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<journal-id journal-id-type="publisher-id">Front. Pharmacol.</journal-id>
<journal-title>Frontiers in Pharmacology</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Pharmacol.</abbrev-journal-title>
<issn pub-type="epub">1663-9812</issn>
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<article-id pub-id-type="publisher-id">1273786</article-id>
<article-id pub-id-type="doi">10.3389/fphar.2023.1273786</article-id>
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<subj-group subj-group-type="heading">
<subject>Pharmacology</subject>
<subj-group>
<subject>Review</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Chaga mushroom: a super-fungus with countless facets and untapped potential</article-title>
<alt-title alt-title-type="left-running-head">Fordjour et al.</alt-title>
<alt-title alt-title-type="right-running-head">
<ext-link ext-link-type="uri" xlink:href="https://doi.org/10.3389/fphar.2023.1273786">10.3389/fphar.2023.1273786</ext-link>
</alt-title>
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<contrib contrib-type="author" corresp="yes">
<name>
<surname>Fordjour</surname>
<given-names>Eric</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
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<contrib contrib-type="author">
<name>
<surname>Manful</surname>
<given-names>Charles F.</given-names>
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<sup>2</sup>
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<surname>Javed</surname>
<given-names>Rabia</given-names>
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<sup>2</sup>
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<contrib contrib-type="author">
<name>
<surname>Galagedara</surname>
<given-names>Lakshman W.</given-names>
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<sup>2</sup>
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<contrib contrib-type="author">
<name>
<surname>Cuss</surname>
<given-names>Chad W.</given-names>
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<sup>2</sup>
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<contrib contrib-type="author">
<name>
<surname>Cheema</surname>
<given-names>Mumtaz</given-names>
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<sup>2</sup>
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<contrib contrib-type="author">
<name>
<surname>Thomas</surname>
<given-names>Raymond</given-names>
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<sup>1</sup>
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<aff id="aff1">
<sup>1</sup>
<institution>Biotron Experimental Climate Change Research Centre</institution>, <institution>Department of Biology</institution>, <institution>University of Western Ontario</institution>, <addr-line>London</addr-line>, <addr-line>ON</addr-line>, <country>Canada</country>
</aff>
<aff id="aff2">
<sup>2</sup>
<institution>School of Science and the Environment</institution>, <institution>Grenfell Campus</institution>, <institution>Memorial University of Newfoundland</institution>, <addr-line>Corner Brook</addr-line>, <addr-line>NL</addr-line>, <country>Canada</country>
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<author-notes>
<fn fn-type="edited-by">
<p>
<bold>Edited by:</bold> <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/1730205/overview">Byung Hee Chun</ext-link>, Pukyong National University, Republic of Korea</p>
</fn>
<fn fn-type="edited-by">
<p>
<bold>Reviewed by:</bold> <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/1315690/overview">Shelini Surendran</ext-link>, University of Surrey, United Kingdom</p>
<p>
<ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/487133/overview">Siddhartha Kumar Mishra</ext-link>, University of Lucknow, India</p>
</fn>
<corresp id="c001">&#x2a;Correspondence: Eric Fordjour, <email>efordjo@uwo.ca</email>; Raymond Thomas, <email>rthoma2@uwo.ca</email>
</corresp>
</author-notes>
<pub-date pub-type="epub">
<day>05</day>
<month>12</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="collection">
<year>2023</year>
</pub-date>
<volume>14</volume>
<elocation-id>1273786</elocation-id>
<history>
<date date-type="received">
<day>07</day>
<month>08</month>
<year>2023</year>
</date>
<date date-type="accepted">
<day>16</day>
<month>10</month>
<year>2023</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#xa9; 2023 Fordjour, Manful, Javed, Galagedara, Cuss, Cheema and Thomas.</copyright-statement>
<copyright-year>2023</copyright-year>
<copyright-holder>Fordjour, Manful, Javed, Galagedara, Cuss, Cheema and Thomas</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/">
<p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p>
</license>
</permissions>
<abstract>
<p>
<italic>Inonotus obliquus</italic> (Chaga mushroom) is an inexpensive fungus with a broad range of traditional and medicinal applications. These applications include therapy for breast, cervix, and skin cancers, as well as treating diabetes. However, its benefits are virtually untapped due to a limited understanding of its mycochemical composition and bioactivities. In this article, we explore the ethnobotany, mycochemistry, pharmacology, traditional therapeutic, cosmetic, and prospective agricultural uses. The review establishes that several secondary metabolites, such as steroids, terpenoids, and other compounds exist in chaga. Findings on its bioactivity have demonstrated its ability as an antioxidant, anti-inflammatory, antiviral, and antitumor agent. The study also demonstrates that Chaga powder has a long history of traditional use for medicinal purposes, pipe smoking rituals, and mystical future forecasts. The study further reveals that the applications of Chaga powder can be extended to industries such as pharmaceuticals, food, cosmetics, and agriculture. However numerous publications focused on the pharmaceutical benefits of Chaga with few publications on other applications. Overall, chaga is a promising natural resource with a wide range of potential applications and therefore the diverse array of therapeutic compounds makes it an attractive candidate for various applications such as plant biofertilizers and active ingredients in cosmetics and pharmaceutical products. Thus, further exploration of Chaga&#x2019;s potential benefits in agriculture and other industries could lead to exciting new developments and innovations.</p>
</abstract>
<kwd-group>
<kwd>Chaga</kwd>
<kwd>mycochemistry</kwd>
<kwd>ethnomycology</kwd>
<kwd>pharmacology</kwd>
<kwd>agricultural uses</kwd>
<kwd>traditional uses</kwd>
</kwd-group>
<custom-meta-wrap>
<custom-meta>
<meta-name>section-at-acceptance</meta-name>
<meta-value>Ethnopharmacology</meta-value>
</custom-meta>
</custom-meta-wrap>
</article-meta>
</front>
<body>
<sec sec-type="intro" id="s1">
<title>1 Introduction</title>
<p>
<italic>Inonotus obliquus</italic> (Chaga mushroom) is a sterile tree-destroying fungus that parasitizes the trunks of living birches. It belongs to the family Hymenochaetaceae and thrives in humid parts of Europe, Asia, and North America (<xref ref-type="bibr" rid="B139">Razumov et al., 2020</xref>; <xref ref-type="bibr" rid="B1">Abu-Reidah et al., 2021</xref>). The genus <italic>Inonotus</italic> includes about 100 species in a broad sense all of which have been identified as plant pathogens (<xref ref-type="bibr" rid="B200">Zhou and Wang, 2015</xref>). The distinction reflects changes in different groupings of the species over time as taxonomists have gained a better understanding of the relationships between different fungal species (<xref ref-type="bibr" rid="B110">May et al., 2019</xref>). The species <italic>obliquus</italic> is well-known for its medicinal and pharmacological properties (<xref ref-type="bibr" rid="B9">Balandaykin and Zmitrovich, 2015</xref>).</p>
<p>The preparation methods for indigenous herbal and non-medicinal uses of Chaga vary according to tribes and cultures. In China, Chaga mushrooms are processed for multiple applications by heating and crushing in water (<xref ref-type="bibr" rid="B61">Hwang et al., 2019</xref>). The same extraction method is applied in South Korea for similar purposes (<xref ref-type="bibr" rid="B54">Hong et al., 2015</xref>). In some tribes, Chaga mushrooms are used to boost the immune system and treat various diseases including diabetes and tumors (<xref ref-type="bibr" rid="B1">Abu-Reidah et al., 2021</xref>). In folk medicine, chaga is commonly consumed as a dietary mushroom as studies show it contains high levels of antioxidants, proteins, minerals, fiber, and vitamins. Apart from diet, it also plays a role as a functional food ingredient with several reported health-promoting activities including anti-cancer, anti-inflammatory, antioxidant, and antithrombotic (<xref ref-type="bibr" rid="B102">Lindequist et al., 2005</xref>; <xref ref-type="bibr" rid="B140">Rhee et al., 2008</xref>; <xref ref-type="bibr" rid="B1">Abu-Reidah et al., 2021</xref>). Other studies report the mushrooms&#x2019; general impact on the immune system and its potential in improving insulin resistance in type 2 diabetes (<xref ref-type="bibr" rid="B38">G&#xe9;ry et al., 2018</xref>; <xref ref-type="bibr" rid="B1">Abu-Reidah et al., 2021</xref>).</p>
<p>A comprehensive literature review (1900&#x2013;2022) was conducted to assess the biological activities, mycochemical constituents, medicinal, and some nutritional potential of Chaga mushroom to supplement prior attempts focused on medicinal value (<xref ref-type="bibr" rid="B112">Milyuhina et al., 2022</xref>; <xref ref-type="bibr" rid="B170">Teplyakova et al., 2022</xref>). Globally, Chaga mushrooms are known for their therapeutic benefits, and novel bioactive metabolites in pharmaceutical, chemical, and cosmetic products (<xref ref-type="bibr" rid="B135">Peng and Shahidi, 2022</xref>). The application of Chaga is not limited to the medical field alone. The antioxidant properties of the fungus have demonstrated potential in animal production (<xref ref-type="bibr" rid="B99">Li et al., 2022</xref>). The addition of the mushroom to a nutrient matrix for livestock has been shown to increase the bioavailability of vitamin A in the digestive tract of livestock (<xref ref-type="bibr" rid="B99">Li et al., 2022</xref>). With these demonstrated benefits, the mushroom can be harnessed for use in other fields. Therefore, exploring the use of chaga in production of fertilizer can reduce environmental contamination that pose threat to both animal and plant and the overreliance on chemical fertilizer. This article therefore presents a summary of the biological functions of the Chaga mushroom linked to medical and agricultural applications.</p>
</sec>
<sec sec-type="methods" id="s2">
<title>2 Methodology</title>
<p>A systematic and comprehensive search strategy was employed to source all relevant materials. This review covers material published between the years 1900 and Nov. 2022, including periodicals, books and/or chapters, essays, research articles, review papers, theses, and minutes from meetings. Only information written in the English language was located using web search engines such as Google, Google Scholar, Pub Med, Google Books, Semantic Scholar, Science Direct, Scopus, Worldwide Science, Web of Science, JSTOR, and ResearchGate. Approximately 90 scientific documents were used for this review. The word &#x201c;Chaga&#x201d; was also cross-referenced with related phrases, such as medicinal mushrooms, phytochemistry, biological qualities, and nutritional properties using Boolean operators such as &#x2018;AND&#x2019;, &#x2018;OR&#x2019;, &#x2018;NOT&#x2019;, or &#x2018;AND NOT&#x2019;.</p>
</sec>
<sec id="s3">
<title>3 Ethnomycology description</title>
<sec id="s3-1">
<title>3.1 Scientific classification and common names of <italic>Inonotus obliquus</italic>
</title>
<p>According to <xref ref-type="bibr" rid="B36">Federhen (2012)</xref> scientific nomenclature &#x201c;INOS&#x201d; denotes fibre, &#x201c;NOTON&#x201d; denotes back, and &#x201c;OBLIQUE&#x201d; denotes unevenness of the sides (<xref ref-type="fig" rid="F1">Figure 1</xref>) (<xref ref-type="bibr" rid="B36">Federhen, 2021</xref>).</p>
<fig id="F1" position="float">
<label>FIGURE 1</label>
<caption>
<p>Taxonomic classification of Chaga mushroom.</p>
</caption>
<graphic xlink:href="fphar-14-1273786-g001.tif"/>
</fig>
<p>Common names include Chaga, &#x201c;Tschaga, Tschagapilz&#x201d; (Russian), black birch touchwood, malalon mushroom, sterile conk trunk (North America/Europe), &#x201c;Kreftjuilce&#x201d; (Cancer polypore) (Norway), &#x201c;Tikkatee&#x201d; (Finland) and &#x201c;Kabanoanatake&#x201d; (Japan) (<xref ref-type="bibr" rid="B188">Zabel, 1976</xref>; <xref ref-type="bibr" rid="B94">Lee et al., 2008</xref>; <xref ref-type="bibr" rid="B199">Zhong et al., 2009</xref>; <xref ref-type="bibr" rid="B10">Beltrame et al., 2021</xref>). Chaga has several common names: in Russia, the fungus is called Chaga, which is derived from &#x201c;Komi-Permyak,&#x201d; the language of the Kama Basin, west of the Ural Mountains, but in England and Canada, Chaga is referred to as the birch&#x2019;s sterile conk trunk (<xref ref-type="bibr" rid="B188">Zabel, 1976</xref>; <xref ref-type="bibr" rid="B94">Lee et al., 2008</xref>; <xref ref-type="bibr" rid="B199">Zhong et al., 2009</xref>; <xref ref-type="bibr" rid="B10">Beltrame et al., 2021</xref>). Owing to its therapeutic uses in modern medicine, Chaga is also known as the &#x201c;Mushroom of Immortality&#x201d;, in Japan, it is known as the &#x201c;Diamond of the Forest&#x201d; and the &#x201c;King of Plants&#x201d; in China (<xref ref-type="bibr" rid="B122">Nakajima et al., 2007</xref>; <xref ref-type="bibr" rid="B204">Zyryanova et al., 2010</xref>).</p>
</sec>
<sec id="s3-2">
<title>3.2 Distribution and ecology</title>
<p>Chaga is commonly found in cooler climates, extending from the meridian zone in the mountains to the Northern hemisphere in subarctic regions (<xref ref-type="fig" rid="F2">Figure 2</xref>). This mushroom is well known on three continents, including the cold climate regions of North America at latitudes of 45&#x2070; N&#x2013; 50&#x2070; N (Canada, the United States of America), Asia (Russia, Kazakhstan, Siberia, South Korea, Japan), and Central and Northern Europe. Although Western and Southern Europe have cold climates, Chaga is rare in these regions perhaps owing to the length of unfavorable climatic conditions (<xref ref-type="bibr" rid="B199">Zhong et al., 2009</xref>; <xref ref-type="bibr" rid="B1">Abu-Reidah et al., 2021</xref>; <xref ref-type="bibr" rid="B177">Wasser, 2021</xref>).</p>
<fig id="F2" position="float">
<label>FIGURE 2</label>
<caption>
<p>Geographical locations of Chaga mushroom.</p>
</caption>
<graphic xlink:href="fphar-14-1273786-g002.tif"/>
</fig>
</sec>
</sec>
<sec id="s4">
<title>4 The myth, rituals, and indigenous medicinal properties of chaga mushrooms</title>
