Cited by 296Sulfur Compounds in BiologyAntioxidant Activity and Oxidative StressSelenium in Biological Systems

The DOI matches its Crossref record; 589 of the 615 references it cites were found in a registry or an index; none of the 262 sources its claims cite is checked for support yet.

The biology of ergothioneine, an antioxidant nutraceutical

Open access

Abstract

Ergothioneine (ERG) is an unusual thio-histidine betaine amino acid that has potent antioxidant activities. It is synthesised by a variety of microbes, especially fungi (including in mushroom fruiting bodies) and actinobacteria, but is not synthesised by plants and animals who acquire it via the soil and their diet, respectively. Animals have evolved a highly selective transporter for it, known as solute carrier family 22, member 4 (SLC22A4) in humans, signifying its importance, and ERG may even have the status of a vitamin. ERG accumulates differentially in various tissues, according to their expression of SLC22A4, favouring those such as erythrocytes that may be subject to oxidative stress. Mushroom or ERG consumption seems to provide significant prevention against oxidative stress in a large variety of systems. ERG seems to have strong cytoprotective status, and its concentration is lowered in a number of chronic inflammatory diseases. It has been passed as safe by regulatory agencies, and may have value as a nutraceutical and antioxidant more generally.

Overview

AI snapshot

Written from the paper’s full text.

TL;DR

Ergothioneine (ERG) is a diet-derived thio-histidine betaine antioxidant synthesised mainly by fungi and actinobacteria, not by plants or animals, and taken up in animals by the selective transporter SLC22A4/OCTN1. The review argues ERG is a promising nutraceutical with broad cytoprotective and antioxidant actions, but that definitive clinical benefit remains mostly circumstantial.

Key findings

  • ERG is not biosynthesised by plants or animals; humans and other animals acquire it via diet and a highly selective transporter, SLC22A4 (OCTN1), a 551-amino-acid transporter coupled in humans to influx of 2 or 3 Na+ per ERG. In engineered HEK293 cells, ERG was taken up about 100 times more quickly than tetraethylammonium.
  • Mushrooms are the prime dietary source. Reported amounts include oyster mushrooms (*Pleurotus* spp.) up to 4 mg/g DM, golden oyster *Pleurotus citrinopileatus* 10·65 mg/g DM, shiitake about 1 mg/g DM, porcini/ceps >7 mg/g DM, and button mushrooms *Agaricus bisporus* about 0·4 mg/g DM.
  • ERG is metabolised and excreted slowly: after 5–25 mg daily doses for 7 d in humans, urinary excretion was <4%, with hercynine and lesser S-methyl-ERG as main metabolites. It has been declared safe by bodies such as the European Food Standards Agency and lacks detectable mutagenicity or genotoxicity in high-dose assays.
  • In a 3236-participant Swedish study, ERG was associated with lower risk of coronary disease (HR per 1 sd increment = 0·85; P = 0·01), cardiovascular mortality (HR = 0·79; P = 0·002) and overall mortality (HR = 0·86; P = 4 × 10−5). Observational data also linked 1·5 mushroom servings/week to halving of mild cognitive impairment incidence and nine servings/week to a five-fold decrease.

Methods

  • Narrative review synthesising published literature on ERG discovery, structure, biosynthesis, phylogenetics, SLC22A4 biology, oxidative stress, nutritional sources, safety, analytics, serum concentrations, metabolism, bioactivities and mechanisms.
  • Includes compiled tables of ERG concentrations in human serum, fermentative production in recombinant micro-organisms, and biological properties altered by ERG or SLC22A4 modulation, plus references to phylogenetic and structural analyses.
  • No systematic search strategy, inclusion criteria or meta-analysis is stated; the synthesis is qualitative and literature-based.

Limitations

  • The authors state that evidence for ERG as a preventive or palliative nutraceutical in inflammatory diseases is “mostly circumstantial rather than definitive,” and that they lack examples where ERG is both low in a syndrome and exogenous administration produces functional improvement. They note that randomised controlled trials are only beginning, with one pure-ERG trial registered.
  • The authors state that mechanisms are often unclear and studies “rather descriptive in nature”; effects on host microbiomes “do not yet seem to have been studied”; mitochondrial expression remains uncertain because antibody evidence is hazardous; and old animal ERG-deprivation experiments need repeating with modern lower-detection-limit techniques.
  • Evident from the text: as a narrative review without systematic search or quantitative pooling, it may be subject to selection and interpretation bias, and many cited findings come from animal, cell-culture or observational studies rather than definitive human trials.

