Effect of hot water extract isolated from fruiting bodies of Elfvingia applanata on nitrite oxide production in RAW 264.7 macrophages. Concentration of RAW 264.7 cell was 1 × 106 cells/mL. Lipopolysaccharide (LPS) was purified from Escherichia coli 0111:B and was used as the positive control. Fr. HW, hot water soluble fraction.

Effect of hot water extract isolated from fruiting bodies of Elfvingia applanata on nitrite oxide production in RAW 264.7 macrophages. Concentration of RAW 264.7 cell was 1 × 106 cells/mL. Lipopolysaccharide (LPS) was purified from Escherichia coli 0111:B and was used as the positive control. Fr. HW, hot water soluble fraction.

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Elfvingia applanata, a medicinal mushroom belonging to Basidiomycota, has been used in the effort to cure cancers of the esophagus and stomach, and is also known to have inhibitory effects on hepatitis B virus infection. The hot water soluble fraction (as Fr. HW) was extracted from fruiting bodies of the mushroom. In vitro cytotoxicity tests showed...

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... Moreover, some prescriptions show antitumor efect in several mouse tumor models [4][5][6][7][8][9][10][11], although they remain controversial. Recently, we demonstrated the antitumor efect of Juzentaihoto (JTT) (Shi-Quan-Da-Bu-Tang in Chinese and Sipjeondaebo-Tang in Korean) in CD1d −/− mice whose immune-suppressing efects were partly palliated because of the loss of both antitumoral type I and immunosuppressive type II natural remaining ingredients other than Trapae fructus have been reported to have some antitumoral activity [18][19][20][21][22]. Te origin formula of WTMCGEP included Wisteria foribunda, Terminalia chebulae, Trapa natans, and Coicis semen (WTTC), which has been used for treating cancers in Japan since the 1960s [23]. ...
... Tese fndings emphasize the pivotal role of WTMCGEP in reinforcing antitumor immunity through CD8 + T cells in a tumorbearing host on the condition that immunosuppression is partly mitigated because of defciency of NKT cells. Although six of the seven ingredients of WTMCGEP have already been known to possess some antitumor properties [13][14][15][16][18][19][20][21][22], only anecdotal evidence on the antitumor efect of this mixture itself exists. Terefore, to our best knowledge, this is the frst time when WTMCGEP's contribution to enhancing the immunological antitumor efect in vivo is shown. ...
... Among the seven ingredients of WTMCGEP, Ganoderma lucidum may be the most studied as an anticancer agent and is known to have anticancer efects in vitro and in vivo, controversies remain [13][14][15][16]. However, the fve remaining ingredients, other than Trapae fructus, have also been reported to have anticancer properties [18][19][20][21][22]. Terefore, WTMCGEP's antitumor efect may not depend on or may be more potent than Ganoderma lucidum alone. ...
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Although Kampo—a traditional Japanese herbal medicine—contributes in the control of tumor growth in vivo in experimental animals, most of the antitumor effects are prophylactic and not therapeutic. In this study, we determined whether oral administration of an herbal mixture containing Ganoderma lucidum (WTMCGEP; Wisteria floribunda, Trapae fructus, Myristica fragrans, Coicis semen, Ganoderma lucidum, Elfvingia applanata, and Punica granatum), anecdotally used in Japan for the palliative care of patients with cancer, exhibits a therapeutic effect on tumor growth in vivo in a hypodermic murine CT26 colorectal tumor model. An in vitro tumor assay revealed that WTMCGEP extract has some direct influence over suppression of tumor growth. In wild-type BALB/c mice, WTMCGEP did not show any antitumor effect in vivo. However, in BALB-CD1d−/− mice with partly mitigated immunosuppression by reason of them being devoid of both antitumoral type I and immunosuppressive type II natural killer T (NKT) cells, WTMCGEP therapeutically suppressed tumor growth. CD8+ T cell depletion significantly accelerated tumor growth in WTMCGEP mice; therefore, its antitumor activity was primarily in a CD8+ T cell-dependent manner. Regarding immunosuppressive cells in tumor-bearing CD1d−/− mice, WTMCGEP did not influence the abundance of tumor-infiltrating CD4+ and Forkhead box protein 3+ regulatory T cells. However, it reduced both intratumoral and splenic Ly6G+ Ly6Clo polymorphonuclear myeloid-derived suppressor cells, which were most likely involved in tumor growth inhibition related to higher frequency of intratumoral CD107a+ CD8+ T cells in these mice. Overall, these data illustrate that the deficiency of NKT cells urges WTMCGEP to exert a therapeutic antitumor effect mainly through CD8+ T cells. Our efforts are the first to scientifically demonstrate the WTMCGEP’s contribution to tumor immunity.
... HW fractions had no significant cytotoxic effects on four cell lines at the tested concentrations. In our earlier study, hot water extract from the fruiting body of Elfvingia applanata did not inhibit proliferation of HT-29, Hep G2, TR, and sarcoma 180 cancer cells [18]. In another study, Lee et al. [19] reported that a hot-water extract of Inonotus obliquus exerted little inhibitory activity against proliferation of human colon cancer cells, showing good agreement with our results. ...
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