Therapeutic Properties of Edible Mushrooms and Herbal Teas in Gut Microbiota Modulation

Edible mushrooms are functional foods and valuable but less exploited sources of biologically active compounds. Herbal teas are a range of products widely used due to the therapeutic properties that have been demonstrated by traditional medicine and a supplement in conventional therapies. Their interaction with the human microbiota is an aspect that must be researched, the therapeutic properties depending on the interaction with the microbiota and the consequent fermentative activity. Modulation processes result from the activity of, for example, phenolic acids, which are a major component and which have already demonstrated activity in combating oxidative stress. The aim of this mini-review is to highlight the essential aspects of modulating the microbiota using edible mushrooms and herbal teas. Although the phenolic pattern is different for edible mushrooms and herbal teas, certain non-phenolic compounds (polysaccharides and/or caffeine) are important in alleviating chronic diseases. These specific functional compounds have modulatory properties against oxidative stress, demonstrating health-beneficial effects in vitro and/or In vivo. Moreover, recent advances in improving human health via gut microbiota are presented. Plant-derived miRNAs from mushrooms and herbal teas were highlighted as a potential strategy for new therapeutic effects.


Introduction
There are numerous published results on herbal products' in vitro activity and edible or/and medicinal mushrooms. Only a small part of them are supported by an in vivo activity. The bioavailability of the target compounds is based on their molecular size and the solubilization capacity of the lipid carriers [1]. The result is low absorption, poor bioavailability, and the relatively small amount available to the body for physiological activity [2]. A well-known example in this regard is curcumin, present in Curcuma longa. It has low absorption, and in vitro studies have shown a modulatory activity on the microbiome by stimulating microbiota that generates butyric and propionic acid [3]. To be biologically active, herbal products must contain compounds that can be absorbed and regulate biological activity in a concentration-dependent manner [4]. The evaluation of the therapeutic potential of herbal teas takes into account the bioavailability of the main components. Their concentration is relatively low in teas and has only an adjuvant effect in classical therapies [5]. This aspect is less noticeable for mushrooms, as they also contain other classes of compounds that have a modulating effect, for example, polysaccharides and fibers [6]. Microbial dysbiosis is often associated with chronic pathologies such as type 2 diabetes and hypertension [7]. Fungi are also implicated in microbial modulation associated with attenuation or reversal of these chronic pathologies [7]. In both mushrooms and herbal teas, the determination of compounds with therapeutic impact remains a critical inflammatory, hypocholesterolemic, and antitumor [23]. Lately, mushrooms are used as prebiotics and food supplements to improve consumers' health [24].
Although the mechanisms involved in this beneficial effect are not yet elucidated, one hypothesis is the influence of the mushrooms on the GI microbiome composition. Mushrooms are rich in polysaccharides, proteins, vitamins, minerals, trace elements, and antioxidants. The in vitro and in vivo studies have shown the consequence of mushrooms consumption on the stimulation or depletion of some microbial phyla/species (Table 1). Animal (mice) [29] As a functional food, edible mushrooms are a natural source of valuable compounds, modulating the microbiota pattern and metabolomic function. The use of mushroom species in microbiota modulation has resulted from the need to find new molecules with antimicrobial and anti-inflammatory activities. This need of the current biopharmaceutical industry results from the increase in the amount of antibiotics administered, which has led to the recurrent emergence of antibiotic resistance [30]. A related effect of this aspect is urinary tract infections with Escherichia coli, controlled using cranberry extracts [31]. The cranberry extract is the best known functional product for reducing and ameliorating the effects of recurrent E. coli infections.
Pathogenic strains support an inflammatory process in the human colon that leads to dysbiosis [32]. The impaired microbial balance increases oxidative stress by generating free radicals, which impact gut physiology and contribute to diseases such as colon cancer [33]. These phenomena negatively influence the whole body through the risk of developing various infections by decreasing immune function. In all these aspects, mushrooms are a functional product with multiple human body roles [34].
In addition to phenolic compounds, mushrooms also contain other functional components, such as β-glucans. β-glucans are polysaccharides made up of β-D-glucose units, which make up the cell-wall structure of mushrooms. These polymers are responsible for modulating the immune response, regulating blood sugar and reducing dietary cholesterol absorption [35]. β-glucans act as prebiotics and support the multiplication of favorable strains of the genus Lactobacillus [36]. One of the benefits is the microbiota-mediated activation of the immune system through T-cells and natural killer cells. Side effects are also mentioned and include flatulence or temporary drops in blood sugar [37]. In vitro studies have shown that β-glucans are recognized as receptors for immune system cells, such as macrophages, neutrophils, monocytes. In vivo, it has been demonstrated that the prebiotic effect is also generated by the polysaccharide structure that is not degraded by transit through the stomach and small intestine [38]. The fermentative breakdown of the molecule stimulates the nonspecific immune system, and this phenomenon is essential in the protection against tumor cell proliferation [39].
