Keywords

1 Introduction

The fungi existed 750–850 million years ago (Bonneville et al. 2020), and the mushrooms, which are a part of the Fungi kingdom, were considered by the Romans “Food of the Gods” (Valverde et al. 2015). From ancient times, mushrooms have been known either for their nutritional and culinary characteristics (edible mushrooms) or for their toxic compounds (nonedible mushrooms) (Wasser 2010). The market for mushrooms has been increasing over the years. According to the 2021 Market Research report 2019, the global mushroom edible market size was 28.6 billion USD and is expected to reach 52 billion USD by 2026. Another important part of the mushroom market includes medicinal mushrooms, even if they are not edible. The study of edible mushrooms is far from being completed due to the increased interest in wild mushrooms and the need to determine the safety of their use.

The mushrooms are a group of fungi having distinctive fruiting bodies. Based on molecular biology techniques, including DNA molecule sequencing, Fungi’s kingdom is divided into Zygomycota, Chytridiomycota, Basidiomycota, and Ascomycota phyla. The mushrooms are considered mainly belong to the Ascomycota and Basidiomycota phyla. Ascomycota phylum is considered the largest phyla of fungi and includes more than 40,000 species distributed worldwide (Zafar et al. 2020). Seven hundred mushroom species are considered safe and beneficial for consumers’ health (Li et al. 2021), and 100 mushroom species are cultivated commercially (Zafar et al. 2020). The most common species of edible mushrooms are Cantharellaceae sp. (chanterelles), Lycoperdon sp. and Calvatia sp. (puffballs), Coprinus comatus (shaggy mane), Pleurotus ostreatus, Pleurotus cystidiosus (oyster mushrooms), Boletus sp. (boletes or porcini mushrooms), Laetiporus sulphureus (sulfur shelf), Agaricus bisporus (button mushroom), Morchella esculenta (morels), Hericium erinaceus (bearded tooth), Volvariella volvacea (straw mushroom), Flammulina velutipes (Eenoki), Lentinula edodes (shiitake), Hypsizygus marmoreus (beech mushroom), Pleurotus eryngii (French horn mushroom), and Grifola frondosa (dancing mushroom) (Das et al. 2022).

The wild mushroom species are sometimes specific to different regions and are more or less studied even though some of them are superior to cultivated ones in terms of nutritive value and beneficial effect (Kalač 2013; Nakalembe et al. 2015; Barros et al. 2007; Angelini et al. 2020; Anusiya et al. 2021; Huo et al. 2020).

On an industrial scale, around 20 species are cultivated, of which the most well-known are Agaricus bisporus, Pleurotus sp., Lentinula edodes, Auricularia spp., Volvariella volvacea, Flammulina velutipes, and Tremella fuciformis.

Complex studies conducted in recent decades have confirmed not only the nutritional qualities but also the existence of biologically active compounds in mushrooms that improve the health of the consumer (Lu et al. 2020; Sheng et al. 2021; Vamanu et al. 2018; Abdelshafy et al. 2022; Ache et al. 2021; Aida et al. 2009; Zhang et al. 2001; Ko et al. 1995; Końska 2006; Manzi et al. 1999; Ma et al. 2018).

2 Edible Mushrooms’ Nutritional Effects

The most important characteristic of edible mushrooms is their nutritional value. Despite the concentration variation of components with nutritional impact, all edible mushrooms contain proteins, glucides, lipids (Table 1), organic acids, enzymes, vitamins, phenols, terpenoids, steroids, lectins, and minerals (Kalač 2013; Assemie and Abaya 2022). The main mushroom vitamins are thiamin (B1), biotin (B7), nicotinamide (B3), folic acid (B9), vitamin D2, vitamin C, and in small amounts, vitamins A and E (Wani et al. 2010). In terms of mineral contents, mushrooms have diverse and high amounts of potassium (K), phosphorus (P), sodium (Na), calcium (Ca), and magnesium (Mg) and lower amounts of copper (Cu), zinc (Zn), iron (Fe), molybdenum (Mo), manganese (Mn), and selenium (Se).

