides and a marked increase in HDL-cholesterol.

Additionally, the Reishi group saw better plasma insulin and insulin resistance results—a major risk factor for later cardiovascular disease development and diabetes—than the placebo group.56 Other research showed a reduction in the activity of an enzyme that contributes to elevated blood sugar and lipid levels.57

In diabetic rats, which like their human counterparts are at increased risk for atherosclerosis and heart disease, Reishi extract supplementation decreased fasting blood glucose and improved insulin concentrations in a manner comparable with the antidiabetic drugs metformin and rosiglitazone.58,59 The animals given Reishi had lower levels of free fatty acids, triglycerides, and total and LDL-cholesterol, and higher levels of beneficial HDL-cholesterol.58

Reishi’s Immunomodulation Protects Against Cancer

Reishi mushrooms have multiple mechanisms by which they fight the development and spread of human cancers.60 Studies suggest Reishi mushrooms have six potential anticancer mechanisms.61,62 Because of the numerous bioactive compounds contained in Reishi, many of these mechanisms are somewhat complex. We describe six of Reishi’s known anticancer mechanisms next:

1. Activation and modulation of the host immune system.

Natural killer (NK) cells identify abnormal cancerous tissue and attack it before it develops into a full-blown tumor.63 Immunomodulation is primarily the result of Reishi polysaccharides interacting with immune system cells, especially those in the spleen and the thymus, both sources of aggressive cancer-killing cells.9,10,64,65 Animal studies show that Reishi inhibited tumor growth and prolonged the lifespan of mice bred to carry cancers. Reishi stimulated normal immune function, even when the animals were treated after the tumors had developed.66

A preparation of Reishi extract markedly increased the ability of immune system cells to surround and destroy tumor cells in mice bearing a variety of human cancers. The extract also prevented the decrease in immune system function caused by exposure to ionizing radiation.67 Reishi polysaccharides also inhibit adhesion of the “coating” protein fibrinogen to cancer cells. This makes cancer cells more vulnerable to destruction by stripping them of the protection naturally afforded by fibrinogen, and making the cells more accessible to NK cells that can destroy them.8

Another compound from Reishi appears to bind to specialized cell receptors that trigger a sequence of events resulting in the destruction of malignant cells.68 And a series of unique long-chain fatty acids from Reishi is also able to modulate antitumor responses.69,70 Even Reishi proteins may play an active role in the inhibition of tumor cell growth.71

2. Direct killing of cancer cells.

Studies show that Reishi components not only decrease numbers of tumor cells, but also inhibit their ability to form colonies that spread into healthy tissue, while leaving healthy cells unaffected.72,73 These effects are powerful enough to augment the activity of the chemotherapy drug cisplatin.72

3. Inhibition of new blood vessel formation (angiogenesis).

Studies show that a polysaccharide/protein-like molecule from Reishi inhibited new vessel formation by up to 40% in a laboratory model of angiogenesis.74

4. Inhibition of cancer cell proliferation and invasion (metastasis).61,64,75

Inhibition of cancer cell proliferation and invasion (metastasis)  

Reishi mushroom components reduce inflammatory signaling and estrogen receptor signaling in breast cancer cells, taking away two of the most potent promoters of cancer cell proliferation.76,77 In prostate cancer cells, Reishi induces a decrease in inflammatory signaling and slows cell proliferation.60,78 Reishi extracts also cause “cell cycle arrest,” in which the cell replication cycle becomes “locked” in one phase, making further replication impossible and stopping the growth of the tumor.72,79-82

An important component of Reishi, ganoderic acid, has been shown to inhibit tumor invasion by its ability to block a “protein-melting” enzyme called matrix metalloproteinase, or MMP.83-86 Cancer cells use MMP to dissolve away the protein matrix between normal cells, allowing them to squeeze their way through barriers and invade nearby tissues, and even enter the bloodstream to form metastases far away from the original tumor.86,87 Ganoderic acid has been shown to both inhibit prostate cancer cell growth and create an environment in bone tissue that is not favorable for the spread of the cancer.88

