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Arkansas Children's Nutrition Center, Arkansas Children's Hospital Research Institute and Department of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, AR 72205
2To whom correspondence should be addressed.
| ABSTRACT |
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KEY WORDS: soy protein isolate cytochrome P450 induction rats
| INTRODUCTION |
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Several potential chemoprotective mechanisms have been suggested
including the following: interactions with estrogen receptors,
antioxidant effects, inhibition of steroidogenic enzymes, tyrosine
kinase inhibition and antiangiogenic effects (Adlercreutz et al. 1995
, Barnes et al. 1996
). An additional
chemoprotective mechanism that has received less attention is the
possible effect of soy consumption on procarcinogen activation and
carcinogen metabolism. In general, increases in phase I combined with
increases in phase II metabolism will result in faster clearance and
reduced carcinogenicity of ingested procarcinogens such as polycyclic
hydrocarbons (Prestera et al. 1993
). This may occur
systemically via alterations in enzyme activity in the liver or locally
within the carcinogen target tissue (Liu et al. 1994
).
A number of in vitro and in vivo rodent studies have suggested that
treatment with purified flavinoids and coumarins found in soy may
induce phase II enzymes such as quinone reductase,
glutathione-S-transferases and UDP-glucuronyltransferases
(Wang et al. 1998
). In addition, a recent study in rats
demonstrated that dietary consumption of soy flour or soy protein
isolate resulted in significant increases in these phase II enzymes in
liver, small intestine and colon in vivo (Appelt and Reicks 1997
).
Fewer data exist on the effects of soy diet or soy-associated
phytochemicals on phase I cytochrome P450
(CYP)3
expression and activity. In vitro studies with keratonocyte and
hepatocyte cell lines have demonstrated modulation of CYP1A1
inducibility by the soy-associated isoflavones genistein and
daidzein (Backlund et al. 1997
), and in vivo studies
utilizing genistein injected intraperitoneally have demonstrated either
no effects (Helsby et al. 1997
) or inhibition
(Helsby et al. 1998
) of hepatic P450.
In addition to effects on cancer risk, dietary effects on P450
expression may also have considerable importance in terms of altering
the clearance and efficacy of clinically utilized drugs as well as the
risk of toxic side effects. In the U.S. and other Western countries,
the effects of soy consumption in this regard may be of particular
importance for pediatric medications because in these countries,
~20% of infants consume formula in which soy protein isolate is the
sole protein source (Setchell et al. 1997
).
In this study, we examined the effects of a soy-based diet, high in
isoflavones, on hepatic P450 expression in a male rat model in
comparison with soy-free, casein (CAS)-based diets. By providing
soy protein isolate (SPI) as the sole protein source, average daily
consumption of isoflavones was 19.3 mg/(kg·d) genistein and 9.2
mg/(kg·d) daidzein; total isoflavone concentrations in 24-h urine
pools were in the range of 40 µmol/L (Ronis et al. 1999
). We focused on expression and
glucocorticoid-inducibility of members of the CYP3A family of
enzymes and on CYP2B1. The CYP3A enzymes, chosen because they represent
the most abundant P450 enzymes found in human liver, are of great
importance for the metabolism and clearance of a wide range of
clinically utilized drugs including antibiotics, analgesics and
steroids in addition to carcinogens; they have also been shown to be
significantly inducible in humans in vivo (Ronis and Ingelman-Sundberg 1998
). CYP2B1 was examined because it
represents a second glucocorticoid-inducible P450 in rat liver; its
human liver orthologue (CYP2B6) metabolizes many antipsychotic and
antiepileptic agents and procarcinogens, and it may be induced by a
different mechanism (Code et al. 1997
, Kocarek et al. 1994
, Ronis and Ingelman-Sundberg 1998
).
| MATERIALS AND METHODS |
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Dexamethasone, erythromycin, ethylmorphine, NADPH and testosterone were
obtained from Sigma Chemical (St. Louis, MO). Steroid metabolite
standards were supplied by Steraloids (Wilton, NH). Pentoxyresorufin
and resorufin were purchased from Pierce Chemical (Rockford, IL).
