Antrodia cinnamomea
22
2023 Sep

Food News Magazine 303: Taiwan's Antrodia cinnamomea Marches Towards the International Stage

Sustainable Development
and Diverse Research on Antrodia cinnamomea
Author: Deyi Yao
 
Introduction

The recent "unreserved opinion" from the U.S. Food and Drug Administration (FDA) regarding a Taiwanese manufacturer's Antrodia cinnamomea mycelium in the safety assessment of New Dietary Ingredients (NDI) has instilled confidence in the integration of Taiwan's national treasure into the international market.

During the recently held "International Symposium on Taiwan Medicinal Mushroom: Antrodia cinnamomea( (ISTAC)," dozens of experts and scholars presented research validating the liver-protective, hangover-alleviating, detoxifying functions of Antrodia cinnamomea. Additionally, the high safety profile of Antrodia cinnamomea mycelium in clinical applications for patients with Hepatitis B was highlighted. With robust research and international safety verification, it is anticipated that this will drive the domestic Antrodia cinnamomea industry and enable it to seize a share of the multi-billion-dollar herbal dietary supplement market in the United States.

 
Cultivating "Sustainable Antrodia cinnamomea"

Wild Antrodia cinnamomea contains over 200 bioactive components and holds high value for health benefits. To date, over 30 types of triterpenoids and steroidal saponins have been isolated. In addition to triterpenoids, polysaccharides, derivatives of malic acid, derivatives of succinic acid, quinones, diterpenes, and more exhibit significant physiological effects. The diversity and effectiveness of these active components are remarkable. Due to the rarity of the bull camphor tree, logging is prohibited. This has led producers to employ various Antrodia cinnamomea production methods based on differences in research techniques and resource allocation (see Table 1). These range from cultivating fruiting bodies in oak wood, which closely mimics the composition of wild Antrodia cinnamomea, to solid-state cultivation of mycelium, which offers a relatively cost-effective option for consumers. The development efforts of producers contribute to the sustainable inheritance of Antrodia cinnamomea's vitality.
 
Figure 1: Differences in cultivation methods of Antrodia cinnamomea
Source Wild Oak Wood Cultivation Container Cultivation Solid-state Cultivation FIBC Bag Liquid Fermentation
Incubation time Very long, 3-5 years  Very long,1-3 years Long, 90-180 days Medium, 90-120 days Medium, around 90 days Very short ,7-14 days
Breeding type Fruiting body Fruiting body Fruiting body/mycelium Mycelium Mycelium Mycelium
Triterpenoid  High High  High/medium Medium   Low Very low (Mainly composed of polysaccharides) 
 Cost  Very expensive Very expensive Expensive Affordable  Cheap   Cheap 
 Distinctiveness
  1. Long growth period, prone to contamination by miscellaneous microorganisms.
  2. Wild strains easily accumulate heavy metals.
  3. Difficulty in maintaining consistent quality.
  4. Lacks productive capacity.
  1. Similar to wild Antrodia cinnamomea.
  2. Long growth period.
  3. Prone to contamination by miscellaneous microorganisms.
  4. Difficulty in controlling the quality of oak source, susceptible to pesticide and heavy metal contamination.
  5. High technical difficulty, unstable productivity.
  1. Relying on technology to cultivate fruiting bodies or mycelium leads to significant differences in final retail prices.
  2. The operation is intricate.
  3. Equipment requirements have a high threshold.
  1. The design of the culture medium and the technology employed influence the cost and quality standards.
  2. High quality in cultivation techniques.
  3. Operation is complex.
  4. Equipment requirements have a high threshold.
  1. Susceptible to contamination by miscellaneous microorganisms.
  2. Easy to mass produce.
  1. Short fermentation time, allows for rapid mass production.
  2. Triterpenoid content is very low.
 