5. Deactivation of carcinogens.

This process protects cells from damage that may initiate cancer development.61 When rats were exposed to the powerful colon carcinogens azoxymethane or PhIP, those treated with higher doses of Reishi extract developed significantly fewer and/or smaller tumors than those given the carcinogen only.89,90 Similarly, fewer tumors developed in the lungs of rats treated with a lung carcinogen when the animals were treated with Reishi extracts.91

6. Promotion of programmed cell death (apoptosis).

With the process of programmed cell death (apoptosis), normal cells die when their useful lives are over. However, some cancer cells lose the ability to die off by apoptosis, and instead continue to proliferate endlessly, taking over healthy cells and organs.92,93 By increasing apoptosis, this kind of accelerated cancer cell death has been demonstrated in human cervical cancer and other cell lines after treatment with Reishi extracts, especially those containing ganoderic acid.62,72,94

Reishi’s Immunomodulation Protects Against Cancer  

These six specific properties have made Reishi extracts of special interest to oncology researchers who are studying highly aggressive and invasive cancers, especially of the breast and prostate.60,95,96 Inflammatory breast cancer is one such condition in which malignant cells do not form a cohesive tumor mass in the breast, but rather spread rapidly by forming tiny “spheroids” of cells that travel through the blood and lymphatic system, resulting in the appearance of multiple metastases throughout the body.97,98 Reishi’s ability to inhibit many of the steps in metastatic spread is now being actively explored as a means of stopping such deadly, invasive cancers.95-97

Today, Reishi mushrooms’ combined anticancer activities have been demonstrated in studies of lung, breast, prostate, ovarian, cervical, and colon cancers, both for prevention and for treatment of these devastating malignancies.62,64,88-91,94,97,99 Early clinical trials are especially encouraging.

One study in a group of 30 patients with advanced-stage cancer showed that 1,800 mg of a Reishi polysaccharide extract three times daily produced a sharp increase in immune function, including increases in tumor-fighting interleukin-2 and interferon-gamma and in natural killer cell activity.100 And another study in patients with precancerous colon lesions called colorectal adenomas demonstrated that a supplement dose of 1,500 mg/day of a Reishi extract for 12 months decreased the rate of appearance of at least one adenoma by 52% at 12 months; in contrast, the group receiving placebo experienced an increase in the rate of incidence of at least one adenoma by a dramatic 42% at 12 months. In this study, there was also a decrease in total size of tumors of 1.40 mm in supplemented patients, with an increase of 1.73 mm in untreated controls.101 The typical dose for normal aging people is about 1,000 mg each day of standardized Reishi extract, along with other natural components of the Reishi mushroom.

Summary

Chinese medical practitioners have long recognized the value of the medicinal Reishi mushroom, and used it to promote healthy, long lives in their patients. Modern science has revealed the virtual pharmacy contained inside these mushrooms, which contain a broad array of biologically active molecules.

Chief among the benefits of Reishi mushrooms is their ability to counteract immunosenescence, the aging and gradual loss of immune function. Immunosenescence raises risk for infection, cancer, and cardiovascular disease.

Studies now convincingly demonstrate the value of Reishi mushroom extracts in combating the very infections that most prominently threaten our health as we age, by boosting functions of immune system cells that identify, track, and destroy infectious agents. Similar immune-boosting effects from Reishi extracts help the immune system recognize the abnormal molecular patterns that mark cancer cells, helping to eliminate them before they mature into malignant tumors. Reishi extracts also act on the other extreme of the immune system, helping to end the overactive inflammation that contributes to cardiovascular disease.

If you have any questions on the scientific content of this article, please call a Life Extension® Wellness Specialist at 1-866-864-3027.

