The effects of freeze-dried Ganoderma lucidum mycelia on a recurrent oral ulceration rat model

发表时间:2023-08-28 09:35


 Xie et al. BMC Complementary and Alternative Medicine (2017) 17:511

DOI 10.1186/s12906-017-2021-8





The effects of freeze-dried Ganoderma lucidum mycelia on a recurrent oral ulceration rat model

 Ling Xie1,2,4, Xiaohong Zhong1, Dongbo Liu1,2, Lin Liu3 and Zhilan Xia1,4*





Backgroud

Recurrent oral ulceration (ROU), which is one of the most common complications of acquired immune defi- ciency syndrome (AIDS), Behcets disease, and malignant tumors, is the most prevalent oral mucosal disease oc- curring around the world. Although its etiology and pathogenesis remain unclear, ROU meets most charac- teristics of autoimmune diseases (ADs) such as immune disorders, repeated attacks, and self-limitations. Further- more, certain autoantibodies, including antinuclear anti- bodies (ANAs) and circulating immune complexes (CICs,)

could be detected in ROU [1]; therefore, ROU is generally classified as an AD. No ideal drugs and treatment schemes to control ROU have been established to date. Despite the availability of several treatment approaches by conven- tional and complementary western medicine, their efficacy is often unsatisfactory. Hence, Traditional Chinese Medi- cine (TCM) or medicinal herbs have frequently been used for the treatment of ROU [2].

Ganoderma lucidum, a popular medicinal fungus com- monly known as Lingzhiin China and Reishiin Japan, has been historically employed as a TCM and


complementary medicine. The bioactive substance in G.


* Correspondence: 27991288@qq.com

1College of Horticulture and Landscape Architecture, Hunan Agricultural University, Changsha, China

4Hunan Engineering Research Center of Edible Fungi, Changsha, China Full list of author information is available at the end of the article

lucidum is generally isolated from the fruiting body of artificial cultures,mainly including some water-soluble polysaccharides [3]. Accoring to Yihuai Gao study, the



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refined fraction above consisted of glucose (61.2%), xy- lose(15.5%), galactose (4.8%), fructose (14.4%) and rham- nose(4.1%) linked together by β-glycosidic linkages [4]. The increase in the demand for the bioactive substance of G. lucidum has resulted in the need to shorten the five-month cultivation period of this fungal species. Li- quid cultures of G. lucidum mycelia may significantly shorten its culture time and facilitate in the isolation of the bioactive substances [5]. Modern pharmaceutical and nutritional research studies have shown that the fruiting body and mycelium of G. lucidum have several physiological and therapeutic effects, including immuno- modulating activities [6], enhancing immune functions [7], and antitumor activities [8]. Previous studies have shown that the bioactive substance in G. lucidum may be utilized in the treatment of ADs such as Crohns dis- ease (CD), inflammatory bowel disease (IBD), and colitis [7, 9, 10].The polysaccharide fractions from G. lucidum or other fungi have been reported to have anti-ulcer ef- fects against experimental ulcers in the rat especially gastric mucosal lesions [4, 11]. A report showed that a number of fungi, including G. lucidum produces β-[1, 3]- glucans had a regulatory function on lymphocyte produc- tion and function in patients with ROU [12].

The present study aimed to investigate the effect of

FDPGLM on a Sprague-Dawley (SD) rat model for ROU, analyze the influence of FDPGLM on the differen- tiation of CD4+CD25+Foxp3+Tregs, and assess the ex- pression of Foxp3 and RORγt transcription factor genes and serum level of cytokines that are associated with Th17 cells and Tregs to elucidate the mechanism of FDPGLM in ROU and provide experimental data for further investigation.


