| Rank |
Pathway / Axis |
Cancer Cells |
Normal Cells |
TSF |
Primary Effect |
Notes / Interpretation |
| 1 |
PI3K/AKT survival signaling |
↓ |
↔ (context-dependent) |
R/G |
Pro-apoptotic shift; reduced proliferative signaling |
Reported suppression of PI3K/AKT in cancer models; often paired with apoptosis readouts (model- & extract-dependent). |
| 2 |
RAS/MAPK (ERK) proliferative signaling |
↓ |
↔ (context-dependent) |
R/G |
Growth inhibition / reduced mitogenic drive |
Observed in some cancer cell studies alongside reduced viability; dose/time dependence common. |
| 3 |
Intrinsic apoptosis (mitochondrial; caspases) |
↑ |
↔ / ↑ (cytoprotection; model-dependent) |
R/G |
Cancer cell death / chemosensitization hypothesis |
Frequently reported outcome in vitro; translation depends on achievable exposure and tumor selectivity. |
| 4 |
NF-κB / inflammatory cytokine programs |
↓ (context-dependent) |
↓ |
R/G |
Anti-inflammatory / anti-survival signaling |
Anti-inflammatory effects are central in neuro models; in tumors may reduce pro-survival inflammation but can be tumor-type specific. |
| 5 |
ROS / redox stress balance |
↑ or ↓ (dose-dependent) |
↓ |
P/R |
Redox modulation (pro-oxidant cytotoxicity vs antioxidant protection) |
Normal cells: commonly described as antioxidant/mitochondrial-protective. Cancer cells: extracts can act cytotoxically at higher concentrations (biphasic behavior). |
| 6 |
NRF2 axis (stress-defense / resistance) |
↔ / ↑ (context-dependent) |
↑ |
R/G |
Stress-response activation |
Normal cells: ↑ NRF2 generally cytoprotective. Cancer: ↑ NRF2 can be double-edged (possible therapy resistance in some contexts). |
| 7 |
Cell cycle control (checkpoint enforcement) |
↓ proliferation |
↔ |
G |
Cell-cycle arrest phenotype |
Common downstream phenotype in preclinical cancer studies; specifics vary by line/extract. |
| 8 |
Migration / invasion (EMT, MMP-related) |
↓ (model-dependent) |
↔ |
G |
Anti-metastatic phenotype hypothesis |
Reported in some preclinical literature; often requires sustained exposure. |
| 9 |
Angiogenesis programs (e.g., VEGF/HIF-1α coupling) |
↓ (model-dependent) |
↔ |
G |
Anti-angiogenic hypothesis |
Evidence is less consistent; often indirect via inflammation/redox signaling. |
| 10 |
Ca²⁺ handling / ER–mitochondria stress coupling |
↔ (model-dependent) |
↔ (model-dependent) |
P/R |
Stress signaling modulation |
Not a universal primary axis; consider when apoptosis/UPR/mitochondrial stress is a defined readout in a given model. |
| 11 |
Ferroptosis (iron/lipid peroxidation) |
↔ (insufficiently established) |
↔ |
R/G |
Not a dominant canonical mechanism |
May become relevant only in specific redox/iron contexts; not consistently central in HE literature. |
| 12 |
Clinical Translation Constraint |
↓ (constraint) |
↓ (constraint) |
— |
Exposure + standardization limitations |
Major constraint: product heterogeneity (mycelium vs fruiting body; erinacine-standardized vs not), limited human PK, and many in-vitro doses likely supra-physiologic. |
| Rank |
Pathway / Axis |
Cells |
TSF |
Primary Effect |
Notes / Interpretation |
| 1 |
Neurotrophins (NGF/BDNF-related; CREB/neuritogenesis) |
↑ |
G |
Synaptic support / plasticity, neurite outgrowth |
Core proposed mechanism; often linked to erinacines/hericenones and downstream neurogenesis/survival signaling in models. |
| 2 |
Neuroinflammation (NF-κB, cytokine tone; microglial activation models) |
↓ |
R/G |
Reduced inflammatory stress on neurons |
Anti-inflammatory signaling is commonly invoked as neuroprotective; timing can be acute (signaling) → chronic (phenotype). |
| 3 |
ROS / oxidative stress burden |
↓ |
P/R |
Lower oxidative damage pressure |
Often paired with mitochondrial protection claims; may be secondary to NRF2 activation. |
| 4 |
NRF2 antioxidant-response program |
↑ |
R/G |
Stress-defense upshift |
Generally aligned with neuroprotection; interpret alongside redox context and dosing/extract standardization. |
| 5 |
Mitochondrial function / bioenergetics resilience |
↑ |
R/G |
Improved cellular resilience under stress |
Often described downstream of reduced ROS/inflammation; phenotype-level outcomes require sustained exposure. |
| 6 |
Aβ / tau-associated pathology (amyloid/tau cascades) |
↓ (model-dependent) |
G |
Reduced pathological burden (preclinical emphasis) |
Evidence is stronger preclinically than clinically; treat as supportive/secondary unless specific human biomarker replication exists. |
| 7 |
Ca²⁺ homeostasis / excitotoxic vulnerability |
↔ (context-dependent) |
P/R |
Excitotoxic stress modulation (hypothesis) |
Include when models explicitly measure Ca²⁺/ER stress/UPR; not always primary in HE clinical framing. |
| 8 |
Clinical Translation Constraint |
↓ (constraint) |
— |
Evidence + standardization limitations |
Small trials/pilot RCTs; product heterogeneity (erinacine content; mycelium vs fruiting body) and limited human PK constrain inference. |