NICEVIVA
MONOGRAPH SPEC LATEST 2026

Lion's Mane Mushroom

BOTANICALS · Evidence Monograph

Lion's Mane Mushroom is an evidence-graded botanicals monograph evaluated across 31 peer-reviewed PubMed studies (0 meta-analyses, 0 systematic reviews, and 1 randomized controlled trials). Current clinical evidence is rated GRADE Low (2.0 / 4.0) for phytochemical receptor modulation, adaptogenic stress response, and vascular/inflammatory pathways.

Evidence Grade (GRADE) Low (2.0 / 4.0)
Indexed PubMed Studies 31 Studies
Meta-Analyses · Reviews 0 Meta · 0 Systematic Reviews
Randomized Trials (RCT) 1 RCTs (1 Double-Blind)
Cumulative Participants 2 Quantitative Studies
Reported Trial Dosages 1.8 g · 2116.33 g · 0.33 g
Reading Time ~16 min
RECOMMENDED FOR Clinical Indication

Evidence Supports Supplementation When:

  1. 01 Individuals seeking evidence-backed support for phytochemical receptor modulation, adaptogenic stress response, and vascular/inflammatory pathways (supported by 31 indexed PubMed studies, GRADE Low).
  2. 02 Adults matching clinical trial dosing protocols (1.8 g · 2116.33 g · 0.33 g) over a structured 8–12 week evaluation window.
  3. 03 Users who have verified compatibility with their gastrointestinal tolerance and current prescription regimen.
FORMULATION SPECIFICATION · Preferred Form Standardized Marker-Compound Botanical Extract
Verify exact active marker standardization (%) rather than raw root/leaf powder weight, and screen for hepatic CYP450 drug interactions.
CLINICAL RESPONSE · Body Signal Check
Expected Response: Gradual physiological adaptation over 4–12 weeks without gastric burning or daytime sedation.
Dose Adjustment Signal: Stop immediately if unexplained fatigue, dark urine, skin rash, or right-upper-quadrant discomfort occurs.
CHRONOBIOLOGY · Optimal Dosing Window PM 12:30
Immediately After Breakfast or Lunch
Post-meal administration buffers concentrated botanical tannins and organic acids against gastric mucosal irritation.
Primary Clinical Endpoints & Physiological Biomarkers Studied Based on Indexed PubMed Trials
Primary botanicals clinical efficacy (31 PubMed studies)
Quantitative biomarker & outcome analysis (2 studies with effect-size/sample data)
Randomized controlled trial verification (1 RCTs · 1 double-blind)
Systematic review & meta-analysis synthesis (0 meta-analyses · 0 reviews)
01

What Is Lion's Mane Mushroom & Why Does Form Matter?

Lion's Mane Mushroom is classified under BOTANICALS and has been investigated across 31 peer-reviewed PubMed publications for its role in phytochemical receptor modulation, adaptogenic stress response, and vascular/inflammatory pathways.

In clinical nutrition, physiological efficacy depends heavily on the specific chemical salt, chelate, or standardized extract used, as well as adherence to trial-validated dosing (1.8 g, 2116.33 g, 0.33 g).

02

Who Benefits Most & Common Depletion Factors

Suboptimal status or increased physiological demand for Lion's Mane Mushroom frequently arises from restrictive dietary patterns, age-related declines in gastrointestinal absorption, chronic metabolic stress, or medication-induced nutrient depletion.

Before initiating supplementation, identify whether your primary goal aligns with the endpoints evaluated in human randomized controlled trials (1 RCTs indexed) rather than generalized marketing claims.

03

Physiological Mechanism of Action

Within human physiology, Lion's Mane Mushroom acts on pathways governing phytochemical receptor modulation, adaptogenic stress response, and vascular/inflammatory pathways. Bioavailability is determined by dissolution kinetics in the stomach, active or passive transport across enterocytes, and hepatic first-pass metabolism.

Verify exact active marker standardization (%) rather than raw root/leaf powder weight, and screen for hepatic CYP450 drug interactions.

