Mantar ve Kanser: Olası Adjuvan Tedavi Ajanı Olarak Mantar

Mantar uzun yıllardan beri kanser hastalarının geleneksel tedavisinde kullanılmaktadır. Son yıllarda giderek artan araştırmalar da özellikle bazı mantar türlerinin kanser üzerine olumlu etkileri olduğunu kanıtlar niteliktedir. Mantar türleri antikanser etkilerini özellikle immünomodülatör özellikleri sayesinde göstermektedir. Mantarın bu özelliğini sağlayan bileşenlerin başında polisakkaritler gelirken özellikle ?-D-glukanın daha ön plana çıktığı bildirilmiştir. Bu makalede, mantar ekstraktlarının kanser üzerine etkilerinin gösterildiği in vitro, in vivo ve kesitsel çalışmaların yanı sıra, mantar tüketiminin kanser üzerine etkilerinin gösterildiği müdahale çalışmaları da derlenerek mantarın kanser hastalarında adjuvan tedavi ajanı olarak kullanılıp kullanılamayacağı konusu tartışılmıştır.

Mushrooms and Cancer: Mushroom as Possible Adjuvant Treatment Agent

Mushroom is used in conventional treatment of cancer patients for many years. In recent years, numerous studies present growing evidence that some species of mushroom have particularly beneficial effects on cancer. Anticancer effects of mushrooms are attributed especially to their immunomodulatory properties. Polysaccharides are the components providing this feature of mushroom. In particular, ?-D-glucan has been reported to gain more importance as a polysaccharide. In this article, in addition to in vitro, in vivo and crosssectional studies that demonstrate beneficial effects of mushroom on cancer, intervention studies on mushroom consumption were reviewed and the use of mushroom as an adjuvant therapy in cancer patients is discussed.

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  • 1. Roupas P, Keogh J, Noakes M, Margetts C, Taylor P. The role of edible mushrooms in health: Evaluation of the evidence. J Funct Foods 2012;4:687-709.
  • 2. Masuda Y, Ito K, Konishi M, Nanba H. A polysaccharide extracted from Grifola frondosa enhances the anti-tumor activity of bone marrow-derived dendritic cell-based immunotherapy against murine colon cancer. Cancer Immunol Immun 2010;59:1531-1541.
  • 3. Niu YC, Liu JC, Zhao XM, Su FQ, Cui HX. Immunostimulatory activities of a lowmolecular weight antitumoralpolysaccharide isolated from Agaricus blazei Murill(LMPAB)in Sarcoma 180 ascitic tumor-bearing mice. Pharmazie 2009;64:472-476.
  • 4. Kosanic M, Rankovic B, Rancic A, Tatjana S. Evaluation of metal concentration and antioxidant, antimicrobial, and anticancer potentials of two edible mushrooms Lactarius deliciosus and Macrolepiota procera. J Food Drug Anal 2016;24:477-484.
  • 5. Cheung PCK. The hypocholesterolemic effect of two edible mushrooms: Auricularia auricula (tree-ear) and Tremella fuciformis (white jelly-leaf) in hypercholesterolemic rats. Nutr Res 1996;16(10):1721-1725.
  • 6. Gründemann C, Garcia-Kaufer M, Sauer B, Scheer R, Merdivan S, Bettin P, et al. Comparative chemical and biological investigations of ?-glucan-containing products from shiitake mushrooms. J Funct Foods 2015;18:692-702.
  • 7. Ina K, Kataoka T, Ando T. The use of lentinan for treating gastric cancer. Anticancer Agents Med Chem 2013;13:681- 688.
  • 8. Maity P, Sen IK, Maji PK, Paloi S, Devi KSP, Acharya K, et al. Structural, immunological, and antioxidant studies of ?-glucan from edible mushroom Entoloma lividoalbum. Carbohydr Polym 2015;123:350-358.
  • 9. Zhu F, Du B, Bian Z, Xu B. Beta-glucans from edible and medicinal mushrooms: Characteristics, physicochemical and biological activities. J Food Comp Anal 2015;41:165-173.
  • 10. Ruthes AC, Smiderle FR, Iacomini M. d-Glucans from edible mushrooms: A review on the extraction, purification and chemical characterization approaches. Carbohydr Polym 2015;117:753-761.
  • 11. Meng X, Liang H, Luo L. Antitumor polysaccharides from mushrooms: a review on the structural characteristics, antitumor mechanisms and immunomodulating activities. Carbohydr Res 2016;424:30-41.
  • 12. Hong SA, Kim K, Nam SJ, Kong G, Kim MK. A case-control study on the dietary intake of mushrooms and breast cancer risk among Korean women. Int J Cancer 2008;122:919-923.
  • 13. Shin A, Kim J, Lim SY, Kim G, Sung MK, Lee ES, et al. Dietary mushroom intake and the risk of breast cancer based on hormone receptor status. Nutr Cancer 2010;62:476-483.