[14C] testosterone (2.1 GBq/mmol) was purchased from
DuPont NEN (Boston, MA). [1,2,6,7 3H] corticosterone (2.6
GBq/mmol) was obtained from Amersham Life Science (Arlington Heights,
IL). Lithocholic acid and [14C] lithocholic acid (1.9
GBq/mmol) were the gift of Dr. Anna Radominska-Pandya (UAMS, Little
Rock, AR). Rabbit polyclonal antibodies against rat CYP3A1(3A23) and
CYP2B1 were the kind gift of Dr. Magnus Ingelman-Sundberg
(Karolinska Institute, Stockholm, Sweden) (Ronis et al. 1998
). Mouse monoclonal antibodies against human CYP3A4/5 were
obtained from Gentest (Woburn, MA). [125I] goat
anti-rabbit immunoglobulin G (IgG) and [125I]goat
anti-mouse IgG were purchased from ICN Biomedicals (Costa Mesa,
CA). LHP-KDF high performance normal phase silica TLC plates were
obtained from Whatman International (Maidstone, Kent, UK).
Oligonucleotide and cDNA probes.
Oligonucleotide probes were synthesized by Bio-Synthesis
(Lewisville, TX) based on the + 68 to + 80 base-pair sequences of
rat CYP3A1 (CYP3A23), CYP3A2 and CYP3A18 published by Wright et al. (1997)
. The oligonucleotide specific for CYP2B1 was
designed using the CYP2B1 and CYP2B2 sequences described by
Nakayama et al. (1993)
. The cDNA against rat CYP3A9 was
the gift of Dr. Henry Strobel (University of Texas, Houston, TX)
(Wang and Strobel 1997
).
The experiment received prior approval from the Institutional Animal Care and Use Committee at UAMS. All animals were housed in an AAALAC-approved animal facility at ACHRI and all animal housing and husbandry conformed to USDA guidelines.
Animals and diets.
Virus-free adult male and female Sprague-Dawley rats (~300 g)
were purchased from Harlan Industries (Indianapolis, IN). Rats were
housed separately in plastic cages, kept at constant temperature
(22°C) and humidity with lights on between 0600 and 1800 h and
were given free access to water. Diets were formulated exactly as
described by Reeves et al. (1993)
for AIN 93G except
that soybean oil was replaced by corn oil. One diet contained casein
(CAS) as the protein source and the other contained soy protein isolate
(SPI) as the sole protein (Protein Technologies International, St.
Louis, MO). After several weeks of consuming the purified diets, male
and female rats were mated, and pregnant dams were fed their respective
diets during gestation. At birth, pups were culled to five males and
five females per litter; lactating dams continued to consume their
respective diets until the pups were weaned. At weaning, male pups were
given continued free access to their respective diets until the
beginning of the induction experiment at age 65 d.
Glucocorticoid induction experiment.
At 65 d of age, one male pup from each of 46 litters fed CAS or
SPI diets were gavaged orally with either 2 mL of corn oil or 50 mg/kg
dexamethasone (DEX) in 2 mL corn oil at 1600 h. At 0900 h the
next morning, the animals were killed by decapitation, livers removed
and microsomes prepared using the differential ultracentrifugation
method of Chipman and Walker (1979)
.
| Monooxygenase activities |
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Because cytochrome P450 enzymes have overlapping substrate
specificities and CYP3A enzymes are likely involved in the metabolism
of a wide range of chemicals (Wilkinson 1996
), we
examined the effects of SPI consumption on hepatic microsomal
metabolism of a number of different putative CYP3A substrates. In all
cases, monooxygenase assays were standardized in the laboratory before
the current study, and the incubation conditions described were within
the linear range for incubation time and protein concentration.
