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Bailing mushroom (Pleurotus nebrodensis)
Bailing mushroom, a white oyster-type mushroom.

Mushrooms · Culinary mushroom

Bailing mushroom

Pleurotus nebrodensis · also called White ferula mushroom, Sicilian oyster mushroom, bailinggu (the Chinese farmed mushroom usually sold under this name)

Bailing mushroom is a white to cream oyster-type food mushroom. The name belongs to a rare wild mushroom from Sicily, but most of what is sold under it in Asia is probably a different mushroom. All the health research is on cells and animals, and we found no human study. Safety in people is unknown.

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About Bailing mushroom

Bailing mushroom is a white to cream oyster-type food mushroom. Strictly, the name belongs to Pleurotus nebrodensis, a rare wild mushroom from Sicily and Greece that grows on the roots of plants in the carrot family. Most of what is farmed and sold under that name in Asia is probably a different mushroom, Pleurotus eryngii subsp. tuoliensis. The health research is on cells and animals, mostly with purified extracts. We found no study in people, so safety is unknown.

What it is, and a naming mix-up

Pleurotus nebrodensis is a fungus in the oyster mushroom family, not a plant. GBIF lists it as an accepted species. It grows on the dead roots of Prangos ferulacea, a plant in the carrot family, on pastures in the Madonie Mountains of Sicily, and has also been found in Greece.

Researchers who compared DNA sequences found that material from China sold as P. nebrodensis matched Pleurotus eryngii subsp. tuoliensis instead. The mushroom called bailinggu in China is that farmed mushroom. A study or product that says P. nebrodensis may therefore be about either mushroom, and many papers do not say which. See also king oyster, a close but different relative.

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Conservation: please do not pick it

The wild Sicilian mushroom is rare. A 2025 paper says over-harvesting, including picking unripe mushrooms, and habitat loss led to a Critically Endangered listing on the IUCN Red List, and after a find in Greece it is now listed as Endangered. GBIF's record still shows Critically Endangered, so the exact current category is not confirmed here.

A 2011 survey of old collecting sites in Sicily found fruiting still in decline. Italian researchers now grow it in protected tunnels on wheat straw and sugar-beet residues to protect the wild population. If you want to try it, choose farmed mushrooms from a seller who names the species.

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As a food

It is prized for taste and texture. We found no official nutrient table. A 2005 analysis of cultivated mushrooms called the vitamin B12 and riboflavin content noteworthy, without figures in the abstract. In a 2026 Sicilian study, water extracts of dried, farmed mushrooms held small amounts of vitamin C and phenolic compounds, mostly gallic acid, and the typical mushroom aroma molecules 1-octen-3-ol and hexanal.

These numbers are for extracts of one batch, not for a meal. A compound being present is not a health effect.

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What the research shows

Almost all studies use purified polysaccharides, crude fractions or water extracts. In mice made immune-deficient by a chemotherapy drug, a polysaccharide raised immune measures. Injected crude polysaccharides lengthened life in mice with a transplanted tumour, and purified fractions killed cancer cells in dishes. Mouse studies also report longer swimming time, better kidney measures and a slower rise in blood pressure in rats.

None of this has been tested in people. Many substances kill cancer cells in a dish and then fail in people, and injected or purified doses are not like eating a mushroom.

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Mushroom, mycelium and extract are different

The food is the fruiting body. Researchers also grow the mycelium in liquid culture, including selenium-enriched mycelium made by adding sodium selenite, and extract polysaccharides from it. Those are research preparations, not the mushroom. We read nothing on any commercial extract, capsule or mycelium-on-grain product sold under this name. Ask a pharmacist before using one.

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Legal and regulatory status

The IUCN Red List is a conservation status, not a food approval. We found no statement about this mushroom from EMA, EFSA, FDA, WHO, LiverTox or LactMed, so none is made here. Rules differ by country and change.

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At a glance

Traditional uses history, not proof

  • No traditional medicinal use was found. In Sicily it has a long reputation as a delicious food mushroom.

Studied for research

  • Immune activity (mice and cells), very low
  • Anticancer findings (cells and mice), very low
  • Antioxidant activity in skin cells (lab), very low
  • Fatigue, kidney, blood pressure, heart and liver (mice and rats), very low
  • Food composition (one lab sample), low
  • Any effect in people, insufficient (no human study)

Main compounds

  • Beta-glucans (fibre-like sugars)
  • Polysaccharides (long sugar chains)
  • Gallic acid and other phenolics
  • Vitamin C in small amounts in extracts
  • Nebrodeolysin (a protein that breaks red blood cells in a dish)

Common forms

  • Fresh or cooked mushroom (food)
  • Dried and powdered mushroom
  • Water extracts and purified polysaccharides (research only)
  • Liquid-culture mycelium products (research only)

Research links: Name mix-up: sequence analysis (abstract) · Antioxidant and aroma extracts, Sicily, 2026 (open access) · Wild and farmed extracts in skin cells, 2025 (open access) · Polysaccharides and mouse sarcoma (open access) · Hemolytic protein nebrodeolysin (abstract) · GBIF record with conservation status · Research Library · Genes & Biomarkers Library

What it is and its history

Accepted scientific name
Pleurotus nebrodensis
Naming authority
(Inzenga) Quel. (GBIF)
Synonyms
Agaricus nebrodensis Inzenga (original name); Pleurotus eryngii var. nebrodensis (Inzenga) Sacc.; Pleurotus cardarella var. nebrodensis (Inzenga) Quel.; Pleurotus fossulatus (Cooke) Sacc.; Agaricus fossulatus Cooke
Common names
Bailing mushroom (English); White ferula mushroom (English); Sicilian oyster mushroom (English); Bailinggu (the Chinese farmed mushroom usually sold under this name) (Chinese (romanised))
Family or group
Pleurotaceae (oyster mushroom family), a fungus, not a plant
Classification
Fungi > Basidiomycota > Agaricomycetes > Agaricales > Pleurotaceae > Pleurotus > Pleurotus nebrodensis
Native range
The Mediterranean: the Madonie Mountains in Sicily, Italy, where a 2026 paper calls it the only fungal species currently reported as endemic, and some regions of Greece (Foods 2026 introduction).
Habitat
A saprotroph (it feeds on dead material) growing on dead roots of the umbellifer Prangos ferulacea (carrot family), on pastures; fruiting between April and June in the Madonie (Antioxidants 2025). Collected at Piano Battaglia, 1,687 m.
What it looks like
Fruiting body: Papers describe it as having entirely white to cream fruiting bodies (basidiomes). No detailed description was read.
Cultivation
Grown in tunnels or protected sites in Sicily as an ex situ conservation measure. The PLEURON project used cultivation bags of wheat straw and sugar-beet residues inoculated with a pure culture, at Castelbuono in the Madonie (Foods 2026). In Asia, a different mushroom sold under this name is farmed commercially.
Harvest and processing
Samples in the Sicilian study were air-dried at about 30 C before extraction. A 2026 paper made water extracts by freeze-thaw and by ultrasound.
Look-alikes and adulterants
Name: Pleurotus eryngii subsp. tuoliensis (the farmed Chinese 'bailinggu'); Note: Often sold as P. nebrodensis. A different taxon in current research. Results for one cannot be assumed for the other.; Name: Other Pleurotus taxa on Apiaceae plants (e.g. P. eryngii varieties, P. nebrodensis subsp. fossulatus, P. ferulaginis); Note: A 2014 paper provides a key for nine such taxa; it is for specialists.; Name: Wild mushrooms in general; Note: No identification source for the public was read. Do not eat wild mushrooms unless an expert has identified them.
Sustainability and conservation
Listed by IUCN as threatened. GBIF's record shows Critically Endangered. A 2025 paper says it was classified Critically Endangered because of over-harvesting (including picking unripe mushrooms) and habitat degradation, and following a find in Greece is now Endangered. A 2011 survey of old Sicilian sites confirmed a continuing decline in fruiting. The IUCN site itself was not reachable, so the latest category is not confirmed here.

Traditional use and history history, not clinical proof

Tradition or eraDocumented useSource
Culinary reputation in SicilyA 2025 paper says it has historically been celebrated as the most delicious mushroom of the Sicilian mycological flora. This is a food reputation, not a medicinal tradition.p41462638
Traditional medicinal useNo source we read describes a traditional medicinal use. Recent papers call it a medicinal mushroom because of laboratory findings.none
Commercial farming in AsiaA mushroom sold under this name is farmed commercially, especially in China, but sequence analysis shows it is mostly a different taxon (P. eryngii subsp. tuoliensis).p27279445

Traditional use shows how it was used. It does not show that it works or is safe today.

What is inside, and how it may work

What it contains and how those compounds act in cells and animals. Laboratory and animal mechanisms are not proven effects in people.

Main compounds

CompoundFamilyWhere it is concentratedActivity studiedLevel of evidence
Beta-glucanspolysaccharideFruiting body extract fractions
23.79 to 36.63 g per 100 g of dried extract fractions (Korean commercial fruiting body; not the whole mushroom)
Fibre-like sugars. A 2025 paper found antioxidant activity in skin cells went along with beta-glucan content. Lab only. 1 15Laboratory research
PNPS (hot-water polysaccharide)polysaccharideFruiting body
97.20% sugar; glucose 89.22 mol%, mannose 5.60, galactose 5.18; about 5,012 kDa
Fermented by gut bacteria in the lab into short-chain fatty acids. 8Laboratory research
Gallic acid and other phenolicsphenolic acidFruiting body water extract
Gallic acid 92.48 and 103.24 ug per g of lyophilised extract (two methods); total phenolics 4.02 and 5.05 ug per g dry weight
Antioxidant in test-tube assays; no human outcome. 2Laboratory research
Ascorbic acid (vitamin C)vitaminFruiting body water extract
7.02 and 6.23 ug per g of extract (two methods)
Measured in an extract; a small amount. 2Laboratory research
1-Octen-3-ol and hexanalvolatile aroma compoundsFruiting body
Not given as amounts in what we read
Typical mushroom aroma; freeze-thaw extraction kept more than ultrasound. 2Food chemistry
Vitamin B12 and riboflavinvitaminsFruiting body
The 2005 abstract calls the content 'noteworthy' and gives no figures
Nutrient content reported for cultivated mushrooms; amounts and form not given. 11Food chemistry
Nebrodeolysinhemolytic protein (about 27 kDa)Fruiting body
Not given
Broke open red blood cells and was toxic to cell lines in dishes; anti-HIV-1 activity in cell culture only. 13Laboratory research

Mechanisms, receptors and pathways

Target or pathwayGene or receptorWhat was foundLevel
Mitochondrial (intrinsic) cell-death pathwayCaspase-3, caspase-9, Bax, Bcl-2, cytochrome cPolysaccharides raised cell-death signals in lung, liver and breast cancer cells, per the authors. 3 5 12Laboratory research
Macrophage and cytokine signallingTNF-alpha, IL-6, IL-10, iNOS, interferon-gammaThe polysaccharides raised these signals in resting mouse immune cells and lowered inflammatory ratios in overstimulated cells. 17 4Laboratory research
Nrf2/Keap1 antioxidant pathwayNrf2, Keap1The authors suggest this pathway explains the swimming-time result in mice. Not proven. 21Hypothesis
Free-radical scavengingROS, mitochondrial superoxideWater extracts scavenged free radicals in skin cells; effect correlated with beta-glucan content. 15Laboratory research

Absorption, metabolism and elimination

Absorption
Not found in the sources read.
Distribution
Not found in the sources read.
Metabolism
Not found in the sources read.
Elimination
Not found in the sources read.
Bioavailability
Not established.

