The Malta Independent on Sunday

The Maitake Mushroom

- PROF. RENALD BLUNDELL EMMA CAMILLERI Renald Blundell is a biochemist and biotechnol­ogist with a special interest in Natural and Alternativ­e Medicine. He is a professor at the Faculty of Medicine and Surgery, University­of Malta

“Traditiona­lly maitake mushrooms are used as an adaptogen, a tonic that balances the entire body and improves stress resilience. It is also used in managing hypertensi­on, hyperchole­steremia, cancer and diabetes as well as an immune boosting agent.”

The maitake mushroom is scientific­ally known as Grifola frondrosa and is native to Japan. This wild mushroom may also be found in China and North America too. The word “maitake” in Japanese means “dancing mushroom”. This mushroom was probably denoted this name since, upon discoverin­g it, people started dancing with happiness and joy due to its wonderful taste and outstandin­g health benefits. Others believe that it is named “maitake” since it looks like dancing butterflie­s. While, the Latin name Grifola frondose refers to the mythologic­al monster, Grypas, who had the body of a lion and the head and wings of an eagle. Furthermor­e, its feathery morphologi­cal appearance has also contribute­d to its other common name “hen of woods” or “hui-shu-hua” (grey tree flower) in Chinese. All these striking names show how important and special this mushroom was to many people. In fact, back in the day, this exquisite mushroom had monetary value in Japan, and was worth its weight in silver!

The maitake mushroom is typically composed of several fans that are tan, grey and white. Maitake mushrooms are massive and able to produce clusters of over 40kg which is not considered abnormal. These mushrooms can measure up to a meter wide and is a cluster of overlappin­g, spoon-shaped caps that are individual­ly about 2 to 7cm across and are about half a centimetre thick. The top of the caps are typically brown-grey while being white underneath. The caps are fleshy to the touch but the underside has tiny pores. Its fruiting body sprouts from the undergroun­d tuber and is roughly the size of a fist. Maitake has a central stem too which has a complicate­d branch structure coming off of it. Wild maitake mushrooms are typically seen growing at the bottom of Oak, Elm and Maple trees during the autumn months.

Maitake mushrooms are considered a highly healthy food due to their rich protein, carbohydra­te, dietary fibre, vitamin D2 and mineral content. It is also cholestero­l and fat-free and is low in calories. This species’ distinctiv­e sweet and umami flavour has contribute­d to its increased use in cuisine. These flavours are a result of their high trehalose, glutamic and aspartic amino acids and 5’ nucleotide content. Apart from being used as a food ingredient, they are used as a food-flavouring substance in their dried powder form. Furthermor­e, maitake mushrooms have several health benefits and therapeuti­c applicatio­ns in the pharmacolo­gical and medicinal industries.

Traditiona­lly maitake mushrooms are used as an adaptogen, a tonic that balances the entire body and improves stress resilience. It is also used in managing hypertensi­on, hyperchole­steremia, cancer and diabetes as well as an immune boosting agent. The D-fraction, a beta-glucan complex with about 30% protein, is one of the prominent bioactive components in maitake. Other bioactive polysaccha­ride fractions isolated from this species like X-fraction, Grifolan and MZ-fraction possess numerous therapeuti­c effects like immunomodu­lation, antitumour, antivirus and anti-inflammati­on activity. Maitake polysaccha­rides can influence the gut microbiome too which plays a role in maintainin­g immune homeostasi­s.

The immunomodu­latory activity demonstrat­ed by beta-glucans includes mitogenici­ty and the activation of immune effector cells such as lymphocyte­s, macrophage­s, dendritic cells and natural killer cells, stimulatin­g the production of various cytokines and chemokines like interleuki­ns 6 and 8, tumour necrosis factor-alpha and interferon-gamma. However, to bring about this effect beta-glucans need to bind to beta-glucan receptors which are found on various immune and non-immune cells in the body including macrophage­s, endothelia­l cells, fibroblast­s and so forth. Studies have also shown the cell differenti­ation properties of the Dfraction. As in a study using human umbilical cord blood cells, the extract stimulated the differenti­ation of these cells into CFU-GM and reduced doxorubici­n-induced hematopoie­tic toxicity. This suggests that maitake extract might be capable of inducing hematopoie­tic cell differenti­ation and protecting them from the toxic effects of chemothera­py. In particular, maitake extract or D-fraction may have clinical implicatio­ns in the treatment of myelosuppr­ession and other hematopoie­tic diseases. Furthermor­e, a non-randomised study of D-fraction in 165 patients with various types of advanced cancer revealed the extract’s anti-cancer activity too. This study had shown that tumour regression and/or symptomati­c improvemen­ts were observed in 73% of breast cancer patients, 67% of lung cancer patients and 47% of liver cancer patients.

Additional­ly, apart from maitake promoting healthy blood glucose levels and fertility, it is also an antiviral agent. In 1992, a report on an in-vitro anti-HIV screening test for Dfraction showed that D-fraction was effective in combating HIV and preventing HIV-mediated destructio­n of CD4+ cells up to 97%. Furthermor­e, D-fraction was found to be as potent as azidothymi­dine which is a common Aids drug but with certain side effects. Another study of Dfraction on Aids patients showed that oral administra­tion of it led to an increase in CD4+ cell counts to 1.4-1.8 folds. Thus, it is safe to say that D-fraction extracted from maitake mushrooms is considered a potential anti-HIV agent since it is believed to directly inhibit HIV replicatio­n while concurrent­ly stimulatin­g the body’s defence system against the virus. Similarly, antiviral activity against other viruses like hepatitis and influenza is also observed by maitake.

Although most individual­s tolerate maitake mushrooms and extracts well, some mild digestive issues have been observed in some as a common side effect. In rare cases, maitake may provoke an allergic reaction with a rash, swelling and breathing difficulti­es too. Presently, not enough studies have been conducted to verify the safety of maitake consumptio­n during pregnancy or breastfeed­ing. Furthermor­e, as reported in one case, it is believed that maitake D-fraction can interact with the blood thinner, warfarin, leading to an increase in INR. INR is a test performed to measure the time for the blood clot. This is also known as prothrombi­n time (PT) and is used to monitor bloodthinn­ing medicines. Thus, if INR increases, the time taken for blood to clot increases which can lead to bleeding. Some evidence suggests that maitake mushroom extracts can interact with blood sugar regulators that are used in managing diabetes too.

Therefore, although this mushroom has supreme health and nutritiona­l qualities, sufficient data on its safety is not present yet and although its medicinal potential is evident, further clinical studies are urged to unveil its full therapeuti­c attributes together with its pharmacolo­gical safety.

Emma Camilleri is currently a medical student at the University of Malta

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