Mushroom
    Moderate Evidence

    Pleuran (Oyster Mushroom Beta-Glucan)

    Insoluble beta-1,3/1,6-D-glucan from Pleurotus ostreatus

    TL;DR

    Pleuran is an insoluble beta-glucan from oyster mushrooms. Randomised trials, mostly from one research group, found fewer respiratory infections in children prone to them and in athletes. Evidence for allergies, asthma and other uses is early.

    Ideal For

    • Children with frequent respiratory infections, after a medical check
    • Endurance athletes in heavy training

    Avoid If

    • You have a mushroom allergy
    • You take immunosuppressive medicines, unless your specialist agrees
    • You are pregnant or breastfeeding, as safety has not been studied

    Frequently Asked Questions

    What is pleuran?
    Pleuran is an insoluble beta-glucan extracted from the oyster mushroom, Pleurotus ostreatus. It belongs to the 1,3/1,6-branched group of fungal beta-glucans that interact with the immune system, unlike the oat beta-glucan used to lower cholesterol.
    Is Imunoglukan P4H the same as pleuran?
    Imunoglukan P4H is a branded product that combines pleuran with vitamin C, and it is the product used in most pleuran trials. Results from those trials apply to that combination at the doses tested, not automatically to other mushroom or beta-glucan products.
    Does pleuran prevent colds and respiratory infections?
    In children with frequent respiratory infections, two randomised trials found fewer infections with pleuran than with vitamin C, or vitamin D and zinc, alone. A trial in athletes found fewer upper respiratory symptoms. Most of this work comes from one research group and needs independent confirmation.
    How much pleuran do the studies use?
    Children's trials used 10 mg per 5 kg of body weight a day, and adult studies used 100 mg a day. Trials lasted from about 2 to 6 months.
    Does pleuran help allergies?
    It lowered blood eosinophils, a marker of allergic inflammation, in children with recurrent infections, but no trial has tested it in allergic rhinitis itself. Treat it as unproven for hay fever.
    Is pleuran safe for children?
    Trials in children, some lasting six months, reported it as well tolerated with only mild side effects. Children with very frequent infections should still be assessed by a doctor to rule out other causes.

    Overview

    Pleuran is a beta-glucan, a chain of glucose molecules, extracted from the cell walls of the oyster mushroom (Pleurotus ostreatus). Unlike the soluble oat and barley beta-glucans used to lower cholesterol, it is insoluble and has the 1,3/1,6-branched structure that immune cells recognise as microbial material. Structure seems to matter: across studies in endurance athletes, pleuran reduced upper respiratory symptoms while soluble oat beta-glucan did not.

    Most of the human research comes from one research group and tests branded products: a syrup combining pleuran with vitamin C (Imunoglukan P4H) and, in later trials, capsules and a chewable tablet with vitamin D and zinc. In children with recurrent respiratory infections, adding pleuran to vitamin C raised the share who stayed infection-free during treatment from 21% to 36%, and the chewable form cut infections by about 15% over a winter. Smaller studies in athletes and in adults with COPD or cold sores point the same way, but a small trial in children with acute gastroenteritis found no benefit.

    Pleuran has been well tolerated in trials in children and adults, and a systematic review of fungal beta-glucans found no adverse events caused by them. The open questions are independent replication, the right dose for adults, and whether the benefits extend to allergies and asthma, where the evidence so far rests on laboratory markers and subgroup results.

    How It Works

    • Pleuran's branched glucose chains resemble fungal cell walls, and researchers describe it as acting through receptors innate immune cells use to recognise microbes.
    • It is thought to work mainly through immune tissue in the gut rather than after absorption.
    • In elite athletes taking 100 mg a day, natural killer cell activity did not show the 28% post-exercise drop seen on placebo.
    • Over three months in athletes it increased circulating natural killer cells and kept phagocytosis steady while it fell on placebo.
    • In children with recurrent infections it modulated humoral and cellular immune markers and lowered blood eosinophils.

    Quick Facts

    • Insoluble beta-glucan from oyster mushrooms
    • Key trials compared pleuran plus vitamin C with vitamin C
    • Children's trial dose: 10 mg per 5 kg daily
    • Adult studies used 100 mg a day
    • No benefit in acute childhood gastroenteritis

    Supporting Research
    13 studies

    Immunomodulatory effect of pleuran (β-glucan from Pleurotus ostreatus) in children with recurrent respiratory tract infections

    Score: 6/10
    2013
    rct
    n=175

    Jesenak M, Majtan J, Rennerova Z +3 more

    36% of the children did not suffer from any respiratory infections

    View source

    Novel Chewable Pleuran-Based Supplement Decreases Respiratory Tract Infections in Children: A Randomised Controlled Trial

    Score: 7/10
    2025
    rct
    n=249

    Jesenak M, Prokopova E, Bozensky J +4 more

    significantly reduced respiratory tract infections in children with RRTIs

    View source

    Beneficial effects of pleuran on asthma control and respiratory tract-infection frequency in children with perennial asthma

    Score: 6/10
    2025
    rct
    n=230

    Jesenak M, Hrubisko M, Chudek J +4 more

    positive effects of this treatment on asthma control and RTI incidence

    View source

    Pleuran (β-glucan from Pleurotus ostreatus) supplementation, cellular immune response and respiratory tract infections in athletes

