Botanicals for Lung, breast, and colorectal cancers. (The most common) Flashcards

1
Q

Agaricus bisporus (White button mushroom)

A

Agaricus bisporus; Agaricaceae

Part— whole mushroom
Constituents— fiber– chitin; amino acids; fatty acids– linoleic acid, linolenic acid; protein; sterol; vitamins– D (if UVB); beta-glucans; ergosterol; ergothioneine; flavonoids;
Actions— anticancer; microbiome support; metabolic support if in olive oil; elevate salivary IgA;
Prostate— 40-140 g/d decr. PSA in 36%; stable in rest;
Ovarian— 2g/d reduce odds of ovarian cancer 32%;

Posology— 2-140 g/d lightly sauteed in butter/extra virgin olive oil w/ Allium cepa/A. sativa;
Pregnancy and Lactation— considered safe

Ergosterol,

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2
Q

Agaricus blazei; Agaricaceae (Sun mushroom)

A

Other— A. subrufescens, A. brasiliensis, A. rufotegulis;
Part— aerial’
Constituents— polysaccharides– beta-glucan, alpha-glucan; lipids– ergosterol, sterols; hydrazines; protein; vit B1, B2, B9, B12, C, D, E;
Actions— anticancer; antifatigue; immune regulation; anti-metabolic syndrome; hepatoprotective;
Other— antimicrobial; antioxidant; hypoglycemic; immunomodulatory;

Cancer trials— with carboplatin, carboplatin + taxol in GYN cancers  > appetite, less alopecia, greater emotional stability, and > strength vs chemotherapy only; prevented 5-FU leukopenia;
Hepatitis B— AST, ALT decreased;
Posology— often as a decoction; 500 mg – 5.4 g TID; freeze-dried;
Pregnancy and Lactation— no data
Caution— level of hydrazine (a suspected genotoxin) has not demonstrated hepatotoxicity;

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3
Q

Trametes versicolor (Turkey tail mushroom); Polyporaceae

A

Trametes versicolor; Polyporaceae

Other— Coriolus versicolor, Polyporus versicolor;
Part— aerial; woody mushroom on tree/logs;
Constituents— amino acids; polysaccharides– beta-glucan, polysaccharide krestin (PSK), polysaccharide peptide (PSP);
Actions— anticancer; antioxidant; antifatigue; radiation fatigue; antimetabolic syndrome;
PSK— approved Tx in Japan; trials in breast, gastric, colorectal and lung cancer; all with chemotherapy/radiotherapy; improves lymphocytes, NK cell activity, CD8+ T cells, and CD19+ B cells;

PSP— trials with leukemia, lymphoma, stomach, lung; reduced MMP-9; all with chemotherapy; human trials– breast, prostate, liver;
Posology— 1-3 g TID; PSP 1 g TID; PSK 1g TID; TCM 6-9 g QD;
Pregnancy and Lactation— do data; considered safe

Krestin

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4
Q

Ganoderma lucidum (Reishi); Ganodermataceae

A

Ganoderma lucidum; Ganodermataceae

Part— whole mushroom; woody mushroom;
Constituents— polysaccharide; peptidoglycans; triterpenes; alkaloids; adenosine; sterols; minerals;
Actions— replenish Qi; eases the mind (shen); relieves cough and asthma; anticancer; anti-inflammatory;
Other— hepatoprotective; antibacterial; antidiabetic; antiviral; libido tonic; nervine tonic; antihyperlipidemic; URTI Infections;
Cancer— use yields 1.27x better response to chemotherapy and radiotherapy; regulated cell cycles of apoptosis and autophagy;

Hepatitis B— inhibits viral replication;
RA— with San Miao San (Phellodendron chinense, Atractylodes lancea, Achyranthes bidental, Coid lacryma-jobi) relieved pain, improved function;
Posology— ⌀ 3-5 mL TID; decoction 3-15 g QD; encapsulated (GL-PS rich polysaccharide) 600 mg TID;
Pregnancy and Lactation— no data;

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5
Q

Grifola frondosa (Maitake); Meripilaceae

A

Part— whole mushroom; formerly Polyporaceae;
Habitat— older oak, maple, elm; Maitake Mushroom;
Constituents— protein; Vit D2; minerals; beta-glucans– D-fraction, MD fraction, X-fraction, grifolan, MZ fraction, MT-alpha-glucan;
Actions— microbiome fibre; anti-NAFLD; T2D; anti-cancer; antihypertensive; antihyperlipidemic; anti-viral;
Other— anti-inflammatory; hypoglycemic; antioxidant;
Anticancer— MM46 LV; human colon; S180 sarcoma; H22 Hepatocarcinoma;