References

  1. Martorana A, Bulati M, Buffa S, et al. Immunosenescence, inflammation and Alzheimer’s disease. Longev Healthspan. 2012 Nov 1;1:8. eCollection 2012.
  2. Libby P. Inflammation and cardiovascular disease mechanisms. Am J Clin Nutr. 2006 Feb;83(2):456S-60S.
  3. Aw D, Silva AB, Palmer DB.Immunosenescence: emerging challenges for an ageing population. Immunology. 2007 Apr;120(4):435-46.
  4. Sidler C, Wóycicki R, Ilnytskyy Y, Metz G, Kovalchuk I, Kovalchuk O. Immunosenescence is associated with altered gene expression and epigenetic regulation in primary and secondary immune organs. Front Genet. 2013 Oct 18;4:211.
  5. Palmer DB. The effect of age on thymic function. Front Immunol. 2013 Oct 7;4:316.
  6. Sanodiya BS, Thakur GS, Baghel RK, Prasad GB, Bisen PS.Ganoderma lucidum: a potent pharmacological macrofungus. Curr Pharm Biotechnol. 2009 Dec;10(8):717-42.
  7. Jiang J, Slivova V, Harvey K, Valachovicova T, Sliva D. Ganoderma lucidum suppresses growth of breast cancer cells through the inhibition of Akt/NF-kappaB signaling. Nutr Cancer. 2004;49(2):209-16.
  8. Zheng S, Jia Y, Zhao J, Wei Q, Liu Y. Ganoderma lucidum polysaccharides eradicates the blocking effect of fibrinogen on NK cytotoxicity against melanoma cells. Oncol Lett. 2012 Mar;3(3):613-6.
  9. Yue GG, Fung KP, Tse GM, Leung PC, Lau CB. Comparative studies of various ganoderma species and their different parts with regard to their antitumor and immunomodulating activities in vitro. J Altern Complement Med. 2006 Oct;12(8):777-89.
  10. Guo L, Xie J, Ruan Y, et al. Characterization and immunostimulatory activity of a polysaccharide from the spores of Ganoderma lucidum. Int Immunopharmacol. 2009 Sep;9(10):1175-82.
  11. Chang SS, Zhou D, Meng GL, et al. Effect of Ganoderma lucidum polysaccharides on oxidative stress of hyperlipidemic fatty liver in rats. Zhongguo Zhong Yao Za Zhi. 2012 Oct;37(20):3102-6.
  12. Chen WQ, Luo SH, Ll HZ, Yang H. Effects of ganoderma lucidum polysaccharides on serum lipids and lipoperoxidation in experimental hyperlipidemic rats. Zhongguo Zhong Yao Za Zhi. 2005 Sep;30(17):1358-60.
  13. Swann JB, Smyth MJ. Immune surveillance of tumors. J Clin Invest. 2007 May;117(5):1137-46.
  14. Available at: http://www.merckmanuals.com/home/immune_disorders/
    biology_of_the_immune_system/overview_of_the_immune_system.html.
    Accessed May 14 , 2014.
  15. Craven DE, Steger KA. Nosocomial pneumonia in the intubated patient. New concepts on pathogenesis and prevention. Infect Dis Clin North Am. 1989 Dec;3(4):843-66.
  16. Paradisi F, Corti G. Antibiotic resistance in community-acquired pulmonary pathogens. Semin Respir Crit Care Med. 2000;21(1):33-43.
  17. Castle SC. Clinical relevance of age-related immune dysfunction. Clin Infect Dis. 2000;31(2):578-85.
  18. McElhaney JE, Zhou X, Talbot HK, et al. The unmet need in the elderly: how immunosenescence, CMV infection, co-morbidities and frailty are a challenge for the development of more effective influenza vaccines. Vaccine. 2012 Mar 9;30(12):2060-7.