<p>In addition to their nutritional value, Chaga mushrooms are featured in various myths and were used by indigenous peoples in the management and treatment of various ailments. These myths and their uses vary among tribes, countries, and localities. In Canada, the M&#xe9;tis, Cree, Ojibway, Denesuline peoples of Northern Saskatchewan, and the Gitksan peoples of British Columbia all have myths about Chaga&#x2019;s creation (<xref ref-type="bibr" rid="B203">Zmitrovich et al., 2020</xref>). It is said that &#x201c;Wisakecak,&#x201d; (a mythological character), was responsible for hurling the scab of Chaga onto the birch tree (<xref ref-type="bibr" rid="B142">Rogers, 2016</xref>; <xref ref-type="bibr" rid="B135">Peng and Shahidi, 2022</xref>). Some historians argue that Wisakecak discovered a birch tree while taking a stroll in the forest. He had been eating a piece of dried meat while wandering through the forest, and as he wandered, he became sleepy and absentmindedly threw the meat onto the tree trunk before settling under the tree and sleeping. While he slept, the meat began to rot, and the spores of the Chaga fungus began to grow on it (<xref ref-type="bibr" rid="B64">Il&#x2019;ina &#x26; Ulja&#x161;ev, 2012</xref>). When Wisakecak awoke and saw the Chaga on the tree, he mistook it for the dried meat he had thrown and attempted to consume it. However, he quickly realized his mistake and spat it out, but not before some of the spores had entered his body. He then realized that the Chaga had healing properties and decided to leave it on the tree for the benefit of humanity (<xref ref-type="bibr" rid="B141">Rogers, 2012</xref>). In Anishinaabe culture, Chaga is considered a powerful medicinal mushroom and is often used in traditional medicine. Indigenous people also used Chaga mushrooms in pipe rituals because they produce a sweet smell (<xref ref-type="bibr" rid="B203">Zmitrovich et al., 2020</xref>). The legend of Wisakecak and the Chaga mushroom is a reminder of the importance of respecting the natural world and the role that traditional knowledge plays in understanding the benefits of natural remedies (<xref ref-type="bibr" rid="B178">Wasser and Volz, 2017</xref>).</p>
<p>In Northern Saskatchewan, the Denesuline people use two long strands of Chaga powder to predict the future. The Denesuline would sometimes lay out two rows of powdered Chaga, one for each possible future event. Each line was set on fire at the same time, and whichever one finished first was thought to determine what would happen next (<xref ref-type="bibr" rid="B25">Chung et al., 2010</xref>; <xref ref-type="bibr" rid="B135">Peng and Shahidi, 2022</xref>). Again, the Denesuline of Saskatchewan used a divination procedure with finely split intestinal fungus (<xref ref-type="bibr" rid="B143">Rogers, 2006</xref>). Each pile represented a separate event that occurred at the same time and is illuminated from different ends. The pile that burns through first determines what action takes place initially. &#x201c;ETSEN DEK, ON&#x201d;, or &#x201c;it stinks while it is burning,&#x201d; is the name given to this occurrence (<xref ref-type="bibr" rid="B143">Rogers, 2006</xref>).</p>
<p>According to historical records (<xref ref-type="fig" rid="F3">Figure 3</xref>), the Khanty people of Western Siberia were the first to use Chaga medicinally, perhaps in the 12th century (<xref ref-type="bibr" rid="B146">Saar, 1991</xref>). The native Siberians would grind it up and add it to their everyday beverages, soups, and stews. Despite living in a difficult environment, the Siberians discovered that consuming chaga regularly protected against the beginning of degenerative diseases. They used it to increase vitality and live a long, healthy life. Modern Russians have noticed that cancer is not prevalent where the Chaga was traditionally utilized (<xref ref-type="bibr" rid="B136">Pilz, 2004</xref>). According to <xref ref-type="bibr" rid="B118">Moss, (2016)</xref>, the Khanty tribe regularly consumed Chaga in several forms, including tea, &#x201c;soap water,&#x201d; and smoke (<xref ref-type="bibr" rid="B118">Moss, 2016</xref>). The tea was produced by slicing Chaga into tiny pieces with a knife, and the pieces were placed into boiling water and simmered for a few minutes. Chaga tea was consumed to aid in digestion, satiate appetite, and detoxify. In the 16th century, the Russian First Nations used Chaga to treat tumors related to angiogenesis. In Siberia, indigenous people used Chaga mushrooms to treat tuberculosis, liver conditions, and stomach diseases (gastritis and ulcers) (<xref ref-type="bibr" rid="B154">Shikov et al., 2014</xref>). In modern-day Russia, Chaga is used by hunters and foragers to increase their capacity to work, and to promote endurance (<xref ref-type="bibr" rid="B154">Shikov et al., 2014</xref>).</p>
<fig id="F3" position="float">
<label>FIGURE 3</label>
<caption>
<p>Traditional and ritual uses of Chaga mushroom.</p>
</caption>
<graphic xlink:href="fphar-14-1273786-g003.tif"/>
</fig>
<p>To make &#x201c;soap water&#x201d;, the fungus was first placed in the fire. After it becomes charred like smoldering charcoal, it was placed in a bucket of boiling water and swirled until it was broken up into little chunks. The black water that was produced because of this process has excellent cleansing and disinfecting properties (<xref ref-type="bibr" rid="B107">Lukina, 1975</xref>). Women who bathed themselves with such water were never sick, and the water was also used to cleanse the vaginal area after menstruation and childbirth. In earlier times, it was also used to wash the hands, feet, and sometimes the whole body in place of soap (<xref ref-type="bibr" rid="B107">Lukina, 1975</xref>). <xref ref-type="bibr" rid="B146">Saar (1991)</xref> reported that Chaga was also used for ceremonial washing and cleansing after menstruation. It was possible that a newly born child might also be washed as part of this ceremony (<xref ref-type="bibr" rid="B154">Shikov et al., 2014</xref>).</p>
<p>In northern America, Chaga is consumed as a tea or powder, inhaled, and smoked by the Indigenous people. &#x201c;Posahkan&#x201d; and &#x201c;Wiskakecak&#x201d; are the preferred names given by Cree healers due to Chaga&#x2019;s healing virtues. The M&#xe9;tis also use Chaga for treating cancers of the breast, liver, colon, skin, cervix, and lungs, as well as for diabetes (<xref ref-type="bibr" rid="B206">Barkwell, 2018</xref>). Notably, in North America and especially in Canadian indigenous tribes including the Cree, Ojibway, Denesuline, and Gitksan, Chaga was used for the treatment and management of several diseases, including rheumatic and joint pain, infections, and tooth pain (<xref ref-type="bibr" rid="B141">Rogers, 2012</xref>). Additionally, Chaga mushroom tea was used by both the Ojibway and the Denesuline people as an antiviral agent. The Tanaina tribe in south-central Alaska in the United States of America also uses Chaga to treat toothaches (<xref ref-type="bibr" rid="B215">Turner and Cuerrier, 2022</xref>). The various uses are summarised in <xref ref-type="table" rid="T1">Table 1</xref>.</p>
<table-wrap id="T1" position="float">
<label>TABLE 1</label>
<caption>
<p>Use of Chaga as a folk medicine across cultures.</p>
</caption>
<table>
<thead valign="top">
<tr>
<th align="left">S/N</th>
<th align="left">Disease and symptoms</th>
<th align="left">Method of administration</th>
<th align="left">Tribe/Country</th>
<th align="left">References</th>
</tr>
</thead>
<tbody valign="top">
<tr>
<td align="left">1</td>
<td align="left">Anthelmintic</td>
<td align="left">Tea</td>
<td rowspan="8" align="left">Khanty/Siberia</td>
<td rowspan="8" align="left">
<xref ref-type="bibr" rid="B146">Saar, (1991)</xref>
</td>
</tr>
<tr>
<td align="left">2</td>
<td align="left">Heart disease</td>
<td align="left">Tea</td>
</tr>
<tr>
<td align="left">3</td>
<td align="left">Liver disease</td>
<td align="left">Tea</td>
</tr>
<tr>
<td align="left">4</td>
<td align="left">Disease prevention and death</td>
<td align="left">Smoke</td>
</tr>
<tr>
<td align="left">5</td>
<td align="left">Stomach disease</td>
<td align="left">Tea</td>
</tr>
<tr>
<td align="left">6</td>
<td align="left">Tuberculosis</td>
<td align="left">Tea</td>
</tr>
<tr>
<td align="left">7</td>
<td align="left">Washing of external sexual organs during menstruation and after birth</td>
<td align="left">Soap water</td>
</tr>
<tr>
<td align="left">8</td>
<td align="left">Washing of body</td>
<td align="left">Soap water</td>
</tr>
<tr>
<td align="left">9</td>
<td align="left">Arterial diseases</td>
<td align="left">Chaga infusions</td>
<td align="left">Siberia</td>
<td rowspan="3" align="left">
<xref ref-type="bibr" rid="B42">Gorbunova et al. (2005)</xref>
</td>
</tr>
<tr>
<td align="left">10</td>
<td align="left">Healing wounds</td>
<td align="left">Lotions-balsams</td>
<td align="left">Siberia</td>
</tr>
<tr>
<td align="left">11</td>
<td align="left">Joint diseases</td>
<td align="left">Chaga syrup</td>
<td align="left">Siberia</td>
</tr>
<tr>
<td align="left">12</td>
<td align="left">Rheumatic pain</td>
<td align="left">Burn a piece of Chaga black coal</td>
<td align="left">Gitksan of British Columbia/Canada</td>
<td align="left">
<xref ref-type="bibr" rid="B141">Rogers, (2012)</xref>
</td>
</tr>
<tr>
<td align="left">13</td>
<td align="left">Counterirritant in arthritis (Mugwort)</td>
<td align="left">Moxibustion treatment</td>
<td align="left">Cree/Canada</td>
<td align="left">
<xref ref-type="bibr" rid="B141">Rogers, (2012)</xref>
</td>
</tr>
<tr>
<td align="left">14</td>
<td align="left">Toothache</td>
<td align="left">Tea</td>
<td align="left">Tanaina/United States of America</td>
<td align="left">(<xref ref-type="bibr" rid="B215">Turner and Cuerrier, 2022</xref>)</td>
</tr>
</tbody>
</table>
</table-wrap>
<p>In China and Korea, empirical evidence suggests that for centuries, Chaga was traditionally taken as a tea to treat several ailments including pathogenic infections, gastrointestinal disorders, cancers, and liver disorders (<xref ref-type="bibr" rid="B132">Park et al., 2004</xref>; <xref ref-type="bibr" rid="B38">G&#xe9;ry et al., 2018</xref>; <xref ref-type="bibr" rid="B43">Gr&#xfc;ndemann et al., 2020</xref>). Similarly in Japan, Greece, and parts of eastern Europe, the mushroom has a history of use in folk medicine as a treatment for ulcers, gastritis, and tuberculosis (<xref ref-type="bibr" rid="B19">Cha et al., 2006a</xref>; <xref ref-type="bibr" rid="B130">Pan et al., 2013</xref>). It was recorded that the Grand Duke of Kievan Rus, Tsar Vladimir Monomakh, used Chaga to heal his lip tumors. Finnish soldiers used Chaga as a coffee substitute during World War II (<xref ref-type="bibr" rid="B8">Baek et al., 2018</xref>). When the troops&#x2019; supply of coffee ran short, they turned to the nearby woodlands for sclerotia, which they used to make Chaga tea.</p>
<p>According to <xref ref-type="bibr" rid="B42">Gorbunova et al. (2005)</xref>, inhabitants of Siberia have long relied on Chaga infusions for medicinal purposes. Indeed, the fact that Befungin was the first Chaga product to be isolated and used in clinical therapy has been proven by Russian experts and is now known to be an effective treatment for psoriasis. It is worth mentioning that in the middle ages, the famed physician Avicenna experimented with the use of Chaga as a source of medicinal compounds (<xref ref-type="bibr" rid="B145">Ryzhova et al., 1997</xref>; <xref ref-type="bibr" rid="B147">Safin et al., 2018</xref>). Various traditional medicinal uses of Chaga around the world are summarized below (<xref ref-type="fig" rid="F4">Figure 4</xref>).</p>
<fig id="F4" position="float">
<label>FIGURE 4</label>
<caption>
<p>Timeline events for the Chaga mushroom.</p>
</caption>
<graphic xlink:href="fphar-14-1273786-g004.tif"/>
</fig>
</sec>
<sec id="s5">
<title>5 Morphological characteristics</title>
<p>Chaga mushroom usually grows on the bark of birch trees. This association matches the Cree legend that describes a type of scab growing along the trunk of birch trees (<xref ref-type="bibr" rid="B141">Rogers, 2012</xref>). Chaga has a texture similar to loose, rubbery wood or porous, crumbly rocks (<xref ref-type="bibr" rid="B52">Hobbs, 2003</xref>). The Chaga is not the fruiting body as seen in other mushrooms, it is the sclerotia that contains the mycelium. Chaga is a parasitic fungus that infects birch trees and looks like hard rock protrusions (<xref ref-type="bibr" rid="B83">Kim, 2005</xref>). Close examination using a microscope shows a brown hypha separated without pores as well as a wide partition with 2.five to seven um in diameter. Chaga arises through the action of basidiospores contaminating the duramen of birch trees through unhealed wounds (<xref ref-type="bibr" rid="B14">Brydon-Williams, 2019</xref>). Basidiospores, which are reproductive structures produced by the Chaga fungus, can enter the tree through these wounds and then grow and spread within the tree&#x2019;s inner tissues, or duramen (<xref ref-type="fig" rid="F5">Figure 5</xref>). Over time, the Chaga fungus can form large, woody growths or cankers on the tree&#x2019;s surface, which are then harvested and processed for various uses (<xref ref-type="bibr" rid="B172">Thomas et al., 2020</xref>). The large woody growth is supported by root-like structures of the mushroom known as the mycelium. This structure grows inside the tissues of the tree and as it grows degrades the cell wall of the tree while simultaneously producing decay known as &#x2018;white rot&#x2019; (<xref ref-type="fig" rid="F5">Figure 5</xref>). The white rot degrades cellulose, hemicellulose, and lignin the major components found in the cell wall. By breaking down these materials, the Chaga fungus can extract nutrients from the tree and continue to grow and spread throughout its life (<xref ref-type="bibr" rid="B31">Deshpande and Arya, 2022</xref>).</p>
<fig id="F5" position="float">
<label>FIGURE 5</label>
<caption>
<p>The life cycle of Chaga mushroom.</p>
</caption>
<graphic xlink:href="fphar-14-1273786-g005.tif"/>
</fig>
<p>The fruiting bodies of Chaga, which appear in the form of black, irregularly shaped masses, develop between the bark and the sapwood of the tree and turn yellow to brown over time. This transformation usually takes between 2 and 12 years after the death of the birch (<xref ref-type="bibr" rid="B11">Bernicchia, 2005</xref>; <xref ref-type="bibr" rid="B38">G&#xe9;ry et al., 2018</xref>). Although the fruiting body of Chaga is usually harvested, the vegetative component rather contains more proteins as compared to the fruiting body (<xref ref-type="bibr" rid="B143">Rogers, 2006</xref>). The sclerotia of Chaga contains up to 30% betulin, a compound that is also found in birch trees. This betulin is believed to be absorbed by the Chaga fungus from the birch tree, where it is present in the form of betulinic acid. In addition to betulin, the Chaga core contains a greater amount of lanostanes, which are triterpenoids that have been shown to have a variety of potential health benefits (<xref ref-type="bibr" rid="B179">Wold et al., 2018</xref>). Betulinic acid possesses biological activities such as anti-cancer, anti-inflammatory, antiviral, and antioxidant (<xref ref-type="bibr" rid="B55">Hordyjewska et al., 2019</xref>).</p>
<p>The high concentration of melanin in the sclerotia (the hard, black outer layer of the Chaga mass) gives it its characteristic black color (<xref ref-type="bibr" rid="B214">Stamets, 2005</xref>). The sclerotia contain up to 30% betulin, while the core contains a greater amount of lanostanes. However, the harvested part of the Chaga is bicolored, consisting of the sclerotia and a golden, cork-like interior. As the Chaga mass ages, a greater proportion of its mass becomes associated with the interior rather than the sclerotia (<xref ref-type="fig" rid="F5">Figure 5</xref>) (<xref ref-type="bibr" rid="B171">Thawthong et al., 2014</xref>).</p>