Methods

FDPGLM preparation

Mycelia were obtained after a laboratory solid strain G6 of G. lucidum (from Hunan Engineering Research Cen- ter of Edible Fungi in Changsha,identified as G. lucidum (Leyss. ex Fr.)Karst. via Professor Zhilan Xia) activated with potato dextrose broth (PDB), ground under aseptic conditions, inoculated quantitatively, and cultured at 28 °C with constant shaking at 180 rpm for 4 days. After culturing at 100 rpm for another 6 days, the mycelia were collected, filtered, cleaned 34 times by water, crushed, freeze-dried in a vacuum freeze-drier (Thermo Savant, USA), and stored at 4 °C [13, 14]. Before in- tragastric administration, FDPGLM dissolved in water and then ground by tissue grinder into homogenate (Additional file 1: Figure S1).

The analysis of the content of total polysaccharides

and triterpenes about 5 samples by UV-VIS spectropho- tometry according to Chinese Pharmacopoeia(Edition 2015). The detection wavelength was 625 nm and

546 nm respectively.Results (Additional files 2 and 3: Table S1 and S2)showed that the content of total po- lysaccharides was 8.40%(RSD < 5%) and 833.3% higher than the standard in Chinese Pharmacopoeia( 0.9%).The content of triterpenes was 0.23%(RSD < 5%) and lower than the standard of CP( 0.5%). Meanwhile, HPLC re- sults (Additional file 4: Table S3)showed that the content of Ganoderic Acid A was 1.04, RSD < 5%.


Preparation of autoantigens

SD rats (SPF grade, average weight: 200 g) were pur- chased from Hunan Slack King of experimental animals (Changsha, China). Rats were anaesthetized by pento- barbital through intraperitoneal injectionn before eu- thanization by cervical dislocation.After the SD rats sacrificed, their oral mucosal tissues were immediately stripped under aseptic conditions and slices into pieces. The mucosal tissues were homogenized in 0.1 mol/L

phosphate buffered saline (pH 7.4), aliquoted, and stored at 80 °C until analysis.


Establishment of an ROU animal model

This study was conducted in strict accordance with guidelines established by the Committee on the Use and Care of Animals at the Hunan Province, P. R. China. The experiments were approved by the Ethics Commit- tee of the First Affiliated Hospital of Hunan University of Chinese Medicine. SD rats were housed in a room at a constant temperature (22 ± 1 °C) with 12-h light/dark cycles and fed with standard pellet chow and water ad libitum. After thawing, the homogenate was mixed with Freunds complete adjuvant (CFA, Sigma, F5881) under aseptic conditions (1:1). One day before administration, the backs of the rats were depilated with 8% sodium sul- fide (2 cm2 of the left and right regions of the spine). The rat ROU model was established by intradermal in- jection of 0.2 mL of an antigen emulsifier into the rat left and right region of the spine once a week for a total of 8 weeks, and only CFA was injected in the controls [15]. The animals were euthanized by applying three times the dosage of pentobarbital through intraperito- neal injection.


Animal grouping and drug administration

Rat models were randomly divided into five groups. FDPGLM (100 mg/kg, 200 mg/kg, and 300 mg/kg) and PA (125 mg/kg) was administered via gavage once a day for a total of 20 days. Water was given instead of drugs in the model control group.


Establishment of the therapeutic evaluation indices

The evaluation indices, which were established in ac- cordance with the procedures outlined in the ROU Therapeutic Evaluation Indices Standard from the






Chinese Stomatological Association (GSA) (reapproved in 2001), included the total ulcer interval (I, d), total number of ulcers (N), and size of ulcer area (mm2). The evaluation indices were as follows: I1: prolongation in the total inter- val (P < 0.05), I0: no change in the total interval (P > 0.05), N1: reduction in the total number of ulcers (P < 0.05), and N0: no change in the total number of ulcers (P > 0.05).


Histopathological examination

Six rats from different groups were euthanized by pento- barbital and oral mucosa.was collected.Mucosal speci- mens were fixed in 4% paraformaldehyde for 3 days, embedded in paraffin, serially sectioned, and stained with hematoxylin-eosin. The inflammatory cells, necro- sis, and ulcers were assessed under a microscope.