Model-written summary. Check it against the paper before relying on it.

Integrity signals

Registry

Crossref · 10.1017/s0954422419000301

Cites

589 of 589 references verified0 citation errors · 0 not checkable

Statistics

Nothing to recompute.

Figures

Fig. 1. Structures of ergothioneine and related molecules. For a colour figure, see the online version of the paper.
Fig. 1. Structures of ergothioneine and related molecules. For a colour figure, see the online version of the paper.CC BY · PubMed Central
Fig. 2. The two main pathways of aerobic ergothioneine (ERG) biosynthesis, noting the relevant enzymes and thumbnails of three-dimensional structures where known. SAM, S-adenosyl methionine. For a colour figure, see the online version of the paper.
Fig. 2. The two main pathways of aerobic ergothioneine (ERG) biosynthesis, noting the relevant enzymes and thumbnails of three-dimensional structures where known. SAM, S-adenosyl methionine. For a colour figure, see the online version of the paper.CC BY · PubMed Central
Fig. 3. Alignment of Neurospora crassa Egt1 and N-terminal part of Mycobacterium tuberculosis EgtD. For a colour figure, see the online version of the paper.
Fig. 3. Alignment of Neurospora crassa Egt1 and N-terminal part of Mycobacterium tuberculosis EgtD. For a colour figure, see the online version of the paper.CC BY · PubMed Central
Fig. 4. Differences in expression of SLC22A4 transcript in a series of mammalian cell lines. Data are from Thul et al.(186) and O’Hagan et al.(119). For a colour figure, see the online version of the paper.
Fig. 4. Differences in expression of SLC22A4 transcript in a series of mammalian cell lines. Data are from Thul et al.(186) and O’Hagan et al.(119). For a colour figure, see the online version of the paper.CC BY · PubMed Central
Fig. 5. Superoxide and peroxide are produced by 1- and 2-electron reduction of dioxygen by the mammalian respiratory chain. For a colour figure, see the online version of the paper.
Fig. 5. Superoxide and peroxide are produced by 1- and 2-electron reduction of dioxygen by the mammalian respiratory chain. For a colour figure, see the online version of the paper.CC BY · PubMed Central
Fig. 6. Catalytic roles of unliganded iron in hydroxyl radical production via the Fenton and Haber–Weiss reactions. This can be stopped by ensuring that iron is fully liganded. For a colour figure, see the online version of the paper.
Fig. 6. Catalytic roles of unliganded iron in hydroxyl radical production via the Fenton and Haber–Weiss reactions. This can be stopped by ensuring that iron is fully liganded. For a colour figure, see the online version of the paper.CC BY · PubMed Central
Fig. 7. Overview of some of the effects of ergothioneine in mammalian systems. For a colour figure, see the online version of the paper.
Fig. 7. Overview of some of the effects of ergothioneine in mammalian systems. For a colour figure, see the online version of the paper.CC BY · PubMed Central

Verification

Claims the paper makes

77 Not checked yet · 12 Own interpretation · 3 No basis given · 2 Own result

Verify all 262 references — free account

Show all 47 claims

  • It may state two separate claims as one. 41
  • Probably not a substantial claim. 9
47 of 47
  • The paper relies on this without support.

    ERG classes as a nutraceutical.

    “Since ERG classes as a nutraceutical, it seems timely to bring together the extensive but widespread knowledge of its biology so that it may be made more widely available, and that is the purpose of this review.”
  • The paper relies on this without support.

    The chief source of ERG in the human diet is mushrooms.

    “The chief source of ERG in the human diet is mushrooms (usually the fruiting bodies of Basidiomycetes).”
  • The paper relies on this without support.

    SLC22A4 has evolved and been selected to effect ERG uptake in all known animals.

    “The fact that a specific transporter known as SLC22A4 has evolved and been selected to effect ERG uptake in all known animals”
3 of 3

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

Each contradiction between two passages listed here was confirmed by an independent check.