</sec>
<sec id="s6">
<title>6 Mycochemistry</title>
<p>Mycochemical analysis of Chaga extracts revealed several essential primary metabolites including polysaccharides, proteins, and other compounds (<xref ref-type="bibr" rid="B81">Kim et al., 2011</xref>; <xref ref-type="bibr" rid="B135">Peng and Shahidi, 2022</xref>). As of 2022, more than 250 secondary metabolites have been identified in chaga including betulin, vanillic acid, terpenoids, and lanosterol. <xref ref-type="bibr" rid="B143">Rogers (2006)</xref> further reports that the fungus is made up of primary metabolites including minerals, proteins, and polysaccharides. Several macro and micro nutrients have been identified from Chaga extracts which include carbohydrates (<italic>&#x3b2;</italic>-glucans, xylogalactoglucose) (<xref ref-type="bibr" rid="B72">Joo et al., 2010</xref>; <xref ref-type="bibr" rid="B69">Jayachandran et al., 2017</xref>; <xref ref-type="bibr" rid="B179">Wold et al., 2018</xref>), lipids (fecostrol, episterol, <italic>&#x3b2;</italic>-sitosterol) (<xref ref-type="bibr" rid="B20">Cha et al., 2005</xref>; <xref ref-type="bibr" rid="B18">Cha et al., 2006b</xref>), polyphenols (inonoblins A, phelligridins D, ferulic acid, foscoperianol D, vanillic acid) (<xref ref-type="bibr" rid="B91">Lee et al., 2007</xref>; <xref ref-type="bibr" rid="B152">Seo and Lee, 2010</xref>).Some of these compounds are presented below:</p>
<sec id="s6-1">
<title>6.1 Polysaccharides</title>
<p>
<xref ref-type="bibr" rid="B58">Huang et al. (2012)</xref> extracted and purified five <italic>Inonotus obliquus</italic> polysaccharides (IOPS) by column chromatography, namely,; IOP1b, IOP2a, IOP2c, IOP4 and IOP3a (<xref ref-type="bibr" rid="B58">Huang et al., 2012</xref>). In one study, the authors suggest that the sugar, -(1.3)- <italic>&#x3b2;-</italic>D-mannan influences <italic>&#x3b2;</italic>-glucan properties (<xref ref-type="bibr" rid="B7">Baek et al., 2012</xref>). Recently, both <italic>&#x3b2;</italic>-glucan has been found to have a variety of health-promoting properties, including immune modulation, anti-inflammatory effects, and antioxidant activity (<xref ref-type="bibr" rid="B201">Zhu et al., 2015</xref>). Yeast, mushrooms, bacteria, and algae are all sources of a dietary fiber compound called &#x3b2; glucan. This compound is widely recognized as a polysaccharide found in Chaga mushrooms along, with galactomannan (<xref ref-type="bibr" rid="B207">Basal et al., 2021</xref>; <xref ref-type="bibr" rid="B33">Eid et al., 2021</xref>; <xref ref-type="bibr" rid="B135">Peng and Shahidi, 2022</xref>). Chaga contains 8.57% <italic>&#x3b2;</italic>-glucan (Song 2020).</p>
</sec>
<sec id="s6-2">
<title>6.2 Proteins</title>
<p>According to a study, by <xref ref-type="bibr" rid="B139">Razumov et al. (2020)</xref>, they found that chaga hydrolyzed products contain many amino acids with aspartic acid, glycine, and glutamic acid making up, around 40% of the amino acids. The remaining 60% consists of lysine, threonine, methionine, alanine, tyrosine, serine, histidine, proline, tryptophan, arginine, and cysteine (<xref ref-type="bibr" rid="B139">Razumov et al., 2020</xref>). Other forms of amino acids such as peptides have also been reported by <xref ref-type="bibr" rid="B62">Hyun et al. (2006)</xref>. In the study, the author identified a new peptide that prevents platelet aggression. In the study, analysis of the peptide using LC/MS revealed a molecular mass of 365&#xa0;Da (<xref ref-type="bibr" rid="B62">Hyun et al., 2006</xref>).</p>
</sec>
<sec id="s6-3">
<title>6.3 Mineral components</title>
<p>Chaga has been observed to have a high concentration of elements, with potassium accounting for 50% of the total ash content, sodium accounting for 9%&#x2013;13%, and manganese accounting for 1.2% (<xref ref-type="bibr" rid="B153">Shashkina et al., 2006</xref>). Other minerals such as copper, zinc, aluminum, sulfur, magnesium, phosphorus, and calcium have all been identified in chaga (<xref ref-type="bibr" rid="B139">Razumov et al., 2020</xref>).</p>
<p>Chaga also contains a significant number of mineral microelements. In their research, the scientists used x-ray fluorescence and atomic absorption spectroscopy to analyze chaga and determine its composition of macro and micro elements. Their findings revealed that chaga contains amounts of iodine, vanadium, zinc, copper, selenium, manganese, and sulphur (0.02%) rubidium (approximately 0.04%) sodium (approximately 0.05%) phosphorus (approximately 0.23%) chlorine (approximately 0.33%) calcium (approximately 0.37%) nitrogen (approximately 0.4%) magnesium (approximately 0.64%) hydrogen (around 3.6%) potassium (around 9 10%) and carbon constituting approximately 39%. (<xref ref-type="bibr" rid="B139">Razumov et al., 2020</xref>). These findings suggest that Chaga mushrooms and their derived products possess essential nutrients that are beneficial for crop cultivation (<xref ref-type="bibr" rid="B135">Peng and Shahidi, 2022</xref>).</p>
</sec>
<sec id="s6-4">
<title>6.4 Bioactive compounds</title>
<p>Based on several studies of crude Chaga extracts, numerous bioactive compounds have been isolated and purified (<xref ref-type="table" rid="T2">Table 2</xref>).</p>
<table-wrap id="T2" position="float">
<label>TABLE 2</label>
<caption>
<p>Compounds isolated from Chaga.</p>
</caption>
<table>
<thead valign="top">
<tr>
<th align="left">Compounds</th>
<th align="left">Structure</th>
<th align="left">References</th>
</tr>
</thead>
<tbody valign="top">
<tr>
<td colspan="3" align="left">Polyphenols</td>
</tr>
<tr>
<td align="left">Phelligridin C</td>
<td align="left">
<inline-graphic xlink:href="FPHAR_fphar-2023-1273786_wc_tfx1.tif"/>
</td>
<td align="left">
<xref ref-type="bibr" rid="B91">Lee et al. (2007),</xref> <xref ref-type="bibr" rid="B197">Zheng et al. (2011b)</xref>
</td>
</tr>
<tr>
<td align="left">Phelligridin D</td>
<td align="left">
<inline-graphic xlink:href="FPHAR_fphar-2023-1273786_wc_tfx2.tif"/>
</td>
<td align="left">
<xref ref-type="bibr" rid="B91">Lee et al. (2007)</xref>
</td>
</tr>
<tr>
<td align="left">Phelligridin E</td>
<td align="left">
<inline-graphic xlink:href="FPHAR_fphar-2023-1273786_wc_tfx3.tif"/>
</td>
<td align="left">
<xref ref-type="bibr" rid="B91">Lee et al. (2007)</xref>
</td>
</tr>
<tr>
<td align="left">Phelligridin F</td>
<td align="left">
<inline-graphic xlink:href="FPHAR_fphar-2023-1273786_wc_tfx4.tif"/>
</td>
<td align="left">
<xref ref-type="bibr" rid="B91">Lee et al. (2007)</xref>
</td>
</tr>
<tr>
<td align="left">Phelligridin G</td>
<td align="left">
<inline-graphic xlink:href="FPHAR_fphar-2023-1273786_wc_tfx5.tif"/>
</td>
<td align="left">
<xref ref-type="bibr" rid="B91">Lee et al. (2007)</xref>
</td>
</tr>
<tr>
<td align="left">Phelligridin H</td>
<td align="left">
<inline-graphic xlink:href="FPHAR_fphar-2023-1273786_wc_tfx6.tif"/>
</td>
<td align="left">
<xref ref-type="bibr" rid="B91">Lee et al. (2007)</xref>
</td>
</tr>
<tr>
<td align="left">Inonoblin A</td>
<td align="left">
<inline-graphic xlink:href="FPHAR_fphar-2023-1273786_wc_tfx7.tif"/>
</td>
<td align="left">
<xref ref-type="bibr" rid="B91">Lee et al. (2007)</xref>
</td>
</tr>
<tr>
<td align="left">Inonoblin B</td>
<td align="left">
<inline-graphic xlink:href="FPHAR_fphar-2023-1273786_wc_tfx8.tif"/>
</td>
<td align="left">
<xref ref-type="bibr" rid="B91">Lee et al. (2007),</xref> <xref ref-type="bibr" rid="B195">Zheng et al. (2011a)</xref>
</td>
</tr>
<tr>
<td align="left">Inonoblin C</td>
<td align="left">
<inline-graphic xlink:href="FPHAR_fphar-2023-1273786_wc_tfx9.tif"/>
</td>
<td align="left">
<xref ref-type="bibr" rid="B91">Lee et al. (2007),</xref> <xref ref-type="bibr" rid="B197">Zheng et al. (2011b)</xref>
</td>
</tr>
<tr>
<td align="left">Methylinoscavin A</td>
<td align="left">
<inline-graphic xlink:href="FPHAR_fphar-2023-1273786_wc_tfx10.tif"/>
</td>
<td align="left">
<xref ref-type="bibr" rid="B195">Zheng et al. (2011a)</xref>
</td>
</tr>
<tr>
<td colspan="3" align="left">Terpenes</td>
</tr>
<tr>
<td align="left">Inonotsutriol A</td>
<td align="left">
<inline-graphic xlink:href="FPHAR_fphar-2023-1273786_wc_tfx11.tif"/>
</td>
<td align="left">
<xref ref-type="bibr" rid="B218">Chang et al. (2022)</xref>, <xref ref-type="bibr" rid="B192">Zhao et al. (2015)</xref>
</td>
</tr>
<tr>
<td align="left">Inonotsutriol B</td>
<td align="left">
<inline-graphic xlink:href="FPHAR_fphar-2023-1273786_wc_tfx12.tif"/>
</td>
<td align="left">
<xref ref-type="bibr" rid="B192">Zhao et al. (2015),</xref> <xref ref-type="bibr" rid="B131">Park et al. (2021)</xref>
</td>
</tr>
<tr>
<td align="left">Inonotsutriol C</td>
<td align="left">
<inline-graphic xlink:href="FPHAR_fphar-2023-1273786_wc_tfx13.tif"/>
</td>
<td align="left">
<xref ref-type="bibr" rid="B169">Tanaka et al. (2011)</xref>
</td>
</tr>
<tr>
<td align="left">Ergosterol</td>
<td align="left">
<inline-graphic xlink:href="FPHAR_fphar-2023-1273786_wc_tfx14.tif"/>
</td>
<td align="left">
<xref ref-type="bibr" rid="B192">Zhao et al. (2015)</xref>
</td>
</tr>
<tr>
<td align="left">Lanosterol</td>
<td align="left">
<inline-graphic xlink:href="FPHAR_fphar-2023-1273786_wc_tfx15.tif"/>
</td>
<td align="left">
<xref ref-type="bibr" rid="B116">Moon and Lee (2009)</xref>; <xref ref-type="bibr" rid="B109">Ma et al. (2013)</xref>
</td>
</tr>
<tr>
<td align="left">Betulin</td>
<td align="left">
<inline-graphic xlink:href="FPHAR_fphar-2023-1273786_wc_tfx16.tif"/>
</td>
<td align="left">
<xref ref-type="bibr" rid="B179">Wold et al. (2018)</xref>
</td>
</tr>
<tr>
<td align="left">Betulinic acid</td>
<td align="left">
<inline-graphic xlink:href="FPHAR_fphar-2023-1273786_wc_tfx17.tif"/>
</td>
<td align="left">
<xref ref-type="bibr" rid="B193">Zhao et al. (2016)</xref>
</td>
</tr>
<tr>
<td align="left">Inonotsuoxide A</td>
<td align="left">
<inline-graphic xlink:href="FPHAR_fphar-2023-1273786_wc_tfx18.tif"/>
</td>
<td align="left">
<xref ref-type="bibr" rid="B192">Zhao et al. (2015)</xref>
</td>
</tr>
<tr>
<td align="left">Inonotsuoxide B</td>
<td align="left">
<inline-graphic xlink:href="FPHAR_fphar-2023-1273786_wc_tfx19.tif"/>
</td>
<td align="left">
<xref ref-type="bibr" rid="B169">Tanaka et al. (2011)</xref>
</td>
</tr>
<tr>
<td align="left">Inonotusane C</td>
<td align="left">
<inline-graphic xlink:href="FPHAR_fphar-2023-1273786_wc_tfx20.tif"/>
</td>
<td align="left">
<xref ref-type="bibr" rid="B192">Zhao et al. (2015)</xref>
</td>
</tr>
<tr>
<td colspan="3" align="left">Terpenoids</td>
</tr>
<tr>
<td align="left">Stigmastanol/sitostanol</td>
<td align="left">
<inline-graphic xlink:href="FPHAR_fphar-2023-1273786_wc_tfx21.tif"/>
</td>
<td align="left">
<xref ref-type="bibr" rid="B165">Sun et al. (2008)</xref>
</td>
</tr>
<tr>
<td align="left">Lupeol</td>
<td align="left">
<inline-graphic xlink:href="FPHAR_fphar-2023-1273786_wc_tfx22.tif"/>
</td>
<td align="left">
<xref ref-type="bibr" rid="B165">Sun et al. (2008)</xref>
</td>
</tr>
<tr>
<td align="left">Lupenone</td>
<td align="left">
<inline-graphic xlink:href="FPHAR_fphar-2023-1273786_wc_tfx23.tif"/>
</td>
<td align="left">
<xref ref-type="bibr" rid="B165">Sun et al. (2008)</xref>
</td>
</tr>
<tr>
<td align="left">&#x3b1;-Curcumene</td>
<td align="left">
<inline-graphic xlink:href="FPHAR_fphar-2023-1273786_wc_tfx24.tif"/>
</td>
<td align="left">
<xref ref-type="bibr" rid="B193">Zhao et al. (2016)</xref>
</td>
</tr>
<tr>
<td align="left">&#x3b1;-Cedrene</td>
<td align="left">
<inline-graphic xlink:href="FPHAR_fphar-2023-1273786_wc_tfx25.tif"/>
</td>
<td align="left">
<xref ref-type="bibr" rid="B193">Zhao et al. (2016)</xref>
</td>
</tr>
<tr>
<td align="left">&#x3b2;-Farnesene</td>
<td align="left">
<inline-graphic xlink:href="FPHAR_fphar-2023-1273786_wc_tfx26.tif"/>
</td>
<td align="left">
<xref ref-type="bibr" rid="B185">Ying et al. (2014)</xref>
</td>
</tr>
<tr>
<td align="left">&#x3b1;-Bisabolene</td>
<td align="left">
<inline-graphic xlink:href="FPHAR_fphar-2023-1273786_wc_tfx27.tif"/>
</td>
<td align="left">
<xref ref-type="bibr" rid="B49">He et al. (2001),</xref> <xref ref-type="bibr" rid="B172">Thomas et al. (2020)</xref>
</td>
</tr>
<tr>
<td align="left">
<italic>p</italic>-Cymene</td>
<td align="left">
<inline-graphic xlink:href="FPHAR_fphar-2023-1273786_wc_tfx28.tif"/>
</td>
<td align="left">
<xref ref-type="bibr" rid="B37">Geng et al. (2013)</xref>
</td>
</tr>
<tr>
<td align="left">Photosantalol</td>
<td align="left">
<inline-graphic xlink:href="FPHAR_fphar-2023-1273786_wc_tfx29.tif"/>
</td>
<td align="left">
<xref ref-type="bibr" rid="B219">Ayoub et al. (2009)</xref>
</td>
</tr>
<tr>
<td colspan="3" align="left">Triterpenoids</td>
</tr>
<tr>
<td align="left">Lanosterol</td>
<td align="left">
<inline-graphic xlink:href="FPHAR_fphar-2023-1273786_wc_tfx30.tif"/>
</td>
<td align="left">
<xref ref-type="bibr" rid="B103">Liu et al. (2014)</xref>
</td>
</tr>
<tr>
<td align="left">3 &#x3b2; - hydroxylanosta-8.24,dien-21-al</td>
<td align="left">
<inline-graphic xlink:href="FPHAR_fphar-2023-1273786_wc_tfx31.tif"/>
</td>
<td align="left">
<xref ref-type="bibr" rid="B74">Kahlos et al. (1984)</xref>
</td>
</tr>
<tr>
<td align="left">Inotodial</td>
<td align="left">
<inline-graphic xlink:href="FPHAR_fphar-2023-1273786_wc_tfx32.tif"/>
</td>
<td align="left">(<xref ref-type="bibr" rid="B217">Yusoo et al., 2002</xref>)</td>
</tr>
<tr>
<td align="left">Trametanolic acid</td>
<td align="left">
<inline-graphic xlink:href="FPHAR_fphar-2023-1273786_wc_tfx33.tif"/>
</td>
<td align="left">
<xref ref-type="bibr" rid="B123">Nakata et al. (2007)</xref>
</td>
</tr>
<tr>
<td align="left">Lanosta-7.9 (11),24-trien-3-&#x3b2;-22,diol</td>
<td align="left">
<inline-graphic xlink:href="FPHAR_fphar-2023-1273786_wc_tfx34.tif"/>
</td>
<td align="left">
<xref ref-type="bibr" rid="B168">Taji et al. (2008)</xref>
</td>
</tr>
<tr>
<td align="left">Lanosta-8,23E-dien-3 &#x3b2;,22R,25-triol</td>
<td align="left">
<inline-graphic xlink:href="FPHAR_fphar-2023-1273786_wc_tfx35.tif"/>
</td>
<td align="left">
<xref ref-type="bibr" rid="B168">Taji et al. (2008)</xref>
</td>
</tr>
<tr>
<td align="left">Lanosta-7.9 (11),25E-trien-3 &#x3b2;,22R,25-triol</td>
<td align="left">
<inline-graphic xlink:href="FPHAR_fphar-2023-1273786_wc_tfx36.tif"/>
</td>
<td align="left">
<xref ref-type="bibr" rid="B122">Nakajima et al. (2007)</xref>
</td>
</tr>
<tr>
<td align="left">Lanosta-8-24-dien-3 &#x3b2; &#x2212;21-diol</td>
<td align="left">
<inline-graphic xlink:href="FPHAR_fphar-2023-1273786_wc_tfx37.tif"/>
</td>
<td align="left">
<xref ref-type="bibr" rid="B48">Handa et al. (2010)</xref>
</td>
</tr>
<tr>
<td align="left">Inonotusol A</td>
<td align="left">
<inline-graphic xlink:href="FPHAR_fphar-2023-1273786_wc_tfx38.tif"/>
</td>
<td align="left">
<xref ref-type="bibr" rid="B48">Handa et al. (2010)</xref>
</td>
</tr>
<tr>
<td align="left">Inonotusol B</td>
<td align="left">
<inline-graphic xlink:href="FPHAR_fphar-2023-1273786_wc_tfx39.tif"/>
</td>
<td align="left">
<xref ref-type="bibr" rid="B48">Handa et al. (2010)</xref>
</td>
</tr>
<tr>
<td align="left">Inonotusol C</td>
<td align="left">
<inline-graphic xlink:href="FPHAR_fphar-2023-1273786_wc_tfx40.tif"/>
</td>
<td align="left">
<xref ref-type="bibr" rid="B49">He et al. (2001)</xref>
</td>
</tr>
<tr>
<td align="left">Inonotusol D</td>
<td align="left">
<inline-graphic xlink:href="FPHAR_fphar-2023-1273786_wc_tfx41.tif"/>
