Trametes versicolor

Turkey Tail Mushroom (Trametes versicolor) is a mushroom that is a source of a polysaccharide, known as polysaccharide K, that is established as a cancer adjunct therapy for the immune system.

This page features 16 unique references to scientific papers.

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Human Effect Matrix

The Human Effect Matrix looks at human studies (it excludes animal and in vitro studies) to tell you what effects trametes versicolor has on your body, and how strong these effects are.

Grade Level of Evidence
Robust research conducted with repeated double-blind clinical trials
Multiple studies where at least two are double-blind and placebo controlled
Single double-blind study or multiple cohort studies
Uncontrolled or observational studies only
Level of Evidence
? The amount of high quality evidence. The more evidence, the more we can trust the results.
Outcome Magnitude of effect
? The direction and size of the supplement's impact on each outcome. Some supplements can have an increasing effect, others have a decreasing effect, and others have no effect.
Consistency of research results
? Scientific research does not always agree. HIGH or VERY HIGH means that most of the scientific research agrees.
Notes
Lymphocyte Count Notable - See study
In women with breast cancer, a very large preservation of lymphocytes is noted with polysaccharide K
Natural Killer Cell Activity - - See study
No significant alterations in NK cell activity
Natural Killer Cell Content - - See study
No significant influence on NK cell count


1Sources and Composition

1.1. Sources

Trametes versicolor, more commonly known as Turkey Tail Mushroom,

Historically, Turkey Tail polysaccharide (specifically PSK) have been used in Japan as anti-cancer adjuvants alongside other cancer therapies; first approved in 1977 as a prescription medication (in regards to isolated PSK) and in 1987 PSK itself accounted for more than 25% of total national expenditure for anticancer agents in Japan.[1]

1.2. Composition

The main bioactives in Turkey Tail are:

  • Polysaccharide K (PSK)[2][3]

  • Polysaccharide-peptide (PSP) from the water-soluble fragment[4][5]


2Neurology

2.1. Pain

PSP has been tested in rats to assess its interactions with pain (hot-plate test for tactile heat pain, acetic acid writhing test for chemical pain) and PSP appeared to have weak pain sensitizing effects relative to control.[6] This increase in pain sensitivity appears to have been related to pro-inflammatory effects of PSP, and was significantly inhibited by anti-inflammatories.[6]


3Inflammation and Immunology

3.1. Mononuclear Cells

PSK may stimulate proliferation of PBMCs while inducing accumulation of interleukins (particularly IL-1α) within the cell.[6] Increased IL-8 levels result after stimulation of PBMCs by PSK, and this has been found in persons following oral ingestion of 1g PSK (with spikes appearing in 42-44% of persons within 3 hours, assay could not detect less than 25pg/mL) to a fairly variable level of 30-125pg/mL (data extracted from graph).[7]

3.2. Natural Killer Cells

The polysaccharide PSK appears to be a TLR2 agonist, and can stimulate Natural Killer (NK) cells to produce IFN-γ and increase their cytotoxicity;[8] although it is contested as to whether this is direct or indirect NK cell activation (may be vicarious through Dendritic Cells).[9][10] Abolishment of the TLR2 receptor in mice abolishing NK cell activity induced by PSK.[8]

Interactions between tumors and Turkey Tail mushroom are partially dependent on NK cells, and mostly dependent on both NK cells and T-Cells.[7]

In women with breast cancer who had NK cell activity significantly reduced due to radiotherapy, a trend towards increasing NK cell activity was noted with 6g daily after 4 weeks but aside from not being present at 6 weeks nor being present with 9g ingestion this failed to be statistically significant.[11] This same trend existed for NK cell count.[11]

3.3. T-Cells

In vitro, incubation of 10-200ug/mL PSK appears to increase CD4+ and CD8+ T-cells and overall splenocyte proliferation.[8]

An increased level of cytotoxic T-cells against tumors has been noted in animals fed PSK (100mg/kg) after injection of tumor cells.[8]

Total levels of CD8 cytotoxic T-cells appear to increase after ingestion of 3-9g Turkey Tail over 6 weeks in women with breast cancer, but this was not statistically significant.[11]

3.4. B-Cells

Although increasing splenocyte proliferation, 10-200mcg/mL PSK appears to reduce the percentage of B-Cells in vitro from 46.8+/-0.6% to 22.4+/-1.9%[8] which may be related to the ability of PSK to suppress B-Cell growth via IL-15 secretion from T-Cells.[12]

A trend to increase CD19+ B-cells was noted in women given 6-9g Turkey Tail daily for 6 weeks.[11]


