Cordyceps: Cancer Support and Immune Modulation From an Ancient Chinese Herbal Medicine

by Dr. Nalini Chilkov

Cordyceps sinensis on caterpillars from collec...

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Cordyceps sinensis (CS), a traditional Chinese Medicine is a fungus that has been historically used for over 2,000 years throughout China and Asia as part of treatment for a variety of conditions including many cancers.  In modern times the effects of Cordyceps on immune modulation and its use in concert with modern chemotherapy agents, both to enhance therapeutic benefit and to manage side effects have been widely studied.  Cordycepin, one of the active constituents,  has been shown to possess many pharmacological activities including immunological stimulation, and anti-bacterial, anti-viral, anti-oxidant anti-inflammatory and anti-tumor effects. It may be of benefit to support cancer patients and cancer survivors.

Available evidence suggests that the efficacy of CS as a potential anti-neoplastic/anti cancer therapeutic agent is related to a role as an activator of innate immune responses.

Cordyceps, like many other medicinal mushrooms has been traditionally cooked into soups in Asia for its nutritive and tonic properties. Like other medicinal mushrooms CS is rich in polysaccharides, the primary immune modulators as well as being rich in vitamins and minerals.  It can be thought of as a medicinal food.Cordyceps is best taken as either a water extract (tea or soup) or a high quality powder can be mixed into juice or water, or even into yoghurt or applesauce.

It is important to get high quality, properly prepared and processed Cordyceps product to insure that you will get the most benefit from this healing mushroom. As with any other product of this nature, seek the guidance of a health care professional.

The constituents in medicinal mushrooms such as CS have few drug interactions and can often be used safely along with conventional therapies. Always discuss the use of herbal medicines with your doctor.

What are the potential benefits of Cordyceps sinensis? Studies show the following actions and effects of the water extract of Cordyceps sinensis: (CS):

  • The polysaccharides in CS have been shown to have immune stimulating and anti tumor activity.
  • CS had been shown to inhibit the growth of several cancer cell lines
  • CS has been shown to potentiate and enhance the activity of some chemotherapy drugs.
  • CS has been shown to promote Cell Death (induce apoptosis).   Normal cells will self destruct (undergo apoptosis) when the cell is damaged.  Cancer cells fail to do so.  Agents which cause normal cell death are used widely in chemotherapy today.  CS has been shown to induce apoptosis or normal cell death in cancer cells in many studies and suggests that CS might be a valuable adjunct therapy for cancer patients.
  • CS is a potent antioxidant, thus protecting cells from free radical damage. Free radical damage is a process in which free electrons damage our cells and our DNA.  Free radical damage is thought to be a primary factor in the aging process.  Additionally when DNA  (genetic material) in the cells is damaged, risk of cancer increases.  CS has been shown to enhance the production of Glutathione and SOD, protective, natural antioxidants produced in our cells to protect against free radical damage and oxidation.
  • CS demonstrates anti-inflammatory properties.  Inflammation is a factor common to many diseases, including cancer.  Supporting the management of inflammation modulates our immune system. In particular, CS has been shown to suppress the production of COX-2, NFkB and TNFa, inflammatory molecules present in cancer cells and many other disease processes.
  • CS has been shown to increase the production of Natural Killer (NK) cells. NK cells are primary protective cell in our natural innate immune response is active against both tumor cells and viral cells.
  • CS has also been shown to inhibit metastasis and the spread of some cancers. It is metastasis, the spread of cancer cells from the primary original site of the tumor to other parts of the body that causes cancer patients to die.  Inhibiting metastasis therefore prolong life for cancer patients.
  • Some studies have shown that CS prevents metastasis by inhibiting angiogenesis, the process by which tumor cells make new blood vessels, allowing tumors to grow in size as well as allowing cancer cells to enter the blood stream and travel to other parts of the body.
  • Qualitatively cancer patients using CS along with their chemotherapy report less fatigue, reduced pain and less weight loss during treatment.
  • CS has also demonstrated anti-viral and antibacterial properties.  Cancer patients are often at risk for infection during chemotherapy and after surgery. Researchers hypothesize that CS increases resistance to infections by modulating immune function, increasing white blood cells and Natural Killer cells and by modulating inflammation.
  • Additionally, CS has been shown to protect against bone loss and osteoporosis, a risk factor for many patients, especially breast cancer and prostate cancer patients on medications which block hormones.

These statements have not been evaluated by the FDA.  These products are not intended to diagnose, treat, cure, or prevent any disease. Always consult your doctor before using any supplement or herb.

Primary References (additional references available)

1. Cancer Immunol Immunother. 2010 May;59(5):789-97. Epub 2009 Dec 3.

Activation of innate immunity to reduce lung metastases in breast cancer.

Jordan JLNowak ALee TD. Department of Pathology, Atlantic Centre for Transplantation Research, Dalhousie University, Halifax, Canada. julie.jordan@dal.ca

2. Immunopharmacol Immunotoxicol. 2008;30(1):53-70.

Immune activation by a sterile aqueous extract of Cordyceps sinensis: mechanism of action. Jordan JLSullivan AMLee TD.

Department of Pathology, Dalhousie University, Halifax, Nova Scotia, Canada.

3. Polysaccharide of Cordyceps sinensis Enhances Cisplatin Cytotoxicity in Non-Small Cell Lung Cancer H157 Cell Line. Ji NF, Yao LS, Li Y, He W, Yi KS, Huang M.