</td>
<td align="left">
<xref ref-type="bibr" rid="B81">Kim et al. (2011)</xref>
</td>
</tr>
<tr>
<td align="left">Inonotusol E</td>
<td align="left">
<inline-graphic xlink:href="FPHAR_fphar-2023-1273786_wc_tfx42.tif"/>
</td>
<td align="left">
<xref ref-type="bibr" rid="B81">Kim et al. (2011)</xref>
</td>
</tr>
<tr>
<td align="left">Inonotusol F</td>
<td align="left">
<inline-graphic xlink:href="FPHAR_fphar-2023-1273786_wc_tfx43.tif"/>
</td>
<td align="left">
<xref ref-type="bibr" rid="B81">Kim et al. (2011)</xref>
</td>
</tr>
<tr>
<td align="left">Inonotusol G</td>
<td align="left">
<inline-graphic xlink:href="FPHAR_fphar-2023-1273786_wc_tfx44.tif"/>
</td>
<td align="left">
<xref ref-type="bibr" rid="B81">Kim et al. (2011)</xref>
</td>
</tr>
<tr>
<td align="left">3&#x3b2; &#x2212;22-dihydrolanosta-8-24-diene-7-one</td>
<td align="left">
<inline-graphic xlink:href="FPHAR_fphar-2023-1273786_wc_tfx45.tif"/>
</td>
<td align="left">
<xref ref-type="bibr" rid="B49">He et al. (2001)</xref>
</td>
</tr>
<tr>
<td align="left">3 &#x3b2; -hydroxylanosta-8,24-diene-21,23-lactone</td>
<td align="left">
<inline-graphic xlink:href="FPHAR_fphar-2023-1273786_wc_tfx46.tif"/>
</td>
<td align="left">
<xref ref-type="bibr" rid="B74">Kahlos et al. (1984),</xref> <xref ref-type="bibr" rid="B123">Nakata et al. (2007)</xref>
</td>
</tr>
<tr>
<td align="left">Methyl trametenolate</td>
<td align="left">
<inline-graphic xlink:href="FPHAR_fphar-2023-1273786_wc_tfx47.tif"/>
</td>
<td align="left">
<xref ref-type="bibr" rid="B185">Ying et al. (2014)</xref>
</td>
</tr>
<tr>
<td align="left">21,24-cyclopentalanosta-8-en-3 &#x3b2; -21-25,triol</td>
<td align="left">
<inline-graphic xlink:href="FPHAR_fphar-2023-1273786_wc_tfx48.tif"/>
</td>
<td align="left">
<xref ref-type="bibr" rid="B169">Tanaka et al. (2011)</xref>
</td>
</tr>
<tr>
<td align="left">Lanosta-8-en-3 &#x3b2;- 22.25,triol</td>
<td align="left">
<inline-graphic xlink:href="FPHAR_fphar-2023-1273786_wc_tfx49.tif"/>
</td>
<td align="left">
<xref ref-type="bibr" rid="B197">Zheng et al. (2011b)</xref>
</td>
</tr>
<tr>
<td colspan="3" align="left">Sterols</td>
</tr>
<tr>
<td align="left">Ergosterol peroxidase</td>
<td align="left">
<inline-graphic xlink:href="FPHAR_fphar-2023-1273786_wc_tfx50.tif"/>
</td>
<td align="left">
<xref ref-type="bibr" rid="B109">Ma et al. (2013)</xref>
</td>
</tr>
<tr>
<td align="left">
<italic>&#x3b2;</italic>-sitosterol</td>
<td align="left">
<inline-graphic xlink:href="FPHAR_fphar-2023-1273786_wc_tfx51.tif"/>
</td>
<td align="left">
<xref ref-type="bibr" rid="B106">Lu et al. (2010)</xref>
</td>
</tr>
<tr>
<td align="left">Cholesterol</td>
<td align="left">
<inline-graphic xlink:href="FPHAR_fphar-2023-1273786_wc_tfx52.tif"/>
</td>
<td align="left">
<xref ref-type="bibr" rid="B109">Ma et al. (2013)</xref>
</td>
</tr>
<tr>
<td align="left">Fungisterol</td>
<td align="left">
<inline-graphic xlink:href="FPHAR_fphar-2023-1273786_wc_tfx53.tif"/>
</td>
<td align="left">
<xref ref-type="bibr" rid="B169">Tanaka et al. (2011)</xref>
</td>
</tr>
<tr>
<td align="left">Episterol</td>
<td align="left">
<inline-graphic xlink:href="FPHAR_fphar-2023-1273786_wc_tfx54.tif"/>
</td>
<td align="left">
<xref ref-type="bibr" rid="B169">Tanaka et al. (2011)</xref>
</td>
</tr>
</tbody>
</table>
</table-wrap>
<sec id="s6-4-1">
<title>6.4.1 Polyphenols</title>
<p>Six polyphenols were recovered from Chaga mushrooms following extraction with methanol: inonoblins A, B, C, and phelligridins D, E, and G (<xref ref-type="table" rid="T1">Table 1</xref>) (<xref ref-type="bibr" rid="B91">Lee et al., 2007</xref>). Particularly, chaga contains a variety of phenols, including 4-hydroxy 3,5 dimethoxy benzoic acid, 2-hydroxy-1-hydroxymethyl ethyl ester, protocatechuic acid, caffeic acid, 3,4 dihydroxy benzene formaldehyde, 2,5-dihydroxyterephthalic acid, syringic acid and 3,4-dihydroxybenzalacetone (<xref ref-type="bibr" rid="B122">Nakajima et al., 2007</xref>; <xref ref-type="bibr" rid="B122">Nakajima et al., 2007</xref>). Additionally, gallic acid and dihydroxy benzoic acid ketones (DHBAs) have been found in Chaga. Show potential in their ability to combat cancer (<xref ref-type="bibr" rid="B81">Kim et al., 2011</xref>). Melanins are also generated by Chaga, which exhibit antioxidant and genoprotective properties (Shashkina et al., 2006). <xref ref-type="bibr" rid="B6">Babitskaya et al. (2000)</xref> demonstrated that copper ions, catechol, and tyrosine effectively promote the production of melanin, and <italic>o</italic>- and <italic>p</italic>-dephenoloxidase. The acid composition of Chaga includes acetic acid, butyric acid, oxalic acid, and formic acid (<xref ref-type="bibr" rid="B139">Razumov et al., 2020</xref>). Chaga extract also contains triterin, sterols (6%&#x2013;8%), acid-resistant lignin (25%&#x2013;30%), dietary fiber (2%), hemicellulose (12.5%), and folic acid (<xref ref-type="bibr" rid="B153">Shashkina et al., 2006</xref>).</p>
<p>
<xref ref-type="bibr" rid="B196">Zheng et al. (2009)</xref> conducted a study to extract phenolic components from I. Obliquus by using fermentation. They used continuously stirred reactors to investigate how phenolic compounds accumulated in various cultures and their antioxidant properties. According to the study, Chaga demonstrated the production of melanin and polyphenols in the control medium. The introduction of H<sub>2</sub>O<sub>2</sub> did not have an impact on the levels of phenols. It did increase the amount of phenol and melanin inside the cell. When Chaga was exposed to both H<sub>2</sub>O<sub>2</sub> and arbutin there was an increase in phenol synthesis while extracellular phenol accumulation decreased. These findings suggest that incorporating an oxidizing agent into Chaga mycelia could boost the production of compounds such, as vanillin, salicylic acid, pyrocatechol, hydroquinone, and eugenol. This makes Chaga a more dependable source of pharmaceutically essential phenolic compounds.</p>
<p>Chaga contains numerous flavonoids, such as flavones, flavanones, anthocyanins, and catechins (apigenin, mariningin, corin, and quercetin) (<xref ref-type="bibr" rid="B153">Shashkina et al., 2006</xref>). As of 2022, a total of 31 flavanoids were detected in a Chaga sample (<xref ref-type="bibr" rid="B135">Peng and Shahidi, 2022</xref>). When the phenolic contents of mycelia and wild chaga culture were compared, flavonoids were detected in small quantities in wild Chaga, while other phenols such as melanins and styrylpyrones were present in larger quantities. In contrast, the mycelia cultures contained more flavonoids with trace quantities of melanin and styrylpyrones (<xref ref-type="bibr" rid="B198">Zheng et al., 2008</xref>). The Chaga mushroom contains a unique class of phenolics known as styrylpyrones (<xref ref-type="bibr" rid="B135">Peng and Shahidi, 2022</xref>). A total of 16 styrylpyrones have been detected previously, including phelligridin C, inoscavin C, hispidin, methylinoscavin C, davallialactone, inonoblin C, davallialactone, inonoblin B, phelligridin E, phelligridin D. Newly detected compounds included: inoscavin A, inoscavin D, phelligridin J, phelligridin A, phelliribsin A, methylinoscavin D.</p>
<p>
<xref ref-type="bibr" rid="B135">Peng and Shahidi (2022)</xref> further detected several flavonoid derivatives such as apigenin, eriocitrin, rhoifolin, isorhamnetin-3-O-rutinoside, epigallocatechin, and epigallocatechin. However, other non-flavanoid phenolics such as inonoblin A, phelligridin, resveratrol, and phellxinye A were absent. In the same study, the 31 detected flavonoid derivatives included 18 flavones (ols), 5 flavanones (ols), 3 flavans (ols), aurones, isoflavones, ligniflvanoids and chalcones (<xref ref-type="bibr" rid="B139">Razumov et al., 2020</xref>).</p>
</sec>
<sec id="s6-4-2">
<title>6.4.2 Steroids</title>
<p>Steroids are another bioactive component of Chaga (<xref ref-type="bibr" rid="B176">Wang et al., 2014</xref>), including fungal sterols (<xref ref-type="bibr" rid="B84">Kirk et al., 2008</xref>; <xref ref-type="bibr" rid="B24">Chen and Wang, 2014</xref>), ergosterol (<xref ref-type="bibr" rid="B155">Shin et al., 2000</xref>; <xref ref-type="bibr" rid="B60">Huynh, 2019</xref>), ergosterol peroxide (<xref ref-type="bibr" rid="B195">Zheng et al., 2011a</xref>; <xref ref-type="bibr" rid="B81">Kim et al., 2011</xref>), and <italic>&#x3b2;</italic>&#x2013;sitosterol (<xref ref-type="table" rid="T1">Table 1</xref>). <xref ref-type="bibr" rid="B176">Wang et al. (2014)</xref> found that (0.01 and 0.1&#xa0;g/L) dosages of extracts from birch bark and birch core had a substantial stimulatory impact on the generation of <italic>I. obliquus</italic> steroids in submerged Chaga cultures (<italic>p</italic> &#x3d; 0.05). The aqueous extract (0.01 gL) of birch bark stimulated 97.3 percent greater production than the control (i.e., 225.8&#xa0;mg/L). Although these extracts promoted both mycelial growth and steroid content, only methanol extracts enhanced the synthesis of betulin, cholesterol, lanosterol, stigmasterol, and sitosterol. Another study also demonstrated that birch bark extract may stimulate the synthesis of steroids in Chaga, which have anti-tumor and anti-inflammatory properties (<xref ref-type="bibr" rid="B30">Debnath et al., 2013</xref>).</p>
</sec>
<sec id="s6-4-3">
<title>6.4.3 Terpenoids</title>
<p>In the study by <xref ref-type="bibr" rid="B135">Peng and Shahidi (2022)</xref>, a total of 108 terpenoids were identified in chaga. Seventy-eight of these terpenoids were newly detected. Apart from terpenoid compound T108, all terpenoids included substituent groups with multiple oxygens, non-oxygenated derivatives. Apart from sesquiterpenoids, monoterpenoids, diterpenoids, tetraterpenoids, pentaterpenoids, the remaining 103 terpenoids were steroids and triterpenoids. Chaga contains esters of triterpenoids including hydroxycinnamoyl indicating the presence of impure terpenoids. However, in contrast to phenolic compounds, the high molecular weight of terpenoid compounds makes classification by structure challenging due to the possibility of having several isomers (<xref ref-type="bibr" rid="B135">Peng and Shahidi, 2022</xref>).</p>
</sec>
</sec>
</sec>
<sec id="s7">
<title>7 Pharmacological potential</title>
<p>According to several research studies (<xref ref-type="fig" rid="F6">Figure 6</xref>), Chaga mushrooms possess around 130 pharmacological properties including anticancer, immunomodulating, gene-protecting, and antimicrobial capabilities (<xref ref-type="bibr" rid="B25">Chung et al., 2010</xref>; <xref ref-type="bibr" rid="B172">Thomas et al., 2020</xref>; <xref ref-type="bibr" rid="B86">Kou et al., 2021</xref>). The details of some pharmacological activities are discussed below.</p>
<fig id="F6" position="float">
<label>FIGURE 6</label>
<caption>
<p>Pharmacological potentials of Chaga Mushroom.</p>
</caption>
<graphic xlink:href="fphar-14-1273786-g006.tif"/>
</fig>
<sec id="s7-1">
<title>7.1 Antioxidant properties</title>
<p>Chaga extract is widely recognized for its properties and multiple studies have shown its ability to counteract the effects of free radicals (<xref ref-type="bibr" rid="B197">Zheng et al., 2011b</xref>; <xref ref-type="bibr" rid="B46">Haines, 2013</xref>). In one study, to examine Chaga&#x2019;s ability to operate as a superoxide dismutase (SOD) in scavenging radicals, the researchers utilized alcohol and three distinct hot-water extractions (each with a different temperature). According to <xref ref-type="bibr" rid="B56">Hu et al. (2009)</xref>, their research revealed that the alcohol extract exhibited SOD activity, among all their investigations. On the hand, hot water extracts also showed SOD activity with higher temperatures resulting in stronger antioxidant abilities (<xref ref-type="bibr" rid="B56">Hu et al., 2009</xref>). Additionally, these researchers evaluated the four extracts&#x2019; capacity to scavenge 2,2 diphenyl 1 picrylhydrazyl (DPPH). Interestingly the alcohol extract displayed a higher DPPH scavenging ability as compared to hot water extracts (<xref ref-type="bibr" rid="B56">Hu et al., 2009</xref>).</p>
<p>Notably present in Chaga extracts is hispidin&#x2014;a compound, with antioxidant and inflammatory properties. However, Chaga extracts&#x2019; composition can vary based on the source of the fungus, the extraction procedure, and the section extracted (<xref ref-type="bibr" rid="B92">Lee and Yun, 2006</xref>; Yusoo et al., 2002). Among the hispidin analogs are phelligridins, inoscavins, inonoblins, and davalialactone and its derivatives (<xref ref-type="bibr" rid="B197">Zheng et al., 2011b</xref>). These analogs contain the active ingredient that confers antioxidant action on the drug and is used to treat disorders associated with oxidative stress. In other studies, <xref ref-type="bibr" rid="B39">Giridharan et al. (2011)</xref> investigated the impact of the antioxidant activity of Chaga extract on the cognitive function of mice with amnesia. Researchers studied its effects on the brain and cognition after using the alkaloid scopolamine to induce cognitive impairment. In both tests, Chaga increased glutathione and superoxide dismutase levels (endogenous antioxidants), and improved learning and memory. The antioxidant properties of Chaga have gained recognition, for their ability to combat cancer promote heart health and help manage diabetes (<xref ref-type="bibr" rid="B199">Zhong et al., 2009</xref>; <xref ref-type="bibr" rid="B162">Song et al., 2013</xref>; <xref ref-type="bibr" rid="B70">Jiang et al., 2020</xref>). Moreover, findings demonstrate that Chaga extracts possess antioxidants that can effectively counteract radicals suggesting its potential in preventive and healing capacities, for various diseases (<xref ref-type="bibr" rid="B119">Mu et al., 2012</xref>). <xref ref-type="bibr" rid="B163">Song et al. (2004)</xref> examined NF-kB and antioxidant activity in malignant human keratinocytes (SCC-13) to determine whether pine bark extract, Chaga (<italic>Inonotus obliquus</italic>), and Chaga mycelium were effective. The activity of NF-BNF-B was downregulated in every substance that was evaluated using a cell-based NF-BNF-B monitoring assay. Using AGI-1120 (one to two&#xa0;mg) as the positive control and Chaga mushroom extract (0.05&#x2013;0.1&#xa0;mg), demonstrated a significant inhibitory effect on NF-BNF-B activity which implies that the Chaga mushroom extract was successful in scavenging DPPH radicals.</p>
</sec>
<sec id="s7-2">
<title>7.2 Anti-inflammatory properties</title>