Table 1 The nutritive values of some edible mushroom species and main microelements

The amount of nutritional components depends mainly on the following:

  • The mushroom species.

  • The growth conditions.

  • Time of harvesting.

  • The soil texture.

About 30 years ago, most edible mushrooms were considered to have no medicinal value (Chang 1996). However, numerous scientific studies proved mushroom compounds’ direct or indirect beneficial effects in improving the health of consumers (Table 2).

Table 2 Example of edible mushrooms and their beneficial effects

The edible mushrooms are a source of valuable biologically active substances, including phenolic and indolic compounds, carotenoids, flavonoids, sesquiterpenoids, glucans, glycoproteins, triterpenoids, sterols, tocopherols, antibiotics, vitamins, and elements, which are present in them in significant quantities and often act synergistically (Kała et al. 2020).

3 Mechanisms Involved in the Beneficial Effects

3.1 Antimicrobial Activity

The studies regarding the beneficial effects of edible mushrooms proved that some compounds found in edible mushrooms have antimicrobial activity against Gram-positive and Gram-negative bacterial strains, yeast, and fungal strains (Table 3). The antimicrobial activity was correlated with the presence of different compounds which are present in different edible mushroom species (Ahmad et al. 2014; De Andrade et al. 2021; Ayodele and Idoko 2011; Contato et al. 2021; Özcan and Ertan 2018; Al-Mazaideh and Al-Swailmi 2021).

Table 3 Antimicrobial activity of edible mushrooms

The data proved that the edible mushrooms could be a source of a new compound with antimicrobial activity that can be an alternative to antibiotic therapy.

In recent years accumulated data proved the antiviral activity of some biologically active compounds of edible mushrooms like lectins, polysaccharides, and terpenoids (El-Maradny et al. 2021; He et al. 2020; Elhusseiny et al. 2021a, b; Friedman 2016).

3.2 Antioxidant Activity

Molecular biology studies proved the involvement of oxidative stress in some disorders like heart disease, cancer, metabolic diseases, neuronal disorders, and even premature aging (Kozarski et al. 2015). The most frequently involved in oxidative stress are reactive oxygen and nitrogen species generated by endogenous processes or by exogenous factors like pollution, drugs, and radiation. The free radicals could interact with DNA, protein, and lipids and alter them. The free radicals could affect cells and tissues by damaging macromolecules and altering metabolic processes and homeostasis (Mwangi et al. 2022). The human organism possesses a complex antioxidative system to eliminate or minimize reactive species’ negative effects and involves enzymatic (catalase, glutathione peroxidases, superoxide dismutase) and nonenzymatic systems (vitamins, carotenoids, polyphenols, uric acid, trace elements, albumin, ceruloplasmin, transferrin, ferritin) (Kozarski et al. 2015). The imbalance between reactive species and the detoxification process leads to oxidative stress. Dietary supplements rich in antioxidants are recommended to help the organism’s defense mechanisms and prevent or cure some disorders.

The edible mushrooms have a high range of natural antioxidant compounds, potential substitutes for synthetic antioxidants, which sometimes have side effects. The antioxidants are found in fruit bodies, mycelium, and even in broth and include phenolic compounds, ascorbic acid, flavonoids, ergothioneine, polysaccharides, glycosides, tocopherols including vitamin E, carotenoids, vitamin A, vitamin D, and minerals (Chun et al. 2021; Angelini et al. 2020; Elhusseiny et al. 2021b; Mahmoud and Abdel-Hadi 2022).