Integr Cancer Ther. 2011 Mar 7. [Epub ahead of print] PMID: 21382957 [PubMed - as supplied by publisher]

RESULTS: Compared with the cells treated with cisplatin alone, cell viability was significantly decreased and the expression levels of VEGF and bFGF protein were significantly reduced in the cells treated with a combination of CS and cisplatin.  CONCLUSION: The current study indicates that the polysaccharide of CS inhibits tumor growth in NSCLC and that CS may be a potential adjuvant chemotherapeutic agent in NSCLC therapy.

4. Biotechnol Appl Biochem. 2005 Aug;42(Pt 1):9-15.

Immunomodulatory and antitumour effects of an exopolysaccharide fraction from cultivated Cordyceps sinensis (Chinese caterpillar fungus) on tumour-bearing mice.Zhang WYang JChen JHou YHan X. Immunology and Reproductive Biology Laboratory, Medical School, Nanjing University, Nanjing, 210093, People’s Republic of China. zhangwy@nju.edu.cn

5. Exp Biol Med (Maywood). 2008 Apr;233(4):447-55.

Cordyceps sinensis health supplement enhances recovery from taxol-induced leukopenia. Liu WCChuang WLTsai MLHong JHMcBride WHChiang CS.

The Department of Biomedical Engineering and Environmental Sciences, National Tsing Hua University, 101 Sec. 2, Kuang-Fu Road, Hsinchu 30013, Taiwan. In summary, CS enhances recovery of mice from leukopenia caused by Taxol treatment. It appears to do so by protecting both hematopoietic progenitor cells directly and the bone marrow stem cell niche through its effects on osteoblast differentiation.

6. Biofactors. 2007;30(2):105-16.

Water extract of Cordyceps sinensis (WECS) inhibits the RANKL-induced osteoclast differentiation.Mizuha YYamamoto HSato TTsuji MMasuda MUchida MSakai KTaketani YYasutomo KSasaki HTakeda E. Department of Clinical Nutrition, Institute of Health Biosciences, The University of Tokushima Graduate School, Kuramoto-cho, Tokushima, Japan.

7. Cordycepin suppresses TNF-alpha-induced invasion, migration and matrix metalloproteinase-9 expression in human bladder cancer cell Eo-Jin Lee, Wun-Jae Kim. Sung-Kwon Moon. Article first published online: 17 JUN 2010

DOI: 10.1002/ptr.3132 Phytotherapy Research Volume 24Issue 12, pages 1755–1761December 2010

8. RNA-directed agent, cordycepin, induces cell death in multiple myeloma cells

BRITISH JOURNAL OF HAEMATOLOGY

Volume 140, Issue 6, March 2008, Pages: 682–391, Lisa S. Chen, Christine M. Stellrecht and Varsha Gandhi

Article first published online : 18 JAN 2008, DOI: 10.1111/j.1365-2141.2007.06955.

9. CORDYCEPIN AND CORDYCEPS SINENSIS REDUCE THE GROWTH OF HUMAN PROMYELOCYTIC LEUKAEMIA CELLS THROUGH THE Wnt SIGNALLING PATHWAY

CLINICAL AND EXPERIMENTAL PHARMACOLOGY AND PHYSIOLOGY

Volume 34November 2007, Pages: S61–S63, Noriko Yoshikawa, Kazuki Nakamura, Yu Yamaguchi, Satomi Kagota, Kazumasa Shinozuka and Masaru Kunitomo

Article first published online : 30 OCT 2007, DOI: 10.1111/j.1440-1681.2007.04781.x

10. Toxicol In Vitro. 2011 Feb 15. [Epub ahead of print] Induction of apoptosis by cordycepin via reactive oxygen species generation in human leukemia cells.Jeong JWJin CYPark CHong SHKim GYJeong YKLee JDYoo YHChoi YH. Department of Biochemistry and Research Institute of Oriental Medicine, Dongeui University College of Oriental Medicine, Busan 614-052, Republic of Korea; Department of Microbiology, College of Natural Sciences, Pusan National University, Busan 609-735, Republic of Korea.

11. Li SP; Li P; Dong TT; Tsim KW Anti-oxidation activity of different types of natural Cordyceps

sinensis and cultured Cordyceps mycelia. Phytomedicine 2001 May;8(3):207-12 (ISSN: 0944-

7113) Department of Biology and Biotechnology Research Institute, The Hong Kong University

of Science and Technology, China.

12. Shin KH; Lim SS; Lee SH; Lee YS; Cho SY, Antioxidant and immunostimulating activities of the

fruiting bodies of Paecilomyces japonica, a new type of Cordyceps sp. Ann N Y Acad Sci 2001

Apr;928:261-73 (ISSN: 0077-8923) Natural Products Research Institute, Seoul National

University, Korea. khshin@plaza.snu.ac.kr.

13. Shin KH, Lim SS, Lee S, Lee YS, Jung SH, Cho SY., Anti-tumor and immuno-stimulating

activities of the fruiting bodies of Paecilomyces japonica, a new type of Cordyceps spp. Phytother

Res. 2003 Aug;17(7):830-3. Natural Products Research Institute, Seoul National University,

Seoul, Korea. khshin@snu.ac.kr

14. Jordan JL, Sullivan AM, Lee TD. Immune activation by a sterile aqueous extract of Cordyceps

sinensis: mechanism of action. Immunopharmacol Immunotoxicol. 2008;30(1):53-70.

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