“…All these factors play an important role in various kinds of glucan-associated biological activities [2]. The method of preparation of the extract fractions from S. crispa is related to the structural features of these fractions, and the immunomodulating activities in vivo and in vitro are significantly modulated by the method of preparation [14]. In general, in vitro studies have suggested that high MW or particulate β-glucans, such as OX-CA and zymosan, can directly activate leukocytes, inducing macrophages, to produce several mediators, including inflammatory cytokines IL-1, IL-6, TNF-α, and nitric oxide (NO) [36,37].…”