Journal of Nutrition OpenSOurce Diets- www.ResearchDiets.com

Home Help [Feedback] [For Subscribers] [Archive] [Search] [Contents]
 QUICK SEARCH:   [advanced]


     


This Article
Right arrow Abstract Freely available
Right arrow Full Text (PDF)
Right arrow Purchase Article
Right arrow View Shopping Cart
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Picherit, C.
Right arrow Articles by Barlet, J.-P.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Picherit, C.
Right arrow Articles by Barlet, J.-P.
(Journal of Nutrition. 2000;130:1675-1681.)
© 2000 The American Society for Nutritional Sciences


Article

Daidzein Is More Efficient than Genistein in Preventing Ovariectomy-Induced Bone Loss in Rats

Christel Picherit, Véronique Coxam, Catherine Bennetau-Pelissero*, Séraphin Kati-Coulibaly{dagger}, Marie-Jeanne Davicco, Patrice Lebecque and Jean-Pierre Barlet1

Métabolisme Minéral, Laboratoire des Maladies Métaboliques et Micronutriments (U3M), I.N.R.A. Clermont-Ferrand/Theix, 63122 Saint Genès Champanelle, France; * ENITA de Bordeaux, 33175 Gradignan cedex, France, LBRP, Université Bordeaux I, 33405 Talence cedex, France; and {dagger} LPA, UFR Biosciences, Université de Cocody, Abidjan 22, Côte d’Ivoire

1To whom correspondence should be addressed.


    ABSTRACT
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
We investigated the ability of genistein and daidzein, two soybean isoflavones, compared with that of 17{alpha}-ethinylestradiol, to prevent bone loss in ovariectomized rats, a model for postmenopausal osteoporosis. Female Wistar rats (n = 65; 12 mo old) were either sham-operated (SH; n = 13) or ovariectomized (OVX; n = 52). On d 0, OVX rats were randomly assigned to groups as follows: 13 received genistein [G; 10 µg/(g body weight · d)], 13 were treated with daidzein [D; 10 µg/(g body weight · d)], 13 received 17{alpha}-ethinylestradiol [E2; 30 µg/kg body weight · d)] and 13 were untreated (OVX). Compounds were mixed with a soy protein–free powdered semipurified diet and given orally for 3 mo. On d 90, the bone mineral density (BMD) in lumbar vertebrae, femur and its metaphyseal and diaphyseal zones (rich in cancellous and cortical bone, respectively) was lower in OVX than in SH (P < 0.01). In D or E2, the four BMD were not different from SH, whereas in G, only the diaphyseal BMD was not different from SH. Image analysis performed in the distal femur metaphysis revealed that the cancellous bone area was lower in OVX than in SH (P < 0.01). Only the area in D was not different from that in SH. Finally, the bone turnover, which was higher in OVX than in SH (P < 0.005 and P < 0.05 for plasma osteocalcin concentration and urinary deoxypyridinoline excretion, respectively), was not different in G, D or E2 compared with SH. Therefore, consumption of 17{alpha}-ethinylestradiol or daidzein was more efficient than genistein in preventing ovariectomy-induced bone loss in rats.


KEY WORDS: • genistein • daidzein • prevention • bone • rats


    INTRODUCTION
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
Osteoporosis is a reduction in the amount of bone tissue per unit volume (bone resorption outstripping bone formation and thus disrupting bone remodeling) (Hallworth 1998Citation ), and also constitutes a bone microarchitectural impairment (Riggs and Melton 1986Citation ). Hypoestrogenemia after menopause is an important cause of osteoporosis. For this reason, hormone replacement therapy (HRT)2 is often recommended for osteoporosis prevention and treatment. However, HRT may be associated with side effects. Thus, increased research into alternatives to estrogen for postmenopausal women is of clinical, scientific and health policy importance (Kessel 1998Citation ).

Broadly defined, phytoestrogens include isoflavones, coumestans and lignans, found mainly in soybeans, clover or alfalfa sprouts, and oilseeds such as flaxseed, respectively (Kurzer and Xu 1997Citation ). Although few foods containing coumestrol (the major coumestan) are consumed by humans, both lignans and isoflavones were identified in many human physiological fluids after the consumption of ordinary diets. Because soybean consumption in postmenopausal women could be associated with potential health benefits, such as prevention of atherosclerosis progression, lowering of cancer risks, positive effects on hot flushes, vaginal symptoms, cognitive function or dementia, and bone preservation, isoflavones are under intensive investigation. Furthermore, although phytoestrogens are 1000- to 10,000-fold less estrogenic than 17ß-estradiol, their plasma concentrations were found to be high in Japanese men eating a traditional Asian diet (Adlercreutz et al. 1993bCitation ), and even up to 1000-fold higher than the highest levels of circulating 17ß-estradiol in premenopausal women (Anderson and Garner 1997Citation ). Moreover, phytoestrogens were shown to interact with sex hormone production, metabolism or action at the cellular level (Murkies et al. 1998Citation ). In effect, they inhibit enzymes involved in steroid metabolism, such as 5{alpha}-reductase (Evans et al. 1995Citation ) or aromatase (Adlercreutz et al. 1993aCitation ), whereas they stimulate sex hormone binding globulin (SHBG) production, reducing the proportion of free estrogens circulating in plasma. On the other hand, because of a hydroxyl group aligned in a stereochemical position analogous to estradiol, they can bind to the estrogen receptor (ER). Consequently, they could appear as selective estrogen receptor modulators (SERM) and act either as antiestrogens or as weak estrogens because their occupancy time or affinity for the receptor is reduced significantly compared with 17ß-estradiol (Miksicek 1994Citation ). Moreover, understanding their mechanism(s) of action has become even more complex since the discovery of a new ER subtype (ERß) in rats (Kuiper et al. 1996Citation ) and humans (Mosselman et al. 1996Citation ). Furthermore, in ER-expressing cells and as endogenous estrogens, phytoestrogens could also act through nongenomic effects mediated by membrane-bound ER or other cellular proteins (Anderson et al. 1999Citation ). In this way, the isoflavone genistein could inhibit phosphorylation of cytoplasm proteins via its anti-tyrosine kinase properties (Akiyama et al. 1987Citation ).