ELISA

Serum cytokine levels associated with Th17 cells and Tregs (TGF-β1, IL-17, IL-10, and IL-6) were quantified by using ELISA kits that were specific for rats according to the manufacturers instructions (all ELISA kits from ImmunoWay Biotechnology Company, USA). The cyto- kine contents were expressed as pg/L or ng/L.


FCM analysis

Peripheral blood mononuclear cells (PBMCs) were pre- pared by using a peripheral blood lymphocyte separation kit for rats (TBD Science, LTS1083, 200 mL/kit). To de- tect Tregs (cell density: 1 × 106 cells) were stained with anti-rat CD4 FITC OX35 (Ebioscience, Cat. No. 11 0040-81) and anti-Rat CD25 PE (Ebioscience, Cat. No. 120390-80), and incubated for 30 min at 4 °C in the dark according to the manufacturers protocol. After rupturing the membrane by using a Foxp3 staining buf- fer set (Ebioscience, Cat. No. 005523-00), the cells were then incubated with anti-mouse/rat Foxp3 PE-Cy7 (Bio- science, Cat. No. 255773-80). Rat IgG2a K isotype con- trols PE-cyanine (Ebioscience, Cat. No. 254321-81) were used to compensate and confirm antibody specifi- city [16, 17]. The percentage of CD4+CD25+Foxp3+Tregs and CD4+T cells were counted by using a FACS Canto II (BD, USA), and the CD4+CD25+Foxp3+Tregs/CD4+T ra- tio was calculated.


Real-time RT-PCR analysis

After animals were euthanized, total RNA from oral mu- cosa was extracted by using a RNA prep pure tissue kit (Tiangen Biotech Co., Ltd. centrifugal cylinder, China) according to the manufacturers instructions.The quality and quantity of the RNA were determined by ultraviolet spectrophotometry. All samples were treated with DNase to eliminate potential genomic DNA contamin- ation. The first strand of the complementary DNA (cDNA) was synthesized using a M-MLV RTase cDNA

synthesis kit (Invitrogen, USA). cDNA was then ampli- fied using primers specific for the rat Foxp3, RORγt, and GAPDH genes. The following primer sequences were used for PCR analysis: (ROR) γt, F: 5 GCCTACA ATGCCAACAAC3and R: 5TCGAATATGGAGCTG ATGAG3; Foxp3, F: 5 ATGTTCGCCTACTTCAGAA3and R: 5TCATCTACGGTCCACACT3; and GAPDH, F: 5 TTCAACGGCACAGTCAAG3 and R: 5TACTCAG

CACCAGCATCA3. The RT-PCR reactions were per- formed in a 25-μL volume using Platinum® SYBR® Green qPCR Super Mix-UDG(Invitrogen, USA) in accordance with the manufacturers protocols. All samples were ana- lyzed using an Applied Biosystems ABI 7500 Real-time PCR (USA) system. PCR conditions for gene amplifica- tion were as follows: 2 min at 50 °C, followed by 40 cy- cles of 95 °C for 2 min, 95 °C for 15 s, and 60 °C for 30 s) [18]. The PCR products were analyzed by using a basic relative quantification method, and the amplifica- tion products were confirmed based on the observation of a single peak in the melting curve.


Statistical analysis

Statistical analysis was performed using PASW 18.0 Win- dows and Origin 7.5 software. Values were expressed as the mean ± SD for the indicated number of independent experiments. Normality analysis was performed by using the one-sample Kolmogorov-Smirnov test, and statistical significance was determined by one-way ANOVA. P values < 0.05 were considered statistically significant, and P values < 0.01 were treated as statistically different.


