{'fraction_non_alphanumeric': 0.04447234866321352, 'fraction_numerical': 0.02082352325642233, 'mean_word_length': 4.752031297020764, 'pattern_counts': {'":': 0, '<': 5, '<?xml version=': 0, '>': 0, 'https://': 0, 'lorem ipsum': 0, 'www.': 0, 'xml': 0}, 'pii_count': 0, 'substrings_counts': 0, 'word_list_counts': {'cursed_substrings.json': 0, 'profanity_word_list.json': 0, 'sexual_word_list.json': 0, 'zh_pornsignals.json': 0}}
Dietary Shiitake Mushroom (Lentinus edodes) Prevents Fat Deposition and Lowers Triglyceride in Rats Fed a High-Fat Diet

High-fat diet (HFD) induces obesity. This study examined the effects of Shiitake mushroom on the prevention of alterations of plasma lipid profiles, fat deposition, energy efficiency, and body fat index induced by HFD. Rats were given a low, medium, and high (7, 20, 60 g/kg = LD-M, MD-M, HD-M) Shiitake mushroom powder in their high-fat (50% in kcal) diets for 6 weeks. The results showed that the rats on the HD-M diet had the lowest body weight gain compared to MD-M and LD-M groups (P < 0.05). The total fat deposition was significantly lower (−35%, P < 0.05) in rats fed an HD-M diet than that of HFD group. Interestingly, plasma triacylglycerol (TAG) level was significantly lower (−55%, P < 0.05) in rats on HD-M than HFD. This study also revealed the existence of negative correlations between the amount of Shiitake mushroom supplementation and body weight gain, plasma TAG, and total fat masses.


Introduction
Obesity is a chronic health problem. It is predicted that by 2015 approximately 2.3 billion adults will become overweight, and more than 700 million will be obese [1]. Obesity causes many complications including dyslipidaemia, diabetes, hypertension, and heart disease. Recently, obesity has also been associated with the increased incidence of many cancers [2]. Dyslipidaemia is a pathological disorder, and current evidence has highlighted not only total cholesterol but also triacylglycerol (TAG) as lipid risk factors in metabolic syndrome.
Recently, community awareness in nutrition as a cornerstone for healthy life style has increased. Functional food is a concept of nutrition, based on the role of reducing the risk of disease. A food will be considered as a functional food if it gives one or more benefits or positive effects to the body beyond adequate nutritional effects in a way that is relevant to either improve the stage of health and well-being and/or reduce the risk of disease [3].
Shiitake mushrooms are the second most popular and the third widely cultivated edible mushroom in the world [4].
Certain components of Shiitake mushroom have hypolipidaemic effect, such as eritadenine and β-glucan. Although it has been reported that eritadenine extracted from Shiitake mushroom has hypolipidaemic effect, most of these studies emphasize on the mechanism in hypocholesterolaemic effect [5][6][7][8] but not the effect on triglyceride. β-glucan from Shiitake mushroom is a primarily soluble dietary fibre. βglucan also present at high levels in graminaceous crops such as barley, rye, and oat and also in bacteria, fungi, and edible mushrooms [9], but the structure can vary from source to source. Studies have reported that oat β-glucan can increase satiety, reduce food intake, delay nutrition absorption, and reduce plasma lipid levels [10][11][12]. Although mushroom has been shown to improve lipid profiles [13][14][15], studies in this regard are incomplete. Some studies have reported single-dose effect on obesity-associated metabolic disorders using mushroom powder supplementation [13,[16][17][18]. However, no data are currently available on the ability of Shiitake mushroom to affect food intake, body fat deposition, and plasma triglyceride concentrations in a dose response manner.

Journal of Obesity
Studies have shown that high-fat diet-induced obesity in rodents can develop dyslipidaemia, insulin resistance, and altered metabolic regulatory hormones [19][20][21][22]. The dietinduced obese animal model mimics human obesity more than other models such as genetic knockout mutants [23]. This study has systematically examined the effects of Shiitake mushroom on plasma lipid profiles, various types of fat depositions, energy efficiency, and body fat index as well as their relationships in a dose-response manner in rats fed a high-fat diet.

