Efficacy of Combined Hericium erinaceus Mycelium and Undenatured Type II Collagen in Reducing Osteoarthritis Progression in a Preclinical Animal Model.
Lee K, Hsu C, et al. • International journal of medical sciences • 2026
HEM and UC-II together reduce bone pain and OA development by inhibiting pro-inflammatory cytokines IL-1β and TNF-α and chondrolytic factors MMP-3, MMP-13, and ADAMTS5, thereby blocking cartilage breakdown and bone loss in an anterior cruciate ligament transection preclinical model.
Key Findings
Results
HEM and UC-II reduced pro-inflammatory cytokines IL-1β and TNF-α in an OA animal model.
The study used an anterior cruciate ligament transection (ACLT) model to induce OA.
Both IL-1β and TNF-α levels were reduced following treatment with HEM, UC-II, and their combination.
Reduction in these cytokines was associated with decreased cartilage degradation and bone loss.
The combination of HEM and UC-II was investigated for additive or synergistic effects on cytokine suppression.
Results
HEM and UC-II inhibited chondrolytic factors MMP-3, MMP-13, and ADAMTS5 in the OA model.
MMP-3, MMP-13, and ADAMTS5 are matrix metalloproteinases and aggrecanase implicated in cartilage matrix degradation.
Treatment with HEM, UC-II, and their combination reduced expression of these chondrolytic factors.
Inhibition of these factors was linked to preservation of aggrecan and COL2A1 in cartilage tissue.
ADAMTS5 reduction contributed to protection against aggrecan degradation specifically.
Results
HEM and UC-II treatment preserved aggrecan and COL2A1 (type II collagen) in joint cartilage.
Degradation of aggrecan and COL2A1 was inhibited in groups receiving HEM, UC-II, or their combination.
Preservation of these cartilage matrix components was attributed to the reduction of pro-inflammatory cytokines and chondrolytic enzymes.
The ACLT model was used as the preclinical standard for inducing OA-like cartilage degradation.
Results suggest structural cartilage protection as a mechanism of action for the combined supplement.
Results
HEM and UC-II reduced bone pain associated with ACLT-induced OA.
Bone pain, a key functional outcome of OA, was measured in the ACLT animal model.
Both individual and combined treatments with HEM and UC-II resulted in reduction of bone pain.
Pain reduction was observed alongside decreases in inflammatory markers.
The preclinical model used anterior cruciate ligament transection to replicate OA-associated pain.
Results
The combination of HEM and UC-II prevented OA progression more effectively, supporting its use as a combined therapy.
The study specifically investigated whether the combination of HEM and UC-II was more effective than either agent alone.
Combined treatment blocked both cartilage breakdown and bone loss in the ACLT model.
The combination was reported to prevent OA progression based on histological and biochemical outcomes.
These findings provide preclinical evidence for using HEM and UC-II together for OA therapy.
Background
Hericium erinaceus mycelium (HEM) is recognized as a functional food previously reported as beneficial for OA management.
H. erinaceus is a large edible mushroom widely consumed in Asian countries.
It has prior recognition as a functional food with reported benefits in OA supplementation.
The mycelium form (HEM) was specifically used in this study, not the fruiting body.
UC-II is described as 'a new nutraceutical ingredient' that has garnered interest for OA treatment.
Lee K, Hsu C, Chen L, Lee L, Chen W, Chen Y, et al.. (2026). Efficacy of Combined Hericium erinaceus Mycelium and Undenatured Type II Collagen in Reducing Osteoarthritis Progression in a Preclinical Animal Model.. International journal of medical sciences. https://doi.org/10.7150/ijms.126220