The antioxidants sometimes are specific to the mushroom’s family, like in the case of polysaccharides. For example, the chitin-mannan-β-glucans could be found in mushrooms from the Ascomycete family, while the Basidiomycete family contains chitin-β-glucans (Martinez-Medina et al. 2021). The main phenolic compounds in edible mushrooms are hydroxycinnamic acids (caffeic, ferulic, p-coumaric, and sinapic) and benzoic acids (p-hydroxybenzoic, gallic, gentisic, vanillic, syringic, protocatechuic, s.o.). Trace elements accumulated in edible mushrooms (Zn, Cu, Mn, and Fe) are cofactors of antioxidant enzymes (Kozarski et al. 2015).

The mechanism involved in the edible mushrooms’ antioxidant activity are as follows:

  • Chain breaking

  • Free radical scavengers

  • Increasing activity of the liver’s oxidative enzymes and glutathione and malondialdehyde levels

  • Inhibition or breakdown of lipid peroxides

  • Enhancing the synthesis of endogenous antioxidants

  • Deactivation of metals

  • Hydrogen atom transfer

  • Fe2+ chelators

  • Protectors of mitochondrial components (Chun et al. 2021; Kozarski et al. 2015; Friedman 2016)

In vitro obtained data regarding the edible mushrooms’ antioxidant activity support the need to elucidate the mechanisms involved in beneficial effects and the necessity of complex pharmacological and biological studies.

3.3 Immunomodulatory Effect

The immune system’s function and homeostasis are essential for good health and survival. During the last decades, clinical practice has used immunomodulators, and the market for these products has increased. The immunomodulator products include immunostimulants, immunosuppressors, and immunoadjuvants and are sometimes used to prevent diseases as prophylactic therapy. Like in the case of antioxidants, synthetic compounds used as immunomodulators could be replaced by natural compounds without or with minimal toxicity. The edible and medicinal mushrooms could be a source of immunomodulators due to their bioactive compounds (El Enshasy and Hatti-Kaul 2013; Elhusseiny et al. 2022; Patra et al. 2021).

The studies regarding edible mushroom immunomodulators started more than 25 years ago (Ko et al. 1995; Ohkuma et al. 1983). However, these are far from being completed due to the large number of mushrooms and the broad spectrum of compounds.

The immunomodulatory effect of the edible mushrooms is either direct (Wu et al. 2021; Zhao et al. 2020) or indirect after interaction with gut microbiota (Vlassopoulou et al. 2022; Zhang et al. 2022a, b; Vamanu et al. 2021; Steve and Hui 2020; Ma et al. 2021).

The mechanism involved in immunomodulation depends on the type of mushroom, and the main mechanisms and biologically active compounds are summarized in Fig. 1.

Fig. 1
An illustration represents the mechanisms and examples of immunomodulatory effects of terpenes and terpenoids, polysaccharides, and proteins and protein conjugate complexes.

The mechanisms involved in immunomodulatory effect and main classes of compounds

The data obtained from in vitro and in vivo studies have highlighted the ability of either total edible mushroom extract or purified compounds to influence the immune system. Some new evidences of edible mushrooms’ immunomodulation effects are summarized in Table 4.

Table 4 Examples of edible mushrooms’ immunomodulatory effects

Immunotherapy based on natural bioactive compounds could be a less expensive and efficient alternative to allopathic medicine, including vaccines. The edible and medicinal mushrooms represent a great and promising source of immunomodulatory compounds.

3.4 Anticancer and Antitumor Effects

According to the World Health Organization (WHO) and Centers for Disease Control and Prevention (CDC), cancer is the second cause of death in the United States. Despite progress in the medical and pharmaceutical fields, the morbidity rate is still very high. That way, solutions are being sought to prevent and/or treat this disease. There are ongoing clinical trials (phases I and II) in which mushrooms are tested for treating breast, colorectal, and prostate cancer (Panda et al. 2022).

The edible mushrooms’ mechanisms involved in anticancer and antitumor effect are exercised in all stages of the appearance, and evolution of the carcinogenic process and includes the following:

  • Inactivation of cancerogenic free radicals due to the presence of antioxidants

  • DNA repair

  • Inducing apoptosis

  • Tumor proliferation inhibition due to immune system modulation

The mushrooms’ anticancer and antitumor activities include the mechanisms presented before (antioxidant and immunomodulatory activity). Still, some compounds, like lectins, have a direct effect (Końska 2006).