Thus, isoflavones appear to have potential promise for maintaining or modestly improving bone mass of human subjects when consumed at optimal dosages (Anderson and Garner 1997Citation ). Moreover, in ovariectomized rats used classically as an animal model for postmenopausal osteoporosis (Kalu 1991Citation ), dietary soybean proteins were found to prevent bone loss (Arjmandi et al. 1996Citation ), and this bone-sparing effect was mediated by the isoflavone content of soybean (Arjmandi et al. 1998Citation ). Therefore, this study investigated the effects of the two major soybean isoflavones (genistein and daidzein), given orally and separately at equal dose, on ovariectomy-induced bone loss in adult rats.


    MATERIALS AND METHODS
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
Animals and treatments.

The study was conducted in accordance with current legislation on animal experiments in France. Female Wistar rats (n = 75; 11 mo old; ~ 375 g) were purchased from I.N.R.A. (Clermont-Ferrand/Theix, France) and housed individually in metallic cages that allowed separation and collection of urine, at 21°C, with a 12-h light:dark cycle. Rats were fed a soy protein–free powdered semipurified diet (I.N.R.A., Jouy en Josas, France) for 1 mo. The composition of the diet is given in Table 1Citation . After the adaptation period, 10 rats designated as initial controls (IC) were killed; the remaining 65 rats were either sham-operated (SH: controls; n = 13) or surgically ovariectomized (OVX; n = 52), under anesthesia using chloral hydrate (80 g/L in saline solution; 0.4 mL/100 g body weight, intraperitoneally). In the sham procedure, the ovaries were exteriorized and replaced to create a stress similar to that obtained with bilateral ovariectomy. On d 1 after surgery (designated as d 0), the OVX rats were randomly assigned to groups as follows: 1) treated with genistein at 10 µg/(g body weight · d) (n = 13; G); 2) received daidzein at 10 µg/(g body weight · d) (n = 13; D); 3) treated with 17{alpha}-ethinylestradiol at 30 µg/(kg body weight·d) (n = 13; E2); or 4) untreated (n = 13; OVX: ovariectomized controls). During the 3-mo experimental period, all compounds were given orally. Diets were prepared by mixing the powdered genistein (Sigma, L’Isle d’Abeau, France), daidzein (Sigma) or 17{alpha}-ethinylestradiol (Sigma) with the soy protein–free powdered semipurified diet. SH and OVX rats were fed the soy protein–free powdered semipurified diet without any additional compound. To prevent ovariectomy-induced hyperphagia, the daily diet quantity distributed to each rat was adjusted to the mean level consumed by SH the previous day. Food was humidified (1 mL/g), and each rat had free access to water. Every week, rats were weighed to adjust the genistein, daidzein or 17{alpha}-ethinylestradiol doses to body weight. On d 89, a 24-h urine sample was collected to measure urinary excretion of deoxypyridinoline, a marker of bone resorption (Robins 1994Citation ). On d 90, at 0900 h, rats were killed by cervical dislocation. Blood samples were collected into ice-cooled heparinized plastic tubes containing 200 peptidase inhibitory units of aprotinin (Iniprol, Choay, Paris, France) per milliliter blood, and centrifuged immediately (3500 g for 5 min at 4°C). Then, plasma was frozen at -20°C until measurements of phytoestrogens and osteocalcin, a marker of osteoblastic activity, were made. Uterine horns were removed from each rat and immediately weighed. Femurs and lumbar vertebrae were cleaned from adjacent tissues and used for physical and chemical measurements. Successes of ovariectomy and phytoestrogen treatment were confirmed by uterine weight and plasma genistein or daidzein concentrations, respectively.


View this table:
[in this window]
[in a new window]
 
Table 1. Composition of the soy protein–free powdered semipurified diet consumed by female Wistar rats1

 
Bone mineral density (BMD).

BMD was assessed by dual-energy X-ray absorptiometry (DEXA), with the Hologic QDR-4500 A X-ray bone densitometer (Hologic, Massy, France). The total right femur BMD (T-BMD), as well as the BMD of two subregions, one corresponding to the distal femur metaphyseal zone (M-BMD), rich in cancellous bone, and the other to the diaphyseal zone (D-BMD), rich in cortical bone, were determined (Pastoureau et al. 1995Citation ). The second, third, fourth and fifth lumbar vertebrae (mainly cancellous bone) were also scanned and the mean BMD measured.

Femoral calcium content.

Femoral Ca was determined with an atomic absorption spectrophotometer (Perkin Elmer 400, Norwalk, CT), in ashed femurs (dissolved in HCl and diluted with 1 g/L lanthanum oxide).

Femoral mechanical testing.

Immediately after collection, the length of the left femur and the mean diameter of the femoral diaphysis were measured with a precision caliper (Mitutoyo, Shropshire, UK). Bones were kept in NaCl (9 g/L) at 4°C, and femoral failure load was determined 24 h later, using a 3-point bending test (Turner and Burr 1993Citation ), with a Universal Testing Machine (Instron 4501, Instron, Canton, MA).

Image analysis.

To measure cancellous bone area in the distal femur metaphyseal zone, frontal sections were cut with a saw (Isomet 2000, Buehler,Krautkramer,Champagne-Mont d’Or,France), ground to 80-µm sections (Metaserv 2000 polisher,Buehler), and stained with Von Kossa’s reagent (AgNO3, Sigma). The underlying zone to growth plate was then analyzed with an automated microscope image-analysis system, as previously described (Rose et al. 1996Citation ).

Marker of osteoblastic activity.

Osteoclacin (OC) in plasma was measured by RIA, using rat 125I-labeled OC, goat anti-rat OC antibody and donkey anti-goat second antibody (Biochemical Technologies, Stoughton, MA). The sensitivity was 0.01 nmol/L. The intra- and interassay precisions were 6.8 and 8.9%, respectively.

Marker of bone resorption.