  19. Jackson LA, Baxter R, Naleway AL, Belongia EA, Baggs J. Patterns of pneumococcal vaccination and revaccination in elderly and non-elderly adults: a Vaccine Safety Datalink study. BMC Infect Dis. 2009 Mar 25;9:37.
  20. Andrews RM. Assessment of vaccine coverage following the introduction of a publicly funded pneumococcal vaccine program for the elderly in Victoria, Australia. Vaccine . 2005 Apr 15;23(21):2756-61.
  21. Trotter CL, Stuart JM, George R, Miller E. Increasing hospital admissions for pneumonia, England. Emerg Infect Dis . 2008 May;14(5):727-33.
  22. Dorrington MG, Bowdish DM. Immunosenescence and novel vaccination strategies for the elderly. Front Immunol. 2013 Jun 28;4:171.
  23. Bonnal C, Desaint C, Raynaud-Simon A, et al. The vaccination of older adults: a challenge for the future! Presse Med. 2013 Mar;42(3):318-26.
  24. Fulop T, Larbi A, et al. Aging, immunity, and cancer. Discov Med. 2011 Jun;11(61):537-50.
  25. Whiteside TL. Immune responses to malignancies. J Allergy Clin Immunol. 2010 Feb;125(2 Suppl 2):S272-83.
  26. Salvioli S, Monti D, Lanzarini C, et al. Immune system, cell senescence, aging and longevity—inflamm-aging reappraised. Curr Pharm Des. 2013;19(9):1675-9.
  27. Franceschi C, Bonafè M, Valensin S, Olivieri F, De Luca M, Ottaviani E, De Benedictis G. Inflamm-aging. An evolutionary perspective on immunosenescence. Ann N Y Acad Sci. 2000 Jun;908:244-54.
  28. Zanni F, Vescovini R, Biasini C, et al. Marked increase with age of type 1 cytokines within memory and effector/cytotoxic CD8+ T cells in humans: a contribution to understand the relationship between inflammation and immunosenescence. Exp Gerontol. 2003 Sep;38(9):981-7.
  29. Xu Z, Chen X, Zhong Z, Chen L, Wang Y. Ganoderma lucidum polysaccharides: immunomodulation and potential anti-tumor activities. Am J Chin Med. 2011;39(1):15-27.
  30. Cao LZ, Lin ZB. Regulation on maturation and function of dendric cells by Ganoderma lucidum polysaccharides. Immunol Lett. 2002;83(3):163-9.
  31. Hijikata Y, Yasuhara A, Sahashi Y. Effect of an herbal formula containing Ganoderma lucidum on reduction of herpes zoster pain: a pilot clinical trial. Am J Chin Med. 2005;33(4):517-23.
  32. Eo SK, Kim YS, Lee CK, Han SS. Possible mode of antiviral activity of acidic protein bound polysaccharide isolated from Ganoderma lucidum on herpes simplex viruses. J Ethnopharmacol. 2000 Oct;72(3):475-81.
  33. Liu J, Yang F, Ye LB, et al. Possible mode of action of antiherpetic activities of a proteoglycan isolated from the mycelia of Ganoderma lucidum in vitro. J Ethnopharmacol. 2004 Dec;95(2-3):265-72.
  34. Kim YS, Eo SK, Oh KW, Lee C, Han SS. Antiherpetic activities of acidic protein bound polysacchride isolated from Ganoderma lucidum alone and in combinations with interferons. J Ethnopharmacol. 2000 Oct;72(3):451-8.
  35. Oh KW, Lee CK, Kim YS, Eo SK, Han SS. Antiherpetic activities of acidic protein bound polysacchride isolated from Ganoderma lucidum alone and in combinations with acyclovir and vidarabine. J Ethnopharmacol. 2000 Sep;72(1-2):221-7.
  36. Hijikata Y, Yamada S. Effect of Ganoderma lucidum on postherpetic neuralgia. Am J Chin Med. 1998;26(3-4):375-81.