4 of 4

Citations

Cites

Show all 615 references

Research works printed but not linked: 11

  1. 381. Bashir, R (2017) Bio-analytical screening and characterization of antioxidant compounds using online liquid chromatography techniques and mass spectrometry. Thesis for Doctor of Philosophy, Swinburne University of Technology.
  2. van der Hoek, 2019, Engineering the yeast Saccharomyces cerevisiae for the production of l-(+)-ergothioneine, bioRxiv, 2019, 667592
  3. Tanret, 1909, A new base taken from rye ergot, ergothioneine, Ann Chim Phys, 18, 114
  4. Rahman, 2017, Corroborative assessment of mushroom as the graceful ageing and lifespan promoting agent, Biointerface Res App, 7, 2072
  5. Hartman, 1986, Ergothioneine (2-thiol-l-histidine betaine = Et) as an antimutagen – interception of direct-acting mutagens formed from nitrosation of spermidine, Environ Mol Mutagen, 8, 36
  6. 10.1023/a:1006914028195 · DOI
  7. Logan, 2013, Lipid Oxidation: Challenges in Food Systems
  8. 403. Jose, JM (2011) Ergothioneine degradation and properties of ergothionase from Agrobacterium radiobacter. BSc Thesis, Penn State University.
  9. Tanret, 1909, The new base drawn from rye ergot, ergothioneine, Cr Hebd Acad Sci, 149, 222
  10. Hartman, 1986, Protection afforded by carnosine and by ergothioneine against bacteriophage-P22 inactivation by gamma-irradiation, Environ Mol Mutagen, 8, 35
  11. Kell, 2009, Proceedings of the International Beilstein Symposium on Systems Chemistry, 149

Cited by

Sorted by citations

See all 296

Metadata

Authors
Borodina, I., Kenny, L. C., McCarthy, C. M., Paramasivan, K., Pretorius, E., Roberts, T. J., van der Hoek, S. A., & Kell, D. B.
Affiliations
  • Novo Nordisk Foundation (DK)
  • University of Liverpool (GB)
  • University College Cork (IE)
  • Stellenbosch University (ZA)
Corresponding author
Kell, Douglas B.
Venue
Nutrition Research Reviews
Published
2020-02-13
Volume
33
Issue
2
Pages
190-217
ISSN
  • 0954-4224 (ISSN-L)
  • 1475-2700
OpenAlex
W3006322261
Cited by
296
References
615
Citations by year
2026: 58 · 2025: 59 · 2024: 54 · 2023: 37 · 2022: 42 · 2021: 33 · 2020: 13
FWCI
3.02
Type
journal article
Language
en
Open access
Locations
  • Nutrition Research Reviews (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • Technical University of Denmark, DTU Orbit (Technical University of Denmark, DTU) (submittedVersion, other-oa)
Funders
  • Novo Nordisk (NNF10CC1016517)
  • Novo Nordisk Fonden (NNF20OC0060809, NNF10CC1016517)
  • Directorate for Biological Sciences
  • Biotechnology and Biological Sciences Research Council (BB/P009042/1, BB/P009042/2, BB/R000093/1)
Topics
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Biochemistry › Sulfur Compounds in Biology
  • Health Sciences › Medicine › Biochemistry (medical) › Antioxidant Activity and Oxidative Stress
  • Health Sciences › Nursing › Nutrition and Dietetics › Selenium in Biological Systems
Keywords
ergothioneine, antioxidants, nutraceuticals, SLC22A4, amino acid transporters, fungal biosynthesis, actinobacteria, mushroom fruiting bodies, dietary intake, erythrocytes, oxidative stress, cytoprotection, chronic inflammatory diseases, food safety
MeSH terms
Animals, Antioxidants, Biological Products, Ergothioneine, Fungi, Humans, Oxidative Stress, Dietary Supplements, Organic Cation Transport Proteins, Symporters, Actinobacteria

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

A language model drew the claims from the paper on 2026-10-10, under version 3 of the claim definition (model deepseek-v4.1-flash, prompt extract-v3).

A second model labelled each claim on 2026-10-10 (model jev-1.13-20260917, definition revision gold-guideline-v0.2).

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review