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Agarikon.1 and Agarikon Plus are medicinal mushroom extract preparations developed by Myko San, containing a complex mixture of polysaccharides and polyphenols derived from various mushroom species. These preparations are primarily investigated for their therapeutic potential in advanced metastatic colorectal cancer. Their mechanism of action is multi-faceted, involving the enhancement of M1 macrophage polarization, inhibition of M2 and tumor-associated macrophage (TAM) polarization, and modulation of T helper cell cytokine profiles. Additionally, they exhibit antiangiogenic properties by inhibiting vascular endothelial growth factors (VEGF) and matrix metalloproteinases (MMP-2 and MMP-9), while directly inducing apoptosis and inhibiting proliferation in tumor cells. Preclinical evidence suggests they can significantly enhance the efficacy of standard chemotherapy, such as 5-fluorouracil, without increasing toxicity.
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