Erythromycin N-demethylase was measured according to the
method of Werringloer (1978)
with a 45-min incubation
containing 12.5 mmol/L erythromycin in the presence of 0.5 mmol/L NADPH
and 1 mg of microsomal protein in a total assay volume of 1 mL. The
rate of formaldehyde formation was determined spectrophotometrically at
412 nm using the Nash reagent. Ethylmorphine
N-demethylase was also assayed by following formaldehyde
production using Nash reagent. In this case, 2 mmol/L ethylmorphine was
incubated with 0.5 mmol/L NADPH and 1 mg of microsomal protein in a
1-mL final volume for 15 min. Testosterone 6ß-hydroxylase was assayed
as described previously (Ronis et al. 1991
). Metabolism
of [14C] lithocholic acid and [3H]
corticosterone was measured by using a modification of the TLC
methodology of Zimniak et al. (1991)
. Micelles of a
hot/cold steroid mixture were formed with the use of the nonionic
detergent Brij 35 and incubated in a total volume of 80
µL of 50 mmol/L potassium phosphate, pH 7.4, 2 mmol/L
NADPH, 0.1 mmol/L EDTA, 2 mmol/L dithiothreitol, 0.006% Brij and 1.3
mg/mL of microsomal protein. The final concentration of lithocholic
acid was 50 µmol/L; that of corticosterone was 1
µmol/L. Reactions were performed at 37°C for 20 and
10 min, respectively, and terminated by the addition of 20
µL of ethanol on ice. A proportion of the complete
reaction mixture (60 µL) was immediately spotted onto
the preabsorbant area of LHP-KDF high performance TLC plates. When
completely dry, the TLC plates were run twice in the same dimension
with a solvent system of 10:10:2 isooctane/ethyl acetate/acetic acid.
6ß-Hydroxylated products were identified by comigration with pure
standards and quantified by phosphorimaging using a GS525 molecular
imager (Bio-Rad Laboratories, Hercules, CA).
CYP2B substrates.
Pentoxyresorufin O-depentylase (PROD) was measured by
following the formation of resorufin spectrofluorimetrically at 536 nm
(excitation) and 586 nm (emission) according to the method of
Lubet et al. (1985)
using an RF-5301PC scanning
spectrofluorometer (Shimadzu Scientific Instruments, Columbia, MD)
under conditions of linearity for incubation time and protein.
Western immunoblot analysis.
Western blotting was conducted on pools of liver microsomes derived
from 46 rats at a concentration of 50 µg
protein/well to illustrate differences in mean expression of CYP3A
apoproteins in microsomes from vehicle-treated rats fed CAS or SPI
diets. In addition, Western blots were performed on microsomes from
individual vehicle-treated or DEX-treated rats at a loading of
10 or 50 µg protein/well. Varying lengths of
autoradiographic exposure were used to illustrate differences in CYP3A
apoprotein expression in DEX-treated rats fed CAS or SPI diets and
for purposes of immunoquantitation. Western blots using antisera
against CYP2B1 were conducted on microsomes from individual rats at a
loading of 10 µg protein/well. The primary antibodies
were rabbit anti-rat polyclonal antibodies directed against
CYP3A1(CYP3A23) and CYP2B1 at a dilution of 1:1000; Western blotting
was conducted as described by Ronis et al. (1998)
.
Immunoreactive apoprotein bands were visualized using
[125I] goat anti-rabbit IgG as a secondary antibody
at a dilution of 1:2000 followed by autoradiography. In rats, the
multiple CYP3A enzymes have >80% homology and similar molecular
weights (Mahnke et al. 1997
) and most antibody
preparations appear to recognize several forms (Debri et al. 1995
). For this reason, Western blotting data against CYP3A
enzymes were confirmed using a mouse monoclonal antibody directed
against human CYP3A4/5 (Mab A254), purchased from Gentest. The primary
antibody was used at a dilution of 1:500 and visualized using a 1:1000
dilution of [125I] goat anti-mouse IgG as the
secondary antibody. Immunoquantitation was determined by densitometric
scanning of the autoradiographs using a GS525 molecular imager
(Bio-Rad).
Northern analysis.