  37. Li Z, Liu J, Zhao Y. Possible mechanism underlying the antiherpetic activity of a proteoglycan isolated from the mycelia of Ganoderma lucidum in vitro. J Biochem Mol Biol. 2005 Jan 31;38(1):34-40.
  38. Wang L, Hou Y. Determination of trace elements in anti-influenza virus mushrooms. Biol Trace Elem Res. 2011 Dec;143(3):1799-807.
  39. Beck MA, Nelson HK, Shi Q, et al. Selenium deficiency increases the pathology of an influenza virus infection. FASEB J. 2001;15(8):1481-3.
  40. Singh M, Das RR. Zinc for the common cold. Cochrane Database Syst Rev. 2011;(2):CD001364.
  41. Iwatsuki K, Akihisa T, Tokuda H, et al. Lucidenic acids P and Q, methyl lucidenate P, and other triterpenoids from the fungus Ganoderma lucidum and their inhibitory effects on Epstein-Barr virus activation. J Nat Prod. 2003 Dec;66(12):1582-5.
  42. Akihisa T, Nakamura Y, Tagata M, et al. Anti-inflammatory and anti-tumor-promoting effects of triterpene acids and sterols from the fungus Ganoderma lucidum. Chem Biodivers. 2007 Feb;4(2):224-31.
  43. Hjalgrim H. On the aetiology of Hodgkin lymphoma. Dan Med J. 2012 Jul;59(7):B4485. Review. PubMed PMID: 22759852.
  44. Engels EA. Infectious agents as causes of non-Hodgkin lymphoma. Cancer Epidem Biomar. 2007 Mar;16(3):401-4.
  45. Li Y, Yang Y, Fang L, Zhang Z, Jin J, Zhang K. Anti-hepatitis activities in the broth of Ganoderma lucidum supplemented with a Chinese herbal medicine. Am J Chin Med. 2006;34(2):341-9.
  46. Li YQ, Wang SF. Anti-hepatitis B activities of ganoderic acid from Ganoderma lucidum. Biotechnol Lett. 2006 Jun;28(11):837-41.
  47. Lu YZ, Wu XX, Chen S, et al. Effectiveness of Ganoderma lucidum preparation in treating simian acquired immune deficiency syndrome. Zhongguo Yi Xue Ke Xue Yuan Xue Bao. 2011 Jun;33(3):318-24.
  48. Hua KF, Hsu HY, Chao LK, et al. Ganoderma lucidum polysaccharides enhance CD14 endocytosis of LPS and promote TLR4 signal transduction of cytokine expression. J Cell Physiol. 2007 Aug;212(2):537-50.
  49. Lin CY, Chen YH, Lin CY, et al. Ganoderma lucidum polysaccharides attenuate endotoxin-induced intercellular cell adhesion molecule-1 expression in cultured smooth muscle cells and in the neointima in mice. J Agric Food Chem. 2010 Sep 8;58(17):9563-71.
  50. Wang SH, Liang CJ, Weng YW, et al. Ganoderma lucidum polysaccharides prevent platelet-derived growth factor-stimulated smooth muscle cell proliferation in vitro and neointimal hyperplasia in the endothelial-denuded artery in vivo. J Cell Physiol. 2012 Aug;227(8):3063-71.
  51. Chitturi S. Treatment options for nonalcoholic Fatty liver disease. Therap Adv Gastroenterol. 2008 Nov;1(3):173-89.
  52. Paschos P, Paletas K. Non alcoholic fatty liver disease and metabolic syndrome. Hippokratia. 2009 Jan;13(1):9-19.
  53. Hajjaj H, Mace C, Roberts M, Niederberger P, Fay LB. Effect of 26-oxygenosterols from Ganoderma lucidum and their activity as cholesterol synthesis inhibitors. Appl Environ Microbiol. 2005 Jul;71(7):3653-8.
  54. Kim SD. Isolation and structure determination of a cholesterol esterase inhibitor from Ganoderma lucidum. J Microbiol Biotechnol. 2010 Nov;20(11):1521-3.