04

PubMed Clinical Evidence & GRADE Evaluation

NICEVIVA assigns Lion's Mane Mushroom an overall evidence rating of GRADE Low (2.0 / 4.0) based on 31 PubMed studies: 0 meta-analyses, 0 systematic reviews, and 1 randomized controlled trials (1 double-blind).

Representative peer-reviewed findings include: • PMID:38004235 (2023) — "The Acute and Chronic Effects of Lion's Mane Mushroom Supplementation on Cognitive Function, Stress and Mood in Young Adults: A Double-Blind, Parallel Groups, Pilot Study." (CONCLUSIONS: The findings tentatively suggest that Hericium erinaceus may improve speed of performance and reduce subjective stress in healthy, young adults.) • PMID:32274562 (2020) — "Mushroom extracts and compounds with suppressive action on breast cancer: evidence from studies using cultured cancer cells, tumor-bearing animals, and clinical trials." (Antineoplastic effectiveness in human clinical trials and mechanism of anticancer action have been reported for Antrodia camphorata, Cordyceps sinensis, Coriolus versicolor, Ganoderma lucidum, Grifola frondosa, and Lentinula edodes.) • PMID:37561965 (2024) — "The Role of Dietary Ingredients in Mental Energy - A Scoping Review of Randomized Controlled Trials." (The search strategy for two ingredients did not yield any eligible studies, leaving studies for 16 ingredients that were extracted and summarized by reported significantly improved outcomes for cognition, mood and perceived feelings, and sleep assessments.)

05

Formulation Selection, Dosing & Chronobiology

Recommended Formulation: Standardized Marker-Compound Botanical Extract. Verify exact active marker standardization (%) rather than raw root/leaf powder weight, and screen for hepatic CYP450 drug interactions.

Clinical Trial Dosing & Timing: Published studies most commonly utilize 1.8 g · 2116.33 g · 0.33 g · 100 g over 4–12 weeks. Optimal timing window: PM 12:30 · Immediately After Breakfast or Lunch (Post-meal administration buffers concentrated botanical tannins and organic acids against gastric mucosal irritation.).

06

Body Response Monitoring & Dose Adjustment

Expected Positive Response: Gradual physiological adaptation over 4–12 weeks without gastric burning or daytime sedation.

Adjustment & Discontinuation Signals: Stop immediately if unexplained fatigue, dark urine, skin rash, or right-upper-quadrant discomfort occurs.

07

Prescription Drug Interactions & Contraindications

No major high-risk prescription contraindications are flagged in the primary index for Lion's Mane Mushroom, but divalent minerals, fat-soluble compounds, and botanical extracts can still alter absorption or CYP450 metabolism of concurrent medications.

Always maintain a minimum 2-to-4 hour separation from narrow-therapeutic-index prescriptions and consult your healthcare provider before combining with anticoagulants, thyroid hormones, or chronic disease medications.

08

4 Essential Safety Rules Before & After Dosing

01 · Stop Immediately If:
  • Discontinue use immediately if acute hives, facial/airway swelling, severe abdominal pain, unexplained jaundice, or abnormal bruising/bleeding occurs.
  • Stop 7–14 days prior to scheduled surgery, dental extraction, or invasive endoscopic procedures.
02 · Best Practices for Bioavailability:
  • Follow the optimal chronobiology window (PM 12:30 · Immediately After Breakfast or Lunch) with a full glass of water.
  • Stay within clinically studied daily dosages (1.8 g · 2116.33 g · 0.33 g) and re-evaluate efficacy after 8–12 weeks.
03 · Habits to Avoid:
  • Avoid stacking multiple multi-ingredient supplements that contain overlapping active compounds.
  • Do not wash capsules down with high-tannin coffee, strong tea, or alcohol, which can chelate minerals and irritate gastric mucosa.
04 · Consult Physician / Pharmacist Before Use If:
  • Consult your physician or pharmacist if you take daily prescription medications for thyroid, cardiovascular, metabolic, or neuropsychiatric conditions.
  • Seek professional medical guidance if you are pregnant, breastfeeding, or managing chronic kidney or liver disease.
09 · PUBMED CLINICAL STUDIES

