The Use of Lentinan for Treating Gastric Cancer

Natural compounds containing fungal β-glucans have been used to improve general health for thousands of years in China and Japan. Lentinan, the backbone of β-(1, 3)-glucan with β-(1, 6) branches, is one of the active ingredients purified from Shiitake mushrooms and has been approved as a biological...

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Main Authors: Ina, Kenji, Kataoka, Takae, Ando, Takafumi
Format: Online
Language:English
Published: Bentham Science Publishers 2013
Online Access:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3664515/
id pubmed-3664515
recordtype oai_dc
spelling pubmed-36645152013-06-04 The Use of Lentinan for Treating Gastric Cancer Ina, Kenji Kataoka, Takae Ando, Takafumi Article Natural compounds containing fungal β-glucans have been used to improve general health for thousands of years in China and Japan. Lentinan, the backbone of β-(1, 3)-glucan with β-(1, 6) branches, is one of the active ingredients purified from Shiitake mushrooms and has been approved as a biological response modifier for the treatment of gastric cancer in Japan. Despite recent advances in chemotherapeutic agents, unresectable or recurrent gastric cancer remains an incurable disease, with survival rates being far from satisfactory. Recent clinical studies have shown that chemo-immunotherapy using lentinan prolongs the survival of patients with advanced gastric cancer, as compared to chemotherapy alone. In addition, trastuzumab, an antibody against HER2/neu growth factor receptor, has been used for the treatment of gastric cancer in combination with cytotoxic chemotherapeutic agents. Lentinan may exert a synergistic action with anti-cancer monoclonal antibodies to activate complement systems through the mechanism of antibody-dependent cellular cytotoxicity and complement dependent cytotoxicity. Because a better understanding of its biological activities should enable us to use lentinan more efficiently in the treatment of gastric cancer, immunological effects provided by β-glucans, a possible mode of action of lentinan, and its clinical application including future potential uses are discussed in the present review. Bentham Science Publishers 2013-06 2013-06 /pmc/articles/PMC3664515/ /pubmed/23092289 http://dx.doi.org/10.2174/1871520611313050002 Text en © 2013 Bentham Science Publishers http://creativecommons.org/licenses/by/2.5/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.5/), which permits unrestrictive use, distribution, and reproduction in any medium, provided the original work is properly cited.
repository_type Open Access Journal
institution_category Foreign Institution
institution US National Center for Biotechnology Information
building NCBI PubMed
collection Online Access
language English
format Online
author Ina, Kenji
Kataoka, Takae
Ando, Takafumi
spellingShingle Ina, Kenji
Kataoka, Takae
Ando, Takafumi
The Use of Lentinan for Treating Gastric Cancer
author_facet Ina, Kenji
Kataoka, Takae
Ando, Takafumi
author_sort Ina, Kenji
title The Use of Lentinan for Treating Gastric Cancer
title_short The Use of Lentinan for Treating Gastric Cancer
title_full The Use of Lentinan for Treating Gastric Cancer
title_fullStr The Use of Lentinan for Treating Gastric Cancer
title_full_unstemmed The Use of Lentinan for Treating Gastric Cancer
title_sort use of lentinan for treating gastric cancer
description Natural compounds containing fungal β-glucans have been used to improve general health for thousands of years in China and Japan. Lentinan, the backbone of β-(1, 3)-glucan with β-(1, 6) branches, is one of the active ingredients purified from Shiitake mushrooms and has been approved as a biological response modifier for the treatment of gastric cancer in Japan. Despite recent advances in chemotherapeutic agents, unresectable or recurrent gastric cancer remains an incurable disease, with survival rates being far from satisfactory. Recent clinical studies have shown that chemo-immunotherapy using lentinan prolongs the survival of patients with advanced gastric cancer, as compared to chemotherapy alone. In addition, trastuzumab, an antibody against HER2/neu growth factor receptor, has been used for the treatment of gastric cancer in combination with cytotoxic chemotherapeutic agents. Lentinan may exert a synergistic action with anti-cancer monoclonal antibodies to activate complement systems through the mechanism of antibody-dependent cellular cytotoxicity and complement dependent cytotoxicity. Because a better understanding of its biological activities should enable us to use lentinan more efficiently in the treatment of gastric cancer, immunological effects provided by β-glucans, a possible mode of action of lentinan, and its clinical application including future potential uses are discussed in the present review.
publisher Bentham Science Publishers
publishDate 2013
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3664515/
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