Diverse Research on Antrodia cinnamomea

The health benefits of Antrodia cinnamomea, including liver protection, immune enhancement, and anticancer properties, have been well-established. Recent attention has also been drawn to its applications in combating Hepatitis B, as well as its detoxification and hangover relief effects related to daily life:

Antiviral Effects Against Hepatitis B
According to mortality statistics from the Ministry of Health and Welfare, approximately 13,000 people die annually from chronic liver diseases, cirrhosis, and liver cancer, with Hepatitis B being one of the leading causes. Among patients who succumb to liver cancer, carriers of the Hepatitis B virus account for roughly 70% (3). Cell experiments analyzing the antiviral capabilities against Hepatitis B reveal that the patented solid-state cultured mycelium of Antrodia cinnamomea can inhibit the surface antigen and viral DNA replication of Hepatitis B by as much as 12% and 35% of the dosage of the Hepatitis B drug Lamivudine, respectively.

Clinical studies in humans further demonstrate that supplementation with Antrodia cinnamomea mycelium, in conjunction with the Hepatitis B drug Entecavir, over a period of 48 weeks, significantly reduces levels of GOT by 58% and GPT by 76% in patients undergoing Hepatitis B treatment. Moreover, this combined treatment has shown no adverse effects on indicators such as liver function, kidney function, blood, and urine, indicating its safety in clinical application. In comparison to using the Hepatitis B drug alone, the mycelium of Antrodia cinnamomea can assist in a 23% increase in patients achieving virus control and a 34% improvement in GPT levels (5).

Alcohol Metabolism
In modern society, social drinking is commonplace, but the symptoms of alcohol intoxication can be off-putting. Animal experiments indicate that supplementation with Antrodia cinnamomea mycelium, whether before or 30 minutes after alcohol consumption, effectively accelerates the process of sobering up. It rapidly metabolizes alcohol in the blood by 39% and acetaldehyde by 53%, allowing individuals to wake up from their alcohol-induced state seven hours earlier. Additionally, four weeks of daily supplementation significantly enhances the activity of alcohol-metabolizing enzymes in the liver, increasing ethanol dehydrogenase activity by 40% and acetaldehyde dehydrogenase activity by 42%. This provides a viable option for the busy modern individual to alleviate the burden of alcohol consumption.

Pesticide Metabolism
The widespread use of pesticides means that toxins find their way into our bodies inadvertently. Research involving randomly supplemented rats with varying doses of Antrodia cinnamomea mycelium or the western medicine Silymarin, followed by the administration of pesticides such as Paraquat or Glyphosate the following day, revealed a notable reduction in pesticide residue levels in the blood. The results indicate that Antrodia cinnamomea mycelium can expedite the metabolism of Paraquat by 30% and Glyphosate by 48.7%. Additionally, higher doses of Antrodia cinnamomea mycelium were more effective than Silymarin in this regard.

 
Conclusion

The unique Antrodia cinnamomea species in Taiwan, cultivated through technological means, has achieved sustainable inheritance, avoiding harm to forest trees. Numerous researchers have diligently worked to systematically verify its health benefits. Beyond the traditional roles in immunity enhancement and cancer prevention, Antrodia cinnamomea's applications have expanded to address modern-day concerns such as chronic hepatitis, hangover relief, and detoxification. The most challenging obstacle, the issue of safety in international trade, has been surmounted by obtaining the "unreserved opinion" notification for New Dietary Ingredients (NDI) from the world-renowned U.S. FDA. This achievement marks a powerful foothold for Taiwan in the global Antrodia cinnamomea health supplement market, affirming Taiwan's prowess in biotechnology and healthcare research and development.
 
Reference
 
US FDA. New Dietary Ingredient Notification NO. 1170.
Tyler Smith et al. US Sales of Herbal Supplements Increase by 8.6% in 2019. HerbalGram (2020) 127:54-69.
衛生福利部國民健康署。(2017) 肝病防治及肝癌。
徐榜奎,牛樟芝的多元功效及國際安全性突破。(2021) 牛樟芝產業國際發展與臨床應用研討會。
高尚德,牛樟芝菌絲體對B 肝臨床之輔助治療應用。(2021) 牛樟芝產業國際發展與臨床應用研討會。
Robert G. Gish et al. Entecavir Therapy for up to 96 Weeks in Patients With HBeAg-Positive Chronic Hepatitis B. Gastroenterology (2007) 133: 1437–1444.

 

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