Isolated compounds versus whole extracts

Nearly all the biological research uses purified polysaccharide fractions, crude fractions, water extracts or liquid-culture mycelium, many of them injected or applied to cells. No study tested the whole cooked mushroom in people or animals, apart from a rat diet with dried powder. Results from a fraction cannot be assumed for the food.

Nutritional composition

We found no official nutrient table for bailing mushroom and no open paper with protein, fibre, vitamin D or ergothioneine for it. The numbers in papers describe extracts of one batch, not a serving.

10benefits and uses looked at
23studies and sources checked
Low certaintybest evidence rating found
9lab markers tracked in trials

1 low certainty8 very low certainty1 not enough evidence

What was looked at

The 10 benefits and uses checked for Bailing mushroom, each with how strong the evidence is. Tap one to open it.

Lab markers tracked in the studies

Thymus and spleen indices (immune organ weights)Blood IgM and IgG (antibodies) in miceLife span of tumour-bearing miceCancer-cell growth and cell death in dishesPhenolics and vitamin C in a water extractFree radicals (ROS) and mitochondrial superoxide (SOX) in skin cellsWeight-loaded swimming time in miceSystolic blood pressure in hypertensive ratsShort-chain fatty acids in lab fermentation

What is Bailing mushroom good for?

The uses people ask about and how strong the evidence is for each. For nearly all of them the evidence is lab or animal work only. Read this together with the Safety tab.

As a food (what a sample contained)Low certaintyStudies of farmed Sicilian mushrooms found vitamin C, phenolic compounds and the usual mushroom aroma molecules in water extracts, and a 2005 paper called vitamin B12 and riboflavin noteworthy. We found no official nutrient table. This describes content, not a proven health effect. Immune activity (mice and cells)Very low certaintyLab and animal only. A purified polysaccharide raised immune measures in mice made immune-deficient by a chemotherapy drug, and stimulated mouse immune cells in a dish. No human study. Anticancer findings (cells and mice)Very low certaintyLab and animal only. Polysaccharide fractions killed lung, liver and colon cancer cells in dishes, and injected extracts lengthened life in mice with a transplanted tumour. This does not show it treats or prevents cancer in people. Selenium-enriched mycelium and breast cancer (mice)Very low certaintyLab and animal only. A lab-made, selenium-enriched mycelium polysaccharide slowed breast tumour growth in mice. It is a research product, not the mushroom. Antioxidant activity in skin cellsVery low certaintyLab only. Water extracts lowered oxidative stress markers in human skin cells in a dish, and the effect went along with beta-glucan content. Fatigue (mice)Very low certaintyMouse test only. Mycelium polysaccharides lengthened swimming time and changed blood markers of fatigue. Kidney measures (mice)Very low certaintyMouse test only. A polysaccharide chewable tablet improved kidney measures in mice with chemically induced kidney disease. Blood pressure (rats)Very low certaintyRat study only. Dried mushroom powder in the diet slowed the rise in blood pressure in rats bred to have high pressure. Not tested in people. Heart and liver injury (rats)Very low certaintyRat studies only. A purified polysaccharide given beforehand reduced damage in induced heart and liver injury. Feeding gut bacteria (lab)Not enough evidenceLab fermentation only. Gut bacteria made more short-chain fatty acids from a purified polysaccharide. Nothing in people.

Benefits, one by one

Each card is a research question, not a promise. Tap a goal to filter. Open a card to see the studies, doses and limits.

Immune activity (mice and cells)

Very low certainty

A purified polysaccharide from the fruiting body raised immune measures in mice made immune-deficient by a chemotherapy drug, and it stimulated mouse macrophage cells in a dish. No one has tested it in people.

2 studiesA purified polysaccharide fraction (PN-S, PN50G). Not the same as eat…

Studies, doses and limits

What the trials found

No human study of this mushroom was found, so nothing here shows an effect in people. The evidence is a purified polysaccharide given to mice and applied to a mouse cell line.

Results

Mice: weight loss reversed, thymus and spleen indices, antibody levels and immune-cell activity rose. Cells: raised immune signals, and lower inflammatory ratios when overstimulated.

Effect sizes as reported

Higher immune measures in mice; no numbers in the abstracts

Why this rating

Mouse and cell-dish work only, with purified compounds, from related research groups. No human data. Abstracts give no sizes.

Form and dose studied

A purified polysaccharide fraction (PN-S, PN50G). Not the same as eating the mushroom or any supplement.

Who was studied

Mice made immune-deficient with cyclophosphamide; a mouse macrophage cell line

Limits

Immune measures in mice do not show better health in people. A stronger immune response is not always helpful, for example in autoimmune disease or after a transplant.

Why researchers looked

Mushroom polysaccharides are often tested for immune effects, and researchers asked whether this one could help after chemotherapy-type damage.

Traditional use

No traditional medicinal use of this mushroom was found in the sources read.

Proposed mechanism Animal research

The authors report more cytokine signals (IL-6, TNF-alpha, interferon-gamma) and more active macrophages and natural killer cells. They do not show how.

A proposed mechanism does not show that the effect happens in people.

No human safety data were found. See the Safety tab. Name confusion with a different farmed mushroom is the main quality question.

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Anticancer findings (cells and mice)

Very low certainty

Crude and purified polysaccharides from the fruiting body killed some cancer cells in dishes and lengthened life in mice with a transplanted tumour. This is early lab work. It does not show that the mushroom treats or prevents cancer in people.

5 studiesCrude fractions, purified polysaccharides and a cold-water extract. N…

Studies, doses and limits

What the trials found

No human study of this mushroom was found, so nothing here shows an effect in people. Cancer research here means cells in dishes and mice.

Results

Injected crude polysaccharides lengthened life of sarcoma-bearing mice by 11.76 to 27.06%. Purified polysaccharides killed lung, liver and colon cancer cells in dishes and slowed liver-tumour growth in mice.

Effect sizes as reported

Life span in mice 11.76 to 27.06% longer (injected extracts); other results have no numbers in the abstracts

Why this rating

Cells in dishes and mice only, many different preparations, injected doses unlike eating a mushroom, from a small number of research groups. No human trial.

Form and dose studied

Crude fractions, purified polysaccharides and a cold-water extract. Nothing here is a food or supplement dose.

Who was studied

Cancer cell lines (human lung, liver, colon); mice with transplanted tumours

Limits

Killing cells in a dish is common and rarely leads to a treatment. Do not use this mushroom or any extract in place of cancer treatment, and tell your cancer team about any supplement.

Why researchers looked

Edible-fungus polysaccharides are often tested against cancer cells because many reduce tumour growth in animal models.

Traditional use

No traditional medicinal use of this mushroom was found in the sources read.

Proposed mechanism In vitro and animal

The papers report cell death through the mitochondrial pathway (caspase-3 and caspase-9 signals) and immune stimulation. These are the authors' explanations from lab measurements.

A proposed mechanism does not show that the effect happens in people.

No human safety data were found. See the Safety tab. Name confusion with a different farmed mushroom is the main quality question.

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Selenium-enriched mycelium polysaccharide and breast cancer (mice)

Very low certainty

Researchers grew the mushroom's mycelium in a liquid with added selenium and extracted polysaccharides from it. In mice with breast tumours, these slowed tumour growth. It is a lab-made research product, not the mushroom you eat.

1 studiesSelenium-enriched mycelium polysaccharide made in a liquid culture. R…

Studies, doses and limits

What the trials found

No human study of this mushroom was found, so nothing here shows an effect in people. The work is in mouse breast cancer cells and mice.

Results

A higher-selenium fraction slowed cancer-cell growth, migration and invasion in dishes. By mouth in mice it inhibited tumour growth, reported without observable toxicity.

Effect sizes as reported

Smaller mouse tumours; no numbers in the abstract

Why this rating

One 2026 paper, mouse cells and mice, no numbers in the abstract, a lab-made mycelium product.

Form and dose studied

Selenium-enriched mycelium polysaccharide made in a liquid culture. Results do not carry over to the fruiting body, mycelium-on-grain products or capsules.

Who was studied

Mouse breast cancer cells; mice with transplanted tumours

Limits

Too much selenium can itself be harmful; this paper tells us nothing about safe amounts for people.

Why researchers looked

Selenium is added to mycelium cultures to see whether the polysaccharides become more active against cancer cells.

Traditional use

No traditional medicinal use of this mushroom was found in the sources read.

Proposed mechanism Animal research

The authors report more cell-death signals (Bax up, Bcl-2 down) and changes in tumour immune signals. They explain this as a mitochondrial pathway.

A proposed mechanism does not show that the effect happens in people.

No human safety data were found. See the Safety tab. Name confusion with a different farmed mushroom is the main quality question.

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As a food: what a sample contained

Low certainty

Studies of farmed Sicilian bailing mushroom report vitamin C, phenolic compounds and the typical mushroom aroma molecules in water extracts, and a 2005 analysis reported notable vitamin B12 and riboflavin. We found no official nutrient table and no numbers for protein, fibre or minerals.

2 studiesDried fruiting body and its water extracts. Fresh and cooked mushroom…

Studies, doses and limits

What the trials found

No human study of what eating it does. Content was measured only in laboratories.

Results

Freeze-thaw and ultrasound water extracts held gallic acid, vitamin C, procyanidins and aroma compounds (1-octen-3-ol, hexanal). A 2005 composition paper called its vitamin B12 and riboflavin content noteworthy.

Effect sizes as reported

Extract values, for example total phenolics 4.02 and 5.05 ug per g dry weight

Why this rating

Careful measurement in one 2026 paper, but of extracts from one farmed batch; the B12 and riboflavin point is from an abstract with no numbers. Content depends on strain and growing.

Form and dose studied

Dried fruiting body and its water extracts. Fresh and cooked mushrooms were not analysed in the papers read.

Who was studied

Farmed Sicilian fruiting bodies

Limits

Extract values do not tell you what a meal gives you. A nutrient being present is not a health effect. No USDA entry was found.

Why researchers looked

People want to know whether this prized food mushroom is also nutritious.

Traditional use

No traditional medicinal use of this mushroom was found in the sources read.

Proposed mechanism Compositional analysis

Not applicable; this is food composition.

A proposed mechanism does not show that the effect happens in people.

No human safety data were found. See the Safety tab. Name confusion with a different farmed mushroom is the main quality question.

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Antioxidant activity in skin cells (lab)

Very low certainty

Water extracts from wild and farmed bailing mushroom reduced oxidative stress markers in human skin cells in a dish. The effect went along with beta-glucan content. It is a lab finding only.

2 studiesWater extracts of wild and cultivated fruiting bodies. Not creams or …

Studies, doses and limits

What the trials found

No human study of this mushroom was found, so nothing here shows an effect in people. Only a cultured human skin cell line was used.

Results

Two of ten extracts lowered ROS and SOX. The overall antioxidant activity correlated with beta-glucan content.

Effect sizes as reported

Lower oxidative stress markers in cells; no clinical outcome

Why this rating

One paper, one cell line, doses chosen to be non-toxic, nothing in people.

Form and dose studied

Water extracts of wild and cultivated fruiting bodies. Not creams or supplements.