To date, mRNAs for four different CYP3A enzymes have been isolated from
adult male rat liver (Mahnke et al. 1997
). CYP3A1
(CYP3A23) is the major dexamethasone-inducible form found at low
levels constitutively in both male and female rat liver (Huss and Kasper 1998
, Mahnke et al. 1997
); CYP3A2 is
the major male-specific constitutive form (Wright et al. 1997
); CYP3A9 is a recently described, female predominant form,
induced by 17ß-estradiol (Wang and Strobel 1997
); and
CYP3A18 is a constitutive form with specificity for bile acids
(Zimniak et al. 1991
). Others may yet be described
(Eberhart et al. 1992
). Steady-state mRNA levels
were measured using specific antisense oligonucleotides against CYP3A1,
CYP3A18 and CYP3A2 and using a cDNA for CYP3A9. Total RNA was isolated
by the TRI Reagent according to the manufacturer's protocol (Molecular
Research Center, Cincinnati, OH). For analysis, total RNA (20
µg) from each sample was separated on a 1.2% agarose,
1 M/L formaldehyde gel and stained with ethidium bromide to
confirm its integrity. The RNA was transferred onto nylon membrane
(Hybond-N, Amersham) by capillary action, and bound to the membrane by
heat (80°C for 2 h). The oligonucleotide probes were
end-labeled with [
-32P]ATP using polynucleotide
kinase; the cDNA was labeled with [
-32P]dCTP using the
Random Primed DNA Labeling Kit (Boehringer Mannheim, Indianapolis, IN)
according to the manufacturer's instructions and was added at 1
x 106 counts/(min · mL) to hybridization buffer
(Rapid-hyb, Amersham). Hybridizations were performed in roller
bottles for 24 h at 42°C. Excess probe was removed by two 15-min
washes at room temperature in 150 mmol/L NaCl, 10 mmol/L
NaH2PO4 and 1 mmol/L EDTA, pH 7.4 (1X SSPE)
plus 1% SDS followed by two 30-min washes at 42°C (oligonucleotides)
or 50°C (cDNA) in 0.1X SSPE, 1% SDS solution. Bands were quantitated
by densitometry of the autoradiograph, ethidium bromidestained gel
image (18S rRNA) or phosphorimager (Bio-Rad ), and the ratio of CYP3A
message/18S rRNA was determined and expressed as a percentage of that
for the control (Spiess and Ivell 1999
).
Statistical analysis.
Data are means ± SEM. All data were analyzed using
the SigmaStat for Windows program (Jandal Scientific Software, San
Rafael, CA) by two-way ANOVA followed by the Student-Newman-Keuls
test for all pairwise means comparisons to detect differences among
groups. An
-level of 0.05 was set to determine significance.
| RESULTS |
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General variables including body weight, liver weight and yield of
hepatic microsomal protein for rats fed the two different diets and
treated with vehicle or DEX are presented in Table 1
. Rats fed SPI-based diets throughout life had significantly smaller
body weights (P < 0.05) than rats fed CAS-based
diets, but liver weight, liver/body weight ratio or yield of liver
microsomes were not significantly affected by diet. DEX treatment
significantly increased liver weight and liver/body weight ratios in
rats fed either diet (P < 0.05), but had no
significant effects on body weight or yield of microsomal protein per
gram of liver.
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Data demonstrating the effects of the SPI-containing diet and
DEX treatment on hepatic monooxygenase activities dependent on CYP3A
enzymes are presented in Table 2
. Two-way ANOVA demonstrated greater activities in rats fed the SPI
diet compared with the CAS diet for the erthyromycin and ethylmorphine
N-demethylases and for corticosterone and testosterone
6ß-hydroxylases (P < 0.05), but not for the CYP3A18
specific-activity lithocholic acid 6ß-hydroxylase. DEX treatment
resulted in greater activity of both erythromycin
N-demethylase and testosterone 6ß-hydroxylase
(P < 0.05). In addition, diet x DEX interactions
(P < 0.05) were observed when ethylmorphine,
corticosterone and testosterone were used as substrates. The mean
activity toward all CYP3A substrates with the exception of lithocholic
acid was higher in DEX-treated rats fed SPI diets than in
DEX-treated rats fed CAS diets (P < 0.05).
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Western immunoblot analysis with both the rabbit polyclonal
anti-rat CYP3A1 (CYP3A23) and the mouse monoclonal anti-human
CYP 3A4/5 antibody revealed a single apoprotein band in male rat liver
microsomes, presumably with a contribution from several of the rat
enzymes that generated identical results. This band has been labeled as
CYP3A in Figure 1A
,B,and illustrates differences in expression of CYP3A in rats fed the two
diets after treatment with either corn oil vehicle or DEX.
Immunoquantitation data from analysis of CYP3A expression in individual
microsomes from 46 rats/treatment group are shown in Figure 1
C. Two-way ANOVA revealed soy diet and DEX effects and
a significant diet x DEX interaction on CYP3A apoprotein
expression (P < 0.05).
