Maitake D-Fraction / Lentinan
β-Glucan extracts: PRR activation → NK/CTL ↑; strong adjunct OS data in GI cancers with chemo.
Forms: Standardized extract capsules (35-50 mg β-glucan) · IV lentinan (medical-grade)
Key Takeaway
β-Glucan mushroom extracts activate innate/adaptive immunity (NK and CTL) and can improve outcomes alongside chemotherapy—best signals in GI cancers.
Evidence at a glance
Robust meta-analyses and RCTs for lentinan adjunct in GI; emerging maitake trials in head/neck; immune biomarkers consistent.
- https://pmc.ncbi.nlm.nih.gov/articles/PMC11068609/
- https://pubmed.ncbi.nlm.nih.gov/19596954/
- https://pmc.ncbi.nlm.nih.gov/articles/PMC5633561/
- https://www.researchgate.net/publication/363357127_Effect_of_Maitake_D-fraction_in_advanced_laryngeal_and_pharyngeal_cancers_during_concurrent_chemoradiotherapy_A_randomized_clinical_trial
How it may work
Maitake D-fraction and lentinan (β-1,3/1,6-glucans) engage Dectin-1/CR3 → Syk/NF-κB signaling, maturing APCs and enhancing Th1 cytokines. This boosts NK cytotoxicity and CD8⁺ CTL function, curbing tumor growth and improving chemo responses. Meta-analyses in gastric/colorectal cancer show OS benefits with lentinan adjunct therapy.
Targets & pathways
Curated mechanistic targets reported for this agent — how it may act on cells, not proof of a clinical effect.
- β-Glucan PRR↑Dectin-1/CR3 engagement → APC maturation
- CTL↑CD8⁺ activation via Th1 cytokines
- NK↑Cytotoxicity enhancement
- NF-κB↑ (in APCs)Syk-mediated signaling for immune priming
- Th1 Cytokines↑IL-12/IFN-γ production
Often studied / combined with
Combinations reported in the literature, not a protocol or a recommendation.
- 5-FU: Prolonged OS and reduced recurrence in gastric/colorectal meta-analyses.
- Curcumin: Amplified NK/Th1 response in colorectal models.
- Resveratrol: Cooperative immune modulation and tumor control in liver cancer.
- EGCG: Enhanced APC maturation and CTL priming in lung preclinical.
Overlapping mechanisms
- Immune (NK/CTL): Overlaps with other β-glucans (e.g., reishi); select based on extraction/bioavailability.
- Th1 Cytokines: May saturate with multiple immunomodulators; monitor cytokine panels.
Safety & interactions
Severity and how well-established each signal is are shown separately. Verify everything with your oncologist or pharmacist — absence here does not mean safe.
- immunosuppressantsCautionModerateTheoreticalMay counteract effects; e.g., cyclosporine/steroids.
- chemotherapySynergizeLowTheoreticalEnhances efficacy (e.g., 5-FU) without added toxicity.
- 5-FUSynergizeLowTheoreticalProlongs OS in gastric/colorectal.
Timing
- With-meal: Improves GI tolerance.
- BID: Divided for steady immune priming.
References
- PMC11068609: Maitake D-fraction anticancer mechanisms
- PMID 19596954: Meta-analysis: lentinan for advanced gastric cancer survival
- PMC5633561: Meta-analysis: lentinan with chemotherapy efficacy/safety
- RG 363357127: Clinical trial: maitake d-fraction in head/neck cancers with chemoradiotherapy
- DOI 10.3390/ijms22115770: Synergy with 5-FU in gastric models
- PMC10221542: Combination with curcumin in colorectal cancer
Research
No published studies for Maitake D-Fraction / Lentinan yet
New studies appear here once they’ve been reviewed. Browse all studies.
Dose: as studied, not a recommendation
Ranges seen in adjunct / practice use: 35–100 mg β-glucan/day (po) divided doses; with meals, Maitake D-fraction 35-70 mg/day; lentinan IV 2 mg/week in trials; oral adjunct 50-100 mg β-glucan equivalent..
Trials studying Maitake D-Fraction / Lentinan
No actively-recruiting trials matched right now. Recruiting is not the same as proven. Search ClinicalTrials.gov →