Red
clover supplement containing isoflavones common in Asian diet inhibit
growth of prostate cancer cells
Trinovin™, a nutritional supplement
derived from red clover, caused early-stage prostate cancer cells
to die in numbers over 5 times greater than that seen in untreated
control patients, according to an article in the December issue of
Cancer Epidemiology Biomarkers and Prevention.
The
findings may explain why Asian men, who have rates of precancerous
prostate cells similar to those seen in men in Western countries,
have a much smaller incidence of prostate cancer. One previously
reported study, for example, found that 1.8 percent of men in China
develop prostate cancer compared with 53.4 percent of American men.
These findings led researchers to consider dietary differences between
the cultures, particularly isoflavones.
In this study, 20 patients with confirmed
prostate cancer were given 160mg of the supplement daily, which
provides isoflavone content comparable with that in the Asian diet.
Treatment periods ranged from approximately 1 to 8 weeks. The men
then underwent prostate surgery. Data were compared with a random
sample of readily available archival data from 18 patients who received
no treatment.
Before and after treatment, investigators
measured the following: serum prostate specific antigen, Gleason
score, serum testosterone, incidence of apoptosis, and excreted
isoflavone levels.
For each patient, an average of 2,500 cells
was counted. The incidence of apoptosis occurred more than 5 times
more often (almost 1.5 percent versus 0.25 percent) in the supplement
arm than in the archival data, specifically in regions of low-grade
cancer (Gleason grade 1-3). No adverse incidents were reported in
the treatment group.
The supplement contains four isoflavones common
in the Asian diet: biochanin, genistein, formononetin, and daidzein.
Soy isoflavones, contained in common American supplements, generally
do not contain all four compounds.
"A link between diet and cancer is known
from epidemiological studies that showed when Asian men move to
Western countries, they develop cancer at the same rate as the Western
population," said Alan Husband, M.D., author and director of
research for the supplement manufacturer. "This is an exciting
study that gives further support to the link between dietary isoflavones
and prostate disease and may explain the difference in the incidence
of prostate cancer in Asian compared to Western men."
Prostate cancer is about twice as common
among African-American men as it is among white American men. It
is most common in North America and northwestern Europe. It is less
common in Asia, Africa, and South America.
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