Results

Effect of FDPGLM on the total interval, number and size of ulcers in an ROU rat model

LSD testing(Least Significant Difference testing) indi- cated significant differences in the total interval duration between the ROU rat model PA (P < 0.01) and high-dose (P < 0.01) groups, whereas no statistical significance (P > 0.05) was observed between the low- and middle-dose groups (Table 1), thereby indicating that PA and high- dose FDPGLM could prolong the ulcer interval duration (I1). Furthermore, significant differences in the number of ulcers were observed between the model and the PA groups, as well as that in the middle- and high- dose groups (P < 0.01).


Histological analysis of the oral mucosa

Figure 1A shows partial destruction of the epithelial tis- sue of the oral mucosa of the rat model, wherein the epi- thelial layer was thinner, the cells of the basement layer and the lamina propria showed irregular arrangement, and an increase in the number of inflammatory and fibroblast-like cells. After treatment of the ROU rats with the corresponding drug (PA in Fig. 1b; high-dose





Table 1 Effect of FDPGLM on the total interval, number of ulcers, and area in a ROU rat model (x T s, n = 8)

Group (d) (mm2)


Model

51.75 ± 1.03c3

3.13 ± 0.45c3

4.50 ± 0.32c3

/

PA

54.03 ± 1.60b3

1.51 ± 0.21b3

3.11 ± 0.37b3

I1N1

Low FDPGLM

52.50 ± 1.61b1 c1

2.25 ± 0.17b1 c1

4.48 ± 0.29b1 c3

I0N0

Mid FDPGLM

53.88 ± 1.13b1 c1

1.59 ± 0.25b3 c1

3.75 ± 0.21b1 c1

I0N1

High FDPGLM

53.05 ± 1.55b3 c1

1.25 ± 0.19b3 c1

3.14 ± 0.26b3 c1

I1N1


b: each group compared to the model group; c: each group compared to the PA group

b1: P > 0.05, b2: P < 0.05, b3: P < 0.01; c1: P > 0.05, c2: P < 0.05, c3: P < 0.01

③ Statistical symbols and their meanings in following figures (Figs. 3, 4 and 5) are the same as this one


FDPGLM in Fig. 1e), repair of the membrane of the epi- thelial mucosa was observed, and the cells of the base- ment layer and the lamina propria exhibited normal organization with the rare inflammatory cells surround- ing the blood vessels.


The levels of cytokines associated with Th17 cells and Tregs

We determined the levels of cytokines that were associ- ated with Th17 cells and Tregs (TGF-β1, IL-17, IL-10,

and IL-6)in peripheral blood. ELISA indicated that the levels of TGF-β1, which is a key factor that promotes wound healing [19], significantly increased (P < 0.01) in the PA and high-dose FDPGLM groups in contrast to the model group (Fig. 2a and b). The difference between PA group and high-dose FDPGLM group (P > 0.05) was not statistically significant, indicating that high-dose FDPGLM can improve level of TGF-β1 as same as PA. Furthermore, statistically different IL-10 levels were ob- served in each group (P < 0.05) relative to the model













group. On the other hand, significant differences in IL-6 levels between model group and the PA and high-dose FDPGLM groups were detected (P < 0.05, P < 0.01, re- spectively), whereas no significant difference between the model group and other groups (P > 0.05). These find- ings suggest that high-dose FDPGLM could significantly reduce the serum levels of the pro-inflammatory cyto- kine IL-6 in the rat model. The serum IL-17 levels of the model group were significantly different from those of the high-dose group (P < 0.01), PA group (P < 0.05), and middle-dose group (P < 0.05), whereas no statistical sig- nificance was observed with low-dose group (P > 0.05).