4Interactions with Cancer

4.1. Breast Cancer

Mechanistically, the polysaccharide PSK appears to activate PBMCs via the TLR2 receptor directly and PBMCs then activate Natural Killer (NK) cells to release IFN-γ and lyse breast cancer cells.[13] TLR2 activation appears to enhance NK cell activity (as well as TLR8,9),[14] and PSK has once been demonstrated to enhance breast cancer therapries that target HER2 (a protein that is seen as a breast cancer therapeutic target[15]); with this study noting augmentation of Trastuzumab (Herceptin™).[13]

In women with breast cancer (Stage I-III) consuming Turkey Tail mycelia powder at 3, 6, or 9g daily (two divided doses) over 6 months resulted in normalization of lymphocyte counts that were reduced by radiotherapy at only 6-9g daily (3g not being significantly different than placebo) with the measurement after 6 weeks exceeding pre-radiation levels.[11]

4.2. Leukemia

In promyelocytic leukemia cells (HL-60), incubation of various extracts of Turkey Tail resulted in both the ethanolic and water extracts suppressing cell viability in a concentration dependent manner with more efficacy in the water extract; with 7.5-10mcg/mL suppressing viability to lower than 25% of baseline.[5]

Proliferation also appears to have been reduced at 5-10mcg/mL water extract of Turkey Tail that was associated with a decrease of cells in S phase (41.2% to 11.3%) with concomitant increases in G1 and G2/M phases.[5]

In regards to cytokines, a suppression of IL-8 was noted in HL-60 cells.[5]


5Safety and Toxicicity

Up to 9g of Turkey Tail daily for 6 months in women with Breast Cancer has failed to note any significant side effects and was deemed well tolerated.[11]

Scientific Support & Reference Citations

References

  1. Sullivan R, Smith JE, Rowan NJ Medicinal mushrooms and cancer therapy: translating a traditional practice into Western medicine . Perspect Biol Med. (2006)
  2. Fisher M, Yang LX Anticancer effects and mechanisms of polysaccharide-K (PSK): implications of cancer immunotherapy . Anticancer Res. (2002)
  3. Sakagami H, et al Stimulation by PSK of interleukin-1 production by human peripheral blood mononuclear cells . Anticancer Res. (1993)
  4. Zaidman BZ, et al Medicinal mushroom modulators of molecular targets as cancer therapeutics . Appl Microbiol Biotechnol. (2005)
  5. Hsieh TC, et al Effects of extracts of Coriolus versicolor (I'm-Yunity) on cell-cycle progression and expression of interleukins-1 beta,-6, and -8 in promyelocytic HL-60 leukemic cells and mitogenically stimulated and nonstimulated human lymphocytes . J Altern Complement Med. (2002)
  6. Chan SL, Yeung JH Polysaccharide peptides from COV-1 strain of Coriolus versicolor induce hyperalgesia via inflammatory mediator release in the mouse . Life Sci. (2006)
  7. Kato M, et al Induction of gene expression for immunomodulating cytokines in peripheral blood mononuclear cells in response to orally administered PSK, an immunomodulating protein-bound polysaccharide . Cancer Immunol Immunother. (1995)
  8. Lu H, et al Polysaccharide krestin is a novel TLR2 agonist that mediates inhibition of tumor growth via stimulation of CD8 T cells and NK cells . Clin Cancer Res. (2011)
  9. Azuma M, et al The peptide sequence of diacyl lipopeptides determines dendritic cell TLR2-mediated NK activation . PLoS One. (2010)
  10. Martinez J, Huang X, Yang Y Direct TLR2 signaling is critical for NK cell activation and function in response to vaccinia viral infection . PLoS Pathog. (2010)
  11. Torkelson CJ, et al Phase 1 Clinical Trial of Trametes versicolor in Women with Breast Cancer . ISRN Oncol. (2012)
  12. Liu A, et al PSK and Trx80 inhibit B-cell growth in EBV-infected cord blood mononuclear cells through T cells activated by the monocyte products IL-15 and IL-12 . Blood. (2005)
  13. Lu H, et al TLR2 agonist PSK activates human NK cells and enhances the antitumor effect of HER2-targeted monoclonal antibody therapy . Clin Cancer Res. (2011)
  14. Moreno M, et al Toll-like receptor agonists and invariant natural killer T-cells enhance antibody-dependent cell-mediated cytotoxicity (ADCC) . Cancer Lett. (2008)
  15. Pathmanathan N, Bilous AM HER2 testing in breast cancer: an overview of current techniques and recent developments . Pathology. (2012)
  16. Torkelson CJ, et al Phase 1 Clinical Trial of Trametes versicolor in Women with Breast Cancer . ISRN Oncol. (2012)