Part— whole mushroom; formerly Polyporaceae;
Habitat— older oak, maple, elm; Maitake Mushroom;
Constituents— protein; Vit D2; minerals; beta-glucans– D-fraction, MD fraction, X-fraction, grifolan, MZ fraction, MT-alpha-glucan;
Actions— microbiome fibre; anti-NAFLD; T2D; anti-cancer; antihypertensive; antihyperlipidemic; anti-viral;
Other— anti-inflammatory; hypoglycemic; antioxidant;
Anticancer— MM46 LV; human colon; S180 sarcoma; H22 Hepatocarcinoma;

Antibacterial– Listeria monocytogenes; Clostridium difficile;
Antiviral— HBV; HSV-1; inhibits replication;
Posology— 1.5 –7 g dried QD; 2 g  400 mg beta-glucans; .02 – 10 mg/kg in dose escalation human trials;

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6
Q

Lentinula edodes (Shitake); Omphalotaceae. It kind of looks like a bun is on top

A

Name— Agaricus edodes; Shitake;
Part— aerial
Constituents— polysaccharide– lentinan; eritadenine; minerals; vitamins– D2, B1, B2, B6, B3, B12;
Actions— immune modulation; antitumor; GI microbiome; antioxidant;
Other— antihyperlipidemic; antimicrobial; anti-T2D; hepatoprotective; anti-osteoporotic;

Posology— 6-12 g QD; AHCC (fermented) 4.5-6 g QD; lentinan IV 2-10 mg weekly;
Caution— ‘shitake dermatitis’ from raw or undercooked ~ 24 hour onset after consumption, lots of sun exposure can aggravate it; Tx– cook thoroughly;

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7
Q

Ophicordyceps sinensis; Ophiocordycipitaceae

A

Nomenclature— Cordyceps sinensis; harvest down 90% since 1987; now ~$25,000 USA per kg; Paecilomyces hepialid; Cordyceps militaris;
Part— whole mushroom
Constituents— nucleosides– > 10 known, adenine, adenosine, thymine, thymidine, cordycepin; sterols– ergosterol, beta-sitosterol, campesterol, stigmasterol; fatty acids >10, palmitic, oleic; ;
Actions— anticancer; antiaging; antithrombosis; anti-arrhythmia; antihypertensive; immune modulation;
Other— TCM KI, LU, and LV, protective; antifatigue;
Macrophages express adenosine A2A, A2B, A3 receptors, activation  downregulates IL-12, TNF-alpha, and up regulates IL-10;

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8
Q

Astragalus membranaceus (Astragalus); Fabaceae. The champion of A’s, adaptogen, anti-cancer, antiaging, anti-inflammatory. It’s also cardioprotective even against viral myocarditis.

A

Part— root from 4-7 yo; perennial;
Constituents— aglycones; flavonoids– kaempferol, sulfuretin; polysaccharides– astragalans I, II, III; triterpenoid saponin glycosides; amino acids;
Actions— adaptogen; anti-inflammatory; cardioprotective; chemotherapeutic complement; hematopoietic;
Other— Qi tonifier; antiaging; immune modulation; cardioprotective; viral myocarditis;
NSCL Cancer— with platinum chemotherapy  fewer deaths at 6 mo, reduced chemo toxicity, incr. tumor response, > QOL;

Diabetic neuropathy— 30 g QD for 2 mo improved KI function;
Cancer— induce maturation of bone marrow cells;
Posology— decoction 2-4 tsp/cup TID; ⌀ 4-8 mL TID, 30-60 gtt TID; change of season soup QD for 1-2 weeks;
Pregnancy and Lactation— safe in pregnancy; no data in lactation;

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9
Q

Codonopsis pilosula (Dang Shen); Campanulaceae

A

Part— root 3-4 yo;
Constituents— sesquiterpene lactones; triterpenes; polysaccharides; flavones– hesperidin; pyrrolidine alkaloids; glycoside; organic acids;
Actions— adaptogen; immune modulatory; antitumor;
Other— with chemo/radio therapy; ovarian, breast, hepatocellular; COPD; memory with Ginkgo biloba;
Posology— decoction 9-30 g QD; ⌀ 1-4 mL TID, 20-60 gtt ITD; change of season soup QD 1-2 weeks;

