Cognition 2019

Hericium erinaceus in overweight and obese patients: improved mood and sleep linked to pro-BDNF and BDNF (pilot study, n=77)

The Vigna et al. pilot study (Italy, 2019): 77 overweight or obese patients took H. erinaceus mycelium (3 g/day) for 8 weeks. Improvements in depression, anxiety and sleep-quality measures were recorded, along with increases in circulating pro-BDNF and BDNF. The open-label design without placebo control limits interpretation, but provides a rationale for placebo-controlled RCTs in a metabolically compromised population.

Vigna L., Morelli F., Agnelli G.M., Napolitano F., Ratto D., Occhinegro A., Di Iorio C., Savino E., Girometta C., Brandalise F., Rossi P. Hericium erinaceus Improves Mood and Sleep Disorders in Patients Affected by Overweight or Obesity: Could Circulating Pro-BDNF and BDNF Be Potential Biomarkers? Evidence-Based Complementary and Alternative Medicine. 2019;2019:7861297.

Rationale

Depression, anxiety and sleep disturbance frequently co-occur with overweight and obesity; the authors tested whether H. erinaceus mycelium affects these symptoms and measured circulating pro-BDNF and BDNF — a rare mechanistic datapoint in a human mushroom trial.

Methods

An open-label pilot: 77 participants with BMI ≥ 25 took H. erinaceus mycelium 3 g/day for 8 weeks. Depression, anxiety and sleep-quality scales plus circulating pro-BDNF/BDNF were measured before and after.

Results

Depression, anxiety and sleep scores improved during intake; circulating pro-BDNF and BDNF levels rose.

Conclusions

Symptomatic improvement alongside a neurotrophin-family signal — a plausible-mechanism datapoint for the species in a metabolically compromised group.

Worth noting

Open-label, no placebo: the mood improvements cannot be separated from expectation and regression to the mean. The pro-BDNF/BDNF rise is the more interesting output — human biomarker data of this kind for lion's mane are rare. A controlled trial in this population is the obvious next step.