) The awareness that diet plays an important role in many common diseases of Western populations, has led to the recognition of many classes of bioactive non-nutrients in foods. Among these, the phytoestrogens are relatively abundant in plants, and occur in high concentrations in foods consumed in the Far-East, where the prevalence of cancers and hormone-dependent diseases is significantly lower than in Western populations. The soybean is a rich source of glycosides of the isoflaones, daidzein and genistein, which are estrogen mimics, and possess a myriad of potent biological properties that can account for their demonstrable anticancer actions. It is now apparent that a diet rich in phytoestrogens may confer significant benefit to humans in disease prevention. While it is known that soy isoflavones are metabolized by intestinal bacteria, absorbed, conjugated in the liver, circulated in plasma, and excreted in urine, much of this information is of a qualitative nature. This application seeks to improve our understanding of the factors that determine the plasma levels, bioavailability, and kinetics of isoflavones in women and men, how these are influenced by the type and amount of the matrix, and chemical composition, whether there are gender or age-related differences in metabolism and bioavailabilly and if intestinal transit influences metabolism. Plasma and urinary isoflavone concentrations will be measured by mass spectrometry, the only method with the required sensitivity, precision and specificity for the detection of isoflavones in biological fluids over a large dynamic range. We propose to establish dose-response relationships for the pharmacokinetics of soy isoflavones in a nutritionally normal range of intake, for a soy food, and to compare the plasma and urinary isoflavone concentrations attained with three different soy foods containing a level of isoflavones previously found to have biological effects in humans and animals. Intestinal transit will be measured to examine the effect of residence time on metabolism and absorption of isoflavones. Correlation between urinary and plasma concentrations will permit an evaluation of the most appropriate means of assessing compliance to soy foods. These studies will improve our understanding of the extent to which soy-foods deliver physiologically relevant levels of isoflavones, information that will facilitate the design of future dietary studies.

Agency
National Institute of Health (NIH)
Institute
National Cancer Institute (NCI)
Type
Research Project (R01)
Project #
5R01CA073328-02
Application #
2517770
Study Section
Special Emphasis Panel (SRC (02))
Project Start
1996-09-30
Project End
1999-08-31
Budget Start
1997-09-01
Budget End
1998-08-31
Support Year
2
Fiscal Year
1997
Total Cost
Indirect Cost
Name
Cincinnati Children's Hospital Medical Center
Department
Type
DUNS #
071284913
City
Cincinnati
State
OH
Country
United States
Zip Code
45229
Setchell, Kenneth D R; Clerici, Carlo; Lephart, Edwin D et al. (2005) S-equol, a potent ligand for estrogen receptor beta, is the exclusive enantiomeric form of the soy isoflavone metabolite produced by human intestinal bacterial flora. Am J Clin Nutr 81:1072-9
Setchell, Kenneth D R; Brown, Nadine Maynard; Desai, Pankaj B et al. (2003) Bioavailability, disposition, and dose-response effects of soy isoflavones when consumed by healthy women at physiologically typical dietary intakes. J Nutr 133:1027-35
Setchell, Kenneth D R; Cole, Sidney J (2003) Variations in isoflavone levels in soy foods and soy protein isolates and issues related to isoflavone databases and food labeling. J Agric Food Chem 51:4146-55
Setchell, Kenneth D R; Brown, Nadine M; Lydeking-Olsen, Eva (2002) The clinical importance of the metabolite equol-a clue to the effectiveness of soy and its isoflavones. J Nutr 132:3577-84
Setchell, Kenneth D R; Brown, Nadine M; Zimmer-Nechemias, Linda et al. (2002) Evidence for lack of absorption of soy isoflavone glycosides in humans, supporting the crucial role of intestinal metabolism for bioavailability. Am J Clin Nutr 76:447-53
Scheiber, M D; Liu, J H; Subbiah, M T et al. (2001) Dietary inclusion of whole soy foods results in significant reductions in clinical risk factors for osteoporosis and cardiovascular disease in normal postmenopausal women. Menopause 8:384-92
Setchell, K D (2000) Absorption and metabolism of soy isoflavones-from food to dietary supplements and adults to infants. J Nutr 130:654S-5S
Lephart, E D; Thompson, J M; Setchell, K D et al. (2000) Phytoestrogens decrease brain calcium-binding proteins but do not alter hypothalamic androgen metabolizing enzymes in adult male rats. Brain Res 859:123-31
Weber, K S; Jacobson, N A; Setchell, K D et al. (1999) Brain aromatase and 5alpha-reductase, regulatory behaviors and testosterone levels in adult rats on phytoestrogen diets. Proc Soc Exp Biol Med 221:131-5