Active Hexose Correlated Compound (AHCC)
Shiitake-derived alpha-glucan that activates NK/T cells, cytokines; adjunct benefits in human cancer trials.
Forms: Standardized AHCC capsules (1g per 2-3 caps) Β· Powder form
Simple Summary
AHCC, a shiitake mushroom extract, supercharges your immune system's NK and T-cells to better spot and destroy cancer cells. It also nudges tumors toward self-destruction and teams up with chemo to make it more effective while easing side effects like nausea or low blood counts. Human studies show promise for liver, pancreatic, and ovarian cancers, especially as an add-on to standard treatments.
Evidence at a glance
Strong preclinical; preliminary human data as chemo adjunct in liver/pancreatic/ovarian cancers.
How it may work
AHCC is a proprietary alpha-glucan-rich extract from cultured shiitake (Lentinula edodes) mycelia, with low-molecular-weight polysaccharides (primarily alpha-1,4-glucans with alpha-1,3 branches, ~5 kDa). It modulates immunity by priming Toll-like receptors (TLR2/TLR4) on intestinal epithelium and immune cells, enhancing dendritic cell maturation, NK cell cytotoxicity, and T-cell (CD4+/CD8+) proliferation. This leads to upregulated cytokine production (IL-12, IFN-Ξ³, TNF-Ξ±) and nitric oxide regulation. Anticancer effects include induction of tumor cell apoptosis (Baxβ/Bcl-2β, caspase-3/7 activation), overcoming multidrug resistance via downregulation of Heat Shock Factor 1 (HSF1) and HSP27, and synergy with chemotherapy (e.g., gemcitabine, 5-FU) by improving drug efficacy and reducing toxicities. It also exhibits anti-inflammatory and antioxidant properties, protecting against oxidative stress and chemo-induced adverse events. Pharmacokinetically, AHCC is well-absorbed orally with good bioavailability, peaking in 1-2h and exerting systemic immune effects.
Targets & pathways
Curated mechanistic targets reported for this agent β how it may act on cells, not proof of a clinical effect.
- ImmuneβInnate and adaptive enhancement
- NK cell activationβCytotoxicity β via IL-12/IFN-Ξ³
- T-cell responseβ
- CytokinesβIFN-Ξ³, IL-12, TNF-Ξ±
- Apoptosis (cancer cells)β
- Tumor growthβPreclinical inhibition
Often studied / combined with
Combinations reported in the literature, not a protocol or a recommendation.
- Chemotherapy: Enhances antitumor effects, reduces side effects in human studies.
- Immunotherapy (PD-1/CTLA-4): Promotes tumor suppressive effects in preclinical models.
Overlapping mechanisms
- Immune β, NK Activation: Limit concurrent strong NK boosters in sensitive patients.
Safety & interactions
Severity and how well-established each signal is are shown separately. Verify everything with your oncologist or pharmacist β absence here does not mean safe.
- CYP2D6 substrates (e.g., doxorubicin)MonitorModerateTheoreticalAHCC induces CYP2D6, may reduce drug levels.
- chemotherapyMonitorTheoreticalPotential to enhance efficacy or reduce side effects; coordinate.
- aromatase inhibitorsMonitorMildTheoreticalMay induce aromatase, reducing inhibitor efficacy.
Timing
- Empty stomach
- AM
- PM
References
- Matsui 2002 β Improved survival/recurrence in HCC post-resection
- Kamiyama 2022 β Reduced HCC recurrence with AHCC
- Yanagimoto 2016 β Reduced chemo toxicities in pancreatic cancer
- Yanagimoto 2022 β Alleviated adverse events in unresectable pancreatic cancer
- Mizuno 2017 β Enhanced immune parameters in ovarian cancer during chemo
- Sumiyoshi 2010 β No PSA reduction in prostate cancer (phase II)
- Terakawa 2008 β Immune enhancement in healthy volunteers (RCT)
- Ito 2014 β Alleviated side effects in advanced cancer
- Smith 2008 β CYP2D6 induction implications
- Deng 2013 β Improved vaccine response
- MSKCC 2024 β Comprehensive review
- Ghosh 2024 β Enhanced tumor surveillance in models
Research
No published studies for Active Hexose Correlated Compound (AHCC) yet
New studies appear here once theyβve been reviewed. Browse all studies.
Dose: as studied, not a recommendation
Ranges seen in adjunct / practice use: 3β6 g (oral) 3-6 g/day divided BID-TID; on empty stomach preferred for absorption, 3g/day in liver cancer study; up to 6g/day in pancreatic. Manufacturer recommends 3g/day max; divide doses..
Trials studying Active Hexose Correlated Compound (AHCC)
No actively-recruiting trials matched right now. Recruiting is not the same as proven. Search ClinicalTrials.gov β