Who was studied

Human skin cell line (HaCaT) in dishes

Limits

A cell result does not show skin benefit. The paper itself says the species is rare, so wild collection for cosmetics would harm the wild population.

Why researchers looked

Antioxidants are tested for skin protection, and this rare mushroom had never been tested in skin cells.

Traditional use

No traditional medicinal use of this mushroom was found in the sources read.

Proposed mechanism Laboratory research

The authors report both prevention (changing cell defences) and direct scavenging of free radicals. Which one an extract used differed by extract.

A proposed mechanism does not show that the effect happens in people.

No human safety data were found. See the Safety tab. Name confusion with a different farmed mushroom is the main quality question.

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Anti-fatigue findings (mice)

Very low certainty

Polysaccharides from mycelium grown in liquid culture lengthened swimming time in mice and changed blood markers of fatigue. This is a mouse test only.

1 studiesLiquid-culture mycelium polysaccharide; not the fruiting body.

Studies, doses and limits

What the trials found

No human study of this mushroom was found, so nothing here shows an effect in people. Only mice were tested.

Results

Mice swam longer; blood MDA, lactate and LDH fell; SOD activity and glycogen stores rose.

Effect sizes as reported

Longer swimming time; no numbers in the abstract

Why this rating

One mouse paper, mycelium made in a liquid culture, abstract without numbers.

Form and dose studied

Liquid-culture mycelium polysaccharide; not the fruiting body.

Who was studied

Mice

Limits

A mouse swimming test is not a test of fatigue in people.

Why researchers looked

Mushroom polysaccharides are tested in mouse swimming tests as a stand-in for endurance.

Traditional use

No traditional medicinal use of this mushroom was found in the sources read.

Proposed mechanism Animal research

The authors point to the Nrf2/Keap1 antioxidant pathway. They did not prove it.

A proposed mechanism does not show that the effect happens in people.

No human safety data were found. See the Safety tab. Name confusion with a different farmed mushroom is the main quality question.

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Kidney findings (mice)

Very low certainty

A chewable tablet made from the fruiting-body polysaccharide improved kidney measures in mice with chemically induced kidney disease. It has not been tested in people.

1 studiesA polysaccharide tablet made for the study, not a commercial product.

Studies, doses and limits

What the trials found

No human study of this mushroom was found, so nothing here shows an effect in people. Only mice with adenine-induced kidney disease were tested.

Results

At both doses tested, the tablet improved renal function, raised antioxidant activity and reduced inflammation.

Effect sizes as reported

Improved kidney measures in mice; no numbers in the abstract

Why this rating

One 2026 mouse paper and no numbers in the abstract.

Form and dose studied

A polysaccharide tablet made for the study, not a commercial product.

Who was studied

Mice with adenine-induced kidney disease

Limits

People with kidney disease should not take this or any mushroom extract without asking their kidney doctor. Nothing is known about safety in kidney disease.

Why researchers looked

Researchers were looking for a use for the polysaccharide as a dietary supplement for kidney problems.

Traditional use

No traditional medicinal use of this mushroom was found in the sources read.

Proposed mechanism Animal research

The authors report better antioxidant activity and less inflammation in the mouse kidney. They did not prove how.

A proposed mechanism does not show that the effect happens in people.

No human safety data were found. See the Safety tab. Name confusion with a different farmed mushroom is the main quality question.

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Blood pressure (rats)

Very low certainty

Feeding rats bred to have high blood pressure a diet with 6% dried bailing mushroom powder slowed the rise in their blood pressure. This is rat work from 2008 and has not been followed by human trials.

1 studiesDried fruiting body powder and fractions fed in rat diets.

Studies, doses and limits

What the trials found

No human study of this mushroom was found, so nothing here shows an effect in people. The evidence is from rats only.

Results

Single doses lowered systolic pressure for about 2 hours. Over 16 weeks, the 6% powder diet slowed the rise; total cholesterol and triglycerides were not changed.

Effect sizes as reported

Smaller rise in blood pressure in rats; no numbers in the abstract

Why this rating

One old rat study, abstract only, strain not stated, no repeat.

Form and dose studied

Dried fruiting body powder and fractions fed in rat diets.

Who was studied

Spontaneously hypertensive rats

Limits

Rat blood pressure results rarely carry over to people. People on blood pressure medicine should not change their plan because of this.

Why researchers looked

Food-derived proteins and polysaccharides are tested for blood pressure effects in rat models.

Traditional use

No traditional medicinal use of this mushroom was found in the sources read.

Proposed mechanism Animal research

The abstract says effects on the renin-angiotensin system and kidney function were indicated; it does not prove this.

A proposed mechanism does not show that the effect happens in people.

No human safety data were found. See the Safety tab. Name confusion with a different farmed mushroom is the main quality question.

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Heart and liver protection after injury (rats)

Very low certainty

A purified polysaccharide given to rats before an induced heart or liver injury reduced the damage. These are 2015 and 2017 rat studies, not human trials.

2 studiesA purified polysaccharide (PNPA).

Studies, doses and limits

What the trials found

No human study of this mushroom was found, so nothing here shows an effect in people. These were rat models with the compound given beforehand.

Results

Heart: smaller infarct size and restored antioxidant enzymes after 30 days of pretreatment. Liver: less damage, lower AST and ALT and lower inflammatory signals after pretreatment.

Effect sizes as reported

Less tissue damage in rats; no numbers in the abstracts

Why this rating

Two rat papers from the same research line, abstracts only, compound given before the injury.

Form and dose studied

A purified polysaccharide (PNPA).

Who was studied

Rats with induced heart or liver injury

Limits

Protection when given before an injury in rats does not mean protection or treatment in people.

Why researchers looked

Antioxidant polysaccharides are tested in injury models where blood flow is blocked and restored.

Traditional use

No traditional medicinal use of this mushroom was found in the sources read.

Proposed mechanism Animal research

The authors report more antioxidant enzymes and fewer cell-death signals in the protected tissue.

A proposed mechanism does not show that the effect happens in people.

No human safety data were found. See the Safety tab. Name confusion with a different farmed mushroom is the main quality question.

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Feeding gut bacteria (lab fermentation)

Not enough evidence

In a lab fermenter, gut bacteria broke down the fruiting-body polysaccharide and made more short-chain fatty acids. This shows the fibre can be fermented, not that it helps digestion.

1 studiesA purified hot-water polysaccharide (PNPS).

Studies, doses and limits

What the trials found

No human study of this mushroom was found, so nothing here shows an effect in people. No person's gut was tested.

Results

More short-chain fatty acids than the control after 48 hours, mainly acetic acid, then propionic and butyric acid.

Effect sizes as reported

Higher short-chain fatty acids in a dish

Why this rating

One laboratory fermentation of a purified polysaccharide.

Form and dose studied

A purified hot-water polysaccharide (PNPS).

Who was studied

Lab fermentation with gut bacteria

Limits

A lab fermentation says nothing about digestion, comfort or health in people.

Why researchers looked

Mushroom fibres are tested as possible prebiotics (food for gut bacteria).

Traditional use

No traditional medicinal use of this mushroom was found in the sources read.

Proposed mechanism Laboratory research

Short-chain fatty acids are made when gut bacteria ferment fibre; this was measured in the lab.

A proposed mechanism does not show that the effect happens in people.

No human safety data were found. See the Safety tab. Name confusion with a different farmed mushroom is the main quality question.

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Connections to the rest of health

How Bailing mushroom connects to the rest of our health knowledge graph. Every link says what kind of connection it is. A safety link (for example to the liver) is a warning, not a benefit. A study that merely mentions a topic never creates a benefit link.

Explore every connection: goals, body systems, organs, symptoms, genes

A. Wellness goals

Connected toKind of connectionEvidence statusContextStudies
Immune Support Very low certainty Immune activity (mice and cells): A purified polysaccharide from the fruiting body raised immune measures in mice made immune-deficient by a chemotherapy drug, and it stimulated mouse macrophage cells in a dish. No one has tested it in people. Anticancer findings (cells and mice): Crude and purified polysaccharides from the fruiting body killed some cancer cells in dishes and lengthened life in mice with a transplanted tumour. This is early lab work. It does not show that the mushroom treats or prevents cancer in people. 4 17 1 3 5 6 13
Cellular Protection Very low certainty Anticancer findings (cells and mice): Crude and purified polysaccharides from the fruiting body killed some cancer cells in dishes and lengthened life in mice with a transplanted tumour. This is early lab work. It does not show that the mushroom treats or prevents cancer in people. Selenium-enriched mycelium polysaccharide and breast cancer (mice): Researchers grew the mushroom's mycelium in a liquid with added selenium and extracted polysaccharides from it. In mice with breast tumours, these slowed tumour growth. It is a lab-made research product, not the mushroom you eat. 1 3 5 6 13 12 15 2
Healthy Aging Low certainty As a food: what a sample contained: Studies of farmed Sicilian bailing mushroom report vitamin C, phenolic compounds and the typical mushroom aroma molecules in water extracts, and a 2005 analysis reported notable vitamin B12 and riboflavin. We found no official nutrient table and no numbers for protein, fibre or minerals. 2 11
Healthy Skin Very low certainty Antioxidant activity in skin cells (lab): Water extracts from wild and farmed bailing mushroom reduced oxidative stress markers in human skin cells in a dish. The effect went along with beta-glucan content. It is a lab finding only. 15 2
Reduce Fatigue Very low certainty Anti-fatigue findings (mice): Polysaccharides from mycelium grown in liquid culture lengthened swimming time in mice and changed blood markers of fatigue. This is a mouse test only. 21
Physical Stamina Very low certainty Anti-fatigue findings (mice): Polysaccharides from mycelium grown in liquid culture lengthened swimming time in mice and changed blood markers of fatigue. This is a mouse test only. 21
Healthy Aging Very low certainty Kidney findings (mice): A chewable tablet made from the fruiting-body polysaccharide improved kidney measures in mice with chemically induced kidney disease. It has not been tested in people. 20
Blood Pressure Support Very low certainty Blood pressure (rats): Feeding rats bred to have high blood pressure a diet with 6% dried bailing mushroom powder slowed the rise in their blood pressure. This is rat work from 2008 and has not been followed by human trials. 14
Heart Health Very low certainty Blood pressure (rats): Feeding rats bred to have high blood pressure a diet with 6% dried bailing mushroom powder slowed the rise in their blood pressure. This is rat work from 2008 and has not been followed by human trials. Heart and liver protection after injury (rats): A purified polysaccharide given to rats before an induced heart or liver injury reduced the damage. These are 2015 and 2017 rat studies, not human trials. 14 19 18
Liver Support Very low certainty Heart and liver protection after injury (rats): A purified polysaccharide given to rats before an induced heart or liver injury reduced the damage. These are 2015 and 2017 rat studies, not human trials. 19 18
Gut Health Not enough evidence Feeding gut bacteria (lab fermentation): In a lab fermenter, gut bacteria broke down the fruiting-body polysaccharide and made more short-chain fatty acids. This shows the fibre can be fermented, not that it helps digestion. 8
Digestive Support Not enough evidence Feeding gut bacteria (lab fermentation): In a lab fermenter, gut bacteria broke down the fruiting-body polysaccharide and made more short-chain fatty acids. This shows the fibre can be fermented, not that it helps digestion. 8

