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Preclinical studies on the use of of the major activities reported for Ganoderma is its anti-
oxidant activity. Ganoderma lucidum extract (GLE) also
medicinal mushroom Ganoderma contains ergosterols, complete proteins, unsaturated fatty
lucidum as an adjuvant in acids, vitamins and minerals. It is the only known source
radiotherapy of cancer of a group of triterpenes known as ganoderic acids, which
have a molecular structure similar to steroid hormones
and contains the most active polysaccharides among me-
G. Gopakumar, Femy Martin, dicinal plant sources. Ganoderic acids may lower blood
Sherin K. Antony, Thulasi G. Pillai and pressure and decrease LDL cholesterol4. Anti-aging prop-
Cherupally Krishnan K. Nair* erties have also been reported for this mushroom. In addi-
Amala Cancer Research Centre, Thrissur 680 555, India tion, it is reported that the mushroom is used for the
preparation of an HIV tonic5. G. lucidum has been found
Our previous studies have demonstrated that an to play an important role in combination with radiother-
extract of Ganoderma lucidum occurring in South apy and chemotherapy, to render complete regression of
India possesses significant radioprotective property ex the tumours6–8. Since both polysaccharides and organic
vivo. The present study describes the in vivo radiopro- germanium derived from G. lucidum are not cytotoxic
tection of normal cells in tumour-bearing mice to tumour cells, the anti-tumour effect is attributable to
exposed to gamma radiation. Oral administration of
induced immunopotentiation.
G. lucidum extract (GLE) to tumour-bearing Swiss
albino mice along with exposure to gamma radiation Our earlier reports suggest that the aqueous extract of
resulted in tumour regression. Single-cell gel electro- this mushroom has significant radioprotective activity ex
phoresis (comet assay) on cells of normal and tumour vivo9. The present study describes the in vivo radioprotec-
tissues from tumour-bearing animals treated with tion of normal cells in tumour-bearing mice exposed to
GLE and radiation, revealed that there was significant whole-body gamma radiation and the sensitization of its
reduction in radiation-induced damage to cellular tumour to radiation (as there was enhanced radiation-
DNA in normal tissues compared to the tumour, indi- induced damage in cellular DNA in the tumour) by oral
cating preferential protection to normal tissues. The administration of GLE. The work is also focussed on the
findings suggest the potential use of this mushroom effect of GLE in tumour regression in tumour-bearing
extract as an adjuvant in radiotherapy, for tumour Swiss albino mice when administered orally along with
regression and prevention of radiation-induced cellu-
radiotherapy.
lar damages in normal tissues.
GLE was prepared from G. lucidum collected from the
outskirts of Thrissur, Kerala, India. Sporocarps of the
Keywords: Adjuvant, cancer, Ganoderma lucidum,
mushroom were dried at 40–50°C and powdered. Several
preclinical studies, radiotherapy.
batches of 100 g powder were extracted with 1 : 1 etha-
nol : distilled water mixture at 80°C for 8–10 h. The
IONIZING radiation is one of the well-established and
extracts were combined, filtered, concentrated and evapo-
widely used therapeutic modalities either for curative or
rated at low temperature. The residue thus obtained was
palliative treatment of tumours, but the major problem
used for the experiments. The yield was 10.6%.
associated with cancer radiotherapy is the severe side
Swiss albino mice about 8–10 weeks old and weighing
effects and damage to normal tissues1. In radiotherapy of
22–25 g were purchased from the Small Animal Breeding
cancer, normal tissues need to be protected whereas cancer
cells are exposed to high radiation. Even though many
compounds have been studied for their radioprotecting
property, an agent producing differential radiation response
in the tumour and normal cells would be of importance in
effective treatment of cancer by radiation therapy2.
Ganoderma (Figure 1), commonly known as reishi
mushroom is highly ranked in Oriental folklore. In Chi-
nese medicine reishi has been considered as a panacea for
all types of diseases. Reishi has attracted significant
attention in recent years due to its large number of phar-
macological properties. The fruiting bodies of this mush-
room contain a variety of chemical substances3. A
number of medicinal mushrooms have recently been
reported to possess significant antioxidant activity. One
Figure 3. Effect of GLE and gamma radiation on solid tumour in mice. Swiss albino mice bearing solid tumour
(Dalton’s Lymphoma Ascites) in hind limb were administered with GLE and exposed to 4 Gy gamma radiation.