  55. Sirtori CR. The pharmacology of statins. Pharmacol Res. 2014 Mar 20. pii: S1043-6618(14)00025-5.
  56. Chu TT, Benzie IF, Lam CW, Fok BS, Lee KK, Tomlinson B. Study of potential cardioprotective effects of Ganoderma lucidum (Lingzhi): results of a controlled human intervention trial. Br J Nutr. 2012 Apr;107(7):1017-27.
  57. Seto SW, Lam TY, Tam HL, et al. Novel hypoglycemic effects of Ganoderma lucidum water-extract in obese/diabetic (+db/+db) mice. Phytomedicine. 2009 May;16(5):426-36.
  58. Teng BS, Wang CD, Zhang D, et al. Hypoglycemic effect and mechanism of a proteoglycan from ganoderma lucidum on streptozotocin-induced type 2 diabetic rats. Eur Rev Med Pharmacol Sci. 2012 Feb;16(2):166-75.
  59. Zheng J, Yang B, Yu Y, Chen Q, Huang T, Li D. Ganoderma lucidum polysaccharides exert anti-hyperglycemic effect on streptozotocin-induced diabetic rats through affecting beta-cells. Comb Chem High Throughput Screen. 2012 Aug;15(7):542-50.
  60. Jiang J, Slivova V, Valachovicova T, Harvey K, Sliva D. Ganoderma lucidum inhibits proliferation and induces apoptosis in human prostate cancer cells PC-3. Int J Oncol. 2004 May;24(5):1093-9.
  61. Boh B. Ganoderma lucidum: a potential for biotechnological production of anti-cancer and immunomodulatory drugs. Recent Pat Anticancer Drug Discov. 2013 Sep;8(3):255-87.
  62. Liu RM, Zhong JJ. Ganoderic acid Mf and S induce mitochondria mediated apoptosis in human cervical carcinoma HeLa cells. Phytomedicine. 2011 Mar 15;18(5):349-55.
  63. Zamai L, Ponti C, Mirandola P, et al. NK cells and cancer. J Immunol. 2007 Apr 1;178(7):4011-6.
  64. Lin SB, Li CH, Lee SS, Kan LS. Triterpene-enriched extracts from Ganoderma lucidum inhibit growth of hepatoma cells via suppressing protein kinase C, activating mitogen-activated protein kinases and G2-phase cell cycle arrest. Life Sci. 2003 Apr 11;72(21):2381-90.
  65. Wang J, Wang Y, Liu X, Yuan Y, Yue T. Free radical scavenging and immunomodulatory activities of Ganoderma lucidum polysaccharides derivatives. Carbohydr Polym . 2013 Jan 2;91(1):33-8.
  66. Nonaka Y, Shibata H, Nakai M, et al. Anti-tumor activities of the antlered form of Ganoderma lucidum in allogeneic and syngeneic tumor-bearing mice. Biosci Biotechnol Biochem. 2006 Sep;70(9):2028-34.
  67. Pang X, Chen Z, Gao X, et al. Potential of a novel polysaccharide preparation (GLPP) from Anhui-grown Ganoderma lucidum in tumor treatment and immunostimulation. J Food Sci. 2007 Aug;72(6):S435-42.
  68. Chen HS, Tsai YF, Lin S, et al. Studies on the immuno-modulating and anti-tumor activities of Ganoderma lucidum (Reishi) polysaccharides. Bioorg Med Chem. 2004 Nov 1;12(21):5595-601.
  69. Fukuzawa M, Yamaguchi R, Hide I, et al. Possible involvement of long chain fatty acids in the spores of Ganoderma lucidum (Reishi Houshi) to its anti-tumor activity. Biol Pharm Bull. 2008 Oct;31(10):1933-7.
  70. Gao P, Hirano T, Chen Z, Yasuhara T, Nakata Y, Sugimoto A. Isolation and identification of C-19 fatty acids with anti-tumor activity from the spores of Ganoderma lucidum (reishi mushroom). Fitoterapia. 2012 Apr;83(3):490-9.
