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Mushrooms, against the public record

Updated

Turkey tail

Trametes versicolor · also Coriolus versicolor, kawaratake, yun zhi, cloud mushroom

A banded bracket fungus, one of the commonest fungi in the northern hemisphere. Its extract PSK has been a licensed adjuvant cancer drug in Japan since 1977 — the only functional-mushroom preparation anywhere with that status.

Repeated trials — its best-evidenced use is cancer, supportive and adjuvant

Turkey tail, Trametes versicolor, photographed in McDowell Nature Center and Preserve, Charlotte, NC, US
Trametes versicolor, McDowell Nature Center and Preserve, Charlotte, NC, US. Photograph by Ken Kneidel, CC0, via iNaturalist — the observation

Where it stands: 12 registered trials in people, three of which have reported; 23 randomised trials published since 1990.



What it has been tried for, and how far that has got

One row per use. The label is counted rather than argued — it is set by how many randomised trials and posted results exist for that use, and nothing else. How that is worked out.

UseHow far it has gotTrialsWith a resultRandomised, publishedReviewsCommonly taken for it
Cancer, supportive and adjuvantRepeated trials40157yes
Viral infectionRepeated trials2210—
Gut and microbiomeRepeated trials1110yes
LiverA first trial0010—
Immune functionBeing tested now2000yes
InflammationBeing tested now1000—

The doses the protocols actually specify

Taken verbatim from the intervention description each trial filed. These are not recommendations and they are not comparable to each other: some are a whole-mushroom powder, some a purified fraction.


Every registered study that names it

From ClinicalTrials.gov, filtered to studies that name Trametes versicolor or a synonym in the title, summary or intervention. Studies that have posted results come first.

RegisterStudyConditionPeopleStatusResult postedDose in the protocol
NCT04951336RCT of Mushroom Based Natural Product to Enhance Immune Response to COVID-19 Vaccination
FoTv
COVID-19 Vaccination90Completedyes—
NCT01414010Effects of Pre-, Pro- & Anti-biotics on Gut Microbiota
Trametes versicolor extract, Saccharomyces boulardii
Human Gut Microbiota32Completedyes1,200 mg, 250 mg
NCT04667247RCT of Fomitopsis Officinalis and Trametes Versicolor to Treat COVID-19
FoTv
COVID-1954Completedyes8 capsule
NCT01097083Coriolus Versicolor as Palliative Therapy Compared to Placebo in Patients With Child-Pugh C Unresectable Hepat
Coriolus Versicolor
Carcinoma, Therapy20Terminated——
NCT00680667Clinical Trial of Trametes Versicolor in Women With Breast Cancer
Coriolus versicolor extract
Breast Cancer11Completed—3 g, 24 g
NCT04210336Clinical Trial to Evaluate Papilocare® Gel Efficacy Into Repairment of Cervical Lesions Caused by HPV
PAPILOCARE, LACTIC ACID GEL
HPV Infection, Lesion Cervix200Completed——
NCT04624568Papilocare®: Effects on Regression of Histologically Confirmed Cervical Intraepithelial Lesions 1 and Toleranc
PAPILOCARE
Squamous Intraepithelial Lesions of the Cervix, Human Papill81Completed——
NCT07195552Clinical Trial: Rapid Immune Modulating Effects
Agaricus blazei, Reishi
Immune Surveillance12Recruiting——
NCT06450873Turkey Tail Mushroom for Treating Post-Menopausal Women With HER2-Negative ER-Positive Breast Cancer Undergoin
Coriolus Versicolor Extract, Questionnaire Administration
Estrogen Receptor-Positive Breast Carcinoma, HER2-Negative B40Recruiting——
NCT04871412The Thoracic Peri-Operative Integrative Surgical Care Evaluation Trial - Stage III
Vitamin D3 Drops, Coriolus Versicolor
Lung Cancer, Gastric Cancer20Recruiting—1.5g, 3g
NCT05079529Development The Potentiality of β-1,3/1,6-D-Glucan (Polysaccharide Peptide) From Mycelia Extract of Indonesia'
β-1,3/1,6-D-Glucan From Mycelia Extract of Indonesia's Ganoderma Lucid
Cardiometabolic Syndrome70Unknown——
NCT07316400PsP Ganoderma Lucidum Supplementation and Biomarker Changes in Smokers
PsP
Oxidative Stress, Inflammation200Completed—250 mg, 180 mg

The compounds the research names

Formula and mass from PubChem. Naming a compound is not a claim that it does anything in a person.

beta-D-glucan

C18H32O16

504.4 g/mol · PubChem CID 439262


What it looks like in the field

Research-grade observations, each by a different photographer. Every one links to the record it came from.

Turkey tail, Trametes versicolor
Coventry, RI, USA, Christine Young · CC BY
Turkey tail, Trametes versicolor
Honeoye, NY 14471, USA, Rick Farwell · CC BY

In the kitchen

What it tastes like

Almost none. It is thin, leathery and inedible as food.

How it is cooked

Simmered for stock and then fished out, or taken as an extract. If you are eating it, you are chewing something with the texture of a shoe.


Where it has been recorded, and when it fruits

202,858 verified occurrence records with coordinates, from GBIF. This is where people have recorded it, which follows where recorders live as much as where the fungus grows — read the shape, not the ranking.