Deoxypyridinoline (DPD) in urine was determined by competitive RIA, using rat monoclonal anti-DPD antibody coated to the inner surface of a polystyrene tube and 125I-labeled DPD (Pyrilinks-D RIA kit, Metra Biosystems, Mountain View, CA). The sensitivity was 2 nmol/L. The intra- and interassay precisions were 4 and 6%, respectively. Results were expressed as nmol of DPD per mmol of creatinine (Robins 1994Citation ). The creatinine assay was based on a modified Jaffés’s method in which picric acid forms a colored solution in the presence of creatinine (Cook 1975Citation ).

Plasma phytoestrogen concentrations.

Genistein and daidzein in plasma were measured by ELISA, according to a recently described method (Bennetau-Pelissero et al. 2000Citation , Le Houérou et al. 2000Citation ). The sensitivity was 0.45 and 0.12 nmol/L for genistein and daidzein, respectively. The intra-assay precision was 18 and 14% for genistein and daidzein, respectively, whereas the interassay precision was 19 and 17% for genistein and daidzein, respectively.

Statistical methods.

Results were expressed as means ± SEM. All data were analyzed using the GraphPad InStat software (Microsoft, San Diego, CA). ANOVA was first performed to test for any significant differences among groups. When significant (P < 0.05), the Student-Newman-Keuls multiple comparisons test was used to determine the specific differences between means. Parametric ANOVA was performed when data were sampled from populations with equal variance. If not, nonparametric methods were selected. Thus, a Kruskall-Wallis test was first performed. If it indicated a significant difference among groups (P < 0.05), the Mann-Whitney U test was used to determine specific differences. The level of significance was set at P < 0.05 for all statistical tests.


    RESULTS
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
Body and uterine weights.

During the experimental period, body weight increased compared with d 0 (P < 0.005), except in E2 (Fig. 1Citation ). As a result, although no significant difference was observed among SH, OVX, G and D, rats in the E2 group were lighter than the others (P < 0.01). Uterine weight, higher in IC than in SH (P < 0.05), was lower in OVX than in SH on d 90 (Table 2Citation ; P < 0.01). It was higher in E2 than in OVX, but lower than in SH (P < 0.01). Uterine weights in G and D were not different from OVX.



View larger version (29K):
[in this window]
[in a new window]
 
Figure 1. Body weight in sham-operated (SH: {blacksquare}), ovariectomized (OVX: {diamondsuit}), ovariectomized + genistein (G: {blacktriangleup}), ovariectomized + daidzein (D: •) and ovariectomized + 17{alpha}-ethinylestradiol (E2: X) rats. Values are means ± SEM, n = 13. Means within a group were significantly different from d 0: #P < 0.005. Means at each week not sharing a letter differ significantly, P < 0.01.

 

View this table:
[in this window]
[in a new window]
 
Table 2. Uterine weight in initial control (IC), sham-operated (SH), ovariectomized (OVX), ovariectomized + genistein (G), ovariectomized + daidzein (D) and ovariectomized + 17{alpha}-ethinylestradiol (E2) rats1

 
Plasma phytoestrogen concentrations.

No significant difference in plasma phytoestrogen concentration was observed among IC and SH, or SH, OVX and E2 (Table 3Citation ). On the contrary, plasma concentrations of genistein and daidzein on d 90 were higher in G (P < 0.005) and D (P < 0.01), respectively, compared with all other groups.


View this table:
[in this window]
[in a new window]
 
Table 3. Plasma genistein and daidzein concentrations in initial control (IC), sham-operated (SH), ovariectomized (OVX), ovariectomized + genistein (G), ovariectomized + daidzein (D) and ovariectomized + 17{alpha}-ethinylestradiol (E2) rats1

 
Bone mineral density (BMD).

The mean BMD of lumbar vertebrae was not different between IC and SH (Fig. 2ACitation ). On d 90, the value in OVX was lower than in SH (P < 0.01). This effect of OVX was prevented by daidzein and 17{alpha}-ethinylestradiol because no difference was observed between SH and D or E2. By contrast, there was no difference between G and OVX. The highest values of T-, M- and D-BMD were observed in IC, and they were greater than those in SH (P < 0.05) (Fig. 2B, C, DCitation ). The three variables were lower in OVX than in SH (P < 0.05). This effect of OVX was prevented by daidzein (P < 0.01) and 17{alpha}-ethinylestradiol because no difference was observed between SH and D or E2. By contrast, no significant difference was observed between G and OVX for the three variables. However, the D-BMD in the G group also was not different from SH. A positive linear relationship was found between the total femur mineral content (measured by DEXA) and the femoral calcium content (assessed by atomic absorption spectrophotometry) (r = +0.87; P < 0.01).



View larger version (33K):
[in this window]
[in a new window]
 
Figure 2. Bone mineral density (BMD) in initial control (IC), sham-operated (SH), ovariectomized (OVX), ovariectomized + genistein (G), ovariectomized + daidzein (D) and ovariectomized + 17{alpha}-ethinylestradiol (E2) rats. (A) Lumbar vertebrae; (B) total femur (T-BMD); (C) distal femur metaphysis (M-BMD) and (D) femoral diaphysis (D-BMD). Values are means ± SEM, n = 10–13. The two means were significantly different: #P < 0.05. Means on d 90 not sharing a letter differ significantly, P < 0.01 (A, B, C) or P < 0.05 (D).

 
Femoral mechanical testing.

No significant difference among groups was demonstrated for femoral length (mean: 33.95 ± 0.12 mm) or diaphyseal diameter (mean: 3.76 ± 0.02 mm). Similarly, the femoral failure load was not different among groups (mean value: 110 ± 2 N).

Image analysis.

The cancellous bone area in the distal femur metaphysis was not different between IC and SH (Fig. 3Citation ). This variable, lower in OVX than in SH on d 90 (P < 0.01), was not different among OVX, G, D and E2. However, the D group also was not different from SH. Photomicrographs of histological slides used for image analysis are shown in Figure 4Citation .



View larger version (27K):
[in this window]
[in a new window]
 
Figure 3. Cancellous bone area in the distal femur metaphysis in initial control (IC), sham-operated (SH), ovariectomized (OVX), ovariectomized + genistein (G), ovariectomized + daidzein (D) and ovariectomized + 17{alpha}-ethinylestradiol (E2) rats. Values are means ± SEM, n = 10–13. Means on d 90 not sharing a letter differ significantly, P < 0.01.