    Score: 5/10
    2011
    rct
    n=50

    Bergendiova K, Tibenska E, Majtan J

    pleuran significantly reduced the incidence of URTI symptoms

    View source

    The anti-infective effect of β-glucans in children

    Score: 5/10
    2024
    systematic_review

    Wzorek-Łyczko K, Woźniak W, Piwowarczyk A +1 more

    Ten out of twelve trials demonstrated the effectiveness of β-glucans

    View source

    Anti-allergic effect of Pleuran (β-glucan from Pleurotus ostreatus) in children with recurrent respiratory tract infections

    Score: 5/10
    2014
    rct

    Jesenak M, Hrubisko M, Majtan J +2 more

    Pleuran showed a potential anti-allergic effect

    View source

    Efficacy of Pleuran (β-Glucan from Pleurotus ostreatus) in the Management of Herpes Simplex Virus Type 1 Infection

    Score: 5/10
    2020
    rct
    n=90

    Urbancikova I, Hudackova D, Majtan J +3 more

    significantly shorter duration of herpes simplex symptoms

    View source

    Effect of Pleuran (β-glucan from Pleurotus ostreatus) supplementation on cellular immune response after intensive exercise in elite athletes

    Score: 4/10
    2010
    rct
    n=20

    Bobovčák M, Kuniaková R, Gabriž J +1 more

    no significant reduction in NKCA was found in the β-glucan group

    View source

    Effects of fungal beta-glucans on health - a systematic review of randomized controlled trials

    Score: 7/10
    2021
    systematic_review

    Vlassopoulou M, Yannakoulia M, Pletsa V +2 more

    reduces the incidence and symptoms of cold, flu and other respiratory infections

    View source

    Effects of Pleuran (Β-Glucan from Pleurotus Ostreatus) Supplementation on Incidence and Duration of COPD Exacerbations

    Score: 3/10
    2017
    cohort
    n=64

    Minov J, Bislimovska-Karadzhinska J, Petrova T +3 more

    pleuran might impact the incidence and duration of bacterial exacerbations

    View source

    Effect of a Pleuran-Based Supplement on Salivary IgA Secretion in Children With Recurrent Respiratory Infections

    Score: 3/10
    2025
    cohort
    n=49

    Kunc P, Fabry J, Matiscakova M +4 more

    statistically significant increase in salivary sIgA concentrations

    View source

    A randomised trial of pleuran in paediatric acute gastroenteritis

    Score: 4/10
    2025
    rct
    n=27

    Wzorek-Łyczko K, Piwowarczyk A, Woźniak W +2 more

    Pleuran was ineffective in the treatment of acute gastroenteritis in children

    View source

    Immunomodulation with β-glucan from Pleurotus ostreatus in patients with endocrine-dependent breast cancer

    Score: 3/10
    2022
    observational
    n=195

    Spacek J, Vocka M, Zavadova E +2 more

    significant increase in the absolute number of CD3+, CD19+, CD4+ and CD8+

    View source

    Safety Information

    Potential Side Effects

    Well tolerated in trials in children and adults. The largest children's trial reported only mild adverse events, and a systematic review of fungal beta-glucans found no adverse events caused by them.

    Contraindications

    Mushroom allergy. People on immunosuppressive treatment, for example after an organ transplant, should talk to their specialist first: pleuran is intended to stimulate immune responses and we found no interaction studies.

    Drug Interactions

    • Immunosuppressants (after a transplant or for autoimmune disease): theoretical opposing effect; use only with your specialist's agreement

    Pregnancy & Breastfeeding

    Pregnancy: Not enough evidence to judge

    Breastfeeding: Not enough evidence to judge

    Dosage Guidelines

    Dosage Used in Studies

    100-100 mg

    Best Time to Take

    Once daily; trials ran for 2 to 6 months, usually through the respiratory-infection season.

    Best Form

    Pleuran combined with vitamin C, the form used in most trials

    Bioavailability

    Insoluble polysaccharide; researchers describe it as acting mainly on the gut's immune tissue.

    Dosing by Goal

    GoalDoseNotes
    Children with recurrent respiratory infections10 mg pleuran per 5 kg body weight dailyThe dose used in five pleuran trials in children; trials ran through the winter for about 3 to 6 months.
    Children 7-17 with partly controlled asthma2 capsules of pleuran with vitamin C dailyTaken for 24 weeks alongside usual asthma treatment; the capsule strength is not given in the trial summary.
    Adults and athletes100 mg pleuran dailyUsed for 2 months in elite athletes and, with vitamin C and zinc, for 3 months in adults with COPD.

    Forms Compared

    Pleuran with vitamin C (syrup or capsules)

    Best for Children with recurrent respiratory infections

    The combination used in most trials, including the 175-child recurrent-infection trial and the asthma trial; the comparison groups took vitamin C alone.

    Chewable pleuran with vitamin D and zinc

    Best for Children over 6 through the infection season

    Tested for 3 winter months in children with recurrent infections; the comparison group took vitamin D and zinc alone.

    Pleuran capsules (adults)

    Best for Athletes in heavy training

    Adult studies used 100 mg a day, alone in athletes or with vitamin C and zinc in COPD.

    Medical Disclaimer

    The information provided on this website is for educational and informational purposes only and is not intended as a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition or before starting any supplement regimen.

    Individual results may vary. The statements on this website have not been evaluated by the Food and Drug Administration. Products and information are not intended to diagnose, treat, cure, or prevent any disease.