Metabolic effects of Cordyceps militaris ethanol extract and cordycepin in mice with type 2 diabetes and hyperlipidaemia: gut microbial and bile acid-related changes.
Shi H, Meng Y, Zhang G, Ling J • Food & function • 2026
Orally administered C. militaris ethanol extract (2.0 g kg-1) and cordycepin (50 mg kg-1) were associated with improved metabolic status and coordinated changes in gut microbial composition, serum metabolism, and bile acid-related molecular readouts in a T2DM-HLP mouse model over 6 weeks.
Key Findings
Results
EAE and 50 mg kg-1 cordycepin reduced serum lipid and transaminase levels in T2DM-HLP mice compared to the model group.
C. militaris ethanol extract was administered at 2.0 g kg-1 orally over 6 weeks
Cordycepin was tested at two doses: 50 mg kg-1 and 100 mg kg-1
Reductions in serum lipids and transaminases occurred 'to varying degrees' between the two treatment groups
Serum transaminase levels were among the metabolic indices assessed alongside lipid profiles
Results
EAE and 50 mg kg-1 cordycepin were associated with downward shifts in fasting blood glucose and oral glucose tolerance test curves in T2DM-HLP mice.
Both fasting blood glucose levels and OGTT curves were assessed as metabolic indices
Downward shifts in both measures were observed in the EAE and 50 mg kg-1 cordycepin groups compared to the model group
The model used was a T2DM accompanied by hyperlipidaemia (T2DM-HLP) mouse model
Treatment duration was 6 weeks
Results
Histological alterations in the colon and liver were less apparent in EAE and 50 mg kg-1 cordycepin treatment groups compared to the model group.
Both colon and liver histology were evaluated in all groups
Histological improvements were observed in both EAE and 50 mg kg-1 cordycepin groups
The 100 mg kg-1 cordycepin group showed less consistent responses
Histological assessment was one of several endpoints including metabolic indices and molecular markers
Results
Faecal 16S rDNA and ITS sequencing revealed changes in both bacterial and fungal community structure in treated mice.
Both bacterial communities (via 16S rDNA sequencing) and fungal communities (via ITS sequencing) were assessed
Changes in microbial community structure were observed in treatment groups compared to the model group
This represents assessment of both the bacteriome and mycobiome of the gut
Gut microbial changes were coordinated with serum metabolic and bile acid-related molecular changes
Results
Untargeted serum metabolomics identified distinct metabolic profiles in treated mice involving bile acids, fatty acids, amino acids, nucleotides, and redox-related metabolites.
Untargeted serum metabolomics was used to characterize metabolic profiles
Five categories of metabolites were identified as distinct: bile acids, fatty acids, amino acids, nucleotides, and redox-related metabolites
Enrichment analyses implicated bile secretion, primary bile acid biosynthesis, cholesterol metabolism, cAMP signalling, and amino acid metabolism pathways
Metabolomic profiles were distinct between treatment groups and the model group
Results
EAE and cordycepin treatment was associated with increased colonic TGR5 and hepatic FXR immunoreactivity, along with altered expression of bile acid-related genes.
Colonic TGR5 immunoreactivity was increased in treatment groups
Hepatic FXR immunoreactivity was increased in treatment groups
Hepatic gene expression changes included increased Fxr, Nr0b2, and Ppara expression
Hepatic Cyp7a1 expression was reduced, consistent with modulation of bile acid biosynthesis
These molecular changes were part of FXR/TGR5-related molecular marker assessment
Results
The relationship between cordycepin dose and metabolic response was not simply dose-dependent, with the 100 mg kg-1 dose showing less consistent responses than the 50 mg kg-1 dose.
Two doses of cordycepin were tested: 50 mg kg-1 and 100 mg kg-1
The 50 mg kg-1 dose showed more consistent improvements across metabolic, histological, and molecular endpoints
Responses to 100 mg kg-1 cordycepin were described as 'less consistent'
The authors concluded there was 'no simple dose-dependent relationship under the present conditions'
Methods
The study used a T2DM accompanied by hyperlipidaemia (T2DM-HLP) mouse model to evaluate C. militaris ethanol extract and cordycepin over a 6-week oral administration period.
EAE was administered at 2.0 g kg-1 and cordycepin at 50 or 100 mg kg-1 orally
Treatment duration was 6 weeks
Endpoints included metabolic indices, serum transaminases, colon and liver histology, gut bacterial and fungal communities, serum metabolites, and FXR/TGR5-related molecular markers
C. militaris is described as 'an edible medicinal fungus with potential metabolic benefits'
What This Means
This research suggests that an ethanol extract from Cordyceps militaris (an edible medicinal mushroom) and one of its active compounds, cordycepin, may help improve metabolic problems associated with both type 2 diabetes and high blood lipids (hyperlipidaemia) in mice. Over a 6-week period, mice given the mushroom extract or a moderate dose of cordycepin (50 mg per kg body weight) showed lower blood sugar levels, better responses to a glucose challenge, reduced blood lipids, and less liver damage compared to untreated diabetic mice. Improvements were also seen in the physical appearance of colon and liver tissue under the microscope.
The study found that these metabolic improvements were accompanied by coordinated changes in the gut microbiome — both bacterial and fungal communities shifted — as well as changes in blood metabolites related to bile acids, fats, and amino acids. At the molecular level, treatment appeared to activate bile acid signaling pathways (specifically proteins called TGR5 and FXR) and alter the expression of genes involved in cholesterol and bile acid metabolism in the liver. Interestingly, a higher dose of cordycepin (100 mg per kg) did not produce more consistent benefits than the lower dose, suggesting the relationship between dose and effect is not straightforward.
This research suggests that Cordyceps militaris and its compound cordycepin may exert metabolic benefits partly by reshaping the gut microbial community and modulating how bile acids are produced and processed in the body. These findings are relevant because type 2 diabetes combined with high blood lipids is a common and difficult-to-manage condition, and natural food-based compounds that can address multiple aspects of this problem simultaneously are of growing interest. However, these findings are based on a mouse model, and further research would be needed to understand whether similar effects occur in humans.
Shi H, Meng Y, Zhang G, Ling J. (2026). Metabolic effects of Cordyceps militaris ethanol extract and cordycepin in mice with type 2 diabetes and hyperlipidaemia: gut microbial and bile acid-related changes.. Food & function. https://doi.org/10.1039/d6fo02540d