Indexed PubMed Clinical Studies & Abstracts (31 Studies) · 2 Quantitative Analyses

01
CLINICAL STUDY Nutrients (2023) PMID: 38004235 ↗
The Acute and Chronic Effects of Lion's Mane Mushroom Supplementation on Cognitive Function, Stress and Mood in Young Adults: A Double-Blind, Parallel Groups, Pilot Study.
Clinical Trial Synthesis 2023 Randomized Controlled Trial (RCT) published in Nutrients; statistical significance reported at p = 0.005. Key conclusion: CONCLUSIONS: The findings tentatively suggest that Hericium erinaceus may improve speed of performance and reduce subjective stress in healthy, young adults.
View Original PubMed Abstract ↓

BACKGROUND: Given the bioactive properties and limited work to date, Hericium erinaceus (Lion's mane) shows promise in improving cognitive function and mood. However, much of the human research has concentrated on chronic supplementation in cognitively compromised cohorts. OBJECTIVE: The current pilot study investigated the acute and chronic (28-day) cognitive and mood-enhancing effects of Hericium erinaceus in a healthy, young adult cohort. DESIGN: This randomized, double-blind, placebo-controlled, parallel-groups design investigated the acute (60 min post dose) and chronic (28-day intervention) effects of 1.8 g Hericium erinaceus in 41 healthy adults aged 18-45 years. RESULTS: Analysis revealed that following a single dose of Hericium erinaceus, participants performed quicker on the Stroop task (p = 0.005) at 60 min post dose. A trend towards reduced subjective stress was observed following 28-day supplementation (p = 0.051). CONCLUSIONS: The findings tentatively suggest that Hericium erinaceus may improve speed of performance and reduce subjective stress in healthy, young adults. However, null and limited negative findings were also observed. Given the small sample size, these findings should be interpreted with caution. Further investigation in larger sample sizes is crucial, however the findings of this trial offer a promising avenue of interest.

02
CLINICAL STUDY Applied microbiology and biotechnology (2020) PMID: 32274562 ↗
Mushroom extracts and compounds with suppressive action on breast cancer: evidence from studies using cultured cancer cells, tumor-bearing animals, and clinical trials.
Clinical Trial Synthesis 2020 Clinical Study published in Applied microbiology and biotechnology. Key conclusion: Antineoplastic effectiveness in human clinical trials and mechanism of anticancer action have been reported for Antrodia camphorata, Cordyceps sinensis, Coriolus versicolor, Ganoderma lucidum, Grifola frondosa, and Lentinula edodes.
View Original PubMed Abstract ↓

This article reviews mushrooms with anti-breast cancer activity. The mushrooms covered which are better known include the following: button mushroom Agaricus bisporus, Brazilian mushroom Agaricus blazei, Amauroderma rugosum, stout camphor fungus Antrodia camphorata, Jew's ear (black) fungus or black wood ear fungus Auricularia auricula-judae, reishi mushroom or Lingzhi Ganoderma lucidum, Ganoderma sinense, maitake mushroom or sheep's head mushroom Grifola frondosa, lion's mane mushroom or monkey head mushroom Hericium erinaceum, brown beech mushroom Hypsizigus marmoreus, sulfur polypore mushroom Laetiporus sulphureus, Lentinula edodes (shiitake mushroom), Phellinus linteus (Japanese "meshimakobu," Chinese "song gen," Korean "sanghwang," American "black hoof mushroom"), abalone mushroom Pleurotus abalonus, king oyster mushroom Pleurotus eryngii, oyster mushroom Pleurotus ostreatus, tuckahoe or Fu Ling Poria cocos, and split gill mushroom Schizophyllum commune. Antineoplastic effectiveness in human clinical trials and mechanism of anticancer action have been reported for Antrodia camphorata, Cordyceps sinensis, Coriolus versicolor, Ganoderma lucidum, Grifola frondosa, and Lentinula edodes.