 


View larger version (198K):
[in this window]
[in a new window]
 
Figure 4. Photomicrographs (X12.5) of histological slides used for image analysis, in initial control (IC), sham-operated (SH), ovariectomized (OVX), ovariectomized + genistein (G), ovariectomized + daidzein (D) and ovariectomized + 17{alpha}-ethinylestradiol (E2) rats.

 
Bone turnover.

Plasma OC concentration was higher in IC than in SH (P < 0.01) (Fig. 5ACitation ). On d 90, it was also higher in OVX than in SH (P < 0.005) and the effect of OVX was prevented by daidzein because no difference was observed between SH and D. Concentrations in G and E2 were not different from OVX or SH. The urinary DPD excretion did not differ between IC and SH (Fig. 5BCitation ). On d 90, it was significantly higher in OVX than in SH (P < 0.05) and this effect was prevented by genistein and daidzein because no difference was observed between SH and G or D. Excretion in E2 was not different from OVX or SH.



View larger version (51K):
[in this window]
[in a new window]
 
Figure 5. Bone turnover in initial control (IC), sham-operated (SH), ovariectomized (OVX), ovariectomized + genistein (G), ovariectomized + daidzein (D) and ovariectomized + 17{alpha}-ethinylestradiol (E2) rats. (A) Plasma osteocalcin concentrations and (B) urinary deoxypyridinoline excretion. Values are means ± SEM, n = 10–13. The two means were significantly different: #P < 0.01. Means on d 90 not sharing a letter differ significantly, P < 0.005 (A) or P < 0.05 (B).

 

    DISCUSSION
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
Ovariectomized rats are classically used as an animal model for postmenopausal bone loss (Kalu 1991Citation , Miller et al. 1995Citation , Mosekilde 1995Citation , Wronski and Yen 1991Citation ). Furthermore, they may provide a useful model for investigating the biological effects of soy isoflavones because of the similarity in plasma genistein concentrations attainable in rats (King et al. 1996Citation ) and humans (Xu et al. 1994Citation ). Isoflavones are degraded by gut microflora, which profoundly influences their bioavailability (Xu et al. 1995Citation ). In rats, genistein is highly bioavailable; not only is it well absorbed from the intestines, but it is also extracted efficiently from the portal blood into the liver and excreted into bile (Sfakianos et al. 1997Citation ). This enterohepatic cycle leads to a new circulation of genistein in the general circulation. However, differences in bioavailability occur when we consider the conjugate or glycoside forms of genistein and daidzein (genistin and daidzin, respectively). These forms occur naturally in vegetables and are then metabolized into genistein and daidzein, respectively, by gut bacteria glycosidases). Daidzein was reported to be more bioavailable than genistein in rats (King 1998Citation ) and humans (Xu et al. 1994Citation ). Because dietary soybean proteins (Arjmandi et al. 1996Citation ), their isoflavones (Arjmandi et al. 1998Citation ), and genistin and daidzin (Ishida et al. 1998Citation ) prevent bone loss in young ovariectomized rats, this study investigated the potential preventive effects of genistein and daidzein, given orally and separately at equal dose, and compared these effects with those of orally administered 17{alpha}-ethinylestradiol on ovariectomy-induced bone loss in adult rats.

The T-, M- and D-BMD were lower in 15- than in 12-mo-old female rats. This could be attributed in part to a decrease in osteoblastic activity, as shown by plasma OC concentrations. In addition, an increase in fecal and urinary calcium excretions, as well as a decrease in calcium absorption efficiency with age, might contribute to the reduction of BMD (Avioli et al. 1965Citation , Gaumet et al. 1997Citation ). For cancellous bone, the BMD reduction in the distal femur metaphysis was not sufficient, however, to reduce the corresponding cancellous bone area. Again, the BMD decrease in the cortical bone was not sufficient to affect its mechanical properties.

At both the cancellous and cortical sites, ovariectomy greatly reduced BMD resulting from increased bone turnover as indicated by the higher plasma OC concentration and urinary DPD excretion in the OVX group compared with the SH group. These results are in agreement with those of Wronski et al. (1985)Citation , which demonstrated that bone remodeling in rats is accelerated after the cessation of ovarian function. Moreover, related to the M-BMD reduction, ovariectomy also decreased cancellous bone area, probably by lowering trabeculae number rather than by thinning them. In cortical bone, however, the BMD decrease was less pronounced than that in cancellous bone and was not sufficient to impair its mechanical properties. In contrast, ingestion of 17{alpha}-ethinylestradiol prevented the BMD reduction at both the cancellous and cortical sites in rats, by suppressing the increase in bone turnover. In effect, in ovariectomized rats, estradiol prevents bone loss by depressing bone turnover (Wronski et al. 1988Citation ). However, under our experimental conditions, the decrease in cancellous bone area of the distal femur metaphysis was not prevented by ingestion of 17{alpha}-ethinylestradiol.

