Reishi Mushroom for Cancer: What It Is, How It May Help, and Safety
Reishi mushroom for cancer: what you need to know
- Reishi, also known as lingzhi, is a medicinal mushroom available in dried form and as a supplement in capsules.
- Reishi mushroom shows early evidence for improving a clinical response to chemo/radiotherapy while improving quality of life and reducing side effects.
- Reishi is used by some integrative practitioners and is also used in Traditional Chinese Medicine.
- Supervision by a medical professional is essential due to possible interactions with drugs and with cancer treatments.
- This is not a standalone treatment for cancer; it is a complementary therapy used alongside standard medical care to support treatment and/or well-being.
What is reishi mushroom?
Reishi, also known as lingzhi, is a medicinal mushroom available in dried form and as a supplement in capsules. It is used in cancer care to enhance chemo/radiotherapy treatment.
Reishi mushroom has early evidence suggesting an improved clinical response to chemo/radiotherapy while improving quality of life and reducing side effects. Modest clinical evidence shows it improves your body environment (terrain) to make it less supportive of cancer growth and development. Evidence to date shows that reishi by itself does not improve survival among people with cancer as a whole.
Reishi is used in traditional Chinese medicine to support immune function in people with cancer undergoing chemotherapy and radiotherapy. It has been used for over 2000 years in East Asia as a tonic for prolonging life, preventing aging, and boosting qi (life force or energy).1National Cancer Institute. Medicinal Mushrooms PDQ: Health Professional Version. October 5, 2020. Viewed February 10, 2021.
Safety
- Supervision by a medical professional is essential
- Known interactions, consult with your healthcare provider before adding to your regimen
- Reported side effects include nausea, insomnia, mild discomfort (dizziness and dry mouth), diarrhea, stomach discomfort, poor health, and liver toxicity
How reishi mushroom may help people with cancer
Strength of evidence rating
Optimizing your body terrain
Many studies show that people with cancer using reishi mushroom have higher markers of immune function.12Zhong L, Yan P, Lam WC, Yao L, Bian Z. Coriolus versicolor and Ganoderma lucidum related natural products as an adjunct therapy for cancers: a systematic review and meta-analysis of randomized controlled trials. Frontiers in Pharmacology. 2019 Jul 3;10:703; Mohammed Ali NAK, Saeed HA, Othman RT. Immunostimulatory and anti-inflammatory effect of Ganoderma lucidum on breast cancer patients. Asian Pacific Journal of Cancer Biology. 2018;3(2):51-57; Henao SLD, Urrego SA, Cano AM, Higuita EA. Randomized clinical trial for the evaluation of immune modulation by yogurt enriched with β-glucans from lingzhi or reishi medicinal mushroom, Ganoderma lucidum (Agaricomycetes), in children from Medellin, Colombia. International Journal of Medicinal Mushrooms. 2018;20(8):705-716; Jin X, Ruiz Beguerie J, Sze DM, Chan GC. Ganoderma lucidum (reishi mushroom) for cancer treatment. Cochrane Database of Systematic Reviews. 2016 Apr 5;4:CD007731. However, higher immune activation may not always be beneficial; always consult with a physician before starting reishi mushroom treatment.
Small studies not specific to cancer show that people taking reishi mushroom had better antioxidant activity, which can help reduce oxidative stress.13Chiu HF, Fu HY et al. Triterpenoids and polysaccharide peptides-enriched Ganoderma lucidum: a randomized, double-blind placebo-controlled crossover study of its antioxidation and hepatoprotective efficacy in healthy volunteers. Pharmaceutical Biology. 2017 Dec;55(1):1041-1046; Wachtel-Galor S, Tomlinson B, Benzie IF. Ganoderma lucidum (“Lingzhi”), a Chinese medicinal mushroom: biomarker responses in a controlled human supplementation study. British Journal of Nutrition. 2004 Feb;91(2):263-9. People using reishi mushroom didn’t show changes in body weight,14Chu TT, Benzie IF et al. Study of potential cardioprotective effects of Ganoderma lucidum (Lingzhi): results of a controlled human intervention trial. British Journal of Nutrition. 2012 Apr;107(7):1017-27. but people with type 2 diabetes taking reishi showed lower blood sugar or insulin resistance.15Chu TT, Benzie IF et al. Study of potential cardioprotective effects of Ganoderma lucidum (Lingzhi): results of a controlled human intervention trial. British Journal of Nutrition. 2012 Apr;107(7):1017-27; Gao Y, Lan J, Dai X, Ye J, Zhou S. A phase I/II study of Ling Zhi mushroom Ganoderma lucidum (W. Curt.: Fr.) Lloyd (Aphyllophoromycetideae) extract in patients with type II diabetes mellitus. International Journal of Medicinal Mushrooms. 2004;6(1):8.
Reducing cancer risk or recurrence
People with a history of colorectal adenomas taking reishi mushroom had significantly fewer and smaller new adenomas in a small study.16Oka S, Tanaka S et al. A water-soluble extract from culture medium of Ganoderma lucidum mycelia suppresses the development of colorectal adenomas. Hiroshima Journal of Medical Sciences. 2010 Mar;59(1):1-6. Adenomas are non-cancerous tumors that sometimes become cancerous.