B. Body systems

Connected toKind of connectionEvidence statusContextStudies
Immune system Drug or supplement interaction Very low certainty Raised immune activity in mice and cells; a theoretical caution for people on immune-suppressing medicine.
Preparation or compound: Fruiting-body polysaccharides
4 17
Blood Adverse effect or risk Very low certainty Broke open rabbit red blood cells in a dish; nothing in people.
Preparation or compound: Nebrodeolysin (purified protein)
13
Immune system Very low certainty Raised immune measures in mice and mouse cells; nothing in people.
Preparation or compound: Fruiting-body polysaccharides
4 17
Immune System Biological association Very low certainty Studied for: Immune activity (mice and cells) Studied for: Anticancer findings (cells and mice) 4 17 1 3 5 6 13 12
Metabolism Weight Biological association Low certainty Studied for: As a food: what a sample contained 2 11
Skin Hair Beauty Biological association Very low certainty Studied for: Antioxidant activity in skin cells (lab) 15 2
Energy Fatigue Biological association Very low certainty Studied for: Anti-fatigue findings (mice) 21
Kidney Urinary Biological association Very low certainty Studied for: Kidney findings (mice) 20
Heart Circulation Biological association Very low certainty Studied for: Blood pressure (rats) Studied for: Heart and liver protection after injury (rats) 14 19 18
Hepatic System Biological association Very low certainty Studied for: Heart and liver protection after injury (rats) 19 18
Digestive System Biological association Not enough evidence Studied for: Feeding gut bacteria (lab fermentation) 8

I. Biomarkers

Connected toKind of connectionEvidence statusContextStudies
Thymus and spleen indices (immune organ weights) Biological association Very low certainty Measured in trials: raised. A lab change is not the same as a health benefit. 4
Blood IgM and IgG (antibodies) in mice Biological association Very low certainty Measured in trials: raised. A lab change is not the same as a health benefit. 4
Life span of tumour-bearing mice Biological association Very low certainty Measured in trials: raised. A lab change is not the same as a health benefit. 1
Cancer-cell growth and cell death in dishes Biological association Very low certainty Measured in trials: lowered. A lab change is not the same as a health benefit. 3 5 6
Phenolics and vitamin C in a water extract Biological association Low certainty Measured in trials: not-applicable. A lab change is not the same as a health benefit. 2
Free radicals (ROS) and mitochondrial superoxide (SOX) in skin cells Biological association Very low certainty Measured in trials: lowered. A lab change is not the same as a health benefit. 15
Weight-loaded swimming time in mice Biological association Very low certainty Measured in trials: raised. A lab change is not the same as a health benefit. 21
Systolic blood pressure in hypertensive rats Biological association Very low certainty Measured in trials: lowered. A lab change is not the same as a health benefit. 14
Short-chain fatty acids in lab fermentation Biological association Very low certainty Measured in trials: raised. A lab change is not the same as a health benefit. 8

J. Genes, receptors and enzymes

Connected toKind of connectionEvidence statusContextStudies
Nrf2 / Keap1 Preliminary mechanism Hypothesis Suggested by authors as the pathway behind a swimming-time effect in mice. 21
Caspase-3 and caspase-9 Preliminary mechanism In vitro Cell-death enzymes raised in lung cancer cells treated with a polysaccharide. 3

L. Active compounds

Connected toKind of connectionEvidence statusContextStudies
Beta-glucans Biological association In vitro Fibre-like sugars. A 2025 paper found antioxidant activity in skin cells went along with beta-glucan content. Lab only.
Preparation or compound: Fruiting body extract fractions
1 15
PNPS (hot-water polysaccharide) Biological association In vitro Fermented by gut bacteria in the lab into short-chain fatty acids.
Preparation or compound: Fruiting body
8
Gallic acid and other phenolics Biological association In vitro Antioxidant in test-tube assays; no human outcome.
Preparation or compound: Fruiting body water extract
2
Ascorbic acid (vitamin C) Biological association In vitro Measured in an extract; a small amount.
Preparation or compound: Fruiting body water extract
2
1-Octen-3-ol and hexanal Biological association Food chemistry Typical mushroom aroma; freeze-thaw extraction kept more than ultrasound.
Preparation or compound: Fruiting body
2
Vitamin B12 and riboflavin Biological association Food chemistry Nutrient content reported for cultivated mushrooms; amounts and form not given.
Preparation or compound: Fruiting body
11
Nebrodeolysin Biological association In vitro Broke open red blood cells and was toxic to cell lines in dishes; anti-HIV-1 activity in cell culture only.
Preparation or compound: Fruiting body
13

Each connection is stored with the ingredient, the connected record, the kind of connection, the evidence status, the supporting studies, the preparation or compound involved, and a review date (last reviewed October 25, 2026).

Evidence at a glance: what changed in 8 lab markers

Tap a number to show only those markers. Counts are markers, not people.

The evidence

The research centre for Bailing mushroom. Every record here was checked against PubMed or the publisher's page; we never list a study we have not verified.

Evidence by outcome

Bars show how many studies we found for each outcome, not how well it works. People are added up across trials only (reviews are not added, to avoid double counting).

How we rate evidence

High certainty

Several well-run trials or reviews agree; further research is unlikely to change the picture much.

Moderate certainty

Good trials point the same way, but some doubt remains.

Low certainty

Small, short or inconsistent trials. The finding could change with better research.

Very low certainty

Very little or very weak human data. Treat as a possibility only.

Mixed findings

Trials or reviews disagree with each other.

Not enough evidence

Not enough human research to say either way.

Evidence against

Good research found no benefit, or found harm.

We take the reviewers' own risk-of-bias and GRADE statements where they exist, and otherwise judge from study size, design, consistency, directness and whether a product matches what is sold. Many publications do not make evidence high. Method note: We read PubMed records and abstracts for 23 sources (laboratory and animal studies, three taxonomy papers, two food-analysis papers and one metal survey), the open-access full text of three papers, and the GBIF taxonomy and conservation record. Numbers come from the text read; most are from abstracts. Certainty ratings are the compiler's own reading.

Study library: every study we checked 23
StudyDesignPeopleProduct, dose, lengthResult
Cha 2012
Anticancer and Immunopotentiating Activities of Crude Polysaccharides from Pleurotus nebrodensis on Mouse Sarcoma 180.
Mycobiology · PMID 23323048 · DOI
Animal study
mouse
Mice with an implanted sarcoma 180 tumour; four cell lines in dishes Three crude polysaccharide extracts (methanol, neutral salt and hot-water fractions) of a commercial fruiting body sold in Korea
Fruiting body (crude polysaccharide fractions) Not shown here Injection into the abdomen for 10 days (mice)
The extracts were not toxic to four cell lines at the concentrations tested. Injected into the abdomen of tumour-bearing mice, they lengthened life span by 11.76 to 27.06%. The salt fraction raised spleen-cell numbers 1.49-fold and the hot-water fraction raised a B-cell marker 1.65-fold. TNF-alpha, IL-1 beta and IL-6 rose. Beta-glucan made up 23.79 to 36.63 g per 100 g of the dried extracts.
Life span of tumour mice longer by 11.76 to 27.06%
Methods, limits and funding

Outcomes: Cell toxicity, life span of tumour-bearing mice, spleen-cell numbers, immune signals

Limitations: Injected extracts in mice with one transplanted tumour type. The authors suggest a possible use in treating cancer; this study cannot show that. The commercial Korean strain may be the farmed Asian mushroom rather than the Sicilian one.

Funding and conflicts: Korean university; funding not checked

Read: full text (open access, PMC3538970)

Cirlincione 2026
Antioxidant and Aromatic Properties of Aqueous Extracts of Pleurotus nebrodensis as Potential Food Ingredients.
Foods · PMID 41596895 · DOI
Food analysis
fungus
Farmed Pleurotus nebrodensis fruiting bodies from the PLEURON project, Castelbuono, Sicily, air-dried Two water extracts, one by freeze-thaw and one by ultrasound
Fruiting body (water extracts) Not shown here Laboratory analysis
Ultrasound extracts had more phenolics (5.05 vs 4.02 ug per g dry weight) and flavonoids (0.74 vs 0.23) but less procyanidins (12.33 vs 15.93) and ascorbic acid (6.23 vs 7.02) than freeze-thaw extracts. Gallic acid was the most abundant phenolic (92.48 and 103.24 ug per g). Freeze-thaw kept more of the aroma compounds 1-octen-3-ol and hexanal. Extract yields were 45.3 and 40.3%.
Composition of extracts only; no health outcome
Methods, limits and funding

Outcomes: Phenolics, flavonoids, procyanidins, vitamin C, antioxidant tests, aroma compounds

Limitations: Extracts, not whole mushrooms, so values do not describe what a meal provides. Farmed Sicilian strain only. No nutrition table.

Funding and conflicts: Mushrooms came from the PLEURON project, funded by the Sicilian Regional Administration (per the paper's introduction); no company funding seen

Read: full text (open access, PMC12841083)

Cui 2014
Pleurotus nebrodensis polysaccharide induces apoptosis in human non-small cell lung cancer A549 cells.
Carbohydrate Polymers · PMID 24607184 · DOI
Laboratory research
cell
Human lung cancer cells (A549) and normal human fetal lung fibroblast cells (MRC-5) in dishes A purified polysaccharide called PN50G
Fruiting body (polysaccharide) Not shown here Cell culture
PN50G caused cell death in the lung cancer cells in a dose-dependent way and did not affect the normal lung fibroblast cells. Caspase-3 and caspase-9 messenger RNA rose.
Dose-dependent cancer-cell death in a dish; no effect on one normal cell line
Methods, limits and funding

Outcomes: Cancer-cell growth, cell death (apoptosis), DNA damage, caspase signals

Limitations: Cells in a dish only. Cell experiments rarely carry over to people.

Funding and conflicts: Not stated in the abstract

Read: abstract

Cui 2015
Pleurotus nebrodensis polysaccharide (PN-S) enhances the immunity of immunosuppressed mice.
Chinese Journal of Natural Medicines · PMID 26481376 · DOI
Animal study
mouse
Mice made immune-deficient with the chemotherapy drug cyclophosphamide A polysaccharide called PN-S purified from the fruiting body
Fruiting body (polysaccharide) Not shown here
PN-S reversed the weight loss caused by the drug, raised thymus and spleen indices, and increased immune-cell growth, natural killer cell activity, IgM, IgG, macrophage engulfing activity and several cytokines (IL-6, TNF-alpha, interferon-gamma, iNOS).
Higher immune measures than drug-only mice; no sizes or p values in the abstract
Methods, limits and funding

Outcomes: Weight, thymus and spleen indices, immune-cell growth, natural killer cell activity, IgM and IgG, macrophage activity, cytokines

Limitations: Mouse study only, with a purified polysaccharide. It says nothing about people eating the mushroom. The abstract gives no numbers.

Funding and conflicts: Not stated in the abstract

Read: abstract

Cui 2016
Polysaccharide from Pleurotus nebrodensis induces apoptosis via a mitochondrial pathway in HepG2 cells.
Food & Function · PMID 26506946 · DOI
Animal study
mouse and cells
Human liver cancer cells (HepG2) in dishes and mice carrying HepG2 tumours A purified alkali-extracted polysaccharide called PNA-2
Fruiting body (polysaccharide) Not shown here Cell culture; mouse tumour model
PNA-2 slowed the growth of the liver cancer cells, caused cell death, reduced cell migration and damaged their DNA. It also suppressed tumour growth in the tumour-bearing mice (no size in the abstract).
Lower cancer-cell growth and smaller mouse tumours; no numbers in the abstract
Methods, limits and funding

Outcomes: Cancer-cell growth, cell death, migration, DNA damage, tumour growth in mice

Limitations: Cell and mouse work with a purified compound. The authors call it a possible drug or food factor; that is a hope, not a finding in people.

