Evidence map›Paper›PMID 25989179›Full record

ArticleCancer2015

A phase I trial of mushroom powder in patients with biochemically recurrent prostate cancer: Roles of cytokines and myeloid-derived suppressor cells for Agaricus bisporus-induced prostate-specific antigen responses.

Przemyslaw Twardowski, Noriko Kanaya, Paul Frankel, Timothy Synold, Christopher Ruel, Sumanta K Pal, Maribel Junqueira, Manisha Prajapati, Tina Moore, Pamela Tryon and 1 more

Abstract readClinical Trial, Phase I
In one paragraph

Article in Cancer, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

39 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
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  13. Harnessing myeloid cells in cancer.Molecular cancer · 2025
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  16. RSC advances · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Przemyslaw TwardowskiDepartment of Medical Oncology and Experimental Therapeutics, City of Hope National Medical Center, Duarte, California.
Noriko KanayaDepartment of Cancer Biology, Beckman Research Institute of the City of Hope, Duarte, California.
Paul FrankelDepartment of Information Sciences, Beckman Research of the City of Hope, Duarte, California.
Timothy SynoldDepartment of Cancer Biology, Beckman Research Institute of the City of Hope, Duarte, California.
Christopher RuelDepartment of Information Sciences, Beckman Research of the City of Hope, Duarte, California.
Sumanta K PalDepartment of Medical Oncology and Experimental Therapeutics, City of Hope National Medical Center, Duarte, California.
Maribel JunqueiraDepartment of Medical Oncology and Experimental Therapeutics, City of Hope National Medical Center, Duarte, California.
Manisha PrajapatiDepartment of Medical Oncology and Experimental Therapeutics, City of Hope National Medical Center, Duarte, California.
Tina MooreDepartment of Medical Oncology and Experimental Therapeutics, City of Hope National Medical Center, Duarte, California.
Pamela TryonDepartment of Medical Oncology and Experimental Therapeutics, City of Hope National Medical Center, Duarte, California.
Shiuan ChenDepartment of Cancer Biology, Beckman Research Institute of the City of Hope, Duarte, California.

Funding

Transgenic Mouse FacilityP30CA033572 · NCI · CITY OF HOPE/BECKMAN RESEARCH INSTITUTE · PI STANLEY R. HAMILTON · 1985 to 2026
$86.3M
ENDOCRINE DISRUPTING CHEMICALS AND AROMATASER01ES008258 · NIEHS · CITY OF HOPE/BECKMAN RESEARCH INSTITUTE · PI CHEN, SHIUAN · 1996 to 2009
$2.6M
NCI NIH HHS P30 CA033572NCI NIH HHS P30CA33572NIEHS NIH HHS ES08258NIEHS NIH HHS R01 ES008258
6 · The paper itself

Abstract

backgroundEach year in the United States, nearly 50,000 prostate cancer patients exhibit a rise in prostate-specific antigen (PSA) levels, which can indicate disease recurrence. For patients with biochemically recurrent prostate cancer, we evaluated the effects of white button mushroom (WBM) powder on serum PSA levels and determined the tolerability and biological activity of WBM.

methodsPatients with continuously rising PSA levels were enrolled in the study. Dose escalation was conducted in cohorts of 6; this ensured that no more than 1 patient per cohort experienced dose-limiting toxicity (DLT). The primary objective was to evaluate treatment feasibility and associated toxicity. The secondary objectives were to determine WBM's effect on serum PSA/androgen levels; myeloid-derived suppressor cells (MDSCs); and cytokine levels.

resultsThirty-six patients were treated; no DLTs were encountered. The overall PSA response rate was 11%. Two patients receiving 8 and 14 g/d demonstrated complete response (CR): their PSA declined to undetectable levels that continued for 49 and 30 months. Two patients who received 8 and 12 g/d experienced partial response (PR). After 3 months of therapy, 13 (36%) patients experienced some PSA decrease below baseline. Patients with CR and PR demonstrated higher levels of baseline interleukin-15 than nonresponders; for this group, we observed therapy-associated declines in MDSCs.

conclusionsTherapy with WBM appears to both impact PSA levels and modulate the biology of biochemically recurrent prostate cancer by decreasing immunosuppressive factors.

Indexed as

AdenocarcinomaAgaricusAgedAged, 80 and overAntineoplastic AgentsCytokinesFruiting Bodies, FungalHumansKallikreinsMaleMiddle AgedMyeloid Progenitor CellsProstate-Specific AntigenProstatic NeoplasmsTestosteroneTreatment OutcomeAntineoplastic AgentsCytokinesKallikreinsKLK3 protein, humanProstate-Specific AntigenTestosteroneAgaricus bisporuscytokinesmushroommyeloid-derived suppressor cells (MDSCs)prostate cancerPSA recurrence

Identifiers

PMID25989179
PMCPMC5685188

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.