Turkey Tail Mushroom for Cancer: What It Is, How It May Help, and Safety
Turkey tail mushroom for cancer: what you need to know
- Extracts of turkey tail mushroom and its constituents PSK and PSP are widely available as a supplement in capsule, liquid tincture, and powdered form.
- Evidence suggests that turkey tail extracts and its constituents, used alongside conventional treatment, may improve survival and reduce risk of recurrence.
- It is used in Traditional Chinese Medicine.
- Supervision by a medical professional is essential due to possible interactions with drugs, other supplements, and 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 turkey tail mushroom?
Extracts of turkey tail mushroom and its constituents PSK and PSP are widely available as a supplement in capsule, liquid tincture, and powdered form. The extracts and PSK are used alongside conventional treatment to improve survival and reduce risk of recurrence, while the constituent PSP shows some benefit for pain, appetite, and percentage of body fat.
Turkey tail mushroom has been used in Traditional Chinese Medicine for many years. PSK has been studied and used extensively in Japan for its effects on immune function and also as an adjuvant cancer treatment.
Use of turkey tail mushroom is also linked to better markers of immune function, including after conventional treatment.
Safety
- Turkey tail mushroom should be used cautiously if you have bleeding or clotting disorders due to possible impacts on platelet counts
- Known interactions, consult with your healthcare provider before adding to your regimen, some evidence suggests worse outcomes when used with tegafur/uracil (UFT) for colorectal cancer
- Some side effects observed, typically mild and temporary, including gastrointestinal upset, cough, low platelet count (thrombocytopenia), low white blood cell count (leukopenia), and elevated liver enzymes
- Supervision by a medical professional is essential
How turkey tail mushroom may help people with cancer
Strength of evidence rating
We rate the strength of the evidence with 0=no evidence, 1=weak evidence, 2=modest evidence, and 3=good evidence. Read more about our method in detail here ›
Optimizing your body terrain
People treated with PSP or turkey tail following conventional cancer treatment showed biomarkers of higher immune function in two small studies.9Tsang KW, Lam CL et al. Coriolus versicolor polysaccharide peptide slows progression of advanced non-small cell lung cancer. Respiratory Medicine. 2003 Jun;97(6):618-24; Torkelson CJ, Sweet E et al. Phase 1 clinical trial of Trametes versicolor in women with breast cancer. ISRN Oncology. 2012;2012:251632. However, higher immune activation may not always be beneficial; always consult with a physician before starting turkey tail mushroom treatment.
Reducing cancer risk or recurrence
People with colorectal cancer treated with PSK together with chemotherapy had a lower risk of recurrence in several studies,10 Ma Y, Wu X, Yu J, Zhu J, Pen X, Meng X. Can polysaccharide K improve therapeutic efficacy and safety in gastrointestinal cancer? A systematic review and network meta-analysis. Oncotarget. 2017 Jul 6;8(51):89108-89118; Ohwada S, Ikeya T et al. Adjuvant immunochemotherapy with oral tegafur/uracil plus PSK in patients with stage II or III colorectal cancer: a randomised controlled study. British Journal of Cancer. 2004 Mar 8;90(5):1003-10; Sakamoto J, Morita S et al; Meta-Analysis Group of the Japanese Society for Cancer of the Colon Rectum. Efficacy of adjuvant immunochemotherapy with polysaccharide K for patients with curatively resected colorectal cancer: a meta-analysis of centrally randomized controlled clinical trials. Cancer Immunology, Immunotherapy. 2006 Apr;55(4):404-11; Takahashi Y, Mai M, Nakazato H. Preoperative CEA and PPD values as prognostic factors for immunochemotherapy using PSK and 5-FU. Anticancer Research. 2005 Mar-Apr;25(2B):1377-84. and one study also showed lower risk of recurrence among people with stomach cancer who were treated with PSK plus chemotherapy after surgery.11Ito G, Tanaka H et al. Correlation between efficacy of PSK postoperative adjuvant immunochemotherapy for gastric cancer and expression of MHC class I. Experimental and Therapeutic Medicine. 2012 Jun;3(6):925-930. People who tested positive for human papilloma virus (HPV), which increases the risk of cervical cancer, and who were treated with a turkey tail-infused vaginal gel showed lower markers of cervical and uterine cancer risk in one study.12Criscuolo AA, Sesti F et al. Therapeutic efficacy of a Coriolus versicolor-based vaginal gel in women with cervical uterine high-risk HPV infection: a retrospective observational study. Adv Ther. 2021 Feb;38(2):1202-1211.
In one small study, people with head and neck cancer treated with PSK plus radiotherapy did not show evidence of an effect on their risk of recurrence.13Go P, Chung C-H. Adjuvant PSK immunotherapy in patients with carcinoma of the nasopharynx. Journal of International Medical Research. March 1989:141-149.
See the full evidence summary ›
Affordability and access
Is a prescription required?