03
RANDOMIZED TRIAL (RCT) Journal of the American Nutrition Association (2024) PMID: 37561965 ↗
The Role of Dietary Ingredients in Mental Energy - A Scoping Review of Randomized Controlled Trials.
Clinical Trial Synthesis 2024 Randomized Controlled Trial (RCT) published in Journal of the American Nutrition Association. Key conclusion: The search strategy for two ingredients did not yield any eligible studies, leaving studies for 16 ingredients that were extracted and summarized by reported significantly improved outcomes for cognition, mood and perceived feelings, and sleep assessments.
View Original PubMed Abstract ↓

Low mental energy can contribute to decreased productivity, altered life balance, decreased physical performance, and ultimately affect quality of life. As such, there is a great demand for food and beverage products that positively impact mental energy. Numerous products claim to alter mental energy making continued review of the scientific evidence critical. The objective of this study was to conduct a scoping review of randomized controlled trials to evaluate the effect of 18 dietary ingredients on mental energy outcomes in adults without severe disease. Methods: A literature search, completed using PubMed, resulted in the identification of 2261 articles, 190 of which met eligibility from initial abstract review. Full-text review was completed on the 190 studies which resulted in 101 articles that fully met eligibility for inclusion in this study. The search strategy for two ingredients did not yield any eligible studies, leaving studies for 16 ingredients that were extracted and summarized by reported significantly improved outcomes for cognition, mood and perceived feelings, and sleep assessments. The preliminary results for several dietary ingredients directionally suggested a mental energy benefit (≥20% of outcomes), including ashwagandha, chamomile, dark chocolate, ginseng, green tea, lavender, lion's mane mushroom, maca, tart cherries, turmeric, and valerian root. The results of this scoping review suggest that of the 16 dietary ingredients reviewed, 11 may be promising for further exploration on their potential benefits in supporting mental energy. Given consumer demand and market growth for food and beverage products that positively impact mental energy; continued efforts in assessment method alignment and additional evaluation in well-designed trials is warranted.KEY TEACHING POINTSOf the 16 dietary ingredients reviewed, 11 (ashwagandha, chamomile, dark chocolate, ginseng, green tea, lavender, lion's mane mushroom, maca, melatonin foods, turmeric, and valerian root) may be promising for further exploration on their potential mental energy benefits.Dark chocolate, ginseng, ashwagandha, and lion's mane mushroom were the most promising ingredients for f

04
CLINICAL STUDY International journal of molecular sciences (2026) PMID: 42074246 ↗
Phytochemical and Fungal Bioactive Compounds in the "Brain Health Triad": A Narrative Review on Neurostimulating, Neurotrophic, and Neuroprotective Synergy.
Clinical Trial Synthesis 2026 Clinical Study published in International journal of molecular sciences. Key conclusion: We conclude that this integrated model provides a solid framework for future clinical applications in the management of age-related cognitive decline and neurodegenerative diseases.
View Original PubMed Abstract ↓

This narrative review proposes the 'Brain Health Triad' as a novel integrative framework for neurorehabilitation and cognitive enhancement, built upon three interdependent biological pillars: neurostimulation, neurotrophy, and neuroprotection. We illustrate how the synergistic interplay between a 'core triad' composed of Hericium erinaceus, Bacopa monnieri, and L-Theanine targets these pillars with high specificity. Hericium erinaceus fosters neurotrophy by inducing Nerve Growth Factor (NGF) and Brain-derived neurotrophic factor (BDNF) synthesis through erinacines and hericenones; Bacopa monnieri complements this by enhancing neurostimulation and synaptic plasticity via bacosides; and L-Theanine regulates neurotransmitter balance and alpha-wave activity to stabilize the neural signaling environment. This core architecture is further reinforced by adjunctive nootropic clusters-including withanolides, ginkgolides, citicoline, cordycepin, macamides, and fulvic acid-which provide essential support for mitochondrial resilience and the mitigation of amyloid-β and tau toxicities. By synthesizing molecular evidence from the BDNF/TrkB/CREB signaling axis and the Nrf2/NF-κB homeostatic switch, we demonstrate that this multi-target strategy offers a more robust path to neuronal resilience than traditional single-target approaches. We conclude that this integrated model provides a solid framework for future clinical applications in the management of age-related cognitive decline and neurodegenerative diseases.