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Northern analyses were conducted using total mRNA isolated from
the liver. The data are presented in Figure 2
and Table 3
. There was no diet-dependent effect on expression of CYP3A1
(CYP3A23) mRNA, but DEX induced steady-state concentrations 40- to
60-fold in rats fed diet (P < 0.05). CYP3A2 mRNA was
present at a greater level in SPI-fed rats than in CAS-fed rats
(P < 0.05) and DEX induced CYP3A2 mRNA (P
< 0.05) four- to sevenfold in animals fed either diet. Neither
CYP3A9 nor CYP3A18 mRNA levels were affected by diet or by DEX.
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CYP2B1-dependent monooxygenase activity was assessed using PROD as a
prototypic substrate. PROD activity data for liver microsomes were
followed spectrofluorimetrically and are presented in Figure 3
. Two-way ANOVA revealed significantly greater activity in
SPI-fed rats, DEX-treated rats and a significant diet x DEX interaction (P < 0.05). Microsomes from
DEX-treated, SPI-fed rats had greater mean PROD activity than
microsomes from DEX-treated, CAS-fed rats (P < 0.05).
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A representative Western blot with a rabbit polyclonal antibody
directed against rat CYP2B1 and immunoquantitation of CYP2B1 apoprotein
is presented in Figure 4
. In addition to CYP2B1, a second constitutively expressed P450 enzyme
of lower molecular weight, which is not phenobarbital-inducible,
was recognized. CYP2B1 apoprotein expression was greater in both
SPI-fed and CAS-fed rats after DEX treatment (P
< 0.05).
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Northern blots were performed on total liver mRNA using an
oligonucleotide designed to be specific for CYP2B1 (Fig. 5
). CYP2B1 mRNA expression was greater in the livers of rats treated with
DEX compared with those receiving corn oil vehicle (P
< 0.05), but no significant effect of SPI-based diets on
CYP2B1 expression was observed.
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| DISCUSSION |
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In this study, we demonstrated for the first time that dietary
consumption of soy, in the form of the soy protein isolate used in the
formulation of infant formula, results in significant effects on the
expression and inducibility of hepatic cytochrome P450 enzymes in a rat
model. Importantly, the CYP3A family, which is the major group of P450
enzymes expressed in human liver, appears to be affected by soy.
Specifically, CYP3A2 mRNA expression was significantly enhanced by soy
protein isolate consumption. These data are consistent with our
observation of significant soy effects on testosterone
6ß-hydroxylase, a known CYP3A2 substrate (Waxman et al. 1990
).
In contrast to CYP3A2, no diet effects were observed on the mRNA
expression of other CYP3A family members. The data for CYP3A18 are
consistent with the lack of observed effects of diet or dexamethasone
treatment on the hydroxylation of lithocholic acid at position 6ß, an
activity that has been ascribed to this enzyme (Zimniak et al. 1991
). The different patterns of diet and dexamethasone effects
observed in the expression of CYP3A cross-reactive apoprotein and
metabolism of the other CYP3A substrates examined probably reflect
differing contributions from CYP3A1(3A23), CYP3A2, CYP3A9 and other as
yet uncharacterized rat liver CYP3A enzymes because this family of
enzymes displays extensive overlapping substrate specificity. For both
immunoreactive CYP3A apoprotein and a number of CYP3A-dependent
monooxygenase activities, i.e., ethylmorphine N-demethylase,
corticosterone and testosterone 6ß-hydroxylase, a significant
interaction was observed between the soy diet and effects of the
glucocorticoid inducer dexamethasone. Small differences in CYP3A
apoprotein expression and activities observed in rats fed CAS or SPI
diets were significantly amplified after challenge with the inducer.
Such a significant diet/inducer interaction was not observed at the
mRNA level with any CYP3A enzyme and may reflect additional
interactions of the soy diet with DEX at translational or
post-translational levels of CYP3A regulation.