The prebiotic effect of edible mushrooms (especially wild edible mushrooms) may also be a modern strategy to prevent tumor cells' proliferation by modulating the immune system [40]. The process may be related to modulation of the microbiota and reducing the proportion of bacteria that synthesize products with carcinogenic potential. Using a functional formula that modulates the metabolomic pattern is an effective alternative in the long-term protection of homeostasis [40,41]. For example, soluble dietary fibers from Lentinula edodes (LESDF-3) improved intestinal fermentation and increased the concentration of SCFAs, mainly propionic and butyric acid, and the number of Bacteroides sp. [42]. Another in vitro study showed that the use of β-glucans, present in the species Pleurotus ostreatus, Pleurotus eryngii, Hericium erinaceus, as a prebiotic, had a targeted action on the elderly by increasing cell number of. Lactobacillus spp. strains' presence, and stimulated the synthesis of SCFAs, especially propionate and butyrate [28,43]. It can be considered that the fungi exert a species-specific action and can be included, as an adjuvant, in the nutritional plan of some target groups of the population. This aspect is influenced by many other exoand endogenous factors, but the positive effect is observed in maintaining homeostasis in vulnerable groups of people.
The beneficial effects of mushroom consumption are given by the diversity of bioactive compounds, including polysaccharides, proteins, or secondary metabolites such as polyphenols, alkaloids, steroids, and terpenes [44]. The two types of polysaccharides present in fungi, homopolysaccharides, and heteropolysaccharides, can influence the microbiota depending on their structure and implicitly on their degree of solubility. The vast majority of polysaccharides in fungi are insoluble fibers (cellulose and lignin), and only a small part, β-D-glucans (such as lentinan from Lentinus edodes, schizophyllan from Schizophyllum commune or ganoderan from Ganoderma lucidum) are soluble compounds and are mainly responsible of the biological activity of fungi [45,46]. In the large intestine, various types of enzymes (hydrolases, esterases, lyases, transferases) are produced by microorganisms to metabolize polysaccharides in fungi. These enzymes are secreted mainly by Bacteroidetes but also by Firmicutes [47,48]. In support of these claims, numerous studies show that polysaccharides in fungi influence the increase in the number of specific bacterial strains and the decrease in others ( Table 2).

Interaction of Microbiota with Herbal Teas
Due to the adverse side effects of drugs used in conventional medicine in the last century, there has been an increased interest in finding alternative solutions for different disorders prevention and treatment. Among the best-known alternatives are: probiotics, prebiotics, phytochemicals, and nutraceuticals. Herbal teas and edible mushrooms have a long history of use in certain health problems like heart diseases, diabetes, stomach conditions, liver disease, etc. [60,61].
Herbal teas are one of the most consumed beverages worldwide, both as a daily ritual and due to their numerous therapeutic properties [62]. Current global developments have led to an increase in the products available on the market, many of which are known only from the perspective of traditional medicine [63]. Interaction with the intestinal environment and bioavailability of key compounds are central in evaluating herbal teas' modulatory function. Bioavailability depends on the type of tea, hot or cold, or how these drinks are consumed, both in volume and habit [5,64]. They contain functional compounds, which through an in vivo study, have been shown to improve certain physiological func-tions such as increased resistance to oxidative stress and synthesis of SCFAs [65]. Some examples of herbal tea and its beneficial effects are summarized in Table 3. Table 3. Most common herbal teas and health effects.
In the large intestine, under the action of microbial enzymes, various reactions take place (C-ring cleavage, decarboxylation, dehydroxylation, and demethylation). Complex polyphenols are transformed into simpler compounds that are easily absorbed [71]. These reactions lead to the transformation of the initial polyphenols and the generation of intermediary products [72]. Administration of the tea reduces the Firmicutes/Bacteroidetes ratio and has led to the increased of relative abundance in Bifidobacteriaceae   In vitro and in vivo studies mostly on animal models highlighted the inter-relationships between tea compounds and the GI microbiome. Data on the modulatory effect on GI microbiota by teas have been reported in several studies: • Green tea systematically modulates microbiota structure, depending on the original microbiota status and diet [85][86][87][88][89].
Morus alba leaf has been shown to stimulate Bacteroides and Prevotella in in vivo studies of farm animal gut microbiota. However, green tea inhibited the presence of potentially pathogenic strains [90]. This variation in microbial modulatory activity demonstrates the need for in vitro studies to examine the microbial proliferative activity of individual teas and their blends. Furthermore, this biological activity will be determined by the degree of bioavailability. The study is aimed exclusively at a group of target animals that could selectively consume this substrate. Another study with green tea showed a positive effect on HFD induced obesity [91]. These aspects show that regular consumption of tea can cause potentially ameliorate some of the effects of an HFD. What is unknown is the longterm effect, as it cannot be concluded that occasional consumption can cause a permanent change in the microbiota pattern. Inhibition of potentially pathogenic strains requires a long-term study to evaluate several aspects of functional compounds' interaction with the microbiota [92].