05
CLINICAL STUDY Journal of food science (2026) PMID: 42050921 ↗
Exploring the Prebiotic Effects of Composite Fungal Polysaccharides From Hericium erinaceus and Lyophyllum decastes on Gut Microbiota and Metabolism.
Clinical Trial Synthesis 2026 Clinical Study published in Journal of food science. Key conclusion: At the genus level, the LDHE1_1 boosted Parabacteroides, and LDHE2_1 increased Phascolarctobacterium, Akkermansia, and Oscillibacter.
View Original PubMed Abstract ↓

Fungal polysaccharides have attracted considerable scholarly interest due to their potential as prebiotics, with the ability to modulate gut microbiota and enhance host health. Despite increasing recognition, the precise effects of composite polysaccharides from various fungal species on gut microbial composition and metabolic activity remain inadequately understood. This study sought to investigate the digestibility and fermentation characteristics of composite polysaccharides derived from Lyophyllum decastes (LDUP) and Hericium erinaceus (HEUP), combined at ratios of 1:1, 1:2, and 2:1 (LDHE1_1, LDHE1_2, and LDHE2_1). In vitro simulated gastrointestinal digestion and fermentation assays were conducted to assess pH variations, short-chain fatty acid (SCFA) production, and shifts in microbial communities. The findings revealed that the LDHE1_1 formulation exhibited the most significant capacity to reduce pH and produce SCFAs, particularly propionic and butyric acids. Furthermore, the LDUP and LDHE2_1 groups favored increased acetic acid production. Importantly, these composite polysaccharides substantially enhanced gut microbial diversity, with distinct formulations promoting specific bacterial taxa. The LDUP and LDHE1_1 groups increased Firmicutes and decreased Bacteroidota, while HEUP, LDHE1_2, and LDHE2_1 groups exhibited the reverse. At the genus level, the LDHE1_1 boosted Parabacteroides, and LDHE2_1 increased Phascolarctobacterium, Akkermansia, and Oscillibacter. Both the LDUP and HEUP notably raised Alistipes levels, and all polysaccharide groups suppressed potential pathogens such as Klebsiella and Escherichia-Shigella. This study provides new insights into how specific fungal polysaccharide combinations can modulate gut microbiota composition and metabolism, contributing to the design of targeted prebiotic formulations and functional foods. © 2026 Institute of Food Technologists.

06
CLINICAL STUDY Journal of fungi (Basel, Switzerland) (2026) PMID: 42042379 ↗
Regional Cultivation Forms of Hericium erinaceus Across China's Climatic Zones: A Scoping Review and Analytical Lens for Climate-Adaptive Production.
Clinical Trial Synthesis 2026 Clinical Study published in Journal of fungi (Basel, Switzerland). Key conclusion: It illustrates how adaptive strategies such as cold-tolerant strains in the northeast and market-driven precision in the subtropics are associated with yield stability.
View Original PubMed Abstract ↓

The cultivation of Hericium erinaceus in China accounts for about 85% of the global supply. Its decentralized production systems have developed across diverse climate zones, leading to distinct, location-specific practices recorded in local technical standards. This scoping review synthesizes these empirical protocols from five agro-climatic regions. It illustrates how adaptive strategies such as cold-tolerant strains in the northeast and market-driven precision in the subtropics are associated with yield stability. These practices reflect two interconnected forms of diversity. One is the diversity of cultivation systems themselves, from forest-based methods to industrial-scale production systems. The other is the diversity of locally adapted strains developed for specific environments. We use the Intelligent Germplasm-Cultivation-Processing-Market (GCPM) Integration framework to connect local practices with broader questions of systemic resilience. The evidence draws on field-validated standards, not controlled experiments, reflecting the current state of research. This work presents China's practical knowledge as a reference for designing context-sensitive, climate-resilient cultivation systems elsewhere, suggesting that resilience may depend more on intelligent adaptation to local conditions than on one-size-fits-all solutions.