After radiation exposure, GLE administration was continued for 14 days and the tumour volume monitored on
alternate days, as described in the text.
Figure 4. Photographs of silver-stained comets from cells of different tissues of tumour-bearing Swiss albino mice orally admin-
istered with GLE and exposed to 4 Gy gamma radiation.
Figure 5. Effect of oral administration of GLE on radiation-induced cellular DNA damage as assessed by comet assay in brain cells of mice-
bearing tumour on hind limbs, exposed to 4 Gy whole-body gamma radiation. Mean comet parameters like %DNA in tail, tail length, tail moment
and Olive tail moment of single cells subjected to alkaline single-cell gel electrophoresis are presented with ± SD. ns, Not significant; ***P < 0.001
when compared with respective control.
to the slides, the coverglasses were placed immediately The results of the study on the effect of gamma radia-
and the slides were kept at 4°C. After solidification, the tion (4 Gy) and GLE administration are presented in Fig-
coverglasses were removed and the slides were immersed ures 2 and 3. Figure 3 presents data on tumour volume,
in pre-chilled lysing solution containing 2.5 M NaCl; following the treatments and Figure 2 shows representa-
100 mM Na2EDTA, 10 mM Tris-HCl (pH-10), 1% tive photographs of the animal and its tumour-bearing
DMSO and 1% TritonX, and kept for 1 h at 4°C. After limb. The growth of the tumour was found to be inhibited
lysis, the slides were drained properly and placed in a in animals exposed to 4 Gy gamma radiation compared to
horizontal electrophoretic apparatus filled with freshly untreated animals. The GLE itself reduced tumour growth
prepared electrophoresis buffer containing 300 mM to some extent. The tumour growth was found substan-
NaOH, 1 mM EDTA and 0.2% DMSO (pH ≥ 13). The tially inhibited in the group of animals administered with
slides were equilibrated in the buffer for 20 min and elec- GLE and exposed to 4 Gy gamma radiation.
trophoresis was carried out for 30 min at 25 V and Alkaline comet assay was performed to analyse the
300 mA. After electrophoresis the slides were washed effect of administration of GLE on radiation-induced cel-
gently with 0.4 mM Tris-HCl buffer (pH 7.4) to remove lular DNA damage in normal and tumour tissues. Figure
the alkali. The slides were again washed with distilled 4 shows representative photographs of the comets from
water and kept at 37°C for 2 h to dry the gel; then silver the cells of these tissues. It can be seen from Figures 5–8
staining was carried out11. The comets were visualized that the cellular DNA from various tissues such as blood,
using Olympus BX-41 microscope and the images were bone marrow, brain and tumour of the tumour-bearing
captured and analysed using the software ‘CASP’, which animals exposed to whole-body 4 Gy gamma radiation
directly gave the comet parameters such as %DNA in tail, shows increased comet parameters such as %DNA in tail,
tail length, tail moment (TM) and Olive tail moment tail length, TM and OTM. However, except in the tumour
(OTM)12. TM is the product of tail length and %DNA in tissues, these parameters were found to be lower in the
tail, and OTM is the product of the distance between the normal tissues of tumour-bearing animals administered
centre of gravity of the head and centre of gravity of the with GLE 1 h prior to radiation exposure (Figures 5–8).
tail and %DNA in the tail10–12. Data of the comet para- This would suggest that the administration of GLE
meters were presented as mean ± standard deviation. offered protection against radiation-induced damages to
CURRENT SCIENCE, VOL. 99, NO. 8, 25 OCTOBER 2010 1087
RESEARCH COMMUNICATIONS
Figure 6. Effect of oral administration of GLE on radiation-induced cellular DNA damage as assessed by comet assay in bone marrow cells of
mice-bearing tumour on hind limbs, exposed to 4 Gy whole-body gamma radiation. Mean comet parameters like %DNA in tail, tail length, tail
moment and Olive tail moment of single cells subjected to alkaline single-cell gel electrophoresis are presented with ± SD. ns, Not significant;