Pregnancy and Lactation— commonly used in TCM; Qi and SP tonic; nourishes fluids; nourishes LU; stimulates blood; warms middle burner;
Platelet aggregation— may affect;

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10
Q

Eleuthrococcus senticosus; Araliaceae

A

Eleuthrococcus senticosus; Araliaceae

Part— root; root bark
Constituents— lignans; glycans; hydroxycoumarins; triterpene saponins; steroid glycosides– eleuthroside A, B; polysaccharides; flavonoids;
Actions— adaptogen; anticancer; anti-inflammatory;
Other— angina; chemo/radio therapy adjuvant; T2D; endurance; neuroprotective; enhance antibiotic use;

Posology— decoction 2-3 g TID; ⌀ 3-5 mL TID, 20-60 gtt TID;
Pregnancy and Lactation— safe;

Eleutheroside B

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11
Q

Panax ginseng (Korean or Chinese), P. quinquefilius (North American); Araliaceae

A

Part— root 4-5 yo;
Constituents— steroidal glycosides; steroidal saponins; ginsenosides >150, Rb1, Rb2, Rc, Rd, Re; sterols; polysaccharides;
Actions— adaptogen; anticancer; anti-inflammatory;
Other— chemo/radio therapy adjuvant; T2D; endurance; enhances antibiotic use; enhances vaccines immune response;
TCM— yang tonic; tonifies Qi, LU and augments Qi; strengthens SP; tonifies ST; benefits HT and Qi, calms the spirit;
Cancer— synergistic w/ tamoxifen, Cytoxan, doxorubicin, taxol, methotrexate;

T2D— potentiates metformin; sulfonylureas;
Posology— decoction 2-9 g QD; ⌀ 1-2 mL TID, 10-40 gtt TID; standardized extract (5% ginsenosides) 500 mg TID;
Pregnancy and Lactation— used in TCM;

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12
Q

Rhodiola rosea

A

Rhodiola rosea; Crassulaceae

Part— root
Constituents— polyphenols; organic acids; essential oils; salidroside, tyrosol;
Actions— adaptogen; nerve support; cognitive support;
Other— prolongs neurotransmitters– dopamine, serotonin, acetylcholine; cognitive– attention, memory, learning; anti-inflammatory; cardioprotective; anticancer;
Stress— improves mental and physical function during stress;

Posology— 200- 700 mg QD standardized (1-2% salidrosiodes);
Pregnancy and Lactation— no data;

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13
Q

Which herb is used primarily to reduce PSA levels in prostate cancer?
A. Ganoderma lucidum (Reishi mushroom)
B. Agaricus bisporus (White button mushroom)
C. Trametes versicolor (Turkey tail mushroom)
D. Astragalus membranaceus (Huang Qi)

A

Correct Answer: B. Agaricus bisporus (White button mushroom)
Rationale:

Agaricus bisporus: Research shows it lowers PSA levels, particularly at higher doses (40–140 g/day).
Ganoderma lucidum: While it has immunomodulatory and anticancer properties, there is limited evidence supporting its direct effect on PSA levels.
Trametes versicolor: Used for immune support in cancer patients, but not specifically for PSA reduction.
Astragalus membranaceus: Supports immunity and stress resilience but lacks evidence for PSA modulation.

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14
Q

Which botanical contains beta-glucans beneficial in cancer therapy?
A. Trametes versicolor (Turkey tail mushroom)
B. Codonopsis pilosula (Dang Shen)
C. Eleutherococcus senticosus (Siberian ginseng)
D. Astragalus membranaceus (Huang Qi)

A

Correct Answer: A. Trametes versicolor (Turkey tail mushroom)
Rationale:

Trametes versicolor: Its beta-glucans, such as PSK and PSP, are proven to enhance immunity and improve survival rates in cancer therapy.
Codonopsis pilosula: An adaptogen supporting energy and immunity but lacks specific beta-glucan content.
Eleutherococcus senticosus: Functions as an adaptogen but does not contain beta-glucans.
Astragalus membranaceus: Immune-modulating and anti-inflammatory, but beta-glucans are not its primary constituents.