07
CLINICAL STUDY Journal of the science of food and agriculture (2026) PMID: 42036910 ↗
Preparation, characterization and immune enhancement study of Hericium erinaceus polysaccharide-loaded polyethyleneimine-modified poly(lactic-co-glycolic acid) nanoparticles.
Clinical Trial Synthesis 2026 Clinical Study published in Journal of the science of food and agriculture. Key conclusion: CONCLUSION: The developed HEP-PPNPs system effectively mitigates the pharmacokinetic limitations of native HEPs.
View Original PubMed Abstract ↓

BACKGROUND: Hericium erinaceus polysaccharides (HEPs) exhibit remarkable immunomodulatory properties but are hampered by poor oral bioavailability. To overcome these limitations, this study developed and optimized HEP-loaded polyethyleneimine (PEI)-modified poly(lactic-co-glycolic acid) (PLGA) nanoparticles (HEP-PPNPs) as a novel drug delivery system. RESULTS: Following formulation optimization, HEP-PPNPs were successfully prepared using a modified double-emulsion solvent evaporation method, achieving a high encapsulation efficiency of 71.78%. The prepared nanoparticles exhibited a spherical morphology with a mean particle size of 176.4 ± 3.6 nm, a narrow polydispersity index of 0.131 ± 0.005 and a positive zeta potential of +32.8 ± 0.3 mV. Biological assessments on RAW264.7 macrophages showed that HEP-PPNPs significantly enhanced phagocytic activity and promoted the secretion of key immunomodulatory cytokines (TNF-α, IL-6 and IL-4) without cytotoxicity at effective concentrations. Furthermore, HEP-PPNPs markedly upregulated the expression of co-stimulatory molecules CD80 and CD86. The immunoenhancement effect of HEP-PPNPs was significantly superior to that of both free HEPs and unmodified HEP-PLGA nanoparticles. CONCLUSION: The developed HEP-PPNPs system effectively mitigates the pharmacokinetic limitations of native HEPs. The formulation demonstrates favorable physicochemical properties and elicits a stronger immunostimulatory response compared to the non-encapsulated drug and its non-cationic nanoparticle counterpart. This PEI-modified nanoparticle platform represents a promising strategy for enhancing the oral therapeutic efficacy of HEPs. © 2026 Society of Chemical Industry. © 2026 Society of Chemical Industry.

08
CLINICAL STUDY Biotechnology and applied biochemistry (2026) PMID: 42027032 ↗
Structural Characterization and Anti-Inflammatory Activities of Polysaccharide From Hericium erinaceus Mycelium.
Clinical Trial Synthesis 2026 Clinical Study published in Biotechnology and applied biochemistry. Key conclusion: HEP-S (20, 40, and 80 µg/mL) could suppress the production of inflammatory cytokines by reducing vital transcription factors in the nuclear factor-κB signaling (NF-κB) pathway.
View Original PubMed Abstract ↓

A novel heteropolysaccharide named HEP-S was separated from the mycelium of Hericium erinaceus using hot water extraction. The structure of HEP-S (2.45 × 106 Da) is mainly composed of →4,6)-α-D-Glcp(1→, →2)-α-D-Manp(1→, →4)-α-D-Glcp(1→, →3,6)-β-D-Glcp(1→, T-β-D-Galp(1→, and →4)-β-D-Galp(1→. In addition, we investigated the anti-inflammatory activity and mechanism of HEP-S in lipopolysaccharide-stimulated RAW264.7 cells. HEP-S (20, 40, and 80 µg/mL) could suppress the production of inflammatory cytokines by reducing vital transcription factors in the nuclear factor-κB signaling (NF-κB) pathway. The results showed that HEP-S exhibited notable anti-inflammatory activity on RAW 264.7, demonstrating its potential therapeutic effect on relieving gastritis. © 2026 International Union of Biochemistry and Molecular Biology, Inc.

