Mapping Mechanistic and Biological Evidence of Ganoderma lucidum-derived Bioactives in Periodontal Inflammation: A Scoping Review

Authors

  • Nor Idayanti Abd Rahman Centre of Studies Periodontology, Faculty of Dentistry , MARA University of Technology image/svg+xml
  • Hafizul Izwan Mohd Zahari Centre of Studies Periodontology, Faculty of Dentistry , Oral and Maxillofacial Disease Research Group, Faculty of Dentistry , MARA University of Technology image/svg+xml
  • Goot Heah Khor Centre of Preclinical Science Studies, Faculty of Dentistry , Oral and Maxillofacial Disease Research Group, Faculty of Dentistry , MARA University of Technology image/svg+xml
  • Nurul 'Izzah Mohd Sarmin Centre of Preclinical Science Studies, Faculty of Dentistry , Atta-ur-Rahman Institute for Natural Product Discovery , MARA University of Technology image/svg+xml

DOI:

https://doi.org/10.24191/cos.v13i2.10133

Keywords:

bioactives, host modulation, Ganoderma lucidum, periodontitis, periodontal inflammation

Abstract

Objective: Periodontal inflammation is a host-mediated condition characterized by dysregulated immune and oxidative responses, prompting increasing interest in natural bioactives compounds with potential host-modulatory properties. Ganoderma lucidum has been widely studied for its anti-inflammatory and antioxidant activities; however, evidence relating specifically to periodontal inflammation remains limited and fragmented. This study aimed to conduct a scoping review of the available experimental literature on the biological and mechanistic roles of Ganoderma lucidum-derived bioactives in periodontal inflammation. Material and methods: Electronic searches were conducted in PubMed, Scopus, and Web of Science to identify English-language studies published between 2020 and 2025. Original preclinical experimental studies evaluating Ganoderma lucidum or its bioactives fractions in periodontal or gingival inflammation models were included. Data were descriptively summarized to outline the experimental models used, types of extracts, dosages applied, inflammatory and oxidative outcomes assessed, and the molecular pathways reported. Results: Four studies met the inclusion criteria. Three used in vivo rodent models, while one combined inflamed human gingival fibroblasts in vitro with a murine ligature-induced periodontitis model. Investigated preparations included polysaccharide extracts, ethanolic extracts, spore-oil fractions, and crude extracts. Across studies, administration was associated with reduced inflammatory mediators, including tumour necrosis factor-α, interleukin-1β, prostaglandin E2, matrix metalloproteinase-1, and interleukin-8, while one study reported increased interleukin-10. Some studies also reported reduced oxidative stress markers and lower alveolar bone loss. Mechanistic evidence was limited; one study suggested JNK-related signalling involvement, whereas NF-κB-related mechanisms were discussed more indirectly. Conclusions: The available evidence suggests that G. lucidum-derived preparations may be associated with anti-inflammatory, antioxidative, and tissue-protective effects in experimental models of periodontal inflammation. However, the evidence base remains limited, heterogeneous, and restricted to short-term preclinical studies. Further research incorporating standardized extract characterization, mechanistic validation, and human clinical evaluation is needed to clarify the translational relevance of these findings.

References

Pihlstrom, B. L., Michalowicz, B. S., & Johnson, N. W. (2005). Periodontal diseases. The Lancet, 366(9499), 1809–1820. https://doi.org/10.1016/S0140-6736(05)67728-8

Kinane, D. F., Stathopoulou, P. G., & Papapanou, P. N. (2017). Periodontal diseases. Nature Reviews Disease Primers, 3, 17038. https://doi.org/10.1038/nrdp.2017.38

Hajishengallis, G., & Chavakis, T. (2021). Local and systemic mechanisms linking periodontal disease and inflammatory comorbidities. Nature Reviews Immunology, 21(7), 426–440. https://doi.org/10.1038/s41577-020-00488-6

Könönen, E., Gursoy, M., & Gursoy, U. K. (2019). Periodontitis: A Multifaceted Disease of Tooth-Supporting Tissues. Journal of clinical medicine, 8(8), 1135. https://doi.org/10.3390/jcm8081135