  • 14. Gu YH, Leonard J. In vitro effects on proliferation, apoptosis and colony inhibition in ER-dependent and ERindependent human breast cancer cells by selected mushroom species. Oncol Rep 2006;15:417-423.
  • 15. Hakkim FL, Al-Buloshi M, Achankunju J. Chemical composition and anti-proliferative effect of Oman's Ganoderma applanatum on breast cancer and cervical cancer cells. J Taibah Univ Med Sci 2016;11(2):145-151.
  • 16. Liu RM, Li YB, Zhong JJ. Cytotoxic and pro-apoptotic effects of novel ganoderic acid derivatives on human cervical cancer cells in vitro. Eur J Pharmacol 2012;681:23-33.
  • 17. Fortes RC, Novaes M, Recova VL, Melo AL. Immunological, hematological, and glycemia effects of dietary supplementation with Agaricus sylvaticus on patients' colorectal cancer. Exp Biol Med 2009;234:53-62.
  • 18. Chen W, Zhao Z, Chen SF, Li YQ. Optimization for the production of exopolysaccharide from Fomes fomentarius in submerged culture and its antitumor effect in vitro. Bioresour Technol 2008;99:3187-3194.
  • 19. Twardowski P, Kanaya N, Frankel P, Synold T, Ruel C, Pal SK, et al. A phase I trial of mushroom powder in patients with biochemically recurrent prostate cancer: Roles of cytokines and myeloid-derived suppressor cells for Agaricus bisporus-induced prostate-specific antigen responses. Cancer 2015;121(17):2942-2950.
  • 20. Sumiyoshi Y, Hashine K, Kakehi Y, Yoshimura K, Satou T, Kuruma H, et al. Dietary administration of mushroom mycelium extracts in patients with early stage prostate cancers managed expectantly: a phase II study. Jpn J Clin Oncol 2010;40:967-972.
  • 21. Wenner CA, Martzen MR, Lu H, Verneris MR, Wang H, Slaton JW. Polysaccharide-K augments docetaxel-induced tumor suppression and antitumor immune response in an immunocompetent murine model of human prostate cancer. Int J Oncol 2012;40:905-913.
  • 22. Russo A, Cardile V, Piovano M, Caggia S, Espinoza CL, Garbarino JA. Proapoptotic activity of ergosterol peroxide and (22E)-ergosta-7,22-dien-5ahydroxy-3,6-dione in human prostate cancer cells. Chem Biol Interact 2010;184:352-358.
  • 23. Liu C, Chen J, Chen L, Huang X, Cheung PC. Immunomodulatory activity of polysaccharide-protein complex from the mushroom sclerotia of polyporus rhinocerus in murine macrophages. J Agric Food Chem. 2016 27;64:3206- 3214.
  • 24. Liao SF, Liang CH, Ho MY, Hsu TL, Tsai TI, Hsieh YS, et al. Immunization of fucose-containing polysaccharides from Reishi mushroom induces antibodies to tumor-associated Globo H-series epitopes. Proc Natl Acad Sci USA. 2013;110:13809- 13814.
  • 25. Sendra VG, Zlocowski N, Nores GA, Irazogui FJ. Antiidiotypic antibody mimicking a T-antigen-specific lectin inhibits human epithelial tumor cell proliferation. Immunol Cell Biol 2010;88:787-794.
  • 26. Daba AS, Ezeronye OU. Anti-cancer effect of polysaccharides isolated from higher basidiomycetes mushrooms. Afr J Biotechnol 2003;2:672-678.
  • 27. Lemieszek M, Rzeski W. Anticancer properties of polysaccharides isolated from fungi of the Basidiomycetes class. Wspolczesna Onkol 2012;16:285-289.
  • 28. Chen YW, Hu DJ, Cheong KL, Li J, Xie J, Zhao J, et al. Quality evaluation of lentinan injection produced in China. J Pharm Biomed Anal 2013;78:176- 182.
  • 29. Sun M, Zhao W, Xie Q, Zhan Y, Wu B. Lentinan reduces tumor progression by enhancing gemcitabine chemotherapy in urothelial bladder cancer. Surg Oncol 2015;24:28-34.
  • 30. Wang JL, Bi Z, Zou JW, Gu XM. Combination therapy with lentinan improves outcomes in patients with esophageal carcinoma. Mol Med Rep 2012;5:745-748.
  • 31. Wasser SP. Medicinal mushrooms as a source of antitumor and immunomodulating polysaccharides. Appl Microbiol Biotechnol 2002;60:258-274.
  • 32. Zhong K, Liu L, Tong L, Zhong X, Wang Q, Zhou S. Rheological properties and antitumor activity of schizophyllan produced with solid-state fermentation. Int J Biol Macromolec 2013;62:13-17.
  • 33. Kimura Y, Mizuno H, Satake K, Tahara H, Tsukuda M. Clinical evaluation of Schizophyllan an assistant immunotherapy in treatment of head and neck cancer Acta Otolargynzol 1994;511:192-195.