An essential effect of green tea consumption has been demonstrated in vivo using pathogen-free male C57BL/6J mice at the age of 6-8 weeks. This study showed that tea consumption modifies microbiota and provides protection a HFD induced obesity. [91]. These data can be interpreted as a response that the microbiota has when drinking green tea. Microbial modulation results from regular consumption, dependent on the constant presence of biologically active compounds, such as catechins, epigallocatechin, or epicatechins [93]. The catabolism of these compounds was demonstrated by a previous in vitro study in rat microbiota [94].
Another essential aspect in recent years is the recovery of food waste, such as coffee or herbal tea [9,95]. The tea residues could be fermented, used as a feed additive for Holstein heifers (cattle) by the rumen's anaerobic component, and caused an increase in immunoglobulins' concentration and the general antioxidant status. This is a significant study that demonstrating beneficial effects throught the selective use of functional components, similar to the prebiotic-like impact [91]. In this regard, tea saponins are mentioned to stimulate the proportion of the genera Bacteroides, Lactobacillus, and Bifidobacterium strains. The saponins present in ginseng tea improve the Firmicutes/Bacteroidetes ratio, leading to the explanation of favorable effects on human health. The consumption of these plant species is associated [60,96]. The modulating role has also been demonstrated for black tea extract, which reduces physiological manifestations of colitis, regulates the TLR4/MyD88/NF-κB pathway, and causes a selective modulation of the microbiota in chemical-induced colitis in mice [97].
The relationship between microbiota and obesity is currently being studied extensively. Herbal teas are a group of products widely used in reducing obesity. Many formulas whose action is based on a diuretic effect only apparently solve the issue of weight gain caused by water accumulation [98]. Although water accumulation is a secondary cause of obesity, the anti-adipogenic effect is necessary to consider that a plant used to make tea is beneficial against obesity. In vitro study on mouse 3T3-L1 preadipocytes showed that hot water extract of Chrysanthemum morifolium Ramat flowers inhibited lipid accumulation. The activity of glycerol-3-phosphate dehydrogenase has led to an adipogenesis/lipogenesis-related gene expression and activation of the AMPK/SIRT1 pathway [99]. The lipid-lowering effect and cytotoxicities on human HepG-2 hepatocellular carcinoma cells have been demonstrated for ten novel dammarane-type saponins from a functional herbal tea made from Gynostemma pentaphyllum [100]. However, no direct link has been identified between the antilipidemic effect and the composition of these extracts. It is assumed that other mechanisms mediate the therapeutic effect. In this sense, the microbiota is expected to play a significant role because it interacts with saponins these molecules after consumption [101]. In vivo, the mechanism of action differs by being carried out by intermediate compounds, resulting from microbiota-mediated biotransformations. Microbiome dysbiosis can disturb the biotransformation process and determine the accumulation of adipocytes [102]. In vitro studies using newly isolated compounds on cell line models data on cell line efficiency tended to capitalize on this source of functional compounds in identifying alternative mechanisms for modulating human physiological functions in chronic obesity.
Moreover, Diez-Sainz et al. hypothesize that specific gut microbes could control intestinal permeability by increasing/decreasing bioavailability and bioefficiency of plant bioactive compounds and their concentration in blood circulation for potential biological actions [103]. Supportive data showed that microbiota dysbiosis could disrupt the intestinal barrier and promote or help the progression of diverse pathologies (Figure 1). Changes in gut microbiota composition promote variability in the uptake of plant bioactive molecules [104,105]. The large majority of the scientific data reported show the beneficial effects of tea administration and mushroom consumption on the gut microbiota. Less data regarding their possible adverse effects were published: the presence of toxic compounds like aristocholic acid, which can have a negative impact on gut microbiota homeostasis [106]. Increasing cell number of some microbial strains like Lactobacillus spp. may sometimes induce interleukin 1 β, which may be implicated in aggravation of the inflammatory response [107]. Consumption of 400 mL of liquid green tea (LGT) for ten days by human volunteers led to an elevation of Firmicutes, reduction of Bacteroidetes, and elevation of the ratio of Firmicutes to Bacteroidetes in microbiota from feces. The consumption of LGT favored the increase of the number of bacteria such as Lachnospiraceae, Ruminococcaceae, and Bifidobacteriaceae. Those are responsible for the synthesis of SCFAs. These changes persisted even one week after LGT administration [108].