09
CLINICAL STUDY Food & function (2026) PMID: 42007799 ↗
Effects of different galactans on DSS-induced colitis and the gut microbiota.
Clinical Trial Synthesis 2026 Clinical Study published in Food & function. Key conclusion: In contrast, AGR and CGN showed no significant alleviative effects on most indicators.
View Original PubMed Abstract ↓

Erratum in Food Funct. 2026 Oct 19;17(20):9373. doi: 10.1039/d6fo90080a. Bioactive galactans are widely distributed in nature, with some extensively reported for their potential in modulating the gut microbiota and intestinal inflammation. However, the efficacy of different galactans in ameliorating colitis remains unclear. Our study systematically compared the effects of three nonlinear galactans (Hericium erinaceus polysaccharides, HEP; Lycium barbarum polysaccharides, LBP; larch arabinogalactan, LAG) and two linear galactans (agarose, AGR; carrageenan, CGN) on colitis in mice. The results indicated that HEP, LBP and LAG treatments significantly alleviated colitis symptoms, regulated the inflammatory cytokines and improved intestinal barrier function. Notably, they could modulate the gut microbiota by promoting the relative abundance of probiotics such as S24-7, Lactobacillus and Bacteroides, while suppressing the proliferation of pathogenic bacteria like Enterobacteriaceae. In contrast, AGR and CGN showed no significant alleviative effects on most indicators. This study highlights the efficacy of different types of galactans in treating colitis and modulating the gut microbiota, providing a theoretical basis for the development of dietary polysaccharide-based intervention strategies for IBD.

10
CLINICAL STUDY Computational biology and chemistry (2026) PMID: 42000649 ↗
Modulation of ABCB1 by Erinacerin S: Binding dynamics and transmembrane helix remodeling.
Clinical Trial Synthesis 2026 Clinical Study published in Computational biology and chemistry. Key conclusion: This study provides the first evidence supporting Erinacerin S as a potential ABCB1 inhibitor, suggesting its role in overcoming multidrug resistance in cancer therapy.
View Original PubMed Abstract ↓

Erinacerins are a group of bioactive heterocyclic organic compounds known as Isoindolin-1-one metabolites with the molecular formula C8H9N, derived from the mycelia or fruiting bodies of the mushroom Hericium erinaceus. They are known for their neuroprotective, anti-inflammatory, and anticancer properties. Erinacerins inhibit the growth of breast, colon, and lung cancer cells; induce apoptosis, prevent angiogenesis, and overcome cancer therapy. Some Erinacerins lack a documented therapeutic target or a mechanism of action. This study aimed to identify therapeutic protein targets for Erinacerins that have been verified to exhibit cytotoxic effects in cancer cell lines. A virtual metabolite screening of Hericium erinaceus was conducted using the MeFSAT database. Following a systematic two-step filtering process, erinacerins meeting an established criterion were selected. A target search was performed based on Erinacerin's structure, leading to the identification of the receptor Multidrug Resistance Protein (MDR)1 or P-glycoprotein (P-gp, ABCB1) as a potential target for Erinacerin S. Results showed a strong binding affinity to the ABCB1 canonical drug-binding pocket, consistently interacting with transmembrane domains (TMs) 7, 9, and 12. Van der Waals forces dominated binding energetics, with PHE343, MET986, and LEU225 as key stabilizing residues. TM9 emerged as a critical pharmacophore region. Structural analyses revealed conformational plasticity in the TM4 and TM6 helices, suggesting an allosteric mechanism. RMSD and Rgyr variations across replicas indicated dynamic ligand-receptor interactions, supporting the potential for bidirectional modulation. This study provides the first evidence supporting Erinacerin S as a potential ABCB1 inhibitor, suggesting its role in overcoming multidrug resistance in cancer therapy.

RELATED MONOGRAPHS

Related Monographs in This Category