Chapple, I. L., & Matthews, J. B. (2007). The role of reactive oxygen and antioxidant species in periodontal tissue destruction. Periodontology 2000, 43, 160–232. https://doi.org/10.1111/j.1600-0757.2006.00178.x

Baltacıoğlu, E., Yuva, P., Aydın, G., Alver, A., Kahraman, C., Karabulut, E., & Akalın, F. A. (2014). Lipid peroxidation levels and total oxidant/antioxidant status in serum and saliva from patients with chronic and aggressive periodontitis. Oxidative stress index: a new biomarker for periodontal disease?. Journal of periodontology, 85(10), 1432–1441. https://doi.org/10.1902/jop.2014.130654

Preshaw, P. M. (2018). Host modulation therapy with anti-inflammatory agents. Periodontology 2000, 76(1), 131–149. https://doi.org/10.1111/prd.12148

Ren, S., Liu, H., Sang, Q., Lu, M., Gao, Q., & Chen, W. (2025). A review of bioactive components and pharmacological effects of Ganoderma lucidum. Food Science & Nutrition, 13(7), e70623. https://doi.org/10.1002/fsn3.70623

Suzuki, T., & Yamamoto, M. (2015). Molecular basis of the Keap1-Nrf2 system. Free radical biology & medicine, 88(Pt B), 93–100. https://doi.org/10.1016/j.freeradbiomed.2015.06.006

Tossetta, G., Fantone, S., Togni, L., Santarelli, A., Olivieri, F., Marzioni, D., & Rippo, M. R. (2024). Modulation of NRF2/KEAP1 Signaling by Phytotherapeutics in Periodontitis. Antioxidants (Basel, Switzerland), 13(10), 1270. https://doi.org/10.3390/antiox13101270

Arksey, H., & O’Malley, L. (2005). Scoping studies: towards a methodological framework. International Journal of Social Research Methodology, 8(1), 19–32. https://doi.org/10.1080/1364557032000119616

Levac, D., Colquhoun, H., & O’Brien, K. K. (2010). Scoping studies: Advancing the methodology. Implementation Science, 5, 69. https://doi.org/10.1186/1748-5908-5-69

Chen, Z., Qin, W., Lin, H., Liu, Y., Tian, Y., Zhao, X., Ding, T., Wang, Y., Mao, T., Li, J., & Shen, Y. (2023). Inhibitory effect of polysaccharides extracted from Changbai Mountain Ganoderma lucidum on periodontal inflammation. Heliyon, 9(2), e13205. https://doi.org/10.1016/j.heliyon.2023.e13205

Hossain, S., et al. (2024). Oral administration of Lingzhi or Reishi medicinal mushroom Ganoderma lucidum (Agaricomycetes) extract protects gingival tissues against proinflammatory TNF-α and oxidative stress in periodontitis model rats. International Journal of Medicinal Mushrooms, 26(8). https://doi.org/10.1615/IntJMedMushrooms.2024053946

Kim, J.-H., Choi, W.-Y., Jeong, S.-J., Park, K. H., Lee, G., Kim, M., Joo, S.-C., Kim, S., Cho, B.-J., Son, Y.-O., & Ryu, J.-H. (2024). Assessing the therapeutic potential of Ganoderma lucidum spore oil in alleviating periodontal tissue damage in murine periodontitis model. Applied Biological Chemistry, 67, 87. https://doi.org/10.1186/s13765-024-00941-3

Andini, R. F., Novrial, D., & Widodo, H. B. (2024). Effect of Ganoderma lucidum extract on tumor necrosis factor-alpha and prostaglandin E2 levels in periodontitis model Sprague Dawley rats. Dental Journal (Majalah Kedokteran Gigi), 57(3), 195–200. https://doi.org/10.20473/j.djmkg.v57.i3.p195-200

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Published

2026-09-30

How to Cite

Abd Rahman, N. I., Mohd Zahari, H. I., Khor, G. H., & Mohd Sarmin, N. 'Izzah. (2026). Mapping Mechanistic and Biological Evidence of Ganoderma lucidum-derived Bioactives in Periodontal Inflammation: A Scoping Review. Compendium of Oral Science, 13(2), 44-56. https://doi.org/10.24191/cos.v13i2.10133