Funding and conflicts: Not stated in the abstract

Read: abstract

Fontana 2014
In vitro antitumor effects of the cold-water extracts of Mediterranean species of genus Pleurotus (higher Basidiomycetes) on human colon cancer cells.
International Journal of Medicinal Mushrooms · PMID 24940904 · DOI
Laboratory research
cell
Human colon cancer cells (HCT116) in dishes Cold-water extracts of Pleurotus eryngii var. ferulae and of Pleurotus nebrodensis
Whole mushroom (cold-water extract) Not shown here Cell culture
Both extracts reduced cell survival, promoted cell death, reduced cell migration and changed cell-to-cell adhesion and ERK1/2 phosphorylation in the colon cancer cells.
Lower cancer-cell survival in a dish
Methods, limits and funding

Outcomes: Cell survival, cell death, cell movement, cell adhesion, ERK1/2 signalling

Limitations: Cells in a dish only. The abstract does not say which strain or part was used or give numbers.

Funding and conflicts: Italian university groups; funding not stated in the abstract

Read: abstract

GBIF Secretariat 2026
GBIF Backbone Taxonomy: Pleurotus nebrodensis (Inzenga) Quel., species match, synonym list and IUCN category
GBIF API · Source
Taxonomy record
fungus
n/a n/a
GBIF returns Pleurotus nebrodensis (Inzenga) Quel. as ACCEPTED, species, key 3329478, family Pleurotaceae, order Agaricales. Synonyms listed: Agaricus fossulatus Cooke, Agaricus nebrodensis Inzenga, Pleurotus cardarella var. nebrodensis, Pleurotus eryngii var. nebrodensis, Pleurotus fossulatus. The attached IUCN record is Pleurotus nebrodensis ssp. nebrodensis, category CRITICALLY_ENDANGERED. GBIF lists the Chinese farmed mushroom as Pleurotus tuoliensis (C.J.Mou) M.R.Zhao & Jin X.Zhang, accepted, IUCN not evaluated.
Naming and conservation record only
Methods, limits and funding

Outcomes: Accepted name, rank, family, synonyms and the IUCN category attached to the record

Limitations: Taxonomy record read on 2026-10-25 through the GBIF API. Index Fungorum was not opened. GBIF's IUCN category may be older than the latest IUCN assessment, and the IUCN website itself was not reachable.

Funding and conflicts: Public biodiversity database

Read: API record

Gao 2020
Polysaccharide from Pleurotus nebrodensis: Physicochemical, structural characterization and in vitro fermentation characteristics.
International Journal of Biological Macromolecules · PMID 33080265 · DOI
Laboratory research
lab
A polysaccharide (PNPS) extracted from the fruiting body with hot water, then ethanol; lab fermentation with gut bacteria Hot-water polysaccharide
Fruiting body (polysaccharide) Not shown here 48 to 72 h in a lab fermenter
PNPS was 97.20% sugar, mostly glucose (89.22 mol%) with some mannose (5.60) and galactose (5.18), and a molecular weight of about 5,012 kDa. Gut bacteria in the lab fermented it and made more short-chain fatty acids than controls after 48 hours, mainly acetic, then propionic and butyric acid; pH fell from 6.95 to 4.70.
More short-chain fatty acids in a lab fermentation
Methods, limits and funding

Outcomes: Structure, short-chain fatty acids, pH, sugar breakdown

Limitations: A laboratory fermentation, not a person's gut. It shows the polysaccharide can feed bacteria in a dish, not that it helps digestion.

Funding and conflicts: Not stated in the abstract

Read: abstract

Gargano 2011
Building the jigsaw puzzle of the critically endangered Pleurotus nebrodensis: historical collection sites and an emended description.
Mycotaxon · Source
Field survey
fungus
Historical collecting sites in Sicily n/a
Historical collection sites in Sicily were retraced using rediscovered documents and local interviews, and visited in 2009. They were checked for the rare mushroom, confirming a continuing decline in fruiting. The authors emphasise the need for stronger action to safeguard it.
Continuing decline in fruiting at old sites (2009 visits)
Methods, limits and funding

Outcomes: Presence of fruiting at old collecting sites; emended description

Limitations: Abstract read via Europe PMC (record IND44619156); not indexed on PubMed. A 2009 survey; later changes are not covered.

Funding and conflicts: Not stated in the abstract

Read: abstract (Europe PMC)

He 2016
Phylogenetic relationship of two popular edible Pleurotus in China, Bailinggu (P. eryngii var. tuoliensis) and Xingbaogu (P. eryngii), determined by ITS, RPB2 and EF1alpha sequences.
Molecular Biology Reports · PMID 27075657 · DOI
Taxonomy review
fungus
Bailinggu, P. eryngii and P. nebrodensis strains DNA sequences of three genes
Not shown here Analysis
Sequence differences show that Bailinggu, P. eryngii and P. nebrodensis are three distinct species, and P. eryngii is closer to P. nebrodensis than to Bailinggu. Bailinggu is identical to P. eryngii var. tuoliensis. The authors say it should be raised to species level or given a new name.
Bailinggu (the Chinese farmed mushroom) is not P. nebrodensis
Methods, limits and funding

Outcomes: Whether Bailinggu, P. eryngii and P. nebrodensis are different species

Limitations: Abstract only; a taxonomy paper. Naming has been changing since.

Funding and conflicts: Not stated in the abstract

Read: abstract

La Guardia 2005
On the chemical composition and nutritional value of pleurotus taxa growing on umbelliferous plants (apiaceae).
Journal of Agricultural and Food Chemistry · PMID 16028987 · DOI
Food analysis
fungus
Cultivated fruiting bodies of four Pleurotus taxa that grow on Apiaceae plants Laboratory analysis of fats, sugars, nitrogen, water, vitamins, ash and energy
Fruiting body Not shown here Laboratory analysis
The authors conclude that these mushrooms suit every type of diet because of low calories, gastronomic value, vitamins and mineral salts. They note a high content of vitamin B12 and riboflavin in P. nebrodensis. The abstract gives no numbers.
Composition described; no numbers in the abstract
Methods, limits and funding

Outcomes: Composition and energy value

Limitations: Abstract only, no numbers. Mushrooms are not a reliable B12 source in general; this one claim comes from one 2005 analysis of cultivated mushrooms. It does not say how much B12 a serving would give or whether it is the form people absorb.

Funding and conflicts: Italian university; funding not stated in the abstract

Read: abstract

Liu 2026
Mycelial biotransformation of selenium-enriched polysaccharides from Pleurotus nebrodensis suppress breast cancer via mitochondrial apoptosis and immune microenvironment remodeling.
International Journal of Biological Macromolecules · PMID 42702312 · DOI
Animal study
mouse and cells
Mouse breast cancer cells (4T1) in dishes and mice with 4T1 tumours Selenium-enriched polysaccharides from liquid-culture mycelium grown with added sodium selenite
Mycelium (liquid culture) polysaccharide Not shown here Cell culture; oral treatment in mice
The more selenium-rich fraction (Se-PNP-2) slowed cancer-cell growth, movement and invasion in a dose-dependent way. Taken by mouth, the selenium polysaccharides inhibited tumour growth in mice 'without observable toxicity', comparable to cyclophosphamide, and shifted immune signals (TNF-alpha and interferon-gamma up, IL-10 and TGF-beta1 down).
Smaller mouse tumours, similar to a chemotherapy drug; no numbers in the abstract
Methods, limits and funding

Outcomes: Cancer-cell growth, migration, invasion, cell death, tumour growth, immune signals, signs of toxicity

Limitations: A lab-made mycelium product, enriched with selenium, in mice and cells. It is not the mushroom and not a food. 'No observable toxicity' in mice is not a human safety finding.

Funding and conflicts: Chinese university group; funding not stated in the abstract

Read: abstract

Lv 2009
Nebrodeolysin, a novel hemolytic protein from mushroom Pleurotus nebrodensis with apoptosis-inducing and anti-HIV-1 effects.
Phytomedicine · PMID 18722099 · DOI
Laboratory research
lab
Rabbit red blood cells and several human and mouse cell lines in dishes A purified protein (nebrodeolysin, about 27 kDa) isolated from the fruiting body
Fruiting body (purified protein) Not shown here Laboratory
The protein broke open rabbit red blood cells and caused potassium to leak from them. It was toxic to five cell lines (Lu-04, Bre-04, HepG2, L929, HeLa), induced cell death in two of them, and showed anti-HIV-1 activity in a cell culture.
Strong red-cell breakage and cell toxicity in a dish
Methods, limits and funding

Outcomes: Red-cell breakage (hemolysis), cell toxicity, cell death, anti-HIV-1 activity in cell culture

Limitations: A purified protein tested in test tubes. The abstract does not say whether cooking changes this protein, how much the mushroom holds, or whether eating the mushroom exposes anyone to it. It is a reason to be careful, not proof of harm.

Funding and conflicts: Chinese university group; funding not stated in the abstract

Read: abstract

Miyazawa 2008
Antihypertensive effect of Pleurotus nebrodensis in spontaneously hypertensive rats.
Journal of Oleo Science · PMID 19001780 · DOI
Animal study
rat
Spontaneously hypertensive rats and control rats Diets made from fruiting body: dry powder, hot-water extract, polysaccharide, protein and other fractions
Fruiting body (powder and fractions) Not shown here Single dose and 16 weeks of feeding
In single-dose tests the protein fraction, hot-water extract and polysaccharide fraction lowered systolic blood pressure for about 2 hours; it returned to starting level after 48 hours. In 16 weeks of feeding, the 6% dry-powder diet significantly inhibited the rise in blood pressure compared with controls, with no effect on total cholesterol or triglycerides. The authors suggest it could prevent and improve high blood pressure.
Smaller rise in blood pressure in rats; no numbers in the abstract
Methods, limits and funding

Outcomes: Systolic blood pressure, cholesterol, triglycerides

Limitations: Rats bred to have high blood pressure. Does not show that eating the mushroom lowers blood pressure in people. The strain used is not stated in the abstract.

Funding and conflicts: Japanese university; funding not stated in the abstract

Read: abstract

Ratto 2025
Dual Antioxidant Activity: Preventive and Scavenger Effects of Wild and Cultivated P. nebrodensis Extracts Against ROS and SOX in Human Keratinocytes.
Antioxidants · PMID 41462638 · DOI
Laboratory research
human cells
Human skin cell line (HaCaT keratinocytes) in dishes; extracts of six wild (Piano Battaglia, Madonie, 1,687 m) and four cultivated Sicilian fruiting bodies Water extracts
Fruiting body (water extracts) Not shown here Cell culture, 24 h
Two extracts (one wild, one cultivated) reduced intracellular ROS and mitochondrial SOX, both as a preventive pre-treatment and as a direct scavenger. Glucan measurement showed a correlation between beta-glucan content and overall antioxidant activity. The paper also states the species is rare, endemic and now listed as Endangered by IUCN after being Critically Endangered.
Lower oxidative stress markers in cultured skin cells
Methods, limits and funding

Outcomes: Cell viability, free radicals (ROS) and mitochondrial superoxide (SOX) after hydrogen peroxide stress, glucan content

Limitations: Cells in a dish with doses chosen to be non-toxic. The authors suggest uses in skin products; that is untested in people.