As reported previously in cortical bone (Ishida et al. 1998Citation ), daidzein, like estrogen, prevented the ovariectomy-induced BMD reduction at both the cancellous and cortical sites by suppressing the bone turnover increase. Moreover, daidzein consumption also resulted in the preservation of cancellous bone area in the distal femur metaphysis. By contrast, genistein did not prevent cancellous bone loss; however, as previously reported (Ishida et al. 1998Citation ), it did prevent ovariectomy-induced cortical bone loss. Our results obtained in cancellous bone are consistent with those of Anderson et al. (1998)Citation demonstrating that, in ovariectomized lactating rats, orally administered genistein induced a cancellous bone tissue retention at a low dose [1.5 µg/(g body weight · d)], whereas there were no effects at a higher dose [from 5 to 15 µg/(g body weight · d)]. In this study, because the exchange surface with plasma was higher in cancellous than in cortical bone, it is possible that cancellous bone was overexposed to genistein, thus inducing potential mechanisms of ER saturation or impairments of cellular activity (such as protein phosphorylation). Genistein was found to suppress osteoclastic activity through tyrosine-kinase inhibition (Blair et al. 1996Citation , Williams et al. 1998Citation ). However, the hypothesis based on the inefficiency of a high genistein dose is unlikely because injections of 5 (Fanti et al. 1998Citation ) or 20 µg/(g body weight · d) (Ishimi et al. 1999Citation ), which likely provided higher plasma genistein concentrations than oral administration of 5 or 15 µg/(g body weight · d) (Anderson et al. 1998Citation ), respectively, induced cancellous bone-sparing effects. Moreover, as reported by Ishimi et al. (1999)Citation , but contrary to results from Fanti et al. (1998) and Ishida et al. (1998)Citation , the bone loss preventive effects of genistein in this study resulted from a suppression in bone turnover increase; thus, these effects could be due to a mechanism similar to that of estrogen. Nevertheless, our results do not explain why genistein and daidzein exhibited different effects on cancellous bone and similar effects on cortical bone, whereas both molecules reduced the increase in bone turnover. It is possible that the difference in cancellous and cortical bone responsiveness to phytoestrogens depends on the ER subtype. Indeed, some differences in both the binding affinity of phytoestrogens to ER{alpha} or ERß and the ER{alpha} or ERß content in cancellous and cortical bones could be involved. Thus, genistein possesses a higher affinity for ERß than for ER{alpha} (Kuiper et al. 1997Citation ), and although both ER{alpha} and ERß mRNAs are expressed in osteoblasts, the expression of ERß mRNA is higher in cancellous bone of the rat distal femoral metaphysis and lumbar vertebrae than in cortical bone of the femoral diaphysis (Onoe et al. 1997Citation ). Again, recent studies also showed that ERß mRNA was expressed predominantly in rat osteoblasts covering the metaphyseal bone trabecular surface (Windahl et al. 2000Citation ), and neither ERß or ER{alpha} mRNA was detected in rat cortical bone (Lim et al. 1999Citation ). Moreover, an ERß-like immunoreactivity was demonstrated not only in the nuclei of human and murine osteoblasts, but also in the osteoclast cytoplasm (Vidal et al. 1999Citation ). Thus, the response of target tissues to phytoestrogens could be modulated by the ER{alpha}/ERß ratio in each tissue. Further studies are required to determine whether phytoestrogens act via ER-dependant mechanisms.

Because a nutritional approach was used to meet the goals of this experiment, all treatments were given orally. Because 17ß-estradiol is a weak oral estrogen (Barnes 1998Citation ), we used 17{alpha}-ethinylestradiol, which is at least 200-fold more active than 17ß-estradiol when equivalent doses are given orally (Messina et al. 1994Citation ). We chose the dose of 30 µg/(kg body weight · d) because it prevents bone loss in ovariectomized rats (Ke et al. 1997Citation ). The dose choice for genistein and daidzein was based on data computed from studies by Anderson et al. (1998)Citation , Fanti et al. (1998)Citation , and Ishimi et al. (1999)Citation . In this experiment, oral administration of 10 µg/(g body weight·d) for 3 mo induced high plasma genistein and daidzein concentrations in the G and D groups, respectively. These concentrations were ~1000- to 10,000-fold greater than plasma estradiol levels usually observed in rats (basal and peak estradiol concentrations during the estrous cycle are 7–17 and 50–88 pg/L, respectively) (Butcher et al. 1974Citation ). On the other hand, the presence of both daidzein and genistein in the G and D groups could be explained by an unspecific cross-reaction between genistein and antidaidzein antibody, and vice versa (Bennetau-Pelissero et al. 2000Citation ). Moreover, because equol is obtained naturally by a gut microbial transformation of daidzein (Axelson et al. 1984Citation , Braden 1967Citation ) in ruminants, monogastrics and therefore humans, it is absorbed in the gut, conjugated in the liver and excreted in urine (Axelson et al. 1984Citation ). Because orally administered daidzin in rats can be metabolized to equol (Yasuda and Oshawa 1998Citation ), we also measured plasma equol concentrations in the D group. The mean level obtained with a very specific antibody (Bennetau-Pelissero et al. 2000Citation ) was 281 ± 55 nmol/L, indicating that equol was produced in D. Moreover, in various estrogenic tests in many species, the estrogenicity of isoflavone and isoflavane compounds can be ordered as follows: daidzein < genistein < equol. Indeed, the last-mentioned is at least 10- to 100-fold more estrogenic than daidzein and at least 10-fold more estrogenic than genistein in fish (Pelissero et al. 1991Citation ). It is possible, then, that the bone estrogenic effects observed in D could be due to equol rather than daidzein, or to both equol and daidzein. However, it would be also reasonable to consider that the degree of estrogenic activity of genistein, daidzein and equol is not universal, and there could be tissue differences in the effects of these compounds.

Ovariectomized rats may exhibit some protection against bone loss by obesity (Kalu 1991Citation ). However, under our experimental conditions, ovariectomy did not influence the body weight evolution, indicating that pair-feeding to SH avoided the ovariectomy-induced hyperphagia. On the contrary, rats in the E2 group were significantly lighter than the others because of a reduced food consumption (daily mean food intake was 75% of the daily SH diet consumption), which was likely due to the palatability of 17{alpha}-ethinylestradiol. Uterine weight was significantly decreased by ovariectomy, confirming the effects of the surgical intervention. In these rats, the 17{alpha}-ethinylestradiol intake [22–23 rather than 30 µg/(kg body weight · d)] induced an uterotrophic activity. Furthermore, when results are expressed as g/100 g body weight rather than as grams, values in E2 were not different from SH (data not shown). On the contrary, genistein and daidzein did not exhibit any uterotrophic activity, confirming results obtained in previous studies (Anderson et al. 1998Citation , Arjmandi et al. 1996Citation and 1998Citation , Ishimi et al. 1999Citation , Tansey et al. 1998Citation ). Effectively, these phytoestrogens are weakly estrogenic in the rat uterus. In the study of Fanti et al. (1998)Citation , a high genistein dose [25 µg/(g body weight · d), subcutaneously] was required to cause an increase in uterine mass. In the same way, in the study of Ishida et al. (1998)Citation , only the highest orally administered daidzin dose [50 µg/(g body weight·d)] increased uterine weight in ovariectomized rats. However, when genistin was administered at the same dose, no uterotrophic activity was demonstrated (Ishida et al. 1998Citation ). Again, it is possible that ER subtype–dependant mechanisms could be involved because both ER{alpha} and ERß are present in the rat uterus (Hiroi et al. 1999Citation ).