<p>The extracts, from <italic>Inonotus obliquus</italic> known for their inflammatory properties, have gained popularity in countries like China, Korea, Japan, Russia, and the Baltics. When it was initially discovered in the mid-20th century it was utilized in the treatment of malignancies and digestive issues with no effects (<xref ref-type="bibr" rid="B167">Szychowski et al., 2021</xref>). Research has indicated that Chaga extract possesses inflammatory properties. Macrophages can release substances such, as nitric oxide, prostaglandin mediators, and pro-inflammatory cytokines (TNF &#x3b1;, IL 1 &#x3b2; IL 6) (<xref ref-type="bibr" rid="B65">Im et al., 2016</xref>). A study on the methanol and ethanol extracts of Chaga has shown that they inhibit macrophage activity by reducing the production of inflammatory mediators such as nitrogen oxides, prostaglandins (PGE2), and certain cytokines (<xref ref-type="bibr" rid="B160">Softa et al., 2019</xref>). According to a study conducted by <xref ref-type="bibr" rid="B114">Mishra et al. (2012)</xref>, it was found that aqueous Chaga extracts have the potential to greatly alleviate effects caused by dextran sodium sulfate (DSS). These effects include reducing edema and mucosal damage and minimizing crypt loss. Additionally, the study revealed that Chaga extracts can effectively suppress the expression of inflammatory cytokines lower the levels of iNOS induced by DSS, and reduce the accumulation of myeloperoxidase in the colon (<xref ref-type="bibr" rid="B114">Mishra et al., 2012</xref>). The anti-inflammatory properties of Chaga associated with isolated ergosterol, ergosterol peroxide, and trametenolic acid were further confirmed by <xref ref-type="bibr" rid="B86">Kou et al. (2021)</xref>. <xref ref-type="bibr" rid="B68">Ishfaq et al. (2022)</xref>, demonstrated that aqueous extract of chaga possess anti-inflammatory chaacteristics. The study further demonstrated the ability of the extract to suppress expression of p53, caspace-3 and microcystin-LR known to cause inflammation and toxicity to the liver in mice (<xref ref-type="bibr" rid="B68">Ishfaq et al., 2022</xref>). In another study, <xref ref-type="bibr" rid="B67">Ishfaq et al. (2021)</xref>, demonstrated that aqueous extract of chaga suppressed carbon tetrachloride (CCl<sub>4</sub>) induced damage in liver tissues in mice. The study also showed that ergosterol peroxide isolated from chaga has the ability to bind and inhibit activity of pro-inflammatory proteins (<xref ref-type="bibr" rid="B67">Ishfaq et al., 2021</xref>).</p>
<p>Betulin and betulinic acid have shown promising potential as antimicrobial and anti-inflammatory agents. With anti-inflammatory activities, these compounds are reported to modulate the activities of immune cells and prevent pro-inflammatory production (<xref ref-type="bibr" rid="B127">Oliveira-Costa et al., 2022</xref>). This, therefore, demonstrates its potential ability for the treatment of inflammatory ailments.</p>
</sec>
<sec id="s7-3">
<title>7.3 Anticancer and antitumor properties</title>
<p>
<xref ref-type="bibr" rid="B109">Ma et al. (2013)</xref> evaluated the anticancer properties of chaga using bioassay-guided preparative isolation. Acetate and petroleum ether extracts significantly reduced NO generation and NF-kB luciferase activity in macrophage RAW 264.7 cells and induced cytotoxicity <italic>in vitro</italic> in human prostate cancer PC3 and breast cancer MDA-MB-231 cells. Inotodiol, ergosterol peroxide, and trametenolic acid were recovered from these two fractions. Both ergosterol peroxide and trametenolic acid were cytotoxic to the human prostatic carcinoma cell PC3 and the human breast cancer MDA-MB-231. These findings may help in understanding Chaga&#x2019;s anti-cancer activity. Different cancers, including Walker 256 carcinosarcoma, MCF-7 human breast adenocarcinoma, sarcoma 180, and carcinoma 755, are sensitive to the effects of lanolin triterpenoids isolated from Chaga (<xref ref-type="bibr" rid="B155">Shin et al., 2000</xref>). Additionally, hot water extracts of Chaga were shown to have anticancer activity against human colon cancer cells HT-29. The main mechanisms involved in this process were increasing the levels of proteins that promote cell death and decreasing the levels of proteins that prevent cell death. This was shown in a study conducted by (<xref ref-type="bibr" rid="B51">Heo et al., 2017</xref>). Another study by <xref ref-type="bibr" rid="B115">Mizuno et al. (1999)</xref>, found that purified endopolysaccharide from cultivated mycelia of Chaga suppressed tumor cell proliferation and activated B cells and macrophages. Moreover, Chaga mycelium, had an effect, on cdc25 phosphatase, an enzyme that regulates the cycle of cancer cells. In a study using Sepharose, researchers found that the drug contains a water-soluble polysaccharide (ISP2a), which showed antitumor activity <italic>in vivo</italic> and significantly enhanced the immune response in tumor mice. As an added benefit, ISP2a enhanced lymphocyte proliferation and increased the production of TNF-&#x3b1; (<xref ref-type="bibr" rid="B104">Liuping et al., 2012</xref>). <xref ref-type="bibr" rid="B151">Satoru et al. (2016)</xref> sought to explore whether Chaga water extract might be utilized as a long-term cancer therapy. Chaga water extracts were extremely anti-blastema active in the treatment of cancer. A study published in 2008 by <xref ref-type="bibr" rid="B187">Youn et al. (2008)</xref> indicated that Chaga water extract inhibits the growth of cancer cells <italic>in vitro</italic> and triggers apoptosis (programmed cell death, in which the cell breaks down into distinct apoptotic bodies) in various carcinoma cells.</p>
<p>Particularly betulinic acid has demonstrated promise in cancer research as it has demonstrated potential in shrinking cancer growth cells, inhibiting apoptosis, and shrinking tumors (<xref ref-type="bibr" rid="B191">Zhang et al., 2015</xref>). Other researchers, attest to its anticancer activity and demonstrate its selective antagonistic activity towards cancer cells (<xref ref-type="bibr" rid="B149">Saha et al., 2015</xref>; <xref ref-type="bibr" rid="B88">Kumar et al., 2018</xref>).</p>
<p>In 2015, a study examined the anti-cancer activity of ergosterol peroxide isolated from chaga on colon cancer cells. The study demonstrated that the compound increased apoptosis and suppressed cell growth in colon cell lines. The compound further inhibited the &#x3b2;-catenin signaling pathway, a major player in colon cancer development (<xref ref-type="bibr" rid="B76">Kang et al., 2015</xref>). Similarly, <xref ref-type="bibr" rid="B113">Mishra et al. (2013)</xref> found that aqueous extract of chaga expresses anti-proliferative and anti-inflammatory activity on colon cancer cells and tumors in mice. The study also demonstrated that extracts suppresses the Wnt/&#x3b2;-catenin and NF-&#x3ba;B signaling pathways that are responsible for colon cancer onset and development (<xref ref-type="bibr" rid="B113">Mishra et al., 2013</xref>).</p>
</sec>
<sec id="s7-4">
<title>7.4 Antiviral properties</title>
<p>For anti-viral properties, studies report the inhibitory properties of bioactive compounds in Chaga against a host of viruses including hepatitis C, HIV, and herpes simplex virus make them attractive candidates for antiviral therapies (<xref ref-type="bibr" rid="B124">Navid et al., 2014</xref>; <xref ref-type="bibr" rid="B129">Paduch and Kandefer-Szerszen, 2014</xref>; <xref ref-type="bibr" rid="B180">Xiao et al., 2018</xref>).</p>
<p>
<xref ref-type="bibr" rid="B151">Satoru et al. (2016)</xref>, shows that Chaga extracts have been found to impede the replication of both hepatitis C virus and human immunodeficiency virus (HIV). The intriguing potential benefits of Chaga, in treating diseases have captured the attention of researchers. <xref ref-type="bibr" rid="B71">Jin et al. (2017)</xref> investigated the antiviral effects of Chaga extracts on feline viruses. They proved that Chaga therapy was effective in cell assays and had minimal cytotoxicity by using feline calicivirus cell models. According to research on adhesion&#x2019;s mode of action, the treatment of calicivirus causes an inhibitory effect on viral particles by preventing viral binding and absorption. Research has shown that cats may experience gastrointestinal issues due, to the herpes virus panleukopenia virus, and infectious peritonitis virus. These viruses have a range of activities. In this study, scientists discovered that Chaga polysaccharides could potentially serve as an antiviral treatment, for both feline and human pathogens. Moreover, researchers from Poland have shown in 1998 that botulin and betulinic acid found in Chaga can stop blastema development (<xref ref-type="bibr" rid="B100">Liang et al., 2009</xref>). They discovered that betulin and betulinic acid are now potential anti-HIV medicines that inhibit HIV reverse transcriptase, in turn inhibiting HIV type 1 (<xref ref-type="bibr" rid="B41">Gogineni et al., 2015</xref>). Human influenza A and B and horse influenza A are also inhibited by constituents of the black exterior surface of Chaga (<xref ref-type="bibr" rid="B194">Zheng et al., 2010</xref>). Betulin, mycosterol, and lupeol, which are all found in mushrooms, are thought to be the primary antiviral agents (<xref ref-type="bibr" rid="B130">Pan et al., 2013</xref>). <xref ref-type="bibr" rid="B137">Polkovnikova et al. (2014)</xref>, examined the antiviral efficacy of Chaga extract on Vero cells using Vero cell cultures and HSV (herpes simplex virus) type 1 infected Vero cells. Most of the HSV-infected Vero cells were protected by non-toxic sub-components. Deletion of viral DNA in Chaga-infected cells suggests that it protects Vero cells from HSV cytotoxicity.</p>
<p>More recent research by <xref ref-type="bibr" rid="B33">Eid et al. (2021)</xref> has shed light on the impact of Chaga on the novel coronavirus (SARS-CoV-2) that has been responsible for widespread outbreaks around the globe. In this study, the S1-carboxy-terminal domain of the SARS-receptor-binding CoV-2 domain was discovered to be closely related to -glucan, galactomannan, and betulinic acid. At the TRP-436, ASN-437, and ASN-440 sites, this interaction was substantial. The receptor binding domain of the most recent SARS-CoV-2 isolates had a furin cleavage site that was not seen in prior isolates. Since this response interacted with ACE-2 more often, this virus was able to infect more people. Chaga, according to those who took part in the research, might be used in conjunction with other medications to combat SARS-CoV-2. Hence, future anti-SARS-CoV-2 therapeutic development may be aided by the development of naturally derived anti-coronavirus therapies that include Chaga (<xref ref-type="bibr" rid="B33">Eid et al., 2021</xref>).</p>
</sec>
<sec id="s7-5">
<title>7.5 Antithrombotic activity</title>
<p>Platelet aggregation is a complicated event that is most likely the product of several metabolic pathways working in concert. The use of platelet inhibition in the prevention of thrombosis is a potential new treatment. According to a report by <xref ref-type="bibr" rid="B62">Hyun et al. (2006)</xref>, water and ethanol extracts from 55 different kinds of mushroom mycelium or fruiting bodies were tested for platelet aggregation inhibitory activities <italic>in vitro</italic>. The ethanol extracts of Chaga ASI 74006 mycelia demonstrated the highest platelet aggregation inhibitory activity (71.2%), whereas the impacts of extracts from its fruiting bodies had very low inhibitory activity. The isolated peptide was found to have a strong inhibitory activity of 91.6% and a low molecular mass of 365&#xa0;Da. It is assumed that the peptide from Chaga which inhibits platelet aggregation is quickly absorbed in the gut, and is commonly employed in the creation of antithrombotic medications and nutritional supplements for human consumption (<xref ref-type="bibr" rid="B58">Huang et al., 2012</xref>).</p>
</sec>
<sec id="s7-6">
<title>7.6 Other therapeutic uses</title>
<sec id="s7-6-1">
<title>7.6.1 Effects of chaga on diabetes</title>
<p>Researchers have found that Chaga mushroom extract can lower blood sugar (<xref ref-type="bibr" rid="B141">Rogers, 2012</xref>). The effects of Chaga on diabetes were evaluated by <xref ref-type="bibr" rid="B182">Xu et al. (2010)</xref>. Mice with diabetes were given an extract of the polysaccharide fraction of Chaga, which reduced maleic dialdehyde activity. After histological morphological examination, the study revealed that the Chaga extract significantly reduced damage to their injured pancreatic tissues (<xref ref-type="bibr" rid="B183">Xu et al., 2011</xref>). The polysaccharides derived from Chaga have shown properties in combating high blood sugar levels and lipid oxidation (<xref ref-type="bibr" rid="B183">Xu et al., 2011</xref>; <xref ref-type="bibr" rid="B57">Hu et al., 2012</xref>). Another study investigated the chemical composition and blood sugar-lowering effects of the ethyl acetate fraction extracted from Chaga revealing its hyperglycemic and anti-lipid peroxidative actions, in mice with diabetes induced by alloxan (<xref ref-type="bibr" rid="B106">Lu et al., 2010</xref>). Postprandial hyperglycemia is closely associated with type 2 diabetes mellitus and its complications. The research demonstrated that an acidic protein-bound polysaccharide called IOPS derived from Chaga effectively inhibits the activity of &#x3b2; glucosidase at a concentration of 93.3&#xa0;g/mL. Additionally, <xref ref-type="bibr" rid="B23">Chen et al. (2010)</xref> discovered that it also suppresses stress and the generation of compounds reactive to acid during Fe2&#x2b;/ascorbate induced lipid peroxidation in rat livers (<xref ref-type="bibr" rid="B23">Chen et al., 2010</xref>). Exploring substances as inhibitors of &#x3b2; glucosidase could potentially lead to the development of foods or promising compounds, for combating diabetes (<xref ref-type="bibr" rid="B23">Chen et al., 2010</xref>). These findings have the potential to contribute to the development of safe inhibitors of &#x3b2; glucosidase. These inhibitors can be derived from sources making them a promising choice, for creating foods or lead compounds in anti diabetic treatment.</p>
</sec>
<sec id="s7-6-2">
<title>7.6.2 Chaga in the prevention of DNA damage</title>
<p>In a study by <xref ref-type="bibr" rid="B89">Kyoung et al. (2004)</xref>, human lymphocytes were subjected to oxidative DNA damage, and an aqueous extract of Chaga was tested for its protective effect. One-cell electrophoresis for DNA fragmentation was used to detect oxidative damage in the test subjects&#x2019; bodies (comet analysis). The DNA fragmentation in cells that were pre-treated with Chaga extract was reduced by more than 40% compared to cells that had been treated with the positive control (100 micron/mole H<sub>2</sub>O<sub>2</sub>).</p>
<p>It has been shown that <italic>Inonotus obliquus</italic> polysaccharides (IOPS) may boost the immune system and reduce oxidative stress throughout the growth process (<xref ref-type="bibr" rid="B187">Youn et al., 2008</xref>). However, more studies are required to understand the impact of IOP, on genotoxicity in model organisms. <xref ref-type="bibr" rid="B104">Liuping et al. (2012)</xref> conducted experiments where they exposed embryos (12&#xa0;h post fertilization) to UVB radiation (12&#xa0;J/m<sub>2</sub>/s, 310&#xa0;nm) for 10&#xa0;s and then administered IOP therapy (2.5&#xa0;mg/L) after 24&#xa0;h post fertilization continuing for a duration of, up to 7&#xa0;days (<xref ref-type="bibr" rid="B104">Liuping et al., 2012</xref>). Crimson, orange staining, the alkaline comet test, and qRT-PCR screening of DNA repair genes were used to evaluate genotoxic effects. The IOP-treated zebrafish were exposed to UVB at 5 days post-fertilization and subsequently exhibited a substantial decrease in DNA damage and improvement of the distorted structures. The relative mRNA expressions of RAD51, P53, and GADD45 dramatically increased in IOP-treated UVB-exposed zebrafish. DNA repair genes were shown to be coordinated in their response to UVB exposure, indicating a communal response. Finally, the IOP therapy reduced UVB-induced genotoxic effects on zebrafish embryos, allowing them to grow normally (<xref ref-type="bibr" rid="B104">Liuping et al., 2012</xref>).</p>