Funding and conflicts: Italian university groups; funding not checked

Read: full text (open access, PMC12729980)

Venturella 2016
Taxonomic Identity, Geographic Distribution, and Commercial Exploitation of the Culinary-Medicinal Mushroom Pleurotus nebrodensis.
International Journal of Medicinal Mushrooms · PMID 27279445 · DOI
Taxonomy review
fungus
Sequence data in the NCBI database deposited as P. nebrodensis In silico comparison of ITS rRNA gene sequences
Not shown here Analysis
All 'P. nebrodensis' material examined from China (plus several sequences of unknown origin) corresponded to P. eryngii subsp. tuoliensis, with only two exceptions that grouped with P. eryngii in the strict sense. The authors say it is very probable that many or most commercial strains sold as P. nebrodensis are not the real species, and that real material from Italy and Greece is certified at the University of Palermo and the Agricultural University of Athens.
Most commercial 'P. nebrodensis' is probably a different mushroom
Methods, limits and funding

Outcomes: Which species the commercial 'P. nebrodensis' material really is

Limitations: Abstract only. A sequence analysis of public data, not a test of products on sale.

Funding and conflicts: Not stated in the abstract

Read: abstract

Wang 2014
Bidirectional immunomodulatory activities of polysaccharides purified from Pleurotus nebrodensis.
Inflammation · PMID 23963923 · DOI
Laboratory research
cell
Mouse macrophage cell line (RAW264.7) in a dish A purified proteo-polysaccharide called PN50G
Fruiting body (polysaccharide) Not shown here
PN50G improved macrophage engulfing activity and raised TNF-alpha, IL-6, IL-10 and iNOS. In cells stimulated with LPS, the ratios of inflammatory to anti-inflammatory signals fell with PN50G in a dose-dependent way.
Raised immune signals in resting cells; lowered inflammatory ratios in overstimulated cells
Methods, limits and funding

Outcomes: Macrophage engulfing activity, TNF-alpha, IL-6, IL-10, iNOS, and inflammatory ratios in cells stimulated with LPS

Limitations: Cells in a dish only. A mouse cell line, not human cells, and not a living body.

Funding and conflicts: Not stated in the abstract

Read: abstract

Wang 2017
A polysaccharide (PNPA) from Pleurotus nebrodensis ameliorates hepatic ischemic/reperfusion (I/R) injury in rats.
International Journal of Biological Macromolecules · PMID 28709897 · DOI
Animal study
rat
Rats given a model liver injury (blocked then restored blood flow) A purified polysaccharide called PNPA
Fruiting body (polysaccharide) Not shown here Pretreatment before injury
Rats given PNPA had less liver damage than injured rats without it, lower inflammatory signals (IL-1 beta, IL-6, TNF-alpha, NF-kB) and fewer cell-death signals.
Less liver damage in rats; no numbers in the abstract
Methods, limits and funding

Outcomes: Liver enzymes (AST, ALT), liver tissue damage, antioxidant and inflammation markers

Limitations: Pretreatment in rats only. It does not show protection for a person's liver and says nothing about liver safety of eating the mushroom.

Funding and conflicts: Not stated in the abstract

Read: abstract

Yan 2015
A polysaccharide (PNPA) from Pleurotus nebrodensis offers cardiac protection against ischemia-reperfusion injury in rats.
Carbohydrate Polymers · PMID 26344247 · DOI
Animal study
rat
Rats given a model heart injury (blocked then restored blood flow) A purified polysaccharide called PNPA (105 kDa)
Fruiting body (polysaccharide) Not shown here 30 days of pretreatment, then injury
Pretreatment with PNPA for 30 days made the infarct smaller than in untreated injured rats, restored antioxidant enzymes (SOD, CAT, GSH), lowered MDA and reduced heart-cell death.
Smaller infarct size in rats; no numbers in the abstract
Methods, limits and funding

Outcomes: Heart-attack size (infarct size), antioxidant enzymes, cell death

Limitations: Rats given the compound before the injury. This does not show benefit after a heart attack or in people.

Funding and conflicts: Not stated in the abstract

Read: abstract

Yu 2026
Pleurotus nebrodensis Mushroom (Agaricomycetes) Polysaccharide Chewable Tablets Alleviate Adenine-Induced Chronic Kidney Disease.
International Journal of Medicinal Mushrooms · PMID 42868535 · DOI
Animal study
mouse
Mice with kidney disease induced by adenine A polysaccharide chewable tablet (20% polysaccharide, with maltose, mannitol and other fillers)
Fruiting body polysaccharide (formulated tablet) Not shown here Daily in mice; length not stated in the abstract
In the mouse experiment, the tablet improved kidney function, raised antioxidant activity and reduced inflammation at both doses tested. The authors suggest polysaccharide dietary supplements could be developed for kidney disease.
Improved kidney measures in mice; no numbers in the abstract
Methods, limits and funding

Outcomes: Kidney function, antioxidant activity, inflammation

Limitations: A 2026 mouse paper on a formulated tablet. Mouse kidney disease caused by adenine differs from human kidney disease. No human data.

Funding and conflicts: Not stated in the abstract

Read: abstract

Zeng 2024
Liquid culture of Pleurotus nebrodensis mycelium with high yield and extraction and anti-fatigue activity of its polysaccharides.
International Journal of Biological Macromolecules · PMID 39482141 · DOI
Animal study
mouse
Mice in a weight-loaded swimming test; test-tube free-radical tests Polysaccharides from liquid-culture mycelium
Mycelium (liquid culture) polysaccharide Not shown here
The polysaccharides scavenged free radicals in test tubes. In mice they lengthened weight-loaded swimming time, lowered MDA, lactate and LDH in blood, raised SOD activity and raised liver and muscle glycogen. The authors link this to the Nrf2/Keap1 pathway.
Longer swimming time in mice; no numbers in the abstract
Methods, limits and funding

Outcomes: Swimming time, blood markers of fatigue (MDA, lactate, LDH), SOD activity, liver and muscle glycogen

Limitations: Mouse swimming test with a mycelium polysaccharide made in a lab. The mouse test is not a measure of tiredness in people.

Funding and conflicts: Chinese university group; funding not stated in the abstract

Read: abstract

Zervakis 2014
A reappraisal of the Pleurotus eryngii complex - new species and taxonomic combinations based on the application of a polyphasic approach, and an identification key to Pleurotus taxa associated with Apiaceae plants.
Fungal Biology · PMID 25209640 · DOI
Taxonomy review
fungus
Pleurotus taxa that grow on roots and stem remains of Apiaceae (umbellifer) plants Mating tests, form, ecology and ribosomal gene sequences
Not shown here Analysis
P. eryngii in the strict sense forms a diverse group of varieties. P. eryngii subsp. tuoliensis is a sister group growing only on Ferula species in Asia. The existence of P. nebrodensis outside Sicily (in Greece) was reported for the first time by molecular data; P. nebrodensis subsp. fossulatus is a related Asian taxon on Prangos ferulacea. An identification key to nine Pleurotus taxa growing with Apiaceae plants is given.
Taxonomy resolved by multiple methods
Methods, limits and funding

Outcomes: How the P. eryngii complex is divided

Limitations: Abstract only. It is a scientific key for specialists, not a way for the public to identify wild mushrooms.

Funding and conflicts: Not stated in the abstract

Read: abstract

Zhu 2011
Assessment of heavy metals in some wild edible mushrooms collected from Yunnan Province, China.
Environmental Monitoring and Assessment · PMID 20976551 · DOI
Food analysis
fungus
14 wild-growing edible mushroom species from Yunnan, China, including Pleurotus nebrodensis Laboratory analysis of eight metals after microwave digestion
Fruiting body Not shown here Laboratory analysis
Across the 14 species, cadmium ranged from 0.06 to 0.58 mg/kg dry weight and lead from 0.67 to 12.9 mg/kg. Zinc, cadmium and lead in some samples were higher than legal limits. The abstract does not give results for P. nebrodensis separately.
Some samples above legal limits for zinc, cadmium and lead; species not named
Methods, limits and funding

Outcomes: Copper, zinc, iron, manganese, cadmium, chromium, nickel and lead

Limitations: Wild-growing mushrooms from one province in China. Which samples exceeded limits, and whether any were P. nebrodensis, is not in the abstract. The material may be the Asian farmed mushroom rather than the Sicilian species.

Funding and conflicts: Chinese university and government groups; funding not stated in the abstract

Read: abstract

What we do not know yet

  • No study in people of any kind: no trial, case report or safety study.
  • Most papers do not say whether the Sicilian species or the Asian farmed mushroom was tested.
  • Almost all results are from purified fractions or extracts, injected or put on cells, with no numbers in the abstracts.
  • No full nutrient table; the vitamin B12 and riboflavin point has no figures in the abstract.
  • Unknown whether cooking affects the hemolytic protein; no allergy, pregnancy, breastfeeding or children data.
  • The latest IUCN category is not confirmed here; EMA, EFSA, FDA, LiverTox and LactMed gave no statement.

How new research is added

New studies are found by a saved PubMed search and placed in a review queue. A person reads each one before it changes any evidence rating or safety wording. New publications never change ratings automatically.

Lab markers

What changed in blood or saliva tests during trials. A changed number is not the same as feeling or being healthier, and we give no "normal ranges".

Other 9

▲

Thymus and spleen indices (immune organ weights)

Raised in trials

Organ weight compared with body weight. Used in mice as a rough measure of immune capacity.

Very low certainty
Results and what it means

Why it was measured

Chemotherapy drugs shrink immune organs, so a rise is read as recovery.

Statistical vs. clinical meaning

Reported as significant; size not given in the abstract.

Safety implication

None for people; mouse result only.

StudyResultPeopleProduct
4Higher thymic and splenic indices in mice given PN-S than in drug-treated mice without it (no numbers in the abstract).Mice made immune-deficient with cyclophosphamidePN-S polysaccharide

4

▲

Blood IgM and IgG (antibodies) in mice

Raised in trials

Antibody classes made by immune cells.

Very low certainty
Results and what it means

Why it was measured

A rise suggests more active antibody-making immune cells.

Statistical vs. clinical meaning

Reported as increased; no numbers in the abstract.

Safety implication

None for people.

StudyResultPeopleProduct
4IgM and IgG levels in serum rose with PN-S treatment.Mice made immune-deficient with cyclophosphamidePN-S polysaccharide

4

▲

Life span of tumour-bearing mice

Raised in trials

How long mice with an implanted tumour lived, compared with untreated mice.

Very low certainty
Results and what it means

Why it was measured

Used in mouse cancer work as a simple outcome.

Statistical vs. clinical meaning

A mouse outcome with an injected extract.

Safety implication

None for people.

StudyResultPeopleProduct
1Life span was 11.76 to 27.06% longer after injected crude polysaccharides.Mice with implanted sarcoma 180Injection into the abdomen for 10 days

1

▼

Cancer-cell growth and cell death in dishes

Lowered in trials

How many cancer cells survive and divide in a dish after treatment.

Very low certainty
Results and what it means

Why it was measured

A first screen for whether a compound harms cancer cells.

Statistical vs. clinical meaning

Dish result only; many substances kill cancer cells in dishes.