In conclusion, we demonstrated that both cancellous and cortical bone loss or only cortical bone loss was prevented by orally administrated daidzein or genistein, respectively, in the ovariectomized rat model of postmenopausal osteoporosis. Like estradiol, these phytoestrogens suppressed the ovariectomy-induced increase in bone turnover. Moreover, neither genistein nor daidzein exhibited estrogenic activity on the uterus, demonstrating the usefulness of a soybean isoflavone to prevent postmenopausal bone loss without any adverse effects on the uterus.


    FOOTNOTES
 
2 Abbreviations used: BMD, bone mineral density in the femoral diaphysis (D-BMD) or the distal femur metaphysis (M-BMD) or the total femur (T-BMD); D, ovariectomized rats given daidzein; DEXA, dual-energy X-ray absorptiometry; DPD, deoxypyridinoline; E2, ovariectomized rats given 17{alpha}-ethinylestradiol; ER, estrogen receptor; G, ovariectomized rats given genistein; HRT, hormone replacement therapy; IC, initial control rats; OC, osteocalcin; OVX, ovariectomized rats; SERM, selective estrogen receptor modulators; SH, sham-operated rats; SHBG, sex hormone binding globulin. Back

Manuscript received January 3, 2000. Initial review completed February 11, 2000. Revision accepted March 9, 2000.


    REFERENCES
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 

1. Adlercreutz H., Bannwart C., Wähälä K., Mäkelä T., Brunow G., Hase T., Arosemena P. J., Kellis J. T., Vickery L. E. Inhibition of human aromatase by mammalian lignans and isoflavonoid phytoestrogens. J. Steroid Biochem. 1993a;44:147-153

2. Adlercreutz H., Markkanen H., Watanabe S. Plasma concentrations of phyto-oestrogens in Japanese men. Lancet 1993b;342:1209-1210[Medline]

3. Akiyama T., Ishida J., Nakagawa S., Ogawara H., Watanabe S., Itoh N., Shibuya M., Fukami Y. Genistein, a specific inhibitor of tyrosine-specific protein kinases. J. Biol. Chem. 1987;262:5592-5595[Abstract/Free Full Text]

4. Anderson J.J.B., Ambrose W. W., Garner S. C. Biphasic effects of genistein on bone tissue in the ovariectomized lactating rat model. Proc. Soc. Exp. Biol. Med. 1998;217:345-350[Abstract]

5. Anderson J.J.B., Anthony M., Messina M., Garner S. C. Effects of phytoestrogens on tissues. Nutr. Res. Rev. 1999;12:75-116

6. Anderson J.J.B., Garner S. C. The effects of phytoestrogens on bone. Nutr. Res. 1997;17:1617-1632

7. Arjmandi B. H., Alekel L., Hollis B. W., Amin D., Stacewiez-Sapuntzakis M., Guo P., Kukreja S. C. Dietary soybean protein prevents bone loss in an ovariectomized rat model of osteoporosis. J. Nutr. 1996;126:161-167

8. Arjmandi B. H., Birnbaum R., Goyal N. V., Getlinger M. J., Juma S., Alekel L., Hasler C. M., Drum M. L., Hollis B. W., Kukreja S. C. Bone-sparing effect of soy protein in ovarian hormone-deficient rats is related to its isoflavone content. Am. J. Clin. Nutr. 1998;68:S1364-S1368[Abstract]

9. Avioli L. V., McDonald J. E., Lee S. W. The influence of age on the intestinal absorption of 47Ca in women and its relation to 47Ca absorption in postmenopausal osteoporosis. J. Clin. Investig. 1965;44:1960-1967

10. Axelson M., Sjovall J., Gustafsson B. E., Setchell K.D.R. Soya—a dietary source of the non steroidal oestrogen equol in man and animals. J. Endocrinol. 1984;102:49-56[Abstract]

11. Barnes S. Evolution of the health benefits of soy isoflavone. Proc. Soc. Exp. Biol. Med. 1998;217:386-392[Abstract]

12. Bennetau-Pelissero C., Le Houérou C., Lamothe V., Le Menn F., Babin P., Bennetau B. Synthesis of haptens and conjugates for ELISAs of phytoestrogens. Development of the immunological tests. J. Agric. Food Chem. 2000;48:305-311[Medline]

13. Blair H., Jordan S. E., Peterson T. G., Barnes S. Various effects of tyrosine-kinase inhibitors on avian osteoclastic activity and reduction of bone loss in ovariectomized rats. J. Cell. Biochem. 1996;61:629-637[Medline]

14. Braden A.W.H. The estrogenic activity and metabolism of certain isoflavones in sheep. Aust. J. Agric. Res. 1967;18:335-348

15. Butcher R. L., Collins W. E., Fugo N. W. Plasma concentration of LH, FSH, prolactin, progesterone and estradiol-ß17 throughout the 4-day estrous cycle of the rat. Endocrinology 1974;94:1704-1708[Medline]

16. Cook J.G.H. Factors influencing the assay of creatinine. Ann. Clin. Biochem. 1975;12:219-232[Medline]

17. Evans B.A.J., Griffiths K., Morton M. S. Inhibition of 5{alpha}-reductase in genital skin fibroblasts and prostate tissue by dietary lignans and isoflavonoids. J. Endocrinol. 1995;147:295-302[Abstract]

18. Fanti P., Monier-Faugere M. C., Geng Z., Schmidt J., Morris P. E., Cohen D., Malluche H. H. The phytoestrogen genistein reduces bone loss in short-term ovariectomized rats. Osteoporos. Int. 1998;8:274-281[Medline]

19. Gaumet N., Seibel M. J., Coxam V., Davicco M. J., Lebecque P., Barlet J. P. Influence of ovariectomy and estradiol treatment on calcium homeostasis during aging in rats. Arch. Physiol. Biochem. 1997;105:1-10