Animals and Diet.
All experimental procedures were approved by the Animal Ethics Committee of the University of Wollongong, AE 09/01. Forty Wistar rats, at 9 weeks of age, were obtained from animal resource centre (ARC)-Perth, Western Australia, and were given one week acclimatization to their new environment. They were housed two per cage in environmentally controlled conditions (temperature 22 • C, light cycle from 06:00 to 18:00 hours, and dark cycle from 18:00 to 06:00 hours) and had ad libitum access to food and water. All rats were fed standard laboratory nonpurified diet (YS Feeds PTY-Ltd, Young, NSW, Australia) during the acclimatization period. The forty rats were divided into four groups (n = 10) and fed 50% high-fat diets with an addition of nil, low, medium, or high-dose of Shiitake mushroom powder (HFD, 7 g/kg LD-M, 20 g/kg MD-M, or 60 g/kg HD-M, resp.). The dietary intervention was carried out for six weeks. The food was produced from semisynthetic material according to the recommendation of American Institute of Nutrition AIN-93 for rodent [24]. HFD consisted of the following (g/Kg): corn starch, 210 (Goodman Fielder, NSW, Australia); sucrose, 175 (Bella-vista, NSW, Australia); copha, 105 (Peerless food, Victoria, Australia); lard, 105 (Fonterra brand, Victoria, Australia); sunflower oil, 50 (Goodman Fielder, NSW, Australia); gelatine, 50 (Sunny Hills, Qld, Australia); casein, 128 (Fonterra LTD, Auckland, New Zealand); fiber, 51 (Nature, Rosenberg, Germany); mineral, 67 (MP Biomedical, Ohio, USA); vitamin, 13 (MP Biomedical, Ohio, USA). This study used Shiitake mushroom powder containing 30% β-glucan (w/w) analysed with a Megazyme β-glucan Kit. Compositions of the four diets are shown in Table 1.

Food Intake, Body Weight, and Body Composition.
Animals were weighed weekly throughout the six-week intervention period. Food intake was measured every 24 hours by weighing the amount of total food (g) provided to the rats and subtracting the remaining food (g) in the cage after 24 hours. Following the intervention period, rats were killed via carbon dioxide asphyxiation. The white adipose tissue (WAT) comprised of visceral fat (epididymal, perirenal, and omental fat) and subcutaneous fat (inguinal fat) and brown adipose tissue (BAT) were then dissected out and weighed. The body fat index (BFI) was calculated as the total amount of epididymal, perirenal, omental, and inguinal fat deposits per 100 g body weight [25]. The energy efficiency ratio (EER)  was calculated by body weight gain (BWG) per the amount of energy intake (g/kJ) [26].

Plasma Lipid
Profile. Blood samples were obtained by puncturing the right ventricle of heart after euthanasia and were collected in ethylenediaminetetraacetic-acid-(EDTA-) coated tubes and centrifuged at 3000× rpm at 22 • C for 25 minutes. High-density lipoprotein (HDL) was isolated from plasma with dextran sulphate and magnesium chloride, based on a modified method from Sjoblom and Eklund [27]. Total plasma cholesterol (TC), TAG and HDL cholesterol were measured using the Konelab 20XT with Infinity reagent from Thermo Fisher Scientific (Auburn NSW, Australia).

Statistical Analysis.
Food intake, BWG, EER, BFI, adipose tissue, and plasma lipids were presented as mean and standard errors. Statistical analysis was performed using SPSS software (version 17.0, SPSS Inc, Chicago, Ill, USA). One-way ANOVAs were used, followed by a post hoc Tukey-Kramer significant differences test for multiple comparisons among the groups. Differences were considered significant when P < 0.05.

Food Intake, Body Weight, and Fat Deposition.
No differences in the amount of food or energy intake were found among all groups ( Table 2). This study found significant effects of dietary intervention on body weight gain (F 3,38 = 6.204, P = 0.002, Table 2). Rats on a high dose of Shiitake mushroom diet (HD-M group) had −35% and −39% lower body weight gains than rats on low-and medium-Shiitake mushroom diets, respectively (P < 0.05). There was also a trend of lower body weight gain in the HD-M group compared with the HFD group (−23%, P = 0.077).
Overall, there were significant effects in total fat masses due to dietary interventions (F 3,38 = 4.355, P = 0.010, Table 2). Rats on HD-M diet had significantly lower total fat masses, −35% and −37%, than the HFD and LD-M groups, respectively. Furthermore, HD-M group also had a trend of lower fat accumulation than the MD-M group (−32%, P = 0.076, Figure 1). The white adipose tissue in MD-M group was −35% and −37% lower than the HFD and LD-M groups,   Table 2). Furthermore, HD-M group had significantly lower perirenal (−39%) and inguinal fat (−52%) compared to HFD group. Epididymal and omental fat masses were 29% and 21% lower in the HD-M group than HFD group (P = 0, 05). No differences were found in the BAT masses among all groups.