Lectins are carbohydrate-binding proteins with a high degree of selectivity and stereospecificity, which have immunomodulatory, anticancer, and antitumor effects. Edible mushrooms are a natural source of lectins with different chemical structures, molecular masses, and biochemical properties. Lectins have been isolated from different parts of the mushrooms: mycelia, stalk, and caps. The lectin concentration depends on the species, season, location, age, and mycelia growth (Chowdhury et al. 2015).

Other compounds from edible mushrooms with anticancer and antitumor activity are polysaccharides, peptides, and phenols.

In vitro and in vivo animal model studies proved that Grifola frondosa (maitake mushroom) polysaccharide (D-fraction) is involved in the anticancer effect by stimulation of apoptosis and blocking of tumor growth in breast cancer (Alonso et al. 2017, 2018). The X – fraction isolated from Grifola frondosa fruiting body had antidiabetic activity (Wu et al. 2021).

Some examples of anticancer compounds isolated from the mushrooms are lentinan, krestin, shizophyllan, hispolon, theanine, psilocybin, ganoderic acid, grifolin, cordycepin, antroquinonol, 5-(hydroxymethyl) furan-2-carbaldehyde, 3-isobutyl-1-methoxy-4-(4′-(3-methylbut-2-enyloxy)phenyl)-1H-pyrrole-2, 5-dione, ribonuclease, polysaccharide-peptide complex LB-1b, and polyphenol oxidase (Patel and Goyal 2012; Zhang et al. 2021; Sarangi et al. 2006).

Until now, edible mushrooms’ total extracts or purified compounds have been tested to prevent and cure different types of cancer: colorectal, endometrial, gastric, liver, lung, breast, cervical, bladder, miscellaneous tumors, cachexia, pancreatic, prostate, testicular, myeloma, and nasopharyngeal (Panda et al. 2022).

3.5 Other Mechanisms

Some examples of other mechanisms involved in the beneficial effects of edible mushrooms are represented by the following:

  • Reduction of total cholesterol, creatinine, aspartate aminotransferase, alanine aminotransferase, plasma glucose, and systolic and diastolic blood pressure – clinical trial (CT) using Agaricus sylvaticus (Fortes and Novaes 2011).

  • Decreasing the triglyceride and cholesterol levels – CT Pleurotus ostreatus (González-Bonilla et al. 2022).

  • Modulation of gut microbiota and prevention or curing of obesity by upregulating lipid metabolism, carbohydrate metabolism, bile acid biosynthesis, and downregulation of adipocytokine signaling pathway and steroid hormone biosynthesis – animal model study using Pleurotus ostreatus (Hu et al. 2022).

  • Improving levels of aminotransferase levels and histopathological features (steatosis, inflammatory foci, pericellular fibrosis) in nonalcoholic steatohepatitis – animal model study using Ceraceomyces tessulatus (Suzuki et al. 2022).

  • Hypoglycemic and antidiabetic effect – animal model using Lentinus edodes polysaccharides (Gong et al. 2022).

  • Reduces the neuroinflammation, regulation of neurotrophin synthesis, and modulation of acetylcholinesterase activity – in the animal study using Agaricus bisporus (Solano-Aguilar et al. 2021).

4 Conclusion

Mushrooms have a long history of being used as healthy food due to their culinary attributes and beneficial effects. Numerous studies have proved that mushrooms could be considered the “elixir of life,” as Chinese culture mentions them, due to their application in the prevention and cure of various diseases like cancer, diabetes, hypertension, metabolic diseases, infectious diseases, etc. The data from the in vitro and in vivo studies, including clinical trials, suggest mushrooms’ high applicability potential due to their vast reservoir of biologically active compounds.