- No, but we recommend you consult your oncology team before using this therapy
Other names and brands
- Trametes versicolor
- Coriolus versicolor
- Polyporus versicolor
- Yun Zhi (in Traditional Chinese medicine)
- Kawaratake (in Japan)
- PSK
- PSP
- Krestin
Where to find it
- Retail drug stores and pharmacies
- Online retailers
- To find practitioners or clinics providing medicinal mushrooms, see Yes to Life: Medicinal Mushrooms ›
Affordability
- Moderate cost (between $40 US and $160 US/month)
Find an integrative provider ›
Full safety details
When used appropriately in daily recommended doses, both oral turkey tail mushroom and PSK and PSP extracts of turkey tail have appeared safe when used for extended periods.14Torkelson CJ, Sweet E et al. Phase 1 clinical trial of Trametes versicolor in women with breast cancer. ISRN Oncology. 2012;2012:251632.
Side effects and adverse reactions
A low rate of side effects, typically mild and temporary, has been reported in early clinical trials and in animal studies:15Eliza WL, Fai CK, Chung LP. Efficacy of Yun Zhi (Coriolus versicolor) on survival in cancer patients: systematic review and meta-analysis. Recent Patents on Inflammation & Allergy Drug Discovery. 2012 Jan;6(1):78-87; Shiu WCT, et al. A clinical study of PSP on peripheral blood counts during chemotherapy. Phytotherapy Research 1992;6:217-218; Jeitler M, Michalsen A, Frings D, Hübner M, Fischer M, Koppold-Liebscher DA, Murthy V, Kessler CS. Significance of medicinal mushrooms in integrative oncology: a narrative review. Frontiers in Pharmacology. 2020 Nov 11;11:580656; Kano T, Kumashiro R, Masuda H, Tamada R, Inokuchi K. Late results of postoperative long-term cancer chemotherapy for the gastric cancer patients subjected to curative resection. Japanese Journal of Surgery. 1983 Mar;13(2):112-6; Nakazato H, Koike A et al. Efficacy of immunochemotherapy as adjuvant treatment after curative resection of gastric cancer. Study Group of Immunochemotherapy with PSK for Gastric Cancer. Lancet 1994;343:1122-6.
- Limited gastrointestinal upset, including nausea, vomiting, or diarrhea
- Cough and temporary darkening of fingernails
- Passing dark-colored stools (not due to blood in stools)
- Low platelet count (thrombocytopenia)
- Low white blood cell count (leukopenia)
- Elevated liver enzymes
No evidence of increased major adverse events was found among people with cancer with use of turkey tail or its extracts as an adjunct to chemotherapy in a review of 13 RCTsrandomized controlled trial, a study design in which people are randomly assigned to either an experimental group or a control group to compare the outcomes from different treatments; an RCT is considered a strong design for determining a therapy’s effects of low or moderate quality.16Eliza WL, Fai CK, Chung LP. Efficacy of Yun Zhi (Coriolus versicolor) on survival in cancer patients: systematic review and meta-analysis. Recent Patents on Inflammation & Allergy Drug Discovery. 2012 Jan;6(1):78-87.
Contraindications
Turkey tail mushroom should be used cautiously if you have known bleeding or clotting disorders.
Drug interactions
The use of PSK with adjunct tegafur/uracil (UFT) has shown a slightly higher risk of recurrence and lower survival among people with colorectal cancer.17Miyake Y, Nishimura J et al Multi-center Clinical Study Group of Osaka, Colorectal Cancer Treatment Group (MCSGO). Phase III trial comparing UFT + PSK to UFT + LV in stage IIB, III colorectal cancer (MCSGO-CCTG). Surgery Today. 2018 Jan;48(1):66-72; Okuno K, Aoyama T et al. Randomized phase III trial comparing surgery alone to UFT + PSK for stage II rectal cancer (JFMC38 trial). Cancer Chemotherapy and Pharmacology. 2018 Jan;81(1):65-71.
No undesirable herb-drug interactions were reported between turkey tail mushroom or its constituents and cytotoxic drugs in a systematic review.18Lam 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.
Turkey tail mushroom should be used cautiously with anticoagulant or antiplatelet agents, as it has been associated with low platelet counts (thrombocytopenia). Caution and medical supervision are also needed if you are using immunosuppressants.19Professional Resource: Coriolus Versicolor. Centre for Health Innovation. Viewed October 25, 2021.
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.
FAQs
- Can turkey tail mushroom help fight cancer?
Studies suggest that turkey tail mushroom used alongside conventional treatment may improve survival, especially among people with stomach cancer. - Can turkey tail mushroom help with cancer side effects?
Small studies have shown improvements in appetite, pain, or amount of body fat among people with certain cancers using turkey tail mushroom. - Can turkey tail mushroom help reduce cancer risk or recurrence?
Some studies have shown that people with cancer treated with turkey tail mushroom alongside chemotherapy had a lower risk of recurrence, especially people with colorectal cancer. - Does turkey tail mushroom support immune function in cancer patients?
Yes, two studies found that people treated with turkey tail following conventional cancer treatment had markers of higher immune function. However, higher immune activation may not always be beneficial; always consult with a physician before starting turkey tail mushroom treatment. - Can turkey tail mushroom reduce inflammation in cancer patients?
Preclinical (lab or animal) studies suggest anti-inflammatory activity, but no clinical studies have investigated whether turkey tail can reduce inflammation in cancer patients.
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References