Body Fat Index (BFI) and Energy Efficiency Ratio (EER).
The BFI was significantly different between four diet groups (F 3,38 = 5.86; P = 0.002). Results showed that rats on a HD-M diet had a significantly lower BFI than the rats on HFD, LD-M, and MD-M diets (−35%, −33%, and −30%, resp.). No differences were found in the BFI between the HFD, LD-M, and MD-M groups ( Figure 2). There was a significant difference in EER among four diet groups (F = 5.425, P = 0.004, Figure 3). The HD-M group had a significantly lower EER than the LD-M and MD-M groups (−30% and −34%, resp.) but was not significantly different from HFD. Furthermore, there were no statistical differences in EER between the HFD, LD-M, and MD-M groups.

Plasma Triacylglycerol, Cholesterol and HDL Concentrations.
There was a significant difference in plasma TAG levels between the four groups (

Association between the Dosages of Shiitake Mushroom and BWG, WAT, Plasma Lipid, BFI, and EER.
This study found that the amount of Shiitake mushroom added in a high-fat diet (50% fat in kcal) was negatively associated with the BWG, WAT, TAG, BFI, and EER ( Figure 5). No statistical difference was found between the amount of Shiitake mushroom diets and plasma cholesterol and HDL concentrations (data not shown).

Discussion
This study showed that adding HD-M in a high-energy diet containing 50% fat can significantly prevent total fat deposition and significantly lower plasma TAG in rats compared with no addition of Shiitake mushroom diet. It was also found that plasma TAG-lowering effect was negatively associated with the amount of Shiitake mushroom supplementations and positively associated with the amount of visceral fat. Studies have been carried out to test plasma TAG-lowering effect by adding mushroom powder into the diets. The results varied, where studies showed a significant effect of lowering plasma TAG [14,15,18,28,29], whilst other did not [17,30,31]. There are a few factors that may explain these differing results. The first is related to the amount of sucrose in the diet which can lead to a high level of plasma TAG in rodents [17,18]. High-sucrose diet promotes a hyper-TAG plasma level by increasing hepatic TAG secretion and decreasing TAG removal [32]. A previous study has reported that if the sucrose amount in the diet is greater than 40% from total energy, the increasing of plasma TAG is difficult to prevent by enriched mushroom powder diet [17]. In this study, the high-fat diet group as controls supplied 15% sucrose from total energy. Second is the amount of mushroom in the diet. Studies have shown that adding less than 5% (wt : wt) mushroom powder in the diet does not significantly decrease plasma TAG, irrespective the sources [  we have found. Therefore, the ratio between the amount of sucrose and enriched mushroom in the diet is important for plasma TAG-lowering effect. The duration of the dietary intervention using mushroom powder seems less important as it is compared with the dose. Some short-term studies, 3 to 5 weeks [18,33], reported a reduction of plasma TAG concentration, whilst others [16][17][18] reported no effects. Likewise, the longerintervention studies, such as 6-to 10-week interventions, also showed mixed results with some having no effect [31] and others with positive outcomes to prevent increasing plasma TAG levels [15,30]. Hence, the dose of mushroom powder is more important than duration of supplementation.
It is largely unreported to use fat masses as an indicator to determine the effect of adding mushroom to a diet on body weight gain. In animal studies, there are currently limited data relating to the analysis of body fat masses. Kabir and Kimura [30] reported that giving 5% Shiitake mushroom and 5% Maitake mushroom for 8 weeks to spontaneous hypertensive rats (HSRs) did not significantly lower adipose tissue compared to control group. There is also a lack of study to define the effect of mushrooms on total fat masses in the human study. In this study, we have demonstrated that the high-dose Shiitake mushroom lowered total fat deposition. In addition, there was a negative correlation between an increased dosage of Shiitake mushroom and a lower body fat index. Previous study reported that reducing of plasma TAG is associated with the decrease of total fat masses as white adipose tissue [34], which is consistent with our results. Weight-loss interventions are commonly prescribed for obesity to reduce risk factors associated with metabolic disease. Studies from animal experiments showed various results in terms of adding mushroom powder in diets affecting body weight gain and obesity. For example, a study [14] showed a decrease in body weight gain by 53% by adding 2% extracts of Agaricus Blazei mushroom in the diet for 6 weeks in diabetes mellitus Sprague-Dawley rats induced by streptozotocin. Again, body weight gain was significantly reduced by 25% when adding 20% Maitake mushroom powder to a hypercholesterolemic diet for 25 weeks [33]. However, no statistical difference in body weight changes was reported in ApoE −/− mice after being given a diet containing 3% Bunashimeji