Records by country

United States65,528
United Kingdom39,812
Netherlands17,243
Germany13,274
Canada12,227
Denmark10,049
Sweden6,456
Austria6,200
France5,962
Australia3,907
Norway3,197
Spain2,814

Records by month

JFMAMJJASOND

Most records fall in Oct. Northern-hemisphere recorders dominate the dataset, so a southern population would not show here.

iNaturalist separately holds 139,549 research-grade observations of it.


What has been reported going wrong

6 voluntary reports to the US Food and Drug Administration name a product by this mushroom's name. A report is someone saying something happened after taking something. It is not a finding that the product caused it, the FDA says so itself, and nobody knows how many people took the product without reporting anything.

What was reported

Anxiety1
Atrial Fibrillation1
Blood Pressure Increased1
Delusion1
Depersonalisation/Derealisation Disorder1
Diarrhoea1
Dry Mouth1
Eczema1
Electric Shock Sensation1
Fatigue1
Gastrointestinal Inflammation1
Gastrointestinal Obstruction1

How it was recorded

Other Serious or Important Medical Event4
Hospitalization2
Other Serious Outcome2
Life Threatening1
Visited Emergency Room1

Every report, every species


The newest randomised trials and reviews

Indexed in Europe PMC. Titles and journals only — follow the link to read the paper where the publisher allows it.

YearStudyJournalKindCitations
2026Polypore mushroom mycelia as an adjunct to COVID-19 vaccination: a randomized clinical trial open accessBMC ImmunolRandomised trial3
2026Rapid Systematic Review-Informed Multidisciplinary Expert Consensus on the Management of HPV-Positive Women with Low-Gra open accessMedicina (Kaunas)Review or meta-analysis0
2026Distribution of capsule and O types in Klebsiella pneumoniae causing neonatal sepsis in Africa and South Asia: A meta-an open accessPLoS MedReview or meta-analysis14
2025Insights into bioremediation of pharmaceuticals from wastewater streams: A meta-analysis of build type and organism seleJ Environ ManageReview or meta-analysis0
2025Barriers and guidelines in the use of fungi in pesticide bioremediation: A global overviewSci Total EnvironReview or meta-analysis2
2024Effects of JUNCAO <i>Ganoderma lucidum</i> polysaccharide peptide on slaughter performance and intestinal he open accessAnim BiotechnolRandomised trial6
2024Adjuvant Chemotherapy With UFT/LV <i>Versus</i> UFT/LV Plus PSK in Stage II/III Colorectal CancerAnticancer ResRandomised trial0
2023Medicinal Mushroom Supplements in Cancer: A Systematic Review of Clinical StudiesCurr Oncol RepReview or meta-analysis26
2022Evaluation of the anti-tumour activity of Coriolus versicolor polysaccharopeptide (I'm-Yunity) alone or in combination wVet Comp OncolRandomised trial9
2022Coriolus (Trametes) versicolor mushroom to reduce adverse effects from chemotherapy or radiotherapy in people with colorCochrane Database Syst RevReview or meta-analysis7
2021Efficacy of a Coriolus versicolor-Based Vaginal Gel in Women With Human Papillomavirus-Dependent Cervical Lesions: The P open accessJ Low Genit Tract DisRandomised trial31
2019<i>Coriolus Versicolor</i> and <i>Ganoderma Lucidum</i> Related Natural Products as an Adjunct Therapy for Cancers: A Sy open accessFront PharmacolReview or meta-analysis22
2018The role of polysaccharide peptide of Ganoderma lucidum as a potent antioxidant against atherosclerosis in high risk and open accessIndian Heart JRandomised trial23
2018Randomized phase III trial comparing surgery alone to UFT + PSK for stage II rectal cancer (JFMC38 trial) open accessCancer Chemother PharmacolRandomised trial12
2017Coriolus versicolor (Yunzhi) Use as Therapy in Advanced Hepatocellular Carcinoma Patients with Poor Liver Function or WhJ Altern Complement MedRandomised trial29
2015Polysaccharide K and Coriolus versicolor extracts for lung cancer: a systematic reviewIntegr Cancer TherReview or meta-analysis48
2014Effects of polysaccharopeptide from Trametes versicolor and amoxicillin on the gut microbiome of healthy volunteers: a rGut MicrobesRandomised trial64
2014Control of oral human papillomavirus (HPV) by medicinal mushrooms, Trametes versicolor and Ganoderma lucidum: a preliminInt J Med MushroomsRandomised trial13
2013[Subset analysis of preoperative lymphocyte ratio in stage II or III colorectal cancer patients treated with oral tegafuGan To Kagaku RyohoRandomised trial1
20135-Fluorouracil, mitomycin-c, and polysaccharide-k versus uracil-ftorafur and polysaccharide-K as adjuvant chemoimmunotheOnkologieRandomised trial6
2012Efficacy of Yun Zhi (Coriolus versicolor) on survival in cancer patients: systematic review and meta-analysisRecent Pat Inflamm Allergy Drug DiscovReview or meta-analysis42
2010PSK may suppress CD57(+) T cells to improve survival of advanced gastric cancer patientsInt J Clin OncolRandomised trial20
2010Immunomodulatory dietary polysaccharides: a systematic review of the literature open accessNutr JReview or meta-analysis178
2008Protein-bound polysaccharide K partially prevents apoptosis of circulating T cells induced by anti-cancer drug S-1 in paOncologyRandomised trial9