See the full evidence summary ›
Affordability and access
Is a prescription required?
- No, but we recommend you consult your oncology team before using reishi
Where to find it
- Drug stores
- Supplement stores
- Online supplement or botanical distributors
- To find practitioners using medicinal mushrooms, see Yes to Life: Medicinal Mushrooms ›
Affordability
- Moderate cost (between $40 US and $70 US/month)
Find an integrative provider ›
Full safety details
Side effects and adverse reactions
Adverse effects noted in clinical trials include nausea, insomnia, mild discomfort (dizziness and dry mouth), diarrhea, stomach discomfort, and poor health.17Jeitler M, Michalsen A et al. Significance of medicinal mushrooms in integrative oncology: a narrative review. Frontiers in Pharmacology. 2020 Nov 11;11:580656; Gelmon K, Kollmannsberger C et al. A phase I study of OMN54 (Aneustat™) in patients with advanced malignancies. Clinical Cancer Drugs. 2020;7(2):125-132; Gao Y, Zhou S, Chen G, Dai X, Ye J. A phase I/II study of a Ganoderma lucidum (Curt.: Fr.) P. Karst. Extract (Ganopoly) in patients with advanced cancer. International Journal of Medicinal Mushrooms. 2002;4(3):8. A few cases have described liver toxicity when the powdered form of reishi was used.18Wanmuang H, Leopairut J, Kositchaiwat C, Wananukul W, Bunyaratvej S. Fatal fulminant hepatitis associated with Ganoderma lucidum (Lingzhi) mushroom powder. Journal of the Medical Association of Thailand. 2007 Jan;90(1):179-81. One study found worse physical well-being among people with breast cancer treated with reishi, with increasing adverse effects at higher doses.19Bao PP, Lu W et al. Ginseng and Ganoderma lucidum use after breast cancer diagnosis and quality of life: a report from the Shanghai Breast Cancer Survival Study. PLoS One. 2012;7(6):e39343; Wanachiwanawin D, Piankijagum A et al. Ganoderma lucidum: a cause of pseudoparasitosis. Southeast Asian Journal of Tropical Medicine and Public Health. 2006 Nov;37(6):1099-102. Several individual cases of an elevated tumor marker have been detected among people using reishi.20Liang Y, He M et al. An abnormal elevation of serum CA72-4 by ganoderma lucidum spore powder. Annals of Clinical and Laboratory Science. Summer 2013;43(3):337-40; Yan B, Meng X et al. Ganoderma lucidum spore induced CA72-4 elevation in gastrointestinal cancer: a five-case report. Integrative Cancer Therapies. 2014 Mar;13(2):161-6.
Contraindications
Do not use reishi mushroom or its extracts if you have a known allergy or hypersensitivity to it or any of its components.
Drug interactions
There are known drug interactions with this therapy.21Lam CS, Cheng LP, Zhou LM, Cheung YT, Zuo Z. Herb-drug interactions between the medicinal mushrooms Lingzhi and Yunzhi and cytotoxic anticancer drugs: a systematic review. Chinese Medicine. 2020 Jul 25;15:75. Interactions with medications and other interventions are complex. Always consult with a healthcare professional before adding any new therapy to your regimen. To learn more about interactions visit one of the trusted resources below:
Interaction with cancer drugs
Some researchers have expressed concern reishi may possibly interfere with certain chemotherapy drugs that depend on oxidation to kill cancer cells due to its antioxidant activity, but there is no clinical evidence to support this.22Memorial Sloan Kettering Cancer Center. About Herbs: Reishi Mushroom. February 5, 2021. Viewed February 11, 2021; Brooks SL, Rowan G, Michael M. Potential issues with complementary medicines commonly used in the cancer population: A retrospective review of a tertiary cancer center’s experience. Asia Pacific Journal of Clinical Oncology. 2018 Oct;14(5):e535-e542. Always consult with your provider before beginning a new therapy.
FAQs
- Can reishi mushroom help fight cancer?
Study results vary; reishi mushroom’s strongest effects are on improving quality of life. - Can reishi mushroom help with cancer side effects?
Yes—in several studies, people with cancer taking reishi mushrooms had a better quality of life during chemotherapy. People with breast cancer taking reishi during hormone therapy, and people with advanced lung cancer treated with reishi mushrooms, also showed improvements in physical and/or mental symptoms in small studies. - Can reishi mushroom help reduce cancer risk or recurrence?
There is only one study investigating this. A small study showed that people with a history of colorectal adenomas taking reishi mushrooms had significantly fewer and smaller new adenomas. Adenomas are non-cancerous tumors that sometimes become cancerous. - Does reishi mushroom support immune function in cancer patients?
Many studies show that people with cancer using reishi mushrooms have stronger immune function. However, higher immune activation may not always be beneficial; always consult with a physician before starting reishi mushroom treatment. - Can reishi mushroom reduce inflammation in cancer patients?
Preclinical (lab or animal) evidence suggests anti-inflammatory activity; evidence is stronger for reishi mushroom’s effects supporting immune function and quality of life.
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References