The mechanisms underlying the effects of soy consumption on
expression of CYP3A2 are not yet known. These effects may result from
the soy protein itself or from associated phytochemicals such as
isoflavones, saponins, phytosterols or polyphenols. Expression of CYP3A
enzymes appears to be under regulation by a number of endocrine systems
including growth hormone, insulin and androgens (Ribeiro and Lechner 1992
, Waxman et al. 1990
,
Woodcroft and Novak 1997
). Glucocorticoid induction
appears to be mediated via a newly described orphan receptor named PXR
(Kliewer et al. 1998
) and may also involve
glucocorticoid receptormediated pathways (Huss and Kasper 1998
). At present, the endocrine effects of SPI consumption
have not been thoroughly examined. However, pure soy-associated
isoflavones have been described as estrogenic (Hsieh et al. 1998
, Whitten and Naftolin 1992
). In this
regard, it is interesting that no effects were observed on the
expression of hepatic CYP3A9, an enzyme that has been described as
female predominant and under positive estrogenic regulation in rat
liver (Wang and Strobel 1997
). This may be due to the
relatively weak estrogen receptor agonist activity of
soy-associated "phytoestrogens" compared with 17ß-estradiol.
Although soy-associated isoflavones such as genistein and daidzein
undergo metabolism primarily by direct glucuronidation and sulfation,
it has been reported recently that CYP3A enzymes may also be involved
in the metabolism of genistein and possibly other soy-associated
isoflavones (Jager et al. 1998
). In this study, rat
hepatic microsomes were found to convert genistein to three
NADPH-dependent metabolites, M1, M2 and M3, and this activity was
found to be 10- to 20-fold inducible by treatment with 100 mg/kg of the
CYP3A inducer dexamethasone. Moreover, a lower rate of formation of
these metabolites was observed in a mutant TR-
strain of rats, which expresses lower levels of CYP3A. These data
suggest a significant CYP3A/genistein interaction and raise the
possibility that genistein consumption as part of the soy diet, [19.3
mg(kg·d) in this study], may stimulate its own oxidative metabolism,
a common phenomenon observed after consumption of other xenobiotics
such as phenobarbital and polycyclic aromatic hydrocarbons
(Ruckpaul and Rein 1990
).
In addition to effects on CYP3A-dependent monooxygenase activities, lifetime dietary consumption of SPI resulted in significantly greater CYP2B1-dependent PROD activity and significantly greater glucorticoid induction of this activity. No significant dietary effects were observed on CYP2B1 apoprotein or mRNA expression. However, the effects may be too small to be demonstrable at the protein or mRNA level with the small number of animals in this study. Again, the mechanisms underlying the effect of dietary SPI on PROD activity remain obscure and may involve actions of the soy protein itself or associated phytochemicals. The mechanism by which glucocorticoids induce CYP2B1 is as yet also unknown.
Thus, we have demonstrated significant effects of soy consumption
on expression of hepatic CYP3A2 mRNA and CYP3A apoprotein, and
significant soy/glucocorticoid interactions on activity of a number of
CYP3A and 2B substrates. Although the effects of diet alone were small,
challenge with the CYP3A and CYP2B inducer DEX resulted in much greater
CYP3A apoprotein expression and microsomal activities toward CYP3A and
CYP2B substrates in SPI-fed vs. CAS-fed rats. These differences
in in vitro microsomal oxidation might be great enough to alter the
clearance of these compounds in vivo. However, this remains to be
determined empirically and will be the focus of future studies in our
laboratory. The CYP3A enzymes are the major human hepatic phase I
enzymes expressed; they are rate limiting for the clearance of a wide
range of drugs (Wilkinson 1996
). Therefore, soy
consumption may contribute to the wide interindividual variability seen
in expression and activity of this enzyme system. CYP3A enzymes are the
major P450 enzymes found in the livers of fetuses and neonates
(Schuetz et al. 1994
). It remains to be seen whether
maternal consumption of vegetarian, soy-based diets during
pregnancy or consumption of soy protein isolatebased infant formulas
by neonates alter the metabolism and clearance of pediatric
medications. Moreover, because drugs are often consumed together, it
remains to be seen whether differences in P450 inducibility observed
after soy consumption contribute to interindividual variability in
potentially toxic drug/drug interactions. In addition, such effects
might contribute to the chemoprotective effects of soy consumption
against various types of cancer via increased detoxication and
clearance of dietary and environmental procarcinogens.
| ACKNOWLEDGMENTS |
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| FOOTNOTES |
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3 Abbreviations used: CAS, casein; CYP, cytochrome P450; DEX, dexamethasone; IgG, immunoglobulin G; PROD, pentoxyresorufin
O-depentylase; SPI, soy protein isolate. ![]()
Manuscript received April 29, 1999. Initial review completed May 28, 1999. Revision accepted July 19, 1999.
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