  71. Katagata Y, Sasaki F. Antiproliferative activity of extracts prepared from three species of Reishi on cultured human normal and tumor cell lines. Mol Med Rep. 2010 Jan-Feb;3(1):179-84.
  72. Zhao S, Ye G, Fu G, Cheng JX, Yang BB, Peng C. Ganoderma lucidum exerts anti-tumor effects on ovarian cancer cells and enhances their sensitivity to cisplatin. Int J Oncol. 2011 May;38(5):1319-27.
  73. Martinez-Montemayor MM, Acevedo RR, Otero-Franqui E, Cubano LA, Dharmawardhane SF. Ganoderma lucidum (Reishi) inhibits cancer cell growth and expression of key molecules in inflammatory breast cancer. Nutr Cancer. 2011;63(7):1085-94.
  74. Cao QZ, Lin ZB. Antitumor and anti-angiogenic activity of Ganoderma lucidum polysaccharides peptide. Acta Pharmacol Sin. 2004 Jun;25(6):833-8.
  75. Weng CJ, Yen GC. The in vitro and in vivo experimental evidences disclose the chemopreventive effects of Ganoderma lucidum on cancer invasion and metastasis. Clin Exp Metastasis. 2010 May;27(5):361-9.
  76. Jiang J, Slivova V, Sliva D. Ganoderma lucidum inhibits proliferation of human breast cancer cells by down-regulation of estrogen receptor and NF-kappaB signaling. Int J Oncol. 2006 Sep;29(3):695-703.
  77. Jiang J, Grieb B, Thyagarajan A, Sliva D. Ganoderic acids suppress growth and invasive behavior of breast cancer cells by modulating AP-1 and NF-kappaB signaling. Int J Mol Med. 2008 May;21(5):577-84.
  78. Silva D, Labarrere C, Slivova V, Sedlak M, Lloyd FP Jr, Ho NW. Ganoderma lucidum suppresses motility of highly invasive breast and prostate cancer cells. Biochem Biophys Res Commun. 2002 Nov 8;298(4):603-12.
  79. Wu G, Qian Z, Guo J, et al. Ganoderma lucidum extract induces G1 cell cycle arrest, and apoptosis in human breast cancer cells. Am J Chin Med. 2012;40(3):631-42.
  80. Lu H, Song J, Jia XB, Feng L. Antihepatoma activity of the acid and neutral components from Ganoderma lucidum. Phytother Res. 2012 Sep;26(9):1294-300.
  81. Wu GS, Lu JJ, Guo JJ, et al. Ganoderic acid DM, a natural triterpenoid, induces DNA damage, G1 cell cycle arrest and apoptosis in human breast cancer cells. Fitoterapia. 2012 Mar;83(2):408-14.
  82. Hu H, Ahn NS, Yang X, Lee YS, Kang KS. Ganoderma lucidum extract induces cell cycle arrest and apoptosis in MCF-7 human breast cancer cell. Int J Cancer. 2002 Nov 20;102(3):250-3.
  83. Batbayar S, Kim MJ, Kim HW. Medicinal mushroom Lingzhi or Reishi, Ganoderma lucidum (W.Curt.:Fr.) P. Karst., beta-glucan induces Toll-like receptors and fails to induce inflammatory cytokines in NF-kappaB inhibitor-treated macrophages. Int J Med Mushrooms. 2011;13(3):213-25.
  84. Chen NH, Liu JW, Zhong JJ. Ganoderic acid T inhibits tumor invasion in vitro and in vivo through inhibition of MMP expression. Pharmacol Rep. 2010 Jan-Feb;62(1):150-63.
  85. Weng CJ, Chau CF, Yen GC, Liao JW, Chen DH, Chen KD. Inhibitory effects of ganoderma lucidum on tumorigenesis and metastasis of human hepatoma cells in cells and animal models. J Agric Food Chem. 2009 Jun 10;57(11):5049-57.
