Reishi Ganoderma
Mushroom: β-Glucan/TRAIL/NK ↑; moderate adjunct QoL/immune in breast/lung/colorectal/prostate.
Forms: Hot-water extract capsules (500-1000 mg standardized β-glucan) · Triterpene-rich spore powder
Key Takeaway
Ganoderma lucidum polysaccharides and triterpenes activate innate/adaptive immunity (NK/CTL) and sensitize tumor cells to TRAIL-mediated apoptosis; human studies show immune/QoL gains with adjunct use.
Evidence at a glance
Meta-QoL (SMD 0.4); NK ↑20-50% in pilots; preclinical TRAIL synergy; limited OS data but consistent safety; ongoing in NSCLC/CRC.
How it may work
β-Glucans engage Dectin-1/CR3 → Syk/NF-κB and APC maturation, boosting Th1 cytokines and NK/CTL activity. Ganoderic acids upregulate DR4/DR5 and inhibit NF-κB, enhancing TRAIL-induced apoptosis. Additional effects include anti-angiogenesis (VEGF↓), MMP-2/9↓, and microbiome–immune crosstalk that can improve therapy tolerance.
Targets & pathways
Curated mechanistic targets reported for this agent — how it may act on cells, not proof of a clinical effect.
Often studied / combined with
Combinations reported in the literature, not a protocol or a recommendation.
- Chemotherapy: Apoptosis boost in lung cancer lines.
- Curcumin: NK amplification in breast models.
- Resveratrol: TRAIL co-sensitization in colorectal.
- Quercetin: VEGF synergy in prostate.
Overlapping mechanisms
- NK ↑: Overlaps β-glucans (maitake); select by triterpene content.
- TRAIL: Redundant sensitizers; monitor caspase load.
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.
- immunosuppressantsMonitorModerateTheoreticalMay counteract (e.g., steroids).
- chemotherapySynergizeLowTheoreticalEnhances apoptosis without toxicity.
- ChemotherapySynergizeLowTheoreticalImproved response in lung cancer.
Timing
- With-meal: Aids digestion.
- BID: Divided for steady immune priming.
References
- PMC12314313: Reishi immunomodulation review
- PMC12108272: TRAIL sensitization mechanisms
- DOI 10.1186/s12935-023-03146-8: NK enhancement in cancer
- DOI 10.1186/s13020-023-00811-y: QoL and immune effects
- DOI 10.3390/nu13082654: Synergy with chemo in lung models
- PMC10221542: Combination with curcumin in breast cancer
Research
No published studies for Reishi Ganoderma 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: 500–3000 mg/day (po) divided BID; standardized extract, Adjunct 1-2 g/day β-glucan equivalent; up to 3 g for immune support; cycle 3 weeks on/1 off if needed..
Trials studying Reishi Ganoderma
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