mushroom powder for 10 wks [31]. A similar result also reported that additional 5% mushroom powder in the diet for four or eight weeks had no effect on lowering body weight gain in spontaneous hypertension rats The energy efficiency ratio or male F344/DuCrj rats [17,30]. It appears that different species of animal respond differently in body weight gain to the dietary intervention using mushroom powder. The dosages less than 5% mushroom powder seem to be less likely to give any favourable effect to prevent body weight gain. The initial body weight and age of animal model seem to have no affect on the outcome of mushroom treatment to prevent the increase of body weight [16][17][18]30]. This study showed that body weight gain was significantly lower in the HD-M group than the MD-M and LD-M groups. This suggests that there was a threshold effect in terms of the amount of Shiitake mushroom intake for the prevention of weight gain in rats on a high-fat diet. As an estimate of HD-M diet in rats, 90 g mushroom powder per day may be required for humans to prevent body weight gain and lower TAG. However, this must be tested in humans before the recommendation is given. On the other hand, a low-dose mushroom diet may not be strong enough to prevent weight gain. For example, studies have shown that supplementation of the diet with 30 g Maitake mushroom per day for 21 days did not achieve body weight lowering effect in patients with moderate dyslipidaemia [35].
This study found a diet of HD-M significantly lowered the energy efficiency ratio (EER) compared to LD-M and MD-M diets. The HD-M also tended to lower EER when compared with HFD. This is in agreement with a previous study showing that high-dose Shiitake mushroom diet lowers energy efficiency in rats on a high-fat diet as adding Maitake mushroom (20%) into hypercholesterolemic diet for 4 weeks reduces 27% energy efficiency in body weight gain in rats [33]. Unfortunately, the study of this kind has not been carried out in humans. The exact mechanism is not clear how Shiitake mushroom diet resulting in lowering body weight gain, fat masses and plasma TAG. There are three possible mechanisms worthwhile of considerations. Firstly, Shiitake mushroom could increase the fat elimination into faeces. Shiitake mushroom contains 30% β-glucan. As a soluble fibre, βglucan may enhance luminal viscosity, delay gastric emptying, and/or reduce intestinal absorption. Hence, it decreases fat absorption. Secondly, Shiitake mushroom could reduce nonesterified fatty acid (NEFA) derived from TAG as a source of adipose tissue. Lipolysis of chylomicron and VLDL-TAG are major determinants of adipose tissue development, and the reduced WAT may be affected by the low-NEFA source that enters to adipose tissue. A low NEFA in adipose tissue is possibly affected by the activity of enzyme LPL as main gate keeper entry into adipose tissue [34]. The overexpression of LPL in muscle prevents HFD-induced lipid accumulation in adipose tissue. Increased LPL in skeletal muscle leads to an enhanced TAG storage in muscle and then diverts lipoprotein TAG-derived NEFA away from storage in adipose tissue to oxidation in the muscle [36]. Normally fat from food is released into the circulation as lipoprotein-TAG [34]. Thirdly, the possibility that eritadenine from Shiitake mushroom could inhibit the release of triacylglycerol from the liver. The eritadenine has been reported to inhibit the production of phosphatidylcholine that influences the release of VLDL and HDL from liver [5]. Studies showed that adding eritadenine extracted from Shiitake mushroom in the diet can decrease plasma TAG by 27% in a cholesterol diet, 20% in cholesterol free diet, and 2% in diet with choline chloride added [5][6][7]. The 50 mg eritadenine per kg diet was shown to be sufficient to elicit hypolipidaemic effect in rats [8]. The concentration of eritadenine is about 0.36% in Shiitake mushroom powder [37]. The HD-M diet used in this study contains ∼200 mg/kg food. Since TAG was low in HD-M diet, it will be interesting to examine TAG in various organs to ensure its possible storage or exclusion. In view of that, fat content in faecal, plasma NEFA concentration, and accumulation of TAG in the liver and muscle will need to be examined to verify its potential side effects.
In conclusion, adding high Shiitake mushroom in a high-fat diet can prevent body weight gain, fat deposition, and plasma TAG in rats, while further study is necessary to elucidate the underlying mechanisms and the possibility component of Shiitake mushroom of these important effects. Thereby, it could be used as a functional food to prevent obesity. This study encourages an effort pursuing human clinical trial using Shiitake mushroom for prevention and treatment of obesity and its related metabolic disorders.

HFD:
High fat diet LD-M: low dose mushroom MD-M: Medium dose mushroom HD-M: High dose mushroom TAG: Triacylglycerol ARC: Animal resource centre WAT: White adipose tissue BAT: Brown adipose tissue BFI: Body fat index EER: Energy efficiency ratio EDTA: Ethylenediaminetetraacetic acid HDL: High density lipoprotein TC: Total