  86. Li F, Wang Y, Wang X, Li J, Cui H, Niu M. Ganoderic acids suppress growth and angiogenesis by modulating the NF-κB signaling pathway in breast cancer cells. Int J Clin Pharmacol Ther. 2012 Oct;50(10):712-21.
  87. Perentes JY, Kirkpatrick ND, Nagano S, et al. Cancer cell-associated MT1-MMP promotes blood vessel invasion and distant metastasis in triple-negative mammary tumors. Cancer Res. 2011 Jul 1;71(13):4527-38.
  88. Liu J, Shiono J, Shimizu K, Kukita A, Kukita T, Kondo R. Ganoderic acid DM: anti-androgenic osteoclastogenesis inhibitor. Bioorg Med Chem Lett. 2009 Apr 15;19(8):2154-7.
  89. Lu H, Kyo E, Uesaka T, Katoh O, Watanabe H. A water-soluble extract from cultured medium of Ganoderma lucidum (Rei-shi) mycelia suppresses azoxymethane-induction of colon cancers in male F344 rats. Oncol Rep. 2003 Mar-Apr;10(2):375-9.
  90. Sliva D, Loganathan J, Jiang J, et al. Mushroom Ganoderma lucidum prevents colitis-associated carcinogenesis in mice. PLoS One. 2012;7(10):e47873.
  91. Kashimoto N, Hayama M, Kamiya K, Watanabe H. Inhibitory effect of a water-soluble extract from the culture medium of Ganoderma lucidum (Rei-shi) mycelia on the development of pulmonary adenocarcinoma induced by N-nitrosobis (2-hydroxypropyl) amine in Wistar rats. Oncol Rep. 2006 Dec;16(6):1181-7.
  92. Elmore S. Apoptosis: a review of programmed cell death. Toxicol Pathol. 2007 Jun;35(4):495-516.
  93. Available at: http://www.britannica.com/ebchecked/topic/92230/cancer/224769/apoptosis-and-cancer-development. Accessed May 14, 2014.
  94. Yuen JW, Gohel MD, Ng CF. The differential immunological activities of Ganoderma lucidum on human pre-cancerous uroepithelial cells. J Ethnopharmacol. 2011 Jun 1;135(3):711-8.
  95. Thyagarajan A, Zhu J, Sliva D. Combined effect of green tea and Ganoderma lucidum on invasive behavior of breast cancer cells. Int J Oncol. 2007 Apr;30(4):963-9.
  96. Thyagarajan A, Jiang J, Hopf A, Adamec J, Sliva D. Inhibition of oxidative stress-induced invasiveness of cancer cells by Ganoderma lucidum is mediated through the suppression of interleukin-8 secretion. Int J Mol Med. 2006 Oct;18(4):657-64.
  97. Suarez-Arroyo IJ, Rosario-Acevedo R, Aguilar-Perez A, et al. Anti-tumor effects of Ganoderma lucidum (reishi) in inflammatory breast cancer in in vivo and in vitro models. PLoS One. 2013;8(2):e57431.
  98. Mohamed M, Al-Raawi D, Sabet SF, El-Shinnawi M. Inflammatory breast cancer: New factors contribute to disease etiology: Review. Journal of Advanced Research. Available online June 14, 2013.
  99. Kimura Y, Taniguchi M, Baba K. Antitumor and antimetastatic effects on liver of triterpenoid fractions of Ganoderma lucidum: mechanism of action and isolation of an active substance. Anticancer Res. 2002 Nov-Dec;22(6a):3309-18.
  100. Gao Y, Zhou S, Jiang W, Huang M, Dai X. Effects of ganopoly (a Ganoderma lucidum polysaccharide extract) on the immune functions in advanced-stage cancer patients. Immunol Invest. 2003 Aug;32(3):201-15.
  101. Oka S, Tanaka S, Yoshida S, et al. A water-soluble extract from culture medium of Ganoderma lucidum mycelia suppresses the development of colorectal adenomas. Hiroshima J Med Sci. 2010 Mar;59(1):1-6.