<p>Because of the lack of information on probable interactions between various dietary supplements, there is rising concern about negative effects. For the first time, &#x17d;ivkovi&#x107; et al. (2019) investigated the genotoxic effects of Chaga and dihydroquercetin in combination. When Chaga (250&#xa0;g/mL) and dihydroquercetin at 100&#xa0;g/mL, 250&#xa0;g/mL, and 500&#xa0;g/mL were administered alone or together, no genotoxic impact was found on whole blood cells. The comet test was used to investigate the antigenot1oxic effectiveness against DNA damage caused by hydrogen peroxide (H<sub>2</sub>O<sub>2</sub>) in whole blood cells. Dihydroquercetin alone did not affect H<sub>2</sub>O<sub>2</sub>-induced DNA damage in cells, whereas the combination of Chaga and 500&#xa0;g/mL dihydroquercetin was most effective. Hydrogen peroxide-induced oxidative damage to genomic material may be prevented <italic>in vitro</italic> by taking Chaga and dihydroquercetin together. <xref ref-type="table" rid="T3">Table 3</xref> is the summary of the established literature report on the pharmacological potentials of Chaga mushrooms.</p>
<table-wrap id="T3" position="float">
<label>TABLE 3</label>
<caption>
<p>Established literature reports on pharmacological potential of Chaga mushroom.</p>
</caption>
<table>
<thead valign="top">
<tr>
<th align="left">S/N</th>
<th align="left">Type of extract</th>
<th align="left">Type of assay</th>
<th align="left">Pharmacological activity</th>
<th align="left">Major findings</th>
<th align="left">Country of study</th>
<th align="left">References</th>
</tr>
</thead>
<tbody valign="top">
<tr>
<td align="right">1</td>
<td align="left">Methanolic extract (MeOH)</td>
<td align="left">
<italic>In vitro</italic>
</td>
<td align="left">Anticancer</td>
<td align="left">These results support the use of <italic>Inonotus obliquus</italic> in treating lung cancer and disclose the molecular basis for its cytotoxic effect against human lung cancer cells</td>
<td align="left">South Korea</td>
<td align="left">
<xref ref-type="bibr" rid="B8">Baek et al. (2018)</xref>
</td>
</tr>
<tr>
<td align="right">2</td>
<td align="left">Ethyl acetate extract</td>
<td align="left">
<italic>In vitro</italic>
</td>
<td align="left">Antimutagenic and Antioxidant</td>
<td align="left">According to the findings, three of the components of Chaga, -3-hydroxy lanosta-8, 24-dien-21-al, and inotodiolal &#x2014; have antimutagenic and antioxidative properties, respectively</td>
<td align="left">South Korea</td>
<td align="left">
<xref ref-type="bibr" rid="B47">Ham et al. (2009)</xref>
</td>
</tr>
<tr>
<td align="right">3</td>
<td align="left">Chaga mushroom powder</td>
<td align="left">
<italic>In vivo</italic>
</td>
<td align="left">Anticancer</td>
<td align="left">The results showed that oxalate crystals were detected in the renal tubular lumen and urinary sediment, and oxalate nephropathy was diagnosed. Kidney function declined and hemodialysis was started. This response is the first report of a case of this kind related to the ingestion of Chaga mushrooms</td>
<td align="left">Japan</td>
<td align="left">
<xref ref-type="bibr" rid="B79">Kikuchi et al. (2014)</xref>
</td>
</tr>
<tr>
<td align="right">4</td>
<td align="left">Hot water extract (IOE)</td>
<td align="left">
<italic>In vitro Ex vivo</italic>
</td>
<td align="left">Immunomodulating effects of Chaga</td>
<td align="left">The results show that Chaga regulates antigen-specific antibody production and release of Th1/Th2 cytokines in immune cells</td>
<td align="left">South Korea</td>
<td align="left">
<xref ref-type="bibr" rid="B85">Ko et al. (2011)</xref>
</td>
</tr>
<tr>
<td align="right">5</td>
<td align="left">Hot water extract</td>
<td align="left">
<italic>In vitro</italic>
</td>
<td align="left">Antitumor</td>
<td align="left">Hot water extracts of Chaga (IOWE) can be used to treat cancer by increasing the expression of pro-apoptotic proteins while decreasing the expression of anti-apoptotic proteins, thereby helping cancer cells die</td>
<td align="left">South Korea</td>
<td align="left">
<xref ref-type="bibr" rid="B96">Lee et al. (2009)</xref>
</td>
</tr>
<tr>
<td align="right">6</td>
<td align="left">Aqueous extract (IOAE)</td>
<td align="left">
<italic>In vitro</italic>
</td>
<td align="left">Anti-inflammatory</td>
<td align="left">IOAE suppresses TNF-&#x3b1;, iNOS and IL-1, indicating that it may be useful in preventing inflammatory bowel illness</td>
<td align="left">South Korea</td>
<td align="left">
<xref ref-type="bibr" rid="B114">Mishra et al. (2012)</xref>
</td>
</tr>
<tr>
<td align="right">7</td>
<td align="left">Ethanolic extract</td>
<td align="left">
<italic>In vitro</italic>
</td>
<td align="left">Prevents inflammatory bowel disease (IBD)</td>
<td align="left">Chaga extract decreases oxidative stress in lymphocytes from IBD patients and healthy people</td>
<td align="left">United Kingdom</td>
<td align="left">
<xref ref-type="bibr" rid="B121">Najafzadeh et al. (2007)</xref>
</td>
</tr>
<tr>
<td align="right">8</td>
<td align="left">Polysaccharide extract (IOPE)</td>
<td align="left">
<italic>In vitro</italic>
</td>
<td align="left">Antitumor</td>
<td align="left">A Chaga extract was found to inhibit tumour cell growth</td>
<td align="left">China</td>
<td align="left">
<xref ref-type="bibr" rid="B125">Ning et al. (2014)</xref>
</td>
</tr>
<tr>
<td align="right">9</td>
<td align="left">Aqueous extract (AEIO)</td>
<td align="left">
<italic>In vitro</italic>
</td>
<td align="left">Antivirus</td>
<td align="left">Herpes simplex virus (HSV) infection was significantly reduced when <italic>I. obliquus</italic> aqueous extract (AEIO) was used</td>
<td align="left">China</td>
<td align="left">
<xref ref-type="bibr" rid="B130">Pan et al. (2013)</xref>
</td>
</tr>
<tr>
<td rowspan="2" align="right">10</td>
<td rowspan="2" align="left">Methanol extract (MEIO)</td>
<td rowspan="2" align="left">
<italic>In vitro</italic> and <italic>In vivo</italic>
</td>
<td align="left">Anti-inflammatory</td>
<td rowspan="2" align="left">In LPS-stimulated RAW 264.7 macrophages, Chaga dramatically reduced NO, PGE2, and TNF-&#x3b1; production</td>
<td rowspan="2" align="left">South Korea</td>
<td rowspan="2" align="left">
<xref ref-type="bibr" rid="B133">Park et al. (2005)</xref>
</td>
</tr>
<tr>
<td align="left">Anti-nociceptive</td>
</tr>
<tr>
<td rowspan="2" align="right">11</td>
<td rowspan="2" align="left">Dry matter of culture broth (DMCB) of <italic>Inonotus obliquus</italic>
</td>
<td rowspan="2" align="left">
<italic>In vitro</italic>
</td>
<td align="left">Antihyperglycemic</td>
<td rowspan="2" align="left">DMCB of <italic>Inonotus obliquus</italic> had strong antihyperglycemic, antilipidperoxidative, and antioxidant properties in alloxan-induced diabetic mice</td>
<td rowspan="2" align="left">China</td>
<td rowspan="2" align="left">
<xref ref-type="bibr" rid="B165">Sun et al. (2008)</xref>
</td>
</tr>
<tr>
<td align="left">Antilipidperoxidative</td>
</tr>
<tr>
<td align="right">12</td>
<td align="left">Polysaccharide extract (IOPE)</td>
<td align="left">
<italic>In vitro</italic>
</td>
<td align="left">Antifatigue</td>
<td align="left">IOPE increased swimming time in mice but decreased lactic acid and urea levels. Studies on major organs, including the liver, showed no negative consequences of IOP. These findings support the use of IOP as an anti-fatigue medication</td>
<td align="left">China</td>
<td align="left">
<xref ref-type="bibr" rid="B181">Xiuhong et al. (2015)</xref>
</td>
</tr>
<tr>
<td rowspan="2" align="right">13</td>
<td rowspan="2" align="left">Polysaccharides extracted from Chaga</td>
<td rowspan="2" align="left">
<italic>In vitro</italic>
</td>
<td align="left">Antihyperglycemic</td>
<td rowspan="2" align="left">In alloxan-induced diabetic mice, Chaga DMCB polysaccharide extract lowered blood glucose levels</td>
<td rowspan="2" align="left">China</td>
<td rowspan="2" align="left">
<xref ref-type="bibr" rid="B182">Xu et al. (2010)</xref>
</td>
</tr>
<tr>
<td align="left">Antilipidperoxidative</td>
</tr>
<tr>
<td align="right">14</td>
<td align="left">Aqueous extract (IOAE)</td>
<td align="left">
<italic>In vitro</italic>
</td>
<td align="left">Anticancer</td>
<td align="left">Extract reduced cell growth, causing G0/G1-phase arrest and apoptotic cell death</td>
<td align="left">South Korea</td>
<td align="left">
<xref ref-type="bibr" rid="B187">Youn et al. (2008)</xref>
</td>
</tr>
<tr>
<td align="right">15</td>
<td align="left">Aqueous extract (IOAE)</td>
<td align="left">
<italic>In vitro</italic>
</td>
<td align="left">Anticancer</td>
<td align="left">The <italic>Inonotus obliquus</italic> aqueous extract significantly reduced tumour growth in mice. The <italic>Inonotus obliquus</italic> extract may be utilised as a natural cancer suppressant by improving energy metabolism</td>
<td align="left">South Korea</td>
<td align="left">
<xref ref-type="bibr" rid="B3">Arata et al. (2016)</xref>
</td>
</tr>
<tr>
<td align="right">16</td>
<td align="left">Aqueous dried fruiting body Chaga fraction</td>
<td align="left">
<italic>In vitro</italic>
</td>
<td align="left">Anticancer</td>
<td align="left">The results suggest that Chaga has anticancer benefits that are partially attributed to reduction in tumor cell proliferation, motility, and morphological changes</td>
<td align="left">Poland</td>
<td align="left">
<xref ref-type="bibr" rid="B97">Lemieszek et al. (2011)</xref>
</td>
</tr>
<tr>
<td align="right">17</td>
<td align="left">Polyphenolic and Polysaccharide extract (IOPE)</td>
<td align="left">
<italic>In vitro</italic>
</td>
<td align="left">Antioxidant</td>
<td align="left">The results of the study showed that IOPE protected cells from oxidative stress and scavenged free radicals at concentrations above 5&#xa0;g/mL</td>
<td align="left">South Korea</td>
<td align="left">
<xref ref-type="bibr" rid="B27">Cui et al. (2005)</xref>
</td>
</tr>
<tr>
<td align="right">18</td>
<td align="left">Aqueous extract (IOAE)</td>
<td align="left">
<italic>In vitro</italic>
</td>
<td align="left">Immunity enhancer</td>
<td align="left">The extract increased blood IL-6 levels when administered orally. Reduced TNF-related pathological abnormalities were observed in the extract-treated animals. These findings support the use of IOAE as an immunity enhancer during chemotherapy</td>
<td align="left">South Korea</td>
<td align="left">
<xref ref-type="bibr" rid="B83">Kim (2005)</xref>
</td>
</tr>
<tr>
<td align="right">19</td>
<td align="left">Aqueous extract (IOAE)</td>
<td align="left">
<italic>In vitro</italic>
</td>
<td align="left">Anticancer</td>
<td align="left">IOAE at 10&#xa0;&#x3bc;g/mL to 2000&#xa0;&#x3bc;g/mL concentration suppressed cancer cell development</td>
<td align="left">Poland</td>
<td align="left">
<xref ref-type="bibr" rid="B16">Burczyk et al. (1996)</xref>
</td>
</tr>
<tr>
<td align="right">20</td>
<td align="left">Aqueous extract (IOAE)</td>
<td align="left">
<italic>In vitro</italic>
</td>
<td align="left">Anticancer</td>
<td align="left">French Chaga has cytotoxic effects on normally transformed BEAS-2B cells</td>
<td align="left">France</td>
<td align="left">
<xref ref-type="bibr" rid="B38">G&#xe9;ry et al. (2018)</xref>
</td>
</tr>
<tr>
<td align="right">21</td>
<td align="left">Gold nanoparticles (AuNPs) synthesized using <italic>Inonotus obliquus</italic>
</td>
<td align="left">
<italic>In vitro</italic>
</td>
<td align="left">Antibacterial Anticancer</td>
<td align="left">Both the MCF-1 human breast cancer cell line and the NCI-N87 human stomach cancer cell line demonstrated high antibacterial, antioxidant, and cytotoxic activity</td>
<td align="left">South Korea</td>
<td align="left">
<xref ref-type="bibr" rid="B93">Lee et al. (2015)</xref>
</td>
</tr>
<tr>
<td align="right">22</td>
<td align="left">Ethanol and water extracts</td>
<td align="left">
<italic>In vitro</italic>
</td>
<td align="left">Immunity booster</td>
<td align="left">The findings show that the Chaga mushroom can make a small-molecule inhibitor that stops the CTLA-4/CD80 interaction. They believe that Chaga can be used to create a new type of immune checkpoint inhibitor</td>
<td align="left">South Korea</td>
<td align="left">
<xref ref-type="bibr" rid="B80">Kim et al. (2020)</xref>
</td>
</tr>
</tbody>
</table>
</table-wrap>
</sec>
</sec>
</sec>
<sec id="s8">
<title>8 Cosmetic uses</title>
<p>Melanin, a pigment, in the skin plays a vital role in shielding the skin from harmful UV radiation (<xref ref-type="bibr" rid="B87">Kukulyanskaya et al., 2002</xref>; <xref ref-type="bibr" rid="B173">Tsatmali et al., 2002</xref>). However, when exposed to UV light and other triggers the skin naturally produces melanin as a protective response (<xref ref-type="bibr" rid="B184">Yan et al., 2014</xref>). In other studies, two naturally occurring chemicals, birch sap from <italic>Betula alba</italic> and organic extracts from Chaga, were investigated for their potential to block the Sun&#x2019;s ultraviolet (UV) rays (<xref ref-type="bibr" rid="B2">Alhallaf, 2020</xref>). Both pure birch sap and Chaga extracts, as well as a combination containing 5% organic birch sap and 5% Chaga, were tested.</p>
<p>The birch tree sap derived from Betula alba and Chaga proved effective, in reducing the production of cytokines when the skin was exposed to UV light. Keratinocytes are shielded from the DNA damage caused by UV light by extracts of birch sap and Chaga mushrooms. These findings demonstrate for the very first time that extracts of Chaga and Betula alba mushrooms shield skin cells from the damaging effects of UVA and UVB radiation because of their antioxidant, anti-inflammatory, and DNA-preserving and repairing properties. Moreover, they have the potential to be used in anti-aging and sun-screening cosmetics (<xref ref-type="bibr" rid="B160">Softa et al., 2019</xref>).</p>
<p>Based on a study&#x2019;s findings, <xref ref-type="bibr" rid="B163">Song et al. (2004)</xref> concluded that Chaga and Chaga mycelium may inhibit NF-BNF-B in human skin (<xref ref-type="fig" rid="F7">Figure 7</xref>). Chaga possesses antioxidants, like melanin and hispidin analogues (polyphenols) along with dismutase and catalase. This makes it a promising ingredient in the field of dermatology for addressing signs of aging such as wrinkles, sagging skin, and graying hair. Oxidative stress is believed to be a contributing factor to these manifestations of aging. Excessive free radicals resulting from sunlight exposure and other oxidative damage can lead to accelerated skin deterioration due, to the body&#x2019;s inability to effectively neutralize them (<xref ref-type="bibr" rid="B162">Song et al., 2013</xref>). More antioxidants in the body might theoretically delay or even halt the aging process. The efficiency of Chaga in combating other kinds of oxidative stress implies that it may also combat aging, although no clear study has connected it to anti-aging effects (<xref ref-type="bibr" rid="B38">G&#xe9;ry et al., 2018</xref>).</p>
<fig id="F7" position="float">
<label>FIGURE 7</label>
<caption>
<p>Cosmetics uses of Chaga mushroom.</p>
</caption>
<graphic xlink:href="fphar-14-1273786-g007.tif"/>
</fig>
