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               Sulfated polysaccharide from Antrodia cinnamomea mycelium cultured with

               zinc sulfate stimulates M1 polarization of macrophages through AKT/mTOR


                                                                                             2
                                                                           7
                            1,2
               Zhi-Hu  Lin,   Mei-Kuang  Lu,    2,4,5,6   Chia-Chuan  Chang,   Ai-Jung  Tseng,   Chi-Hsein
                     4
                                       8,9
               Chao, Chi-Hong Chao,  Tung-Yi Lin*       ,2,3,4

               1  Department of ophthalmology, Taipei City Hospital, Taipei 103009, Taiwan
               2  Institute of Traditional Medicine, National Yang Ming Chiao Tung University, Taipei
                 112304, Taiwan
               3  Program in Molecular Medicine, National Yang-Ming University and Academia Sinica,
                 Taipei 112304, Taiwan
               4  School of Chinese Medicine, National Yang Ming Chiao Tung University, Taipei 112304,
                 Taiwan
               5  National Research Institute of Chinese Medicine, Ministry of Health and Welfare, Taipei
                 112108, Taiwan
               6  Graduate Institute of Pharmacognosy, Taipei Medical University, Taipei 110497, Taiwan
               7  School of Pharmacy, College of Medicine, National Taiwan University, Taipei 100025,
                 Taiwan
               8  Department of Biological Science and Technology, National Yang Ming Chiao Tung
                 University, Hsinchu 300193, Taiwan
               9  Center For Intelligent Drug Systems and Smart Bio-devices (IDS2B), National Yang Ming
                 Chiao Tung University, Hsinchu 300193, Taiwan
               * E-mail: tylin99@nycu.edu.tw

               Abstract
                  Sulfated polysaccharides (Ac-SPSs) from Antrodia cinnamomea are valued for their anti-
               cancer and immune-modulating activities. However, their naturally low yield limits practical
               application.  Previous  studies  have  suggested  that  trace  minerals  can  influence  fungal
               metabolism. In this study, we examined whether zinc sulfate (ZnSO₄) could enhance Ac-SPS
               production and investigated the most active fraction for its role in macrophage polarization and
               suppression of lung cancer cell growth. When A. cinnamomea mycelia were treated with ZnSO₄
               (1, 10, and 100 µM), Ac-SPS yield increased by approximately 20–30%. The 10 µM treatment
               consistently produced a medium-molecular-weight fraction (~200 kDa, ASZ-10) with the most
               pronounced bioactivity. ASZ-10 directly inhibited the proliferation of A549 lung cancer cells.
               Although  it  did  not  reduce  LPS-induced  inflammation,  it  promoted  M1  macrophage
               polarization, enhancing the secretion of nitric oxide, TNF-α, IL-6, and M1 surface markers
               (CD86, CD80, CD64, MHCII) without affecting the M2 marker CD206. In M-CSF-stimulated
               bone marrow-derived macrophages, ASZ-10 also increased CD80⁺ and CD86⁺ expression. This
               effect depended on AKT/mTOR signaling, as pathway inhibition with LY294002 or rapamycin
               diminished  M1  induction.  Notably,  co-culturing  macrophages  with  lung  cancer  cells  under
               ASZ-10  stimulation  further  reduced  tumor  viability.  These  findings  suggest  that  ZnSO₄
               supplementation is a straightforward approach to increase Ac-SPS production. ASZ-10 exerts
               dual anti-cancer effects, direct inhibition of cancer cells and macrophage-mediated cytotoxicity,
               supporting  its  potential  as  a  functional  supplement  or  adjuvant  in  lung  cancer  therapy,
               particularly in strategies utilizing immune activation to improve treatment outcomes.

               Keywords: Sulfated polysaccharides; Antrodia cinnamomea; Zinc sulfate; Biochemical
                          characterization; Macrophage
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