***P < 0.001 when compared with respective control.
Figure 7. Effect of oral administration of GLE on radiation-induced cellular DNA damage as assessed by comet assay in blood leucocytes of
mice-bearing tumour on hind limbs, exposed to 4 Gy whole-body gamma radiation. Mean comet parameters like %DNA in tail, tail length, tail
moment and Olive tail moment of single cells subjected to alkaline single-cell gel electrophoresis are presented with ± SD. ns, Not significant;
***P < 0.001 when compared with respective control.
Figure 8. Effect of oral administration of GLE on radiation-induced cellular DNA damage as assessed by comet assay in tumour cells of mice-
bearing tumour on hind limbs, exposed to 4 Gy whole-body gamma radiation. Mean comet parameters like %DNA in tail, tail length, tail moment
and Olive tail moment of single cells subjected to alkaline single-cell gel electrophoresis are presented with ± SD. ns, Not significant; ***P < 0.001
when compared with respective control.
cellular DNA in normal tissues, and in the tumour tissues of GLE (200 mg/kg body wt) to the animals resulted in sig-
the extract offered no protection but helped enhance the nificant reduction in tumour volume, and this anti-tumour
radiation-induced cellular DNA damage, as can be evi- effect was more prominent in conjunction with gamma-
denced from the data in Figures 4–8. radiation treatment (4 Gy). Studies on in vivo radiopro-
The present study is focused on the radioprotective and tection efficiency by comet analysis demonstrated the
anti-cancer properties of G. lucidum under in vivo condi- efficiency of GLE to offer protection to normal tissues
tions using mouse as the model system. Radioprotective against gamma radiation-induced DNA damage, whereas
agents offer a possible solution to counteract the radiation sparing tumour tissues where the extract offered no pro-
damage to living systems1. The extracts of G. lucidum, tection against radiation-induced cellular DNA damage.
certain medicinal plants, vitamin derivatives and dietary The mushroom G. lucidum could be effectively used as
supplement formulations with good anti-oxidant activity a radioprotector for normal tissues in radiotherapy. It is to
can be considered as safe radioprotectors, whereas many be noted that there was an increased extent of cellular
of the synthetic drugs and chemicals prepared for radio- DNA damage in cells of the tumour tissues of animals
protection have limited application in the living systems administered with GLE prior to radiation exposure which
due to their toxicity and side effects13–17. Our previous could be due to induction of apoptosis in these cells. Fur-
studies have revealed that aqueous extract of G. lucidum ther studies are needed to support this possibility. The
possesses radioprotective activity9. present results suggest the possibility of using this me-
GLE has been reported to exhibit anti-tumour activity dicinal mushroom extract as an adjuvant in cancer radio-
and this has been attributed to immune-related mecha- therapy to protect normal tissues from radiation damage
nisms or cytotoxicity18–20. Some of the active ingredients and also to enhance the anti-tumour activity of gamma
in the extract have been identified as polysaccharides and radiation.
triterpenes21,22. The extract has also been shown to pre-
vent proliferation of cancer cells, mediated through inhi- 1. Nair, C. K. K., Parida, D. K. and Nomura, T., Radiation protectors
bition of DNA synthesis23. Inhibition of DNA synthesis in radiotherapy. J. Radiat. Res., 2001, 42, 21–37.
following irradiation could bring about enhanced apop- 2. Shueng, P. W., Hsu, W. L., Jen, Y. M., Wu, C. J. and Liu, H. S.,
tosis in the cells. This could be a possible mechanism by Neoadjuvant chemotherapy followed by radiotherapy should not
which GLE enhances the anti-tumour activity of gamma be a standard approach for locally advanced cervical cancer. Int. J.
Radiat. Oncol. Biol. Phys., 1998, 40, 889–896.
radiation. 3. Tim, L., Yihuai, G. and Shufeng, Z., Global marketing of medici-
The tumour regression study carried out with solid nal Ling Zhi mushroom G. lucidum products and safety concerns.
tumour-bearing animals revealed that oral administration Int. J. Med. Mushroom, 2004, 6, 189–194.