Differentiation of CD4+CD25+Foxp3+Tregs

After 20 days of administration, the CD4+CD25+Foxp3

+Tregs/CD4+T ratio of ROU rats was assessed (Figs. 3 and 4). ANOVA showed significant differences between the model group (1.15 ± 0.03%) and the other groups (P

< 0.01). The ratio of CD4+CD25+Foxp3+Tregs to CD4+T cells in the PA, low-dose FDPGLM, middle-dose FDPGLM, and high-dose FDPGLM groups were 2.65 ± 0.05%, 1.47 ± 0.06%, 1.58 ± 0.07%, and 2.87 ± 0.06%, re-

spectively. The ratio increased by 1.5-fold in the high- dose FDPGLM group compared to that in the model group. On the other hand, the ratio of the PA group was























Foxp3




Background Correction

A:MODEL










B:PAC:low FDPGLM



CD25








D:mid FDPGLM FDPGLM







CD4

Fig. 3 The effect of FDPGLM on the differentiation of CD4+CD25+Foxp3+Tregs in peripheral blood as detected by flow cytometry using three

different; fluorescent labels. Representative dot plots from the FC analysis of three staining for CD4, CD25 and foxp3. Lymphocytes from peripheral blood were gated based on SSC






expression levels of the middle- and high-dose FDPGLM groups were significantly different (P < 0.05). (2) RORγt: There were markedly significant differences between that of the model and the other groups (P < 0.01). There- fore, different dosages of FDPGLM can significantly downregulate the expression of the RORγt gene in tis- sues. Furthermore, statistically significant differences be- tween the PA and the middle- and high-dose groups were observed (P < 0.01), indicating that the effects of middle-\and high-dose FDPGLM on RORγt gene ex- pression in tissues are stronger than PA.











significantly lower than that in high-dose FDPGLM group (P < 0.01), thereby suggesting that high-dose FDPGLM has a stronger effect on enhancing Treg differ- entiation than that observed using PA.



Expression of Foxp3   and   RORγt   transcription   factor   gene The effect of FDPGLM on the expression of the Foxp3 and RORγt transcription factor gene in ROU rats are shown in Fig. 5. We observed the following: (1): Foxp3: The level of expression of the Foxp3 gene in the PA and middle- and high-dose FDPGLM groups significantly in- creased (P < 0.01) in contrast to that in the model group. In addition, compared to the PA group, the Foxp3 gene


Correlation between CD4+CD25+Foxp3+Tregs and expression of Foxp3 transcription factor gene in high- dose FDPGLM group

We analysed the correlation of the ratio of Treg to T cells to the expression of Foxp3 transcription factor gene in high-dose FDPGLM group.. As shown in Fig. 6, there is a strong inverse correlation between Tregs/T ratio and the expression of Foxp3 transcription factor gene. This re- sult suggests that the increased ratio of Treg to T cells likely reflects the upregulating the expressionof Foxp3 transcription factor gene in high-dose FDPGLM group.


Discussion

Numerous research studies involving ROU animal models have been conducted around the world; however, one major limitation of most animal models of ROU is that they do not reproduce the chronic or relapsing- remitting pattern characteristic of ROU that is observed in humans. The establishment of an ROU animal model is generally performed by introducing trauma such as the acetic acid method [20] or the No. 15 scalpel blade method [21]. Because these models generally exhibit no relapsing-remitting characteristics and are described as acute inflammations, a very close analogy has been established between the above ROU animal models and traumatic ulcer animal models. With features of chronic, relapsing, and segmental mitigation, ROU behaves more closely to ADs in some instances. Although scientists have not been able to establish a generally accepted and good reproducible animal model for ADs to date, animal models established by using the immune-induced method more closely represented the clinical state [22, 23]. A gamma ray method for induced ROU in an animal model has also been reported [24]. Kaufmann et al. used retinal S- antigen and interphotoreceptor retinoid-binding pro- tein to induce monophasic or relapsing-remitting au- toimmune uveitis (EAU), which enabled us to compare autoreactive and regulatory T cell populations [25]. In this study, although the ROU model using SD rats was established by autoantigen injection and exhibited a relapsing-remitting pattern, it also presented the following









problems: the time for establishment of the model was too long, and the mortality rate was high. Therefore, add- itional studies on how to develop a better ROU or AD ani- mal model are warranted.

