Dietary Supplements

Maitake mushroom supplementation modulates upper respiratory symptoms and immune responses in healthy adults: a randomized, double-blind, placebo-controlled trial.

TL;DR

Dietary maitake mushroom supplementation with the Y10M strain was associated with fewer cumulative days of selected URTI-related symptoms and modulation of antiviral innate immune responses in healthy adults, with effects that differed by strain and age cohort.

Key Findings

Overall incidence of upper respiratory tract infection episodes did not differ between maitake-supplemented and placebo groups.

  • The trial was randomized, double-blind, and placebo-controlled.
  • Two maitake strains (Y10M and C5304) were tested against placebo.
  • Despite no difference in URTI episode incidence, symptom-specific analyses revealed strain-dependent differences.
  • Participants consumed maitake or placebo in bread form daily.

Y10M maitake strain supplementation was associated with fewer cumulative days of fever and runny nose in both age groups.

  • The Y10M strain showed symptom-reducing effects across both the young adult cohort (18-20 years) and the middle-aged/older adult cohort (40-85 years).
  • Fever and runny nose were among the specific URTI symptoms showing reduction with Y10M.
  • The C5304 strain showed limited effects on symptom days by comparison.
  • Effects were described as strain-dependent, suggesting the specific maitake strain identity matters for outcomes.

Y10M maitake supplementation was associated with fewer cumulative days of sore throat in young adults specifically.

  • The sore throat benefit was observed in the young adult cohort (18-20 years) but not reported for the middle-aged/older adult cohort.
  • This represents a cohort-specific (age-dependent) symptom effect.
  • Young adults consumed the bread supplement daily for 11 weeks.
  • C5304 did not show this sore throat effect.

Y10M supplementation was associated with increased plasmacytoid dendritic cell frequency in middle-aged/older adults.

  • This innate immune parameter change was observed in the middle-aged/older adult cohort (40-85 years).
  • Middle-aged/older adults consumed the supplement for 18 weeks, a longer intervention period than young adults.
  • Plasmacytoid dendritic cells are key producers of type I interferons and are relevant to antiviral immunity.
  • This finding was part of a broader pattern of innate immune modulation associated with Y10M.

Y10M supplementation was associated with activation of conventional dendritic cells in middle-aged/older adults.

  • Conventional dendritic cell activation was detected as part of the innate immune parameter changes in the 40-85 year age cohort.
  • These changes were observed following ex vivo stimulation assays.
  • The effects were noted in middle-aged/older adults, a population in whom age-related immune decline (immunosenescence) is a relevant concern.
  • C5304 did not show comparable innate immune effects.

Y10M supplementation was associated with upregulation of type I interferon-related gene expression and IL12A following ex vivo stimulation in middle-aged/older adults.

  • Type I interferon-related gene expression was upregulated following ex vivo stimulation in the Y10M group.
  • IL12A (interleukin-12 subunit alpha) expression was also upregulated in this context.
  • These molecular changes suggest enhanced antiviral innate immune signaling capacity.
  • The ex vivo stimulation methodology was used to assess functional immune responses.
  • These gene expression changes were specific to the middle-aged/older adult cohort.

The study enrolled healthy young adults (18-20 years) and middle-aged/older adults (40-85 years) with differing supplementation durations.

  • Young adults participated in an 11-week intervention period.
  • Middle-aged/older adults participated in an 18-week intervention period.
  • The study design was randomized, double-blind, and placebo-controlled.
  • Maitake was delivered in bread form consumed daily.
  • Two active treatment arms (Y10M and C5304 strains) were compared against a placebo bread arm.

The rationale for studying maitake supplementation was based on age-related declines in innate immunity increasing the burden of upper respiratory tract infections.

  • URTIs are described as 'common viral illnesses whose burden increases with age-related declines in innate immunity.'
  • Grifola frondosa (maitake) mushrooms have documented immunomodulatory properties.
  • Evidence in healthy humans, particularly regarding age-related innate immune responses, was described as 'limited' prior to this trial.
  • The middle-aged/older adult cohort was specifically selected to study age-related innate immune modulation.

What This Means

This research suggests that eating bread supplemented with a specific strain of maitake mushroom (called Y10M, derived from Grifola frondosa) daily for several weeks may reduce the number of days people experience certain cold and respiratory illness symptoms, such as fever, runny nose, and sore throat, compared to eating a placebo bread. The study tested two different maitake strains (Y10M and C5304) in two age groups — young adults aged 18-20 years for 11 weeks, and middle-aged to older adults aged 40-85 years for 18 weeks — and found that only the Y10M strain showed these symptom-related benefits, while the C5304 strain had limited effects. Notably, neither maitake strain reduced the total number of respiratory illness episodes; rather, the benefit appeared in reducing how many days certain symptoms lasted when illnesses did occur. For middle-aged and older adults specifically, Y10M supplementation was also linked to measurable changes in the immune system, including increases in a type of immune cell (plasmacytoid dendritic cells) that is important for fighting viruses, activation of another type of immune cell (conventional dendritic cells), and increased activity of genes involved in the body's antiviral defense system (type I interferon pathway) and an immune signaling molecule called IL-12A. These immune changes were observed using laboratory tests on participants' blood cells after the supplementation period. This research suggests that the specific strain of maitake mushroom used in a supplement matters, and that regular dietary consumption of the Y10M strain may have a modest beneficial effect on both respiratory symptom burden and underlying antiviral immune function, particularly in older adults whose immune defenses naturally decline with age.

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Citation

Masuda Y, Nakayama Y, Shimizu R, Jogi E, Kato M, Yamasaki K, et al.. (2026). Maitake mushroom supplementation modulates upper respiratory symptoms and immune responses in healthy adults: a randomized, double-blind, placebo-controlled trial.. Food & function. https://doi.org/10.1039/d6fo01593j