Abstract. alternative cancer treatment with nutritional/dietary supplements containing a wide variety of herbal products is on the rise in Western countries. recent epidemiological studies have suggested that mushrooms may prevent against different types of cancers. Phellinus linteus is a well-known Oriental medicinal fungus with a variety of biological activities, including immunomodulatory or direct antitumor activities. the activity of P. linteus and its extracts is associated with the presence of polysaccharides, their peptide/protein complexes and other low molecular weight complexes. polysaccharide fractions isolated from P. linteus were found to be related to the increased activity of immune cells such as the production of cytokines by macrophages and B-cells or the increased cytotoxic activity of natural killer cells. moreover, P. linteus was found to modulate the expression or activity of various genes involved in cell proliferation, apoptosis, angiogenesis, invasive behavior and chemoprevention. Finally, P. linteus extracts demonstrated tumor regression in three independent case reports, suggesting that an extract from P. linteus or a dietary supplement based on the extract from P. linteus may have potential use for the alternative treatment of cancer.
Contents1. introduction 2. Phellinus linteus 3. the anticancer activity of isolated compounds 4. the anticancer activity of P. linteus extracts 5. human studies 6. conclusions
Introductionthe popularity of complementary and alternative medicine (cam) is steadily increasing among cancer patients, and cam represents one of the fastest growing treatment modalities in the uS (1). the most commonly used cam includes acupuncture, mind-body approaches and dietary supplements. Specifically, among cancer patients, the use of CAM ranges between 30 and 75% worldwide and includes dietary approaches, herbal and other biologically based treatments (2). For example, herbal therapies are used by more than 12% of the uS population each year, resulting in annual out-ofpocket expenses above $5 billion (3). in spite of the popularity of alternative cancer treatments with nutritional/dietary supplements among patients, sometimes based on the anecdotic evidence, cam therapies are in many cases labeled as 'pseudoscience' (4). Therefore, rigorous scientific testing and safety evaluation of dietary supplements must be performed, after which clinicians can recommend the use of a particular dietary supplement (5).Some of the popular, widely used dietary supplements are based on dried mushrooms or mushroom extracts. notably, three recent epidemiological studies from asia demonstrated an inverse correlation between mushroom intake and gastric, gastrointestinal and breast cancer, respectively (6-8). the anticancer activities of mushrooms were usually associated with the stimulation of the immune system by polysaccharides, predominantly β-glucans (9). On the other hand, mushrooms contain minerals, vitamins (e.g., thiamin, riboflavin, ascorbic acid and vitamin d), amino acids and other...