In our study, the total interval, number of ulcers, and area were investigated in a ROU rat model. Based on these findings, we inferred that high-dose FDPGLM could significantly prolong interval duration and reduce the number of ulcers in ROU, as evaluated according to GSA standards (marked I1N1 in Table 1). The size of the area of the ulcers was also compared to the reference value for therapeutic evaluation, which indicated that the application of high-dose FDPGLM induced a signifi- cant reduction (P < 0.01).

In our morphological analysis, epithelial thickening in high-dose FDPGLM group was more than model group,- with the cells of the basement layer and the lamina pro- pria exhibited normal organization, thereby indicating that high-dose FDPGLM had contributed to the repair of the mucosal membrane and inhibited the infiltration of inflammatory cells.

We have mianly examined the effects of FDPGLM on Th17 cells and Tregs in ROU rats.Our understanding of the pathogenesis of ROU has not been fully elucidated, although it is believed to be mediated by an immune re- sponse involving T cells. Upon antigen stimulation, naïve CD4+ cells differentiated into diverse subsets based on the pattern of cytokines present in the specific environ- ment such as Tregs and Th17 cells [26]. These effector T cells and their interactions determine the direction of immune response in ADs (including ROU).Th17 cells are important mediators of autoimmunity; however, the mechanisms by which these are controlled are not fully understood. IL-6 and TGF-β1 are essential to the differ- entiation from naïve CD4+ T cells into Th17 cells in rats

(Fig. 7) [23]. RORγt as a key transcription factor in- volved in the generation of Th17 cells, which mediate tissue inflammation and autoimmunity [27]. Th17 cells are a pro-inflammatory subset that has been implicated in various inflammatory conditions in humans and rats by producing IL-17 and IL-6. Tregs that co-express CD4, CD25, and Foxp3 are another lineage of CD4+ T cells that play a major role in controlling self-reactive T cells to maintain immunologic self-tolerance via contact- dependent suppression [28], and also have an anti-in- flammatory by releasing anti-inflammatory cytokines, in- cluding IL-10 and TGF-β1 (Fig. 7). The depletion or functional changes in these cytokines also lead to the de- velopment of autoimmune disease in animals. Previous studies have shown that the inhibition of CD4+CD25

+Foxp3+Tregs result in the functional impairment or de-

crease in the number of cells in various ADs such as mul- tiple sclerosis (MS) and rheumatoid arthritis (RA) [29, 30]. We investigated the levels of cytokines that are associ- ated with Th17 cells and Tregs in ROU rats(TGF-β1, IL- 17, IL-10, and IL-6).Analysis of cytokine production showed that high-dose FDPGLM induced both TGF-β1 and IL-10 production.A report had shown that maintain- ing a high TGF-β1 serum level enhances differentiation of CD4+CD25+Foxp3+Tregs as well as serves as the trig- ger for the regulation of immune responses [31]. Our in- vestigation into the cytokine microenvironment of rats (high-dose FDPGLM) also revealed a decrease in IL-17 and IL-6.These findings indicate that the treatment of ROU rats with high-dose FDPGLM improves the levels of the Tregs-associated cytokines (TGF-β1 and IL-10) and decreases those of Th17-associated cells, namely,

IL-17 and IL-6.

We also assessed the CD4+CD25+Foxp3+Tregs/CD4+T ratio of ROU rats. TGF-β1 was involved in Treg








differentiation.At high level of TGF-β1, Treg differenti- ation is induced, whereas at low level ofTGF-β1, plus IL-6, the differentiation of Th17 cells is promoted [32]. Indeed our findings support this fact.The application of a high- dose FDPGLM resulted in an enhancement in the differ- entiation of CD4+CD25+Foxp3+Treg cells, which play a major role in immune regulation by inhibiting cellular immunity and the release of inflammatory cytokines.

