Low-dose dietary phytoestrogen abrogates tamoxifen-associated mammary tumor prevention

Bolin Liu1, Susan Edgerton, Xiaohe Yang

  • 1Department of Pathology, University of Oklahoma Health Sciences Center, 940 Stanton L. Young Boulevard, Oklahoma City, OK 73104, USA.

Cancer Research
|February 12, 2005
PubMed

Insights

Low-dose dietary isoflavones may reduce tamoxifen

Area of Science:

  • Oncology
  • Endocrinology
  • Nutritional Science

Background:

  • Tamoxifen is a crucial medication for breast cancer prevention and treatment.
  • Dietary phytoestrogens, like isoflavones, are being investigated for their potential impact on cancer.
  • Interactions between tamoxifen and dietary components require thorough investigation.

Purpose of the Study:

  • To investigate the in vivo interactions between tamoxifen and dietary phytoestrogens (isoflavones) at varying doses and forms.
  • To determine the effect of dietary isoflavones on tamoxifen's efficacy in preventing mammary tumors in a transgenic mouse model.
  • To explore the in vitro effects of genistein and tamoxifen on mammary tumor cell lines.

Main Methods:

  • Utilized wild-type erbB-2/neu transgenic mice.
  • Administered tamoxifen or placebo pellets and randomized mice to four dietary formulas (soy meal, low-dose isoflavones, high-dose isoflavones, casein).
  • Conducted in vitro studies using human and mouse mammary tumor cell lines.

Main Results:

  • In placebo-treated mice, soy meal diet prolonged tumor latency.
  • Tamoxifen with soy meal, casein, or high-dose isoflavones prevented tumors in most mice (>80%).
  • Low-dose isoflavones abrogated tamoxifen's tumor prevention, increasing tumor development (>50%) and shortening latency.
  • In vitro, low-dose genistein with tamoxifen promoted cell proliferation, unlike tamoxifen alone or with higher genistein doses.

Conclusions:

  • Low-dose dietary isoflavones can interfere with tamoxifen's ability to prevent mammary tumors in vivo.
  • These dose-dependent interactions are supported by in vitro cell line data.
  • Findings suggest potential implications for breast cancer patients using tamoxifen and consuming soy products.