| A large body of epidemiological
evidence demonstrates that consumption of soy foods is
associated with a lower risk of certain cancers in Asian
countries, e.g. China and Japan, and in certain Asian
populations residing in Western countries.
Table hereunder lists the death rates from breast cancers
in selected Eastern and Western countries.
Death Rates Per 100,000 Population For Breast Cancer
| |
Western Nations |
|
| |
United
States |
21.1
|
| |
United
Kingdom |
26.5
|
| |
Germany |
22.1
|
| |
Eastern Nations |
|
| |
Japan |
6.8
|
| |
China |
5.0
|
The existing data from epidemiological studies, along
with supportive data from animal studies, strongly support
the concept that consumption of soy protein may reduce
the risk of certain cancers in humans. Researchers who
are studying the possible role of soy protein in cancer
prevention have focused primarily on tumors known to
be affected by hormones and diet. Research on soy protein
and breast cancer prevention is one of the most active
research areas today.
Soy Protein and Breast Cancer
Findings from recently completed epidemiological studies
conducted in China (Dai et al., 2001; Shu et al., 2001)
and an ongoing study in the U.S. (Wu et al., 2001) demonstrated
that consumption of soyfoods during adolescence and
adulthood results in a reduction in the incidence of
breast cancer in women. These results support the existing
knowledge from previously published epidemiological
investigations that consumption of soy is beneficial
in reducing the risk of breast cancer in women.
Results from animal studies support epidemiological
findings. Feeding female rats a diet that contained
isolated soy protein inhibits experimentally induced
mammary tumor development compared with rats fed a casein-based
diet (Barnes et al., 1994; Hawrylewicz et al., 1991).
Hakkak et al (Hakkak et al., 2000) investigated the
effect of long-term feeding animals a diet containing
isolated soy protein on mammary tumor development.
They fed rats a soy protein-containing diet or a casein-based
diet for two generations before administering a chemical
agent known to induce mammary tumor to the third generation.
At the end of the study, there was a significant decrease
in the number of mammary tumors and a significant increase
in the latency period in rats maintained on the soy
protein diet compared with those on the casein diet.
Constantinou et al (Constantinou et al., 2001) examined
the synergetic effect of isolated soy protein with tamoxifen
on chemically induced mammary tumor development in rats.
Tamoxifen is a drug approved by the U.S. FDA for breast
cancer prevention in humans. They found that dietary
supplementation with isolated soy protein or tamoxifen
resulted in a 37% or a 29% reduction in the number of
tumors developed in mammary glands compared with the
controls.
However, they found a 62% reduction in the number of
tumors in the group fed a diet containing both soy protein
and tamoxifen compared with the controls. Results from
this study showed that soy protein is synergetic with
tamoxifen and resulted in a greater inhibition on chemically
induced mammary tumor development in animals. It suggests
that consumption of soy protein is beneficial to women
who use tamoxifen for breast cancer prevention.
Yan et al (Yan et al., 2000) investigated whether dietary
supplementation with isolated soy protein reduced pulmonary
metastasis of malignant cells from mammary tumors in
mice. The spread of cancerous cells from a mammary tumor
to the lungs and other organs in the body is a major
cause of death in breast cancer patients. Mice were
fed a casein-based control diet or a diet supplemented
with different contents of isolated soy protein before
receiving an injection of mammary tumor cells into mammary
glands for primary tumor development.
At the end of the study, the number of tumors formed
in the lungs were counted as a measurement of the cancer
spread because the more malignant cells spread to the
lungs and the more tumors could be developed. The researchers
found that there was a significant reduction in the
number of metastatic tumors formed in the lungs in mice
fed the soy protein diets compared with those maintained
on the control diet.
These results demonstrated that soy protein reduced
the spread of mammary cancer in animals, suggesting
that soy protein is a useful nutritional adjutant in
reducing metastasis in breast cancer patients.
Many researchers have investigated the role of genistein,
a major soy isoflavone, in mammary tumor development
in animals. Fritz et al (Fritz et al., 1998) examined
the effect of dietary supplementation of genistein on
chemically induced mammary tumorigenesis in rats. Female
rats were fed a diet containing different levels of
genistein from conception to day 21 post-parturition.
All offspring were weaned at the age of 21 days, maintained
on a genistein-free diet, and treated with a cancer-causing
agent to induce mammary tumors at the age of 50 days.
At the end of the study, animals from mothers fed genistein-supplemented
diets had fewer mammary tumors compared with those from
mothers fed a genistein-free control diet.
Similar inhibitory effect on mammary tumor development
has also been observed when genistein was subcutaneously
injected into animals (Murrill et al., 1996; Lamartiniere
et al., 1995). Results from these studies suggest that
genistein is, at least in part, responsible for the
cancer-attenuating effect of soy protein products.
The important thing to keep in mind is that soy isoflavones
are chemically similar to naturally occurring and synthetic
forms of estrogen. They are able to compete with more
potent forms of estrogen at the estrogen receptor but
have much less estrogenic activity. Research suggests
that soy isoflavones are able to mimic some of estrogen's
functions, such as helping prevent bone loss, but may
not stimulate the unfavorable responses in breast tissue
that may increase the risk of cancer.
This reduced risk of breast cancer doesn't appear to
be genetic since it disappears as Asian women move to
the West. One study found that in Chinese and Japanese
women, the incidence of breast cancer was lowest in
those living in Asia, intermediate in those born in
Asia but living in the United States, and highest in
Asian women born in the United States. Even in this
last group, the incidence of breast cancer was appreciably
lower than in American Caucasian women.
References
View cancer
references list.
|