In RT-PCR analysis, we observed Foxp3 gene ex- pression levels of high-dose FDPGLM groups were sig- nificantly different from model groups, indicating that high-dose FDPGLM can significantly upregulate the ex- pression of the Foxp3 gene. Meanwhile, different dos- ages of FDPGLM can significantly downregulate the expression of the RORγt gene in tissues,especially high- dose FDPGLM. Therefore, high doses of FDPGLM may upregulate the expression of the Foxp3 gene and down- regulating the expression of the RORγt gene in ROU rats.

What is the effective substance in FDPGLM? A report showed that a number of fungi, including G. lucidum produces β-[1, 3]-glucans, exhibit immunomodulatory properties. Although there is no conventional scientific study that supports the use of β-glucan as a treatment

exposed to PA. The results showed that high-dose FDPGLM could significantly prolong total intervals, as well as reduce the number and reduce area of ulcers. Further analysis indicated that high-dose FDPGLM sig- nificantly increased the serum levels of TGF-β1, which in turn promoted wound healing, upregulated the ex- pression of the Foxp3 gene, and enhanced CD4+CD25

+Foxp3+Tregs differentiation, thereby facilitating im-

mune regulation, inhibition of cellular immunity, and release of inflammatory cytokines. It is possible that high-dose FDPGLM suppressed the differentiation of Th17 cells by downregulating IL-17, IL-6, and RORγt in ROU rats. One possible pathway by which high-dose FDPGLM inhibits the progression of ROU in the rat model is via inhibition of Th17 cell differentiation and inducing Treg differentiation and migration. The differ- entiation of CD4 T cells into Tregs may contribute in inhibiting effector cells, suppressing immune responses, and improving inflammatory environment in vivo. Fur- thermore, the observed high serum levels of TGF-β1 might have also contributed to ulcer healing.


Additional files


regimen, anectodal evidence suggests that it plays a role     

in the reduction of pain and recurrence of ROU [12]. Water-soluble polysaccharides (including β-glucans), which are the main bioactive ingredients of G. lucidum, are heat sensitive. In the present study, drying of G. luci- dum mycelia by freeze-drying has retained 2.3-fold more water-soluble polysaccharides compared to using con- ventional drying.


Conclusions

The present study investigated the effect of different dosages of FDPGLM on a rat ROU model that was








Abbreviations

ELISA: Enzyme linked immunosorbent assay; FCM: Flow cytometry; FDPGLM: Freeze-dried powder of Ganoderma Lucidum mycelium; Foxp3: Forkhead box P3; IL-17: Interleukin-17; IL-6: Interleukin-6;

PA: Prednisone acetate; RORγt: Retinoid-related orphan receptor gamma t; ROU: Recurrent oral ulceration; SD: Sprague-Dawley; TGF-β1: Transforming growth factor-β1; Th 17 cells: T helper cells 17; Tregs: Regulatory T cells


Acknowledgments

The authors thank Accdon for its linguistic assistance during the preparation of this manuscript. We would like to thank Mr. Sheng Jun for statistical analysis.


Funding

This work was supported by the National Key Technology Research and Development Program of the Ministry of Science and Technology of

China(number: 2013BAD16B00).


Availability of data and materials

The data will be accessible by contacting the corresponding author of this study.


Authorscontributions

LX, XHZ, and ZLX conceived and designed the experiments; LX, ZLX, and LL performed the experiments; LX, DBL, and ZLX analyzed the data; and LX prepared the manuscript. All of the authors read, provided edits and approved the final manuscript.


Ethics approval

Animal protocols were approved by the Animal Care and Use Committee of the Hunan University of Chinese Medicine.


Consent for publication

Not applicable.


Competing interests

The authors declare that they have no competing interests.


Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.


Author details

1College of Horticulture and Landscape Architecture, Hunan Agricultural University, Changsha, China. 2State Key Laboratory of Subhealth Intervention

Technology, Changsha, China. 3The First Affiliated Hospital of Hunan University of Chinese Medicine, Changsha, China. 4Hunan Engineering Research Center of Edible Fungi, Changsha, China.


Received: 2 May 2017 Accepted: 20 November 2017



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