<p>Chaga sulphur soap is manufactured in South Korea, where it is said to have anti-aging and hydrating effects, among others (<xref ref-type="bibr" rid="B174">&#x162;ura et al., 2018</xref>). <xref ref-type="bibr" rid="B148">Sagayama et al. (2019)</xref> conducted cell proliferation experiments to assess the impacts of Mongolians using Chaga sclerotium to wash their hair traditionally. They isolated five lanostane-type triterpenes (1&#x2013;5) from human hair follicle dermal papilla cells (HFDPCs). These triterpenes outperformed the positive control, minoxidil, for their pro-proliferative effects on HFDPCs.</p>
<p>
<xref ref-type="bibr" rid="B184">Yan et al. (2014)</xref> investigated the potential of Chaga to reduce melanin pigmentation and explore its use as a skin whitening ingredient in cosmetics. Specifically, they focused on tyrosinase, an enzyme, for stimulating production. It was discovered that the tyrosinase enzyme was inhibited by betulin and trametenolic acid, but other compounds such as inotodiol and lanosterol activated tyrosinase and increase pigment synthesis in laboratory cells. Pigment reduction may assist people with darker patches to achieve a more even skin tone, whilst pigment activation may be beneficial for those who have lost or decreased their pigment. It seems that Chaga has great potential as a cosmetic agent, and further studies are needed to determine how beneficial the various components may be for the cosmeceutical industry.</p>
<sec id="s8-1">
<title>8.1 Industrial applications</title>
<p>Chaga produces ligninolytic enzymes that act as biocatalysts in oxidoreductase processes such as degrading lignin and other parts of the cell wall (<xref ref-type="bibr" rid="B29">Dashtban et al., 2010</xref>). Particularly, ligninolytic peroxidase degrades polymers and other complex components in an oxidative process, splitting the entire lignin structure (<xref ref-type="bibr" rid="B156">Silvat, 2013</xref>). In a similar fashion, the enzyme degrades polysaccharide compounds in hemicellulose and cellulose. By breaking down these materials, Chaga can access the nutrients present in the wood and utilize them for its growth and survival (<xref ref-type="bibr" rid="B17">Cajthaml and Svobodov&#xe1;, 2012</xref>).</p>
<p>This ability of Chaga&#x2019;s enzymes to degrade lignin and other woody materials has attracted interest for potential applications in various industries. One such application is bioremediation, where these enzymes play a role in the cleanup of polluted environments. By breaking down lignin and other organic pollutants, such as pesticides, dyes, and industrial chemicals, these enzymes contribute to the degradation of toxic compounds, leading to the remediation of contaminated sites and a reduction in environmental pollution (<xref ref-type="bibr" rid="B157">Singh et al., 2021</xref>). Another notable application lies in biofuel production. In one study, lignocellulosic biomass, including wood and agricultural residues, was reported to be beneficial as a feedstock for biofuel production. Ligninolytic peroxidase enzyme hydrolyzed the lignocellulosic materials, breaking them down into simpler sugars. These sugars were then fermented to produce biofuels like ethanol. By facilitating the degradation of biomass, these enzymes present a promising avenue for the advancement of biofuel technologies (<xref ref-type="bibr" rid="B63">Ili&#x107; et al., 2023</xref>).</p>
<p>In the paper and pulp industry, these enzymes have been reported to provide a more environmentally friendly alternative to the conventional pulping and bleaching processes. The enzymes activate the bond between ink and paper particles through hydrolysis which is subsequently removed via a flotation technique (<xref ref-type="bibr" rid="B90">Lee et al., 2013</xref>).</p>
<p>Traditionally, these industries rely on harsh chemicals and energy-intensive methods (<xref ref-type="bibr" rid="B77">Kaur et al., 2020</xref>). However, the enzyme was found to selectively degrade lignin, increasing the efficiency of the pulping process while reducing the dependence on chemicals. Furthermore, these enzymes can be employed in the bleaching process, minimizing the use of chlorine-based bleaching agents that pose harm to the environment (<xref ref-type="bibr" rid="B157">Singh et al., 2021</xref>).</p>
<p>Chaga enzymes have also shown potential in the textile and detergent industries. As bio-catalysts, they can be utilized in the processing of natural fibers like cotton and hemp (<xref ref-type="bibr" rid="B134">Pavithra et al., 2023</xref>; <xref ref-type="bibr" rid="B4">Asemoloye et al., 2021</xref> reported that by effectively removing lignin and impurities from these fibers, the ligninolytic peroxidase enzyme contributed to the production of cleaner and higher-quality textiles. In the detergent industry, Chaga enzymes were found to enhance the efficiency of laundry detergents by aiding in stain removal and facilitating the degradation of organic matter (<xref ref-type="bibr" rid="B4">Asemoloye et al., 2021</xref>).</p>
</sec>
</sec>
<sec id="s9">
<title>9 Agricultural potentials</title>
<p>Aside from the pharmacological advantages of Chaga, there have been a few discoveries regarding its use in crop and animal husbandry. However, despite Chaga&#x2019;s popularity and potential for use in agriculture, this application of the fungus has not been subjected to a rigorous scientific review. Hence, this part of the review will focus on Chaga and its prospective uses in agriculture (<xref ref-type="fig" rid="F8">Figure 8</xref>).</p>
<fig id="F8" position="float">
<label>FIGURE 8</label>
<caption>
<p>Agricultural potentials of Chaga.</p>
</caption>
<graphic xlink:href="fphar-14-1273786-g008.tif"/>
</fig>
<sec id="s9-1">
<title>9.1 Potentials of chaga in animal farming</title>
<p>The use of these mushrooms as lignocellulosic materials were conceptualized more than a century ago by <xref ref-type="bibr" rid="B35">Falck (1902)</xref>, who proposed their use for improving agricultural waste and subsequently animal nutrition. After almost a century, several newer studies also focus on improving lignocellulosic materials for fodder (<xref ref-type="bibr" rid="B101">Lindenfelser et al., 1979</xref>; <xref ref-type="bibr" rid="B44">Hadar and Cohen-Arazi, 1986</xref>). This includes investigating the underlying biochemical mechanisms of the fungal degradation of agricultural waste. Studies have also considered the lignocellulose complex in straw and plant residues, and the reaction mechanisms connecting lignin polymers and hydrolytic enzymes such as cellulases and hemicelluloses (<xref ref-type="bibr" rid="B45">Hadar et al., 1992</xref>; <xref ref-type="bibr" rid="B53">Honda et al., 2000</xref>).</p>
<p>Antibiotics have become a major aspect of livestock production, especially in developed countries (<xref ref-type="bibr" rid="B138">Rathgeber et al., 2008</xref>). The initial evidence, reported by <xref ref-type="bibr" rid="B117">Moore et al. (1946)</xref> showed the benefits of administering doses of antibiotics to chickens (<xref ref-type="bibr" rid="B117">Moore et al., 1946</xref>). Their study indicated that the inclusion of streptomycin improved the growth rate of the chicks (<xref ref-type="bibr" rid="B117">Moore et al., 1946</xref>). Chaga mushrooms contain a concentration (8.57%) of <italic>&#x3b2;</italic> glucan which is recognized for its immune system support properties and has been shown to improve the growth rate of fowls (<xref ref-type="bibr" rid="B22">Chandrasekaran et al., 2011</xref>). Currently, few studies conducted to confirm that incorporating &#x3b2; glucan, into animal feed has an overall impact, on the system and the growth of livestock.</p>
<p>Several studies have shown that the addition of <italic>&#x3b2;</italic>-glucan to animal feed positively affects the immune system and the growth of farm animals. One study, in particular, demonstrated that broiler feed supplemented with <italic>&#x3b2;</italic> glucan increased the weight of the broilers significantly as compared to broilers given feed without supplemented <italic>&#x3b2;</italic> glucan (<xref ref-type="bibr" rid="B21">Chae et al., 2006</xref>). <xref ref-type="bibr" rid="B138">Rathgeber et al. (2008)</xref> conducted studies that revealed &#x3b2; glucan to be equally effective, as virginiamycin, in promoting the growth of broiler chickens. Similarly, <xref ref-type="bibr" rid="B32">Dritz et al. (1995)</xref> demonstrated that the addition of &#x3b2; glucan improved the growth of nursery pigs while incorporating Chaga into their diet enhanced piglet growth and facilitated weight gain. Not are &#x3b2; glucans utilized in the food and pharmaceutical industries as anticancer and immune-modulating agents. They are also employed within the aquaculture and livestock sectors to enhance animals&#x2019; innate immunity (<xref ref-type="bibr" rid="B73">Jung et al., 2007</xref>; <xref ref-type="bibr" rid="B202">Zhu et al., 2016</xref>). According to (<xref ref-type="bibr" rid="B73">Jung et al., 2007</xref>), &#x3b2;-glucan from <italic>Paenibacillus polymyxa</italic> JB115 can be added to animal feed to enhance immunity and may act as an anticancer agent in livestock. Additionally, rainbow trout (<italic>Oncorhynchus mykiss</italic>) were fed &#x3b2;-glucan pellets, increasing the secretion of specific antibodies and Ig levels in serum (<xref ref-type="bibr" rid="B159">Skov et al., 2012</xref>). Owing to the emergence of new diseases and government efforts to prohibit antibiotics that promote growth while enhancing the efficacy of commercial agriculture, new opportunities for natural, highly effective, and inexpensive immunomodulators like Chaga mushrooms can compensate by inducing and enhancing disease resistance while reducing losses. Moreover, these mushrooms produce significant quantities of &#x3b2;-glucan that can be used in feed supplements (<xref ref-type="bibr" rid="B26">Cueno et al., 2004</xref>). These supplements can improve immunity, reducing the excessive use of antibiotics. This has been confirmed by the immunostimulation of fowl after being fed with <italic>Pleurotus ostreatus</italic>, which considerably improved without affecting the size or quality of the meat (<xref ref-type="bibr" rid="B98">Li et al., 2006</xref>; <xref ref-type="bibr" rid="B190">Zhang et al., 2008</xref>).</p>
<p>In addition, these medicinal mushrooms have been investigated extensively as prospective materials for improving the quality of agricultural lignocellulose waste (<xref ref-type="bibr" rid="B12">Bogan et al., 1999</xref>). In one study, Chaga mushroom helped to breakdown lignin, releasing cellulose that can be used by ruminants (<xref ref-type="bibr" rid="B75">Kamra and Zadra&#x17e;il, 1986</xref>). This breakdown mechanism was linked to the ligninolytic system of the mushroom made up of oxidative enzymes. In another study, the direct use of mushrooms as lignocellulosic residues in animal feed played an important role in the diet of ruminants (<xref ref-type="bibr" rid="B164">Streeter et al., 1982</xref>). Studies have also examined the use of <italic>Pleurotus spp</italic> in breaking down wheat straw under different conditions and substrate treatments (<xref ref-type="bibr" rid="B189">Zadrazil, 1997</xref>; <xref ref-type="bibr" rid="B150">Salmones et al., 2005</xref>; <xref ref-type="bibr" rid="B78">Khan et al., 2013</xref>; <xref ref-type="bibr" rid="B120">Muswati et al., 2021</xref>). A significant increase in digestibility of wheat straw was observed after treatment with the mushroom. Similarly, <xref ref-type="bibr" rid="B45">Hadar et al. (1992)</xref> found that the lignin constituents in wheat straw significantly decreased during 4 weeks of treatment with <italic>P. ostreatus</italic>. <italic>In vitro</italic> digestion also increased and the product was degraded by up to 40% in animals&#x2019; diets (<xref ref-type="bibr" rid="B45">Hadar et al., 1992</xref>).</p>
<p>A major barrier to the upgrade of straw to fibre is the expensive materials and equipment needed for the preparation of fungal substrates (<xref ref-type="bibr" rid="B59">H&#xfc;ttermann et al., 2000</xref>). <xref ref-type="bibr" rid="B59">H&#xfc;ttermann et al. (2000)</xref> described a new process for degrading agricultural wastes using <italic>Pleurotus</italic> spp. This included using solar heating for pasteurization, and treatment using detergents, tomato pomace, and potato pulp. These methods generated positive results in on-farm applications (<xref ref-type="bibr" rid="B59">H&#xfc;ttermann et al., 2000</xref>). Moreover, in both <italic>in vitro</italic> and <italic>in vivo</italic> studies, <italic>Pleurotus</italic> spp. significantly improved the availability of roughage in animal diets due to its action on cellulose and lignin (<xref ref-type="bibr" rid="B175">Van Kuijk et al., 2015</xref>). In a feeding experiment by <xref ref-type="bibr" rid="B59">H&#xfc;ttermann et al. (2000)</xref>, rams fed with mushroom-treated straw increased in body weight. At the same time, the treated group demonstrated an increase in nutritive value (<xref ref-type="bibr" rid="B59">H&#xfc;ttermann et al., 2000</xref>).</p>
<p>In a study by <xref ref-type="bibr" rid="B126">Nwafor et al. (2022)</xref>, a significant increase in the mineral composition of animal feed produced from agro -waste was observed after treatment with extracts of mushrooms. Its amino acid and carbohydrate contents also increased significantly as compared to the positive control, confirming the potential for mushrooms to improve the nutritional composition of animal feed (<xref ref-type="bibr" rid="B126">Nwafor et al., 2022</xref>).</p>
</sec>
<sec id="s9-2">
<title>9.2 Potentials of the chaga mushroom in crop farming</title>
<p>
<xref ref-type="bibr" rid="B13">Boulet and Bussi&#xe8;res (2018)</xref> mentioned that an arborist in Quebec employed Chaga powder and paste to treat beech tree blight caused by <italic>Cryphonectria parasitica</italic>. The incision healed over 2&#xa0;years, and the trees became immune to blight. This means that Chaga might be used as an inoculation or crop-protection strategy for other tree species. Chaga is also used as a fertilizer to protect cultivated plants from Phytophthora, and as a plant growth stimulant to promote development (<xref ref-type="bibr" rid="B153">Shashkina et al., 2006</xref>). Some Russian researchers, especially P. A. Yakimov and others (<xref ref-type="bibr" rid="B15">Bulatov et al., 1959</xref>; <xref ref-type="bibr" rid="B153">Shashkina et al., 2006</xref>; <xref ref-type="bibr" rid="B166">Sysoeva et al., 2012</xref>), conducted detailed investigations of Chaga and its concentrated extracts along with those of other porous fungi about a century ago (<xref ref-type="bibr" rid="B15">Bulatov et al., 1959</xref>). The chemical composition of Chaga is significantly different from other polypores. An X-ray fluorescence approach, atomic absorption spectrum, and gravimetric analysis demonstrated that Chaga contains the following: carbon (39%), potassium (9%&#x2013;10%), hydrogen (3.6%), nitrogen (0.4%), magnesium (0.64%), calcium (0.37%), chlorine (0.33%), phosphorus (0.23%), sodium (0.04%). The nitrogen content of Chaga is primarily part of proteins. The products of hydrolysis exposed 15 different amino acids, the most prevalent of which were glycine, aspartic, and glutamic acids (accounting for approximately 40%), as well as tyrosine, serine, threonine, leucine, methionine, lysine, and histidine (<xref ref-type="bibr" rid="B153">Shashkina et al., 2006</xref>).</p>