  • 34. Hasegawa K, Nishimura R, Kinugasa M, Okamura M, Kimura A, Ohtsu F, et al. Electron microscopic and immunological studies concerning the effect on the antitumor activity of sizofiran (SPG) combined with radiotherapy for cervical cancer. Nihon Gan Chiryo Gakkai Shi 1990;25:2549-2561.
  • 35. Kimura Y, Tojima H, Fukase S, Takeda K. Clinical evaluation of sizofilan as assistant immunotherapy in treatment of head and neck cancer. Acta Otolaryngol Suppl 1994;511:192-195.
  • 36. Yanagimoto H, Satoi S, Yamamoto T, Hirooka S, Yamaki S, Kotsuka M, et al. Alleviating effect of active hexose correlated compound (AHCC) on chemotherapy-related adverse events in patients with unresectable pancreatic ductal adenocarcinoma. Nutr Cancer 2016;68:234-240.
  • 37. Tokunaga M, Baron B, Kitagawa T, Tokuda K, Kuramitsu Y. Active hexose-correlated compound down-regulates heat shock factor 1, a transcription factor for hsp27, in gemcitabineresistant human pancreatic cancer cells. Anticancer Res 2015;35:6063-6067.
  • 38. Cao Z, Chen X, Lan L, Zhang Z, Du J, Liao L. Active hexose correlated compound potentiates the antitumor effects of lowdose 5-fluorouracil through modulation of immune function in hepatoma 22 tumor-bearing mice. Nutr Res Pract 2015;9:129- 136.
  • 39. Nanba H. Results of non-controlled clinical study for various cancer patients using Maitake D-fraction. Explore 1995;6:19- 21.
  • 40. Fulleroton SA, Samadi AA. Induction of apoptosis in human prostate cancer cells with ?-glucan (Maitake mushroom polysaccharides). Mol Urology 2000;4:7-13.
  • 41. Jemal A, Bray F, Center MM, Ferlay J, Ward E, Forman D. Global cancer statistics. CA Cancer J Clin 2011;61:69-90.
  • 42. Wasser SP. Current findings, future trends, and unsolved problems in studies of medicinal mushrooms. Appl Microbiol Biotechnol 2011;89:1323-1332.
  • 43. Novaes MRCG, Valadares F, Reis MC, Goncalves DR, Menezes MdC. The effects of dietary supplementation with Agaricales mushrooms and other medicinal fungi on breast cancer: evidence-based medicine. Clinics 2011;66:2133- 2139.
  • 44. Eliza WL, Fai CK, Chung LP. Efficacy of Yun Zhi (Coriolus versicolor) on survival in cancer patients: systematic review and meta-analysis. Recent Pat Inflamm Allergy Drug Discov 2012;6:78-87.
  • 45. Shin A, Kim J, Lim SY, Kim G, Sung MK, Lee ES, et al. Dietary mushroom intake and the risk of breast cancer based on hormone receptor status. Nutr Cancer 2010;62:476-483.
  • 46. Mizoo T, Taira N, Nishiyama K, Nogami T, Iwamoto T, Motoki T, et al. Effects of lifestyle and single nucleotide polymorphisms on breast cancer risk: a casecontrol study in Japanese women. BMC Cancer 2013;13:565.
  • 47. Li J, Zou L, Chen W, Zhu B, Shen N, Ke J, et al. Dietary mushroom intake may reduce the risk of breast cancer: evidence from a meta-analysis of observational studies. Plos One 2014;9:e93437.
  • 48. Sankaranarayanan R, Ferlay J. Worldwide burden of gynaecological cancer: the size of the problem. Best Pract Res Clin Obstet Gynaecol 2006;20:207-225.
  • 49. Cho K, Shih I. Ovarian cancer. Annu Rev Pathol 2009;4:287- 313.
  • 50. Lee AH, Pasalich M, Su D, Tang L, Tran VD, Binns CW. Mushroom intake and risk of epithelial ovarian cancer in Southern Chinese women. Int J Gynecol Cancer 2013;23:1400- 1405.
  • 51. Hara M, Hanaoka T, Kobayashi M, Otani T, Adachi HY, Montani A, et al. Cruciferous vegetables, mushrooms, and gastrointestinal cancer risks in a multicenter, hospital-based case-control study in Japan. Nutr Cancer 2003;46:138-147.
  • 52. Kim HJ, Chang WK, Kim MK, Lee SS, Choi BY. Dietary factors and gastric cancer in Korea: a case-control study. Int J Cancer 2002;97:531-535.
  • 53. Metin İ, Güngör H, Çolak ÖF. Ülkemizdeki bazı mantar ve mantar ürünlerinin dış ticareti üzerine bir araştırma ve küresel pazarlanmasına yönelik öneriler. Mantar Dergisi 2013; 4(2):1- 9.