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15
Q

Which herb’s hydrazine content raises safety concerns despite its therapeutic potential?
A. Agaricus blazei (Royal sun mushroom)
B. Lentinula edodes (Shiitake mushroom)
C. Panax ginseng (Asian ginseng)
D. Eleutherococcus senticosus (Siberian ginseng)

A

Correct Answer: A. Agaricus blazei (Royal sun mushroom)
Rationale:

Agaricus blazei: Contains hydrazine, a possible genotoxin, leading to safety concerns.
Lentinula edodes: Contains lentinan, a beta-glucan with anticancer properties but no hydrazine.
Panax ginseng: Known for adaptogenic and anticancer properties without any hydrazine-related issues.
Eleutherococcus senticosus: Primarily an adaptogen with no hydrazine content or related risks

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16
Q

Which adaptogen enhances chemotherapy and has proven anticancer effects?
A. Ganoderma lucidum (Reishi mushroom)
B. Panax ginseng (Asian ginseng)
C. Withania somnifera (Ashwagandha)
D. Astragalus membranaceus (Huang Qi)

A

Correct Answer: B. Panax ginseng (Asian ginseng)
Rationale:

Panax ginseng: Enhances chemotherapy effects, supports immune function, and shows anticancer potential.
Ganoderma lucidum: Provides immune support but is not strongly associated with enhancing chemotherapy.
Withania somnifera: Acts as an adaptogen and stress reducer but lacks strong evidence for direct chemotherapy enhancement.
Astragalus membranaceus: Supports immunity but is not directly linked to enhancing chemotherapy effects.

17
Q

Which botanical shows promise in HER2+ breast cancer treatment?
A. Withania somnifera (Ashwagandha)
B. Curcuma longa (Turmeric)
C. Camellia sinensis (Green tea)
D. Ginkgo biloba (Ginkgo)

A

Correct Answer: C. Camellia sinensis (Green tea)
Rationale:

Camellia sinensis: EGCG (epigallocatechin gallate) inhibits HER2 signaling, demonstrating anticancer effects specific to HER2+ breast cancer.
Withania somnifera: Useful as an adaptogen but lacks HER2-specific anticancer data.
Curcuma longa: Has broad anti-inflammatory and anticancer effects but is not specific to HER2+ cancer.
Ginkgo biloba: Improves circulation and cognitive function but has no direct evidence for HER2+ breast cancer treatment.

18
Q

Which herb, also known as Huang Qi, is commonly used in Traditional Chinese Medicine (TCM) as a Qi tonic and may reduce chemotherapy toxicity?
a) Rhodiola rosea (Golden Root)
b) Astragalus membranaceus (Huang Qi)
c) Grifola frondosa (Maitake)
d) Eleutherococcus senticosus (Siberian Ginseng)

A

Answer: b) Astragalus membranaceus (Huang Qi)

Rationale:

b) Astragalus membranaceus (Huang Qi): Correct. This herb supports Qi, reduces chemotherapy toxicity, and enhances immune functions.
a) Rhodiola rosea (Golden Root): Incorrect. It is an adaptogen for stress and fatigue but not specifically a Qi tonic.
c) Grifola frondosa (Maitake): Incorrect. It supports immunity but is not classified as a Qi tonic in TCM.
d) Eleutherococcus senticosus (Siberian Ginseng): Incorrect. It boosts energy and immunity but does not have strong associations with Qi tonification.

19
Q

Which adaptogen, also known as Golden Root, is known to improve mental and physical performance during stress and supports neurotransmitter activity?
a) Rhodiola rosea (Golden Root)
b) Codonopsis pilosula (Dang Shen)
c) Panax ginseng (Asian Ginseng)
d) Eleutherococcus senticosus (Siberian Ginseng)

A

Answer: a) Rhodiola rosea (Golden Root)

Rationale:

a) Rhodiola rosea (Golden Root): Correct. This herb enhances neurotransmitter function and physical stamina under stress.
b) Codonopsis pilosula (Dang Shen): Incorrect. Primarily a Qi tonic, not associated with neurotransmitter activity.
c) Panax ginseng (Asian Ginseng): Incorrect. It supports overall vitality but is not specifically linked to neurotransmitter modulation.
d) Eleutherococcus senticosus (Siberian Ginseng): Incorrect. While helpful for endurance, it is not focused on neurotransmitter support.