20. Hallworth R. B. Prevention and treatment of posmenopausal osteoporosis. Pharm. World Sci. 1998;20:198-205[Medline]

21. Hiroi H., Inoue S., Watanabe T., Goto W., Orimo A., Momoeda M., Tsutsumi O., Taketani Y., Muramatsu M. Differential immunolocalization of estrogen receptor {alpha} and ß in rat ovary and uterus. J. Mol. Endocrinol. 1999;22:37-44[Abstract]

22. Ishida H., Uesugi T., Hirai K., Toda T., Nukaya H., Yokotsuka K., Tsuji K. Preventive effects of the plant isoflavones, daidzin and genistin, on bone loss in ovariectomized rats fed a calcium-deficient diet. Biol. Pharm. Bull. 1998;21:62-66[Medline]

23. Ishimi Y., Miyaura C., Ohmura M., Onoe Y., Sato T., Uchiyama Y., Ito M., Wang X., Suda T., Ikegama S. Selective effects of genistein, a soybean isoflavone, on B-lymphopoiesis and bone loss caused by estrogen deficiency. Endocrinology 1999;140:1893-1900[Abstract/Free Full Text]

24. Kalu D. N. The ovariectomized rat model of postmenopausal bone loss. Bone Miner 1991;15:175-191[Medline]

25. Ke H. Z., Chen H. K., Simmons H. A., Qi H., Crawford D. T., Pirie C. M., Chidsey-Frink K. L., Ma Y. F., Jee W.S.S., Thompson D. D. Comparative effects of droloxifene, tamoxifen, and estrogen on bone, serum cholesterol, and uterine histology in the ovariectomized rat model. Bone 1997;20:31-39[Medline]

26. Kessel B. Alternatives to estrogen for menopausal women. Proc. Soc. Exp. Biol. Med. 1998;217:38-44[Abstract]

27. King R. A. Daidzein conjugates are more bioavailable than genistein conjugates in rats. Am. J. Clin. Nutr. 1998;68:S1496-S1499[Abstract]

28. King R A., Broadbent J. L., Head R. J. Absorption and excretion of the soy isoflavone genistein in rats. J. Nutr. 1996;126:176-182

29. Kuiper G.G.J.M., Carlsson B., Grandien K., Enmark E., Häggblad J., Nilsson S., Gustafsson J. A. Comparison of the ligand binding specificity and transcript tissue distribution of estrogen receptors {alpha} and ß. Endocrinology 1997;138:863-870[Abstract/Free Full Text]

30. Kuiper G.G.J.M., Enmark E., Pelto-Huikko M., Nilsson S., Gustafsson J. A. Cloning of a novel estrogen receptor expressed in rat prostate and ovary. Proc. Nat. Acad. Sci. U.S.A. 1996;93:5925-5930[Abstract/Free Full Text]

31. Kurzer M. S., Xu X. Dietary phytoestrogens. Annu. Rev. Nutr. 1997;17:353-381[Medline]

32. Le Houérou C., Bennetau-Pelissero C., Lamothe V., Le Menn F., Babin P., Bennetau B. Syntheses of novel hapten-protein conjugates for production of highly specific antibodies to formononetin, daidzein and genistein. Tetrahedron 2000;56:295-301

33. Lim S. K., Won Y. J., Lee H. C., Huh K. B., Park Y. S. A PCR analysis of ER{alpha} and ERß mRNA abundance in rats and the effect of ovariectomy. J. Bone Miner. Res. 1999;14:1189-1196[Medline]

34. Messina M., Persky V., Setchell K.D.R., Barnes S. Soy intake and cancer risk: a review of the in vitro and in vivo data. Nutr. Cancer 1994;21:113-131[Medline]

35. Miksicek R. J. Interaction of naturally occurring nonsteroidal estrogens with expressed recombinant human estrogen receptor. J. Steroid Biochem. Mol. Biol. 1994;49:153-160[Medline]

36. Miller S. C., Bowman B. M., Jee W.S.S. Available animal models of osteopenia—small and large. Bone 1995;17:S117-S123

37. Mosekilde L. Assessing bone quality—animal models in preclinical osteoporosis research. Bone 1995;17:S343-S352

38. Mosselman S., Polman J., Dijkema R. ERß: identification and characterization of a novel human estrogen receptor. FEBS Lett 1996;392:49-53[Medline]

39. Murkies A. L., Wilcox G., Davis S. R. Phytoestrogens. J. Clin. Endocrinol. Metab. 1998;83:297-303[Abstract/Free Full Text]

40. Onoe Y., Miyaura C., Ohta H., Nozawa S., Suda T. Expression of estrogen receptor ß in rat bone. Endocrinology 1997;138:4509-4512[Abstract/Free Full Text]

41. Pastoureau P., Chomel A., Bonnet J. Specific evaluation of localized bone mass and bone loss in the rat using dual energy X-ray absorptiometry subregional analysis. Osteoporos. Int. 1995;5:143-149[Medline]

42. Pelissero C., Bennetau B., Babin P., Le Menn F., Dunogues J. The estrogenic activity of certain phytoestrogens in the Siberian sturgeon Acipenser baeri. J. Steroid Biochem. Mol. Biol. 1991;38:293-299[Medline]

43. Riggs B. L., Melton L. J. Involutional osteoporosis. N. Engl. J. Med. 1986;26:1676-1684

44. Robins S. P. Biochemical markers for assessing skeletal growth. Eur. J. Clin. Nutr. 1994;48:S199-S209

45. Rose N., Constantin P., Leterrier C. Sex differences in bone growth of broiler chickens. Growth Dev. Aging 1996;60:49-59[Medline]

46. Sfakianos J., Coward L., Kirk M., Barnes S. Intestinal uptake and bilary excretion of the isoflavone genistein in rats. J. Nutr. 1997;127:1260-1268[Abstract/Free Full Text]

47. Tansey G., Hughes C. L., Jr, Cline J. M., Krümmer A., Walmer D. K., Schmoltzer S. Effects of dietary soybean estrogens on the reproductive tract of female rats. Proc. Soc. Exp. Biol. Med. 1998;217:340-344[Abstract]