Safety implication

The same effects on cells show these preparations are biologically active, which is also a reason for caution.

StudyResultPeopleProduct
3Lung cancer cell death rose with the polysaccharide; a normal lung fibroblast cell line was not affected.Human lung cancer cells (A549) and fibroblasts (MRC-5)PN50G polysaccharide
5Liver cancer cell growth fell and cell death rose.Human liver cancer cells (HepG2)PNA-2 polysaccharide
6Colon cancer cell survival fell and cell death rose.Human colon cancer cells (HCT116)Cold-water extract

3 5 6

●

Phenolics and vitamin C in a water extract

Not-applicable in trials

Antioxidant-type chemicals measured in a laboratory extract of dried fruiting bodies.

Low certainty
Results and what it means

Why it was measured

Shows what a food ingredient made from the mushroom contains.

Statistical vs. clinical meaning

Measured values for one batch of extracts; not a typical value for the mushroom.

Safety implication

None. Composition is not a health effect.

StudyResultPeopleProduct
2Total phenolics 4.02 (freeze-thaw) and 5.05 (ultrasound) ug per g dry weight; ascorbic acid 7.02 and 6.23 ug per g; gallic acid 92.48 and 103.24 ug per g.One farmed Sicilian batch, air-driedTwo water-extraction methods

2

▼

Free radicals (ROS) and mitochondrial superoxide (SOX) in skin cells

Lowered in trials

Reactive molecules that rise under stress and damage cells.

Very low certainty
Results and what it means

Why it was measured

Used to test whether an extract protects cells from oxidative stress.

Statistical vs. clinical meaning

Lab result in one cell line.

Safety implication

None for people.

StudyResultPeopleProduct
15Two of ten extracts lowered ROS and SOX after hydrogen peroxide stress, as a pre-treatment and as a direct scavenger.Human skin cell line in dishesWater extracts of wild and cultivated fruiting bodies

15

▲

Weight-loaded swimming time in mice

Raised in trials

A mouse test of exercise endurance and fatigue.

Very low certainty
Results and what it means

Why it was measured

A simple animal stand-in for tiredness.

Statistical vs. clinical meaning

Reported as significant; no numbers in the abstract.

Safety implication

None for people.

StudyResultPeopleProduct
21Mice given the mycelium polysaccharides swam longer; fatigue markers MDA, lactate and LDH fell.MiceMycelium polysaccharide

21

▼

Systolic blood pressure in hypertensive rats

Lowered in trials

The upper blood pressure number, measured in rats bred to have high pressure.

Very low certainty
Results and what it means

Why it was measured

Used to test whether a food affects blood pressure.

Statistical vs. clinical meaning

Reported as significant; no numbers in the abstract.

Safety implication

If it truly lowered pressure in people, it could add to blood pressure medicines; that is a theory, not a finding.

StudyResultPeopleProduct
14A 2-hour fall after one dose of several fractions; a smaller rise over 16 weeks with 6% dry powder in the diet. No effect on total cholesterol or triglycerides.Spontaneously hypertensive ratsFruiting body powder and fractions

14

▲

Short-chain fatty acids in lab fermentation

Raised in trials

Acids such as acetic acid that gut bacteria make when they ferment fibre.

Very low certainty
Results and what it means

Why it was measured

Used to see whether a fibre can feed gut bacteria.

Statistical vs. clinical meaning

Significant (p < 0.05) in a dish.

Safety implication

None.

StudyResultPeopleProduct
8Total short-chain fatty acids were higher than in the control after 48 hours; pH fell from 6.95 to 4.70.Lab fermentation with gut bacteriaPNPS polysaccharide

8

Safety

What studies and official sources say about side effects, medicines and who should check first. Each point shows what kind of evidence it comes from.

Main points to know 5
  • No human safety data were found. We searched PubMed for the species name and found 72 records, and a narrower search for human, clinical, allergy, toxicity or safety found none about people eating or taking it. There is no human trial, case report or formal safety study. This is an absence of data, not proof that it is safe. Absence of evidence
  • The name may point to a different mushroom. A DNA review found that material from China sold as P. nebrodensis matched Pleurotus eryngii subsp. tuoliensis, not the Sicilian species. A later paper repeats this. A label saying 'bailing mushroom' or 'P. nebrodensis' therefore does not tell you which mushroom you have, or whether a study applies to it. Taxonomy 16 10 2
  • Do not forage it, and never eat an unidentified wild mushroom. The wild Sicilian mushroom is rare and listed as threatened. Wild mushrooms cannot be safely identified from a description, and no source we read describes poisonous look-alikes of this species. If someone ate a wild mushroom and you are unsure what it was, call your local poison centre or emergency number. General safety 15 7
  • A lab protein from this mushroom breaks red blood cells. Researchers isolated a protein called nebrodeolysin from the fruiting body. In test tubes it broke open rabbit red blood cells and was toxic to several cell lines. We read nothing on whether cooking removes it or whether eating the mushroom exposes anyone to it. We found no report of harm in people. Laboratory research 13
  • Extracts and supplements were not assessed. The research uses lab-made polysaccharide fractions, water extracts and liquid-culture mycelium. We read nothing on the safety or content of any commercial extract, capsule or mycelium-on-grain product sold under this name. Gap
Side effects 4
EffectHow oftenSeverity and recoveryEvidence
No adverse effects in people were found
This is the absence of any study, not a finding that nothing happens.
No human studiesunknown
unknown
Absence of evidence
No observable toxicity in mice given selenium-enriched mycelium polysaccharides by mouth
The abstract says tumour growth was inhibited 'without observable toxicity'. A lab-made mycelium product in mice does not show safety in people.
One mouse studynot applicable
not applicable
Animal research 12
Red-blood-cell breakage and cell toxicity by a purified protein (lab only)
Test-tube result with a purified protein; not a report of harm from eating the mushroom.
Laboratory resultnot applicable
not applicable
Laboratory research 13
Crude polysaccharides were not toxic to four cell lines at the concentrations tested
Cell-dish result. Not a safety finding for people.
One studynot applicable
not applicable
Laboratory research 1
Liver

We found no case report of liver injury from this mushroom. Rat studies used a purified polysaccharide to protect liver tissue after an induced injury, which says nothing about its safety for the human liver. LiverTox and LactMed (the US National Library of Medicine databases) were searched in the NCBI Bookshelf and returned nothing for Pleurotus, so no statement is made. 18

How often. No liver cases found.

Monitoring. No monitoring advice applies to eating the mushroom. Anyone with liver disease can ask their doctor about any new supplement.

This is a safety connection. It is not evidence that Bailing mushroom supports liver health.

Medicines and supplements 4
WithWhy it mattersImportanceEvidenceWhat to do
Immunosuppressant medicines, organ transplant, autoimmune conditions
prescription
A polysaccharide from the fruiting body raised immune activity in mice and in a mouse macrophage cell line. A stronger immune signal could in theory work against medicines that damp the immune system.No interaction has been reported. No study tested this in people or with these medicines.Theoretical Very low certainty 4 17If you take immune-suppressing medicine or have had a transplant, ask your doctor or pharmacist before using any extract.
Cancer treatment (chemotherapy and others)
prescription
The mouse work used cyclophosphamide as a model and found immune-stimulating and anticancer effects of polysaccharides. Whether it helps, harms or changes a treatment in people was not studied.No data in people.None found Not enough evidence 1 12Tell your cancer team about any mushroom extract or supplement. Do not use it in place of treatment.
Blood pressure medicines
prescription
Fruiting-body powder slowed the rise in blood pressure in hypertensive rats. An added effect with blood pressure medicines is a theory.No interaction reported; not tested in people.Theoretical Very low certainty 14Do not change blood pressure medicine because of a mushroom. Ask a doctor or pharmacist if you plan to use an extract.
Any other medicine or supplement
prescription
Not studiedNo source we read documents an interaction. That is not proof there is none.None found Not enough evidence Ask a pharmacist if you take regular medicines and plan to use an extract.
Who should check first 4
SituationAdviceEvidence
Known mushroom allergy, or asthma that flares around mushroomsAvoid it and ask an allergist. No allergy report for this species was found, but mushroom allergy exists in general.None found
Pregnancy, breastfeeding and young childrenNo source we read covers these. This page cannot give advice. Ask a doctor or midwife, especially about any extract or supplement.None found
Organ transplant, immune-suppressing medicine, autoimmune condition or cancer treatmentAsk your specialist before using any extract of this mushroom. The caution is theoretical.Theoretical 4 17
Wild collection or picking any wild mushroom to eatDo not eat a wild mushroom unless an expert has identified it. This species is rare and should not be picked.General safety 15
Overdose, product quality and regulators

Summary. No poisoning from eating this mushroom was found in what we read. The lab shows a hemolytic protein in the fruiting body and cytotoxic polysaccharide fractions at high concentrations in cell lines. Neither is evidence of harm from food.

Animal. Mice given selenium-enriched mycelium polysaccharides by mouth had no observable toxicity in one paper. Other animal work did not report toxicity in its abstracts. No formal toxicity study was found.

Human doses studied. No human dose has been studied. This page gives no amounts and none are advised.

High dose or long term signals. Not studied.

Overdose response. Not described in the sources read. Get medical help for severe symptoms after eating any mushroom.

Genotoxicity. Not read. The cancer-cell papers report DNA damage in cancer cells only; that is not a safety test.

Toxic or hazardous parts. Fungus. The fruiting body is the part eaten. No source we read compares caps and stalks.

Mushrooms take up metals from where they grow. We found no metal measurements for the Sicilian farmed mushroom. A Chinese survey of 14 wild-growing edible species, including P. nebrodensis, found zinc, cadmium and lead above legal limits in some samples, without saying which species. Mislabelling is a second quality problem: farmed Asian material is often sold under the Sicilian species name.

Metals in wild-growing edible mushrooms (Yunnan, China). Across 14 species, cadmium was 0.06 to 0.58 mg/kg and lead 0.67 to 12.9 mg/kg dry weight. Zinc, cadmium and lead were above legal limits in some samples. Results for P. nebrodensis alone are not in the abstract. 23

Wrong species under the name. An analysis of DNA sequences labelled P. nebrodensis found that all the Chinese material (and several sequences of unknown origin) matched P. eryngii subsp. tuoliensis, with only two exceptions that grouped with P. eryngii in the strict sense. 16 10

Pesticides, mycotoxins and microbes. No data on this mushroom were found.

BodyActionDate
IUCN Red List of Threatened Species (read through the GBIF species record) (International)The GBIF record for Pleurotus nebrodensis shows the IUCN category CRITICALLY_ENDANGERED (code CR, IUCN taxon ID 61597_2). This is a conservation status. It is not a food-safety approval or a health claim. source2026-10-25 (GBIF record read; the IUCN assessment date is not given in it)
When to get medical help
  • Trouble breathing, wheeze, swelling of the lips or throat, or widespread hives after eating any mushroom: call emergency services.
  • Vomiting, severe stomach pain, confusion or dark urine after eating a wild mushroom you could not identify: call your local poison centre or emergency number at once.
  • If you take immune-suppressing medicine, have had a transplant or are on cancer treatment and plan to use an extract: speak to your specialist first.

If someone may be poisoned or in a crisis, contact a clinician or emergency service straight away. In the US, Poison Control is 1-800-222-1222.

General information only, not medical advice. Ask a clinician or pharmacist before use, especially with medicines, in pregnancy or with a health condition. See the Natural Remedy Safety guide.