Effect of Plant miRNAs on Gut Microbiota Modulation with Impact on the Human Health
MicroRNAs (miRNAs) are a class of small intracellular single-stranded and noncoding RNAs from 18-25 nucleotides that play essential roles in gene expression, individually or in combination with other miRNAs. Thousands of miRNAs have been discovered in prokaryotes and eukaryotes, with more than 2500 miRNAs identified in humans [109]. In both plant and animal cells, microRNAs regulate gene expression at the posttranscriptional and posttranslational levels, mainly targeting messenger RNAs (mRNAs), resulting in mRNAs translation repression, degradation, or both. Thus, microRNAs regulate more than 60% of human protein-coding genes and play a crucial role in various biological processes. Simultaneously, deregulation of miRNAs disturbs key molecular events that are associated with different pathologies [110]. Interactive analysis showed that certain miRNAs species, such as miRNA-155, miRNA-168, miRNA-854 family, may be expressed in both plant and animal cells while miRNA-21, miRNA-146a, and miRNA-155 are coexisted in the gut microbiome and foods. Thus, dietary miRNAs may potentially contribute to cross-kingdom communication and modulate molecular mechanisms associated with human health and disease [111,112].
In recent years, many efforts to develop miRNAs-based therapeutics to treat human diseases were performed. Targeting natural compounds from plants, such as flavonoids, terpenoids, alkaloids that modulate human miRNAs, is an important strategy in cancer treatment [113,114]. Another approach is based on the increasing evidence that plant miRNAs might act as new bioactive compounds that directly or thoroughly the gut microbiota modulates health-associated miRNAs levels. However, there is a controversy if the exogenous plant miRNAs can penetrate the human bloodstream and reach a circulating level that allows them to act as bioactive ingredients [102], influence gut microbiome and positively affects the host health, acting as a cross-kingdom gene expression regulator raises attention. This hypothesis is based on the following rationale. First, the influence of plant-derived diet and medicinal plants on microbiota composition, which has been extensively investigated [103,115]. Second, gut microbiota and endogenous/exogenous miRNAs bidirectional interaction have been reported, as they can influence each other and regulate the host pathology [110,112]. Gut microbiota has been found to miRNA-regulate the host gene expression via the production of metabolites, such as lipopolysaccharide, butyrate and amyloids, and other signaling molecules. On the other hand, the host shapes and controls the gut microbiome by miRNAs secreted by the epithelial cells into the gut lumen, then found in fecal content, specifically targeting bacterial genes [110,112,116].
However, how edible plant or herbal medicine miRNAs could shape gut microbiota composition by modulating microbe genes that affect growth is poorly understood. It has recently been suggested that diet plant-derived miRNA-146a directly modulates the structure and composition of the gut microbial communities within 1-2 weeks. Still, the changes in microbial community structure were modest [117]. Another way plant-derived miRNAs could modulate gut microbiota with physiological consequences on the host is via extracellular vesicles, exosomes, and exosome-like nanoparticles (ELNs). Exosomes are one of the natural carriers of miRNAs that protects their integrity and stability and play essential roles in cell-to-cell communications. Teng et al. proved that ginger-derived ELNs could be selectively taken up by Lactobacillus rhamnosus. The diverse miRNAs carried inside that target bacterial genes could regulate the composition, metabolites, growth, and localization of the gut microbiota, finally improving colitis in mice [118]. This pioneering study established a direct causal relationship between plant miRNAs and gut microbiota. It proposed a therapeutically approaches based on manipulation of the microbiome with plant miRNAs for treatment of dysbiosis-related disease. Similar research provides strong evidence that dietary milk exosomes change the gut bacterial community's composition in mice [119].
Medicinal herbal teas and mushrooms have been used to treat diseases for centuries. They contain thousands of miRNAs that might act as hidden bioactive ingredients involved in their therapeutic effects [120,121]. Medicinal plant-derived miRNAs' stability during harsh conditions of preparation and storage is crucial for their therapeutic potential. It has recently been confirmed that some miRNAs survived during the herb preparation process [122]. However, the knowledge of plant medicinal-derived miRNAs in regulating human health via microbiome is at a very early, exploratory stage. Plant medicinalderived miRNAs-based therapeutics is a new concept with a wide range of practical applications for human health and two important advantages, lower side effects and price. Still, more research must be done to obtain high-efficiency therapies to prevent or treat human diseases [123].

Conclusions
The way in which the bio-active compounds influence the gut microbiota in teas and mushrooms depends on a multitude of factors starting with their frequency of consumption, the compounds concentration, the pattern of the bioactive compounds and the health of the organism. Edible mushrooms and herbal teas exert beneficial effects on human health both directly and indirectly by the modulation of GI microbiome. It is not very clear whether plant medicinal-derived miRNAs affect the gut microbiota modulation process. Still, it is thought that they may affect the plasticity of the human microbiome. Effect on cytotoxicity induced by oxidative stress or gut microbial populations is still a new direction that could imply mushrooms or herbal teas as functional products.