20
Q

What is the primary constituent of Grifola frondosa (Maitake) that contributes to its anticancer properties?
a) Polysaccharide Krestin (PSK)
b) D-fraction beta-glucans
c) Cordycepin
d) Astragalans

A

Answer: b) D-fraction beta-glucans

Rationale:

b) D-fraction beta-glucans: Correct. These polysaccharides enhance immune activity and exhibit anticancer effects.
a) PSK: Incorrect. Found in Trametes versicolor (Turkey Tail), not Maitake.
c) Cordycepin: Incorrect. A nucleoside unique to Ophiocordyceps sinensis (Cordyceps).
d) Astragalans: Incorrect. Found in Astragalus membranaceus (Huang Qi).

21
Q

Which herb, also known as Cordyceps, is used for improving energy, respiratory function, and as an adjuvant in cancer treatment?
a) Ophiocordyceps sinensis (Cordyceps)
b) Panax ginseng (Asian Ginseng)
c) Codonopsis pilosula (Dang Shen)
d) Eleutherococcus senticosus (Siberian Ginseng)

A

Answer: a) Ophiocordyceps sinensis (Cordyceps)

Rationale:

a) Ophiocordyceps sinensis (Cordyceps): Correct. Known for its energy-boosting, respiratory, and immune-modulating effects.
b) Panax ginseng (Asian Ginseng): Incorrect. Used for vitality but less specific to respiratory health.
c) Codonopsis pilosula (Dang Shen): Incorrect. A Qi tonic, not focused on respiratory or cancer adjuvant therapy.
d) Eleutherococcus senticosus (Siberian Ginseng): Incorrect. An adaptogen for stamina but not a cancer adjuvant.

22
Q

Which herb, also known as Siberian Ginseng, is known for improving endurance and physical performance?
a) Panax quinquefolius (American Ginseng)
b) Eleutherococcus senticosus (Siberian Ginseng)
c) Panax ginseng (Asian Ginseng)
d) Codonopsis pilosula (Dang Shen)

A

Answer: b) Eleutherococcus senticosus (Siberian Ginseng)

Rationale:

b) Eleutherococcus senticosus (Siberian Ginseng): Correct. Known for improving stamina and physical performance.
a) Panax quinquefolius (American Ginseng): Incorrect. More calming and restorative, not focused on physical endurance.
c) Panax ginseng (Asian Ginseng): Incorrect. While energizing, it is not specifically associated with endurance.
d) Codonopsis pilosula (Dang Shen): Incorrect. It enhances Qi but does not focus on stamina.

23
Q

Which herb, also called American Ginseng, is known for its cooling properties and ability to support immune health?
a) Panax quinquefolius (American Ginseng)
b) Rhodiola rosea (Golden Root)
c) Astragalus membranaceus (Huang Qi)
d) Panax ginseng (Asian Ginseng)

A

Answer: a) Panax quinquefolius (American Ginseng)

Rationale:

a) Panax quinquefolius (American Ginseng): Correct. It has cooling and immune-enhancing properties, making it distinct from the warming Asian Ginseng.
b) Rhodiola rosea (Golden Root): Incorrect. Adaptogen for stress, not associated with cooling properties.
c) Astragalus membranaceus (Huang Qi): Incorrect. Primarily a Qi tonic and immune modulator.
d) Panax ginseng (Asian Ginseng): Incorrect. A warming Yang tonic.

24
Q

HER2 stands for human epidermal growth factor receptor 2, which is a protein found on the surface of some cells. It is involved in cell growth and division. HER2 plays a critical role in the regulation of cell signaling pathways, specifically those related to growth and survival.

A

Role in Cancer:

HER2 is overexpressed in certain cancers, particularly breast cancer and gastric cancer.
Overexpression is linked to aggressive tumor growth and a poorer prognosis.
Diagnostic Marker:

HER2 status is tested in breast cancer patients to guide treatment decisions.
Testing methods include immunohistochemistry (IHC) and fluorescence in situ hybridization (FISH).
Targeted Therapy:

HER2-positive cancers are treated with targeted therapies that inhibit the HER2 protein, such as:
Trastuzumab (Herceptin)
Pertuzumab
Lapatinib
T-DM1 (Kadcyla)
Biological Mechanism:

HER2 is part of the EGFR (epidermal growth factor receptor) family and promotes cell proliferation.
Overactivation due to gene amplification or mutation leads to unchecked cellular growth.