Frequently asked questions

Is bailing mushroom the same as king oyster?

They are close relatives in the oyster-mushroom genus, but not the same. Researchers say the mushroom farmed in China as bailinggu is usually Pleurotus eryngii subsp. tuoliensis, a member of the king oyster group, and not the rare Sicilian Pleurotus nebrodensis.

16 10 22

Why is the name confusing?

A sequence analysis found that all the Chinese material examined under the name P. nebrodensis matched a different taxon, with only two exceptions. Many studies do not say which mushroom they used, so a result may not describe the Sicilian species.

16 2

Is bailing mushroom safe to eat?

It is eaten as a food, but we found no study in people and no safety study. A protein from it broke red blood cells in a dish, and we read nothing on whether cooking changes that. This is not proof of harm, and it is not proof of safety.

13

Does it fight cancer or boost immunity?

Not shown in people. Extracts killed some cancer cells in dishes and helped mice in lab models. The extracts were purified or injected, which is not like eating the mushroom.

1 3 5 4

Can I pick it in Sicily?

Please do not. It is rare, and a 2025 paper says over-harvesting and habitat loss caused it to be listed as threatened by IUCN. Farmed mushrooms are grown for this reason.

15 9

What does bailing mushroom contain?

A 2026 Sicilian study of water extracts found vitamin C and phenolic compounds (gallic acid the most abundant) and aroma molecules. Beta-glucan makes up a large share of some extract fractions. These are extract values for one batch, not a nutrient table for the mushroom.

2 1

Is it a good source of vitamin B12?

A 2005 abstract called its B12 and riboflavin content noteworthy but gave no amounts. We cannot say how much a serving gives, so do not rely on it as a B12 source.

11

Does it interact with medicines?

No interaction has been reported, but nothing was tested in people. Because a polysaccharide raised immune activity in mice, people on immune-suppressing medicine or with a transplant should ask their doctor or pharmacist first.

4 17

Are metals or contamination a concern?

We found no metal measurements for the farmed Sicilian mushroom. A survey of wild edible mushrooms in China that included this species found zinc, cadmium and lead above legal limits in some samples, without saying which species. Buy from a seller who names the species.

23

Is an extract or powder the same as the mushroom?

No. The research used purified polysaccharides, water extracts and liquid-culture mycelium. We read nothing on any commercial extract or powder sold under this name.

12 21

Is it safe in pregnancy, breastfeeding or for children?

We read no source on this, so this page cannot give advice. Ask a doctor or midwife, especially about extracts or supplements.

Is it an allergen?

No allergy report for this species was found. Mushroom allergy exists in general. If mushrooms make you wheeze or swell, avoid them and see an allergist.

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Editorial transparency
Written by
AlternativeMed editorial team. Research compiled with AI assistance, then checked against PubMed records.
Medical review
None. This page has not been reviewed by a physician or pharmacist.
First published
2026-10-25
Last substantive update
2026-10-25
How we research
We read PubMed records and abstracts for 23 sources (laboratory and animal studies, three taxonomy papers, two food-analysis papers and one metal survey), the open-access full text of three papers, and the GBIF taxonomy and conservation record. Numbers come from the text read; most are from abstracts. Certainty ratings are the compiler's own reading.
How we rate evidence
See "How we rate evidence" in the Evidence tab.
Independence
No product is promoted on this page. No affiliate links are shown. This page is information, not a recommendation to use bailing mushroom or any supplement.
Sources 23

Each source was opened and checked. Where we read only the abstract, it says so. The small numbers in the text point here.

  1. Cha YJ, Alam N, Lee JS, et al. Anticancer and Immunopotentiating Activities of Crude Polysaccharides from Pleurotus nebrodensis on Mouse Sarcoma 180.. Mycobiology. 2012. PMID 23323048. DOI 10.5941/MYCO.2012.40.4.236. (full text (open access, PMC3538970))
  2. Cirlincione F, Vurro F, Ailoaiei AM, et al. Antioxidant and Aromatic Properties of Aqueous Extracts of Pleurotus nebrodensis as Potential Food Ingredients.. Foods. 2026. PMID 41596895. DOI 10.3390/foods15020296. (full text (open access, PMC12841083))
  3. Cui H, Wang C, Wang Y, et al. Pleurotus nebrodensis polysaccharide induces apoptosis in human non-small cell lung cancer A549 cells.. Carbohydrate Polymers. 2014. PMID 24607184. DOI 10.1016/j.carbpol.2014.01.001. (abstract)
  4. Cui HY, Wang CL, Wang YR, et al. Pleurotus nebrodensis polysaccharide (PN-S) enhances the immunity of immunosuppressed mice.. Chinese Journal of Natural Medicines. 2015. PMID 26481376. DOI 10.1016/S1875-5364(15)30076-5. (abstract)
  5. Cui H, Wu S, Sun Y, et al. Polysaccharide from Pleurotus nebrodensis induces apoptosis via a mitochondrial pathway in HepG2 cells.. Food & Function. 2016. PMID 26506946. DOI 10.1039/c5fo00884k. (abstract)
  6. Fontana S, Flugy A, Schillaci O, et al. In vitro antitumor effects of the cold-water extracts of Mediterranean species of genus Pleurotus (higher Basidiomycetes) on human colon cancer cells.. International Journal of Medicinal Mushrooms. 2014. PMID 24940904. DOI 10.1615/intjmedmushr.v16.i1.50. (abstract)
  7. GBIF Secretariat. GBIF Backbone Taxonomy: Pleurotus nebrodensis (Inzenga) Quel., species match, synonym list and IUCN category. GBIF API. 2026. (API record)
  8. Gao Y, Guo Q, Zhang K, et al. Polysaccharide from Pleurotus nebrodensis: Physicochemical, structural characterization and in vitro fermentation characteristics.. International Journal of Biological Macromolecules. 2020. PMID 33080265. DOI 10.1016/j.ijbiomac.2020.10.071. (abstract)
  9. Gargano ML, Saitta A, Zervakis GI, Venturella G. Building the jigsaw puzzle of the critically endangered Pleurotus nebrodensis: historical collection sites and an emended description.. Mycotaxon. 2011. (abstract (Europe PMC))
  10. He XL, Wu B, Li Q, et al. Phylogenetic relationship of two popular edible Pleurotus in China, Bailinggu (P. eryngii var. tuoliensis) and Xingbaogu (P. eryngii), determined by ITS, RPB2 and EF1alpha sequences.. Molecular Biology Reports. 2016. PMID 27075657. DOI 10.1007/s11033-016-3982-2. (abstract)
  11. La Guardia M, Venturella G, Venturella F. On the chemical composition and nutritional value of pleurotus taxa growing on umbelliferous plants (apiaceae).. Journal of Agricultural and Food Chemistry. 2005. PMID 16028987. DOI 10.1021/jf0307696. (abstract)
  12. Liu SM, Hu JL, Yuan M, et al. Mycelial biotransformation of selenium-enriched polysaccharides from Pleurotus nebrodensis suppress breast cancer via mitochondrial apoptosis and immune microenvironment remodeling.. International Journal of Biological Macromolecules. 2026. PMID 42702312. DOI 10.1016/j.ijbiomac.2026.154358. (abstract)
  13. Lv H, Kong Y, Yao Q, et al. Nebrodeolysin, a novel hemolytic protein from mushroom Pleurotus nebrodensis with apoptosis-inducing and anti-HIV-1 effects.. Phytomedicine. 2009. PMID 18722099. DOI 10.1016/j.phymed.2008.07.004. (abstract)
  14. Miyazawa N, Okazaki M, Ohga S. Antihypertensive effect of Pleurotus nebrodensis in spontaneously hypertensive rats.. Journal of Oleo Science. 2008. PMID 19001780. DOI 10.5650/jos.57.675. (abstract)
  15. Ratto D, Venuti MT, Desiderio A, et al. Dual Antioxidant Activity: Preventive and Scavenger Effects of Wild and Cultivated P. nebrodensis Extracts Against ROS and SOX in Human Keratinocytes.. Antioxidants. 2025. PMID 41462638. DOI 10.3390/antiox14121439. (full text (open access, PMC12729980))
  16. Venturella G, Zervakis GI, Polemis E, Gargano ML. Taxonomic Identity, Geographic Distribution, and Commercial Exploitation of the Culinary-Medicinal Mushroom Pleurotus nebrodensis.. International Journal of Medicinal Mushrooms. 2016. PMID 27279445. DOI 10.1615/IntJMedMushrooms.v18.i1.70. (abstract)
  17. Wang C, Cui H, Wang Y, et al. Bidirectional immunomodulatory activities of polysaccharides purified from Pleurotus nebrodensis.. Inflammation. 2014. PMID 23963923. DOI 10.1007/s10753-013-9714-z. (abstract)
  18. Wang J, Yan B. A polysaccharide (PNPA) from Pleurotus nebrodensis ameliorates hepatic ischemic/reperfusion (I/R) injury in rats.. International Journal of Biological Macromolecules. 2017. PMID 28709897. DOI 10.1016/j.ijbiomac.2017.07.059. (abstract)
  19. Yan B, Jing L, Wang J, et al. A polysaccharide (PNPA) from Pleurotus nebrodensis offers cardiac protection against ischemia-reperfusion injury in rats.. Carbohydrate Polymers. 2015. PMID 26344247. DOI 10.1016/j.carbpol.2015.06.076. (abstract)
  20. Yu Y, Zhang L, Xu R, et al. Pleurotus nebrodensis Mushroom (Agaricomycetes) Polysaccharide Chewable Tablets Alleviate Adenine-Induced Chronic Kidney Disease.. International Journal of Medicinal Mushrooms. 2026. PMID 42868535. DOI 10.1615/IntJMedMushrooms.2026065824. (abstract)
  21. Zeng HJ, Cheng CH, Liu SM, et al. Liquid culture of Pleurotus nebrodensis mycelium with high yield and extraction and anti-fatigue activity of its polysaccharides.. International Journal of Biological Macromolecules. 2024. PMID 39482141. DOI 10.1016/j.ijbiomac.2024.136434. (abstract)
  22. Zervakis GI, Ntougias S, Gargano ML, et al. A reappraisal of the Pleurotus eryngii complex - new species and taxonomic combinations based on the application of a polyphasic approach, and an identification key to Pleurotus taxa associated with Apiaceae plants.. Fungal Biology. 2014. PMID 25209640. DOI 10.1016/j.funbio.2014.07.001. (abstract)
  23. Zhu F, Qu L, Fan W, et al. Assessment of heavy metals in some wild edible mushrooms collected from Yunnan Province, China.. Environmental Monitoring and Assessment. 2011. PMID 20976551. DOI 10.1007/s10661-010-1728-5. (abstract)

Where to buy

Check the label first. Whatever you buy, look for these:

  • Fruiting body versus mycelium on grain: the label should say which
  • The extract type and the beta-glucan amount, if stated
  • A third-party testing mark
  • Interactions: ask a pharmacist if you take medicines or blood thinners

Talk to a pharmacist or doctor before you start any supplement, especially if you take medicines. See the Safety tab for interactions.

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Education, not medical advice. This page is for general information. It does not diagnose or treat any condition and is not a substitute for care from a qualified health professional. Natural does not automatically mean safe. Ask a clinician or pharmacist before changing your care, especially if you take medication, are pregnant or breastfeeding, or have a health condition.