<p>
<italic>Invitro</italic> studies have shown these mushrooms to be useful in the degradation of industrial dyes, phenols, soil decontamination, and wastewater treatment. Yet, no further analysis such as <italic>in situ</italic> tests has been done to further confirm these claims (<xref ref-type="bibr" rid="B66">Irie et al., 2001</xref>). <xref ref-type="bibr" rid="B144">Roy et al. (2015)</xref> investigated the improvement of plant health for <italic>Capsicum annuum</italic> L by treating it with spent mushroom substrate from button and oyster mushrooms. After several weeks of treatment, growth parameters such as height, branches, and yield improved significantly (<xref ref-type="bibr" rid="B144">Roy et al., 2015</xref>; <xref ref-type="bibr" rid="B161">Somnath et al., 2015</xref>). Apart from that, the substrate played a role in reducing soil phosphate and increasing root and leaf phosphate. The c9hlorophyll and carotenoid content of the leaves also significantly increased following soil treatment with the mushroom substrate (<xref ref-type="bibr" rid="B144">Roy et al., 2015</xref>).</p>
<p>Currently, mushroom substrates are recognized as inexpensive, ecologically friendly sources of organic fertilizers. Features such as high moisture, nutrient retention, high air permeability, loose texture, and rich pellet structure are known to improve soil structure and maintain a beneficial environment for soil microorganisms. Among the numerous applications of mushrooms to crop farming, the use of spent mushroom substrate remains the most effective and economical (<xref ref-type="bibr" rid="B105">Lou et al., 2017</xref>). The spent substrate, from mushrooms contains an amount of matter and essential nutrients like nitrogen, phosphorus, and potassium. These elements play a role in promoting plant growth. Through the utilization of mushroom substrate, as a soil amendment, farmers can enhance the quality and fertility of their soil without having to rely on synthetic fertilizers (<xref ref-type="bibr" rid="B34">Esmaielpour et al., 2017</xref>). Secondly, the use of spent mushroom substrate can help to reduce waste and save resources. After the mushrooms are harvested, the remaining substrate can be recycled and used as a soil amendment instead of being disposed of as waste (<xref ref-type="bibr" rid="B28">Cunha Zied et al., 2020</xref>). Third, the production of spent mushroom substrate is relatively low-cost compared to other types of organic amendments, such as compost or manure. This is because the substrate is already produced as a byproduct of mushroom cultivation, so there are no additional costs associated with its production (<xref ref-type="bibr" rid="B111">Meng et al., 2018</xref>).</p>
<p>Another study demonstrated that treatment with beneficial microorganisms improved the biological and nutritional activity of the substrate thereby improving soil structure, efficiency, quality, and ecological function (<xref ref-type="bibr" rid="B212">Mohd Hanafi et al., 2018</xref>). In another study, after composting, elements such as phosphorus, potassium, and nitrogen increased after treatment with the mushroom (<xref ref-type="bibr" rid="B205">Akdeniz, 2019</xref>; <xref ref-type="bibr" rid="B213">S&#xe1;nchez, 2010</xref>). Moreover, during the composting process, mushroom substrates diminished the function of pathogenic microorganisms and by extension plant diseases, while supplying these essential nutrients.</p>
<p>Other studies have demonstrated the benefits of combining mushroom substrates with organic waste or sludge (<xref ref-type="bibr" rid="B111">Meng et al., 2018</xref>; <xref ref-type="bibr" rid="B211">Meng et al., 2019</xref>). In another study, substrate-compost mixes improved nitrogen content in plants by more slowly releasing nitrogen from the substrate, increasing overall uptake (<xref ref-type="bibr" rid="B216">Uzun, 2004</xref>). <xref ref-type="bibr" rid="B210">Grimm and Wosten (2018)</xref> also illustrated that mushroom substrates can be used to replace chemical fertilizers.</p>
<p>Field experiments by <xref ref-type="bibr" rid="B208">Courtney and Mullen (2008)</xref> compared a chemical fertilizer to an organic mushroom substrate. The application of mushroom substrate improved soil properties and the yield of barley by 50% relative to the 40% improvement from the chemical fertilizer (<xref ref-type="bibr" rid="B208">Courtney and Mullen, 2008</xref>). This improved performance was attributed to the increase of mineral contents by 3 times for the mushroom substrate, the chemical fertilizer yielded no increase. As mentioned earlier medicinal mushrooms like Chaga contain compounds such as polysaccharides, polyphenols, steroids, and terpenoids that have antibacterial and antioxidant properties (<xref ref-type="bibr" rid="B40">Glamo&#x10d;lija et al., 2015</xref>). Moreover, the application of mushroom-spent substrate to soils slowly releases these bioactive compounds into the soil. This can potentially benefit plants by acting as a defense against diseases. For example, a research study demonstrated that using this type of biofertilizer led to plant growth and increased resistance against the fungal pathogen Fusarium oxysporum (<xref ref-type="bibr" rid="B5">Awad-Allah et al., 2022</xref>). In another study focused on chili pepper plants affected by root rot disease scientists explored the potential of a biofertilizer derived from <italic>Bacillus subtilis</italic> bacteria. The findings revealed that applying this biofertilizer significantly reduced both disease incidence and severity while also promoting plant growth and higher yields (<xref ref-type="bibr" rid="B158">Sivasakthi et al., 2014</xref>). Similarly in a study involving tomato plants infected with Rhizoctonia solani fungus researchers investigated the effects of a biofertilizer derived from Trichoderma fungus, on growth and disease resistance levels (<xref ref-type="bibr" rid="B158">Sivasakthi et al., 2014</xref>). According to <xref ref-type="bibr" rid="B5">Awad-Allah et al. (2022)</xref> when the biofertilizer was applied it led to plant growth. Increased protection, against the pathogen (<xref ref-type="bibr" rid="B5">Awad-Allah et al., 2022</xref>). This claim is further supported by <xref ref-type="bibr" rid="B128">Othman et al. (2020)</xref> research, which showed that mushroom substrates have properties that can combat plant pathogens. Apart from agriculture, the antibacterial effect of these mushrooms has also been used to suppress food and clinical pathogens (<xref ref-type="bibr" rid="B50">Hearst et al., 2009</xref>).</p>
</sec>
</sec>
<sec id="s10">
<title>10 Chaga safety and side effects</title>
<p>Since antiquity, the use of Chaga and its crude extracts has been completely harmless. Although the useful bioactivities of Chaga have attracted a lot of attention in the last decade, the safety and toxicology of the fungus has not been extensively investigated. Moreover, few studies that have investigated the safety and toxicology present divergent views on the safety of the mushroom.</p>
<p>In one study, researchers claim that the fungus is safe for consumption, whether ingested by animals or plants. However, Cui et al., in their study showed that the ethanol extract of Chaga was found to be harmful to HaCaT keratinocytes cells when applied in concentrations ranging from 100 to 400&#xa0;g/mL (<xref ref-type="bibr" rid="B27">Cui et al., 2005</xref>).</p>
<p>Another study has shown that the primary porcine hepatocytes (PLP2) were not significantly affected by alcohol-based and/or aqueous extracts of Chaga at a concentration of 400&#xa0;ppm compared to those exposed to alcohol for the first time (<xref ref-type="bibr" rid="B40">Glamo&#x10d;lija et al., 2015</xref>). Furthermore, other studies and numerous investigations have concluded that the use of Chaga extract does not result in any impact, on weight fluctuations, or effects on liver and kidney functions in kumming mice and Sprague Dawley rats (<xref ref-type="bibr" rid="B82">Kim et al., 2006</xref>; <xref ref-type="bibr" rid="B123">Nakata et al., 2007</xref>; <xref ref-type="bibr" rid="B186">Yong et al., 2018</xref>). Yet varying concentrations of oxalic acid, a toxic substance found in the fungus are documented in several studies (<xref ref-type="bibr" rid="B79">Kikuchi et al., 2014</xref>; <xref ref-type="bibr" rid="B40">Glamo&#x10d;lija et al., 2015</xref>; <xref ref-type="bibr" rid="B95">Lee et al., 2020</xref>). Although the understanding of the exact mechanism between the concentration of oxalic acid and its excretion ability is unclear, it is possible that with time extended use of chaga in any form may lead to increased levels of oxalate in the blood. This increase in levels may pose a risk, for sensitive individuals and potentially lead to oxalate necrosis.</p>
<p>The overuse of natural fungi such as Chaga is a growing concern among medical experts around the world (<xref ref-type="bibr" rid="B108">Lumlertgul et al., 2018</xref>). It is currently widely accepted that conducting trials on every fungus worldwide is nearly impractical due to the high cost and workforce required. Moreover, the nutritional host largely influences the chemical composition and safety of mushroom. However, following strict safety and health regulations can safeguard the safety and efficacy of Chaga products. Moreover, more toxicology studies on chaga products are needed in the present literature to authenticate the safety of these products before their use in treating illnesses.</p>
</sec>
<sec id="s11">
<title>11 Conclusion and prospects</title>
<p>
<italic>Inonotus obliquus</italic> (Chaga mushroom), just like other medicinal fungi has been acknowledged for its healing abilities in traditional, folk, and modern medicine. In the current review, the fungus has demonstrated its wide array of medicinal properties including antimicrobial, anti-inflammatory, anticancer, antioxidant, and anti-tumor evaluated <italic>in vitro</italic> and <italic>in vivo</italic>. Yet, current evidence on its biological activity is still to a large extent scanty. Although studies have established the benefits of Chaga&#x2019;s bioactive properties, more rigorous research is needed to fully understand the fungus&#x2019;s mechanisms of action and to harness its full potential for future use in modern medicine.</p>
<p>Extraction of bioactive components using water was found to be the most common technique of preparation (or as a decoction) by many researchers and indigenous people. Moreover, most claims about Chaga&#x2019;s traditional medicinal properties have also been proven true, either by <italic>in vitro</italic> or <italic>in vivo</italic> testing. Further clinical trials and translational studies are however required to further acquire more information on the fungus that will serve as a basis for future research. This could provide the necessary data to support the development of innovative medicines or applications as well as present alternative use for this mushroom. Eventually, this could pave the way for harnessing the bioactive characteristics of Chaga for various treatments.</p>
<p>Most research on Chaga was conducted in Asia and North America, with no available literature related to Africa. This is understandable because of its preference for certain climatic conditions (e.g., cold-loving), its origins in Asia (particularly Russia), and its extensive distribution across Europe and North America. Despite the mushroom&#x2019;s widespread availability and traditional uses, it may nevertheless be considered underutilized since its full potential has not yet been explored (for example, by confirming its use as a traditional medicine for diseases other than originally used, or by further applying the confirmed <italic>in vitro</italic> properties of pharmacology to <italic>in vivo</italic> research and human or clinical trials for drug development).</p>
<p>Furthermore, Chaga mushrooms have shown promise in agricultural applications. In animal farming, researchers have studied Chaga and its bioactive compound &#x3b2; glucan for their potential to stimulate the system and promote growth in livestock. Adding Chaga or &#x3b2; glucan to animal feed has been found to boost immunity enhance growth performance and lessen the reliance on antibiotics. Moreover, scientists have explored the use of Chaga mushrooms to enhance the quality and digestibility of waste which can serve as feed, for ruminant animals. Utilizing Chaga in animal farming holds the potential, for improving animal wellbeing, and productivity and minimize impact.</p>
<p>In crop farming, Chaga has shown potential as a crop protection strategy and plant growth stimulant. It has been used to treat tree blight caused by <italic>Cryphonectria parasitica</italic> and protect cultivated plants from Phytophthora. The application of Chaga or its extracts has been associated with improved plant growth parameters, increased nutrient content, and enhanced resistance to plant diseases. Furthermore, Chaga mushrooms and their spent substrate have been explored as organic fertilizers, rich in organic matter and nutrients, to improve soil quality and fertility. The use of spent mushroom substrate not only enhances soil structure but also reduces waste and saves resources in agricultural practices.</p>
<p>The most recent pharmaceutical importance of Chaga mushrooms has been reviewed to cater to the huge increase in demand for mushroom derivatives like polysaccharides and antibacterial agents and for its industrial and medicinal uses. Scientists spent many years investigating this fungus before its possible pharmacological effects could be validated, despite extensive Indigenous knowledge indicating that the mushroom has long been utilized medicinally. In summary, this review serves as a benchmark for researchers to further investigate this fungus, to better understand its medicinal value and benefits for crop and animal production, particularly as a potential candidate for biofertilization, and to further exploit its remarkable significance in the cosmeceutical and food industries.</p>
</sec>
</body>
<back>
<sec id="s12">
<title>Author contributions</title>
<p>EF: Investigation, Software, Writing&#x2013;original draft, Writing&#x2013;review and editing. CM: Supervision, Writing&#x2013;review and editing. RJ: Writing&#x2013;review and editing. LG: Writing&#x2013;review and editing. CC: Writing&#x2013;review and editing. MC: Supervision, Writing&#x2013;review and editing. RT: Resources, Supervision, Writing&#x2013;review and editing.</p>
</sec>
<sec id="s13">
<title>Funding</title>
<p>The author(s) declare that no financial support was received for the research, authorship, and/or publication of this article.</p>
</sec>
<ack>
<p>We thank Rita Hall (CEO and President) of Beehive Vital Elements, Corner Brook, NL, Canada, for comments on the manuscripts.</p>
</ack>
<sec sec-type="COI-statement" id="s14">
<title>Conflict of interest</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
<sec sec-type="disclaimer" id="s15">
<title>Publisher&#x2019;s note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
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