48. Turner C. H., Burr C. B. Basic mechanical measurements of bone: a tutorial. Bone 1993;14:595-608[Medline]

49. Vidal O., Kindblom L. G., Ohlsson C. Expression and localization of estrogen receptor-ß in murine and human bone. J. Bone Miner. Res. 1999;14:923-929[Medline]

50. Williams J. P., Jordan S. E., Barnes S., Blair H. C. Tyrosine kinase inhibitor effects on avian osteoclastic acid transport. Am. J. Clin. Nutr. 1998;68:S1369-S1374[Abstract]

51. Windahl S. H., Norgard M., Kuiper G.G.J.M., Gustafsson J. A., Andersson G. Cellular distribution of estrogen receptor ß in neonatal rat bone. Bone 2000;26:117-121[Medline]

52. Wronski T. J., Cintron M., Doherty A. L., Dann L. M. Estrogen treatment prevents osteopenia and depresses bone turnover in ovariectomized rats. Endocrinology 1988;123:681-686[Abstract]

53. Wronski T. J., Lowry P. L., Walsh C. C., Ignaszewski L. A. Skeletal alterations in ovariectomized rats. Calcif. Tissue Int. 1985;37:324-328[Medline]

54. Wronski T. J., Yen C. F. The ovariectomized rat as an animal model for postmenopausal bone loss. Cells Mater. 1991;suppl. 1:S69-S74

55. Xu X., Harris K. S., Wang H. J., Murphy P. A., Hendrich S. Bioavailability of soybean isoflavones depends upon gut microflora in women. J. Nutr. 1995;125:2307-2315

56. Xu X., Wang H. J., Murphy P. A., Cook L., Hendrich S. Daidzein is a more bioavailable soymilk isoflavone than is genistein in adult women. J. Nutr. 1994;124:825-832

57. Yasuda T., Oshawa K. Urinary metabolites of daidzin orally administered in rats. Biol. Pharm. Bull. 1998;21:953-957[Medline]




This article has been cited by other articles:


Home page
Exp. Biol. Med.Home page
R. C. Poulsen, P. J. Moughan, and M. C. Kruger
Docosahexaenoic Acid and 17{beta}-Estradiol Co-Treatment Is More Effective Than 17{beta}-Estradiol Alone in Maintaining Bone Post-Ovariectomy
Experimental Biology and Medicine, May 1, 2008; 233(5): 592 - 602.
[Abstract] [Full Text] [PDF]


Home page
Exp. Biol. Med.Home page
J. Mardon, J. Mathey, S. Kati-Coulibaly, C. Puel, M.-J. Davicco, P. Lebecque, M.-N. Horcajada, and V. Coxam
Influence of Lifelong Soy Isoflavones Consumption on Bone Mass in the Rat
Experimental Biology and Medicine, February 1, 2008; 233(2): 229 - 237.
[Abstract] [Full Text] [PDF]


Home page
Exp. Biol. Med.Home page
B. Sosic-Jurjevic, B. Filipovic, V. Ajdzanovic, D. Brkic, N. Ristic, M. M. Stojanoski, N. Nestorovic, S. Trifunovic, and M. Sekulic
A BRIEF COMMUNICATION: Subcutaneously Administrated Genistein and Daidzein Decrease Serum Cholesterol and Increase Triglyceride Levels in Male Middle-Aged Rats
Experimental Biology and Medicine, October 1, 2007; 232(9): 1222 - 1227.
[Abstract] [Full Text] [PDF]


Home page
Clin. Cancer Res.Home page
B. F. Boyce, L. Xing, Z. Yao, T. Yamashita, W. C. Shakespeare, Y. Wang, C. A. Metcalf III, R. Sundaramoorthi, D. C. Dalgarno, J. D. Iuliucci, et al.
SRC inhibitors in metastatic bone disease.
Clin. Cancer Res., October 15, 2006; 12(20): 6291s - 6295s.
[Abstract] [Full Text] [PDF]


Home page
J. Nutr.Home page
T. Clavel, M. Fallani, P. Lepage, F. Levenez, J. Mathey, V. Rochet, M. Serezat, M. Sutren, G. Henderson, C. Bennetau-Pelissero, et al.
Isoflavones and Functional Foods Alter the Dominant Intestinal Microbiota in Postmenopausal Women
J. Nutr., December 1, 2005; 135(12): 2786 - 2792.
[Abstract] [Full Text] [PDF]


Home page
Arch Intern MedHome page
X. Zhang, X.-O. Shu, H. Li, G. Yang, Q. Li, Y.-T. Gao, and W. Zheng
Prospective Cohort Study of Soy Food Consumption and Risk of Bone Fracture Among Postmenopausal Women
Arch Intern Med, September 12, 2005; 165(16): 1890 - 1895.
[Abstract] [Full Text] [PDF]


Home page
J. Nutr.Home page
C. M. Weaver and J. M. K. Cheong
Soy Isoflavones and Bone Health: The Relationship Is Still Unclear
J. Nutr., May 1, 2005; 135(5): 1243 - 1247.
[Abstract] [Full Text] [PDF]


Home page
Exp. Biol. Med.Home page
C. Atkinson, C. L. Frankenfeld, and J. W. Lampe
Gut Bacterial Metabolism of the Soy Isoflavone Daidzein: Exploring the Relevance to Human Health
Experimental Biology and Medicine, March 1, 2005; 230(3): 155 - 170.
[Abstract] [Full Text] [PDF]


Home page
Exp. Biol. Med.Home page
I. Woclawek-Potocka, M. M. Bah, A. Korzekwa, M. K. Piskula, W. Wiczkowski, A. Depta, and D. J. Skarzynski
Soybean-Derived Phytoestrogens Regulate Prostaglandin Secretion in Endometrium During Cattle Estrous Cycle and Early Pregnancy
Experimental Biology and Medicine, March 1, 2005; 230(3): 189 - 199.
[Abstract] [Full Text] [PDF]


Home page
Endocr. Rev.Home page
D. Vanderschueren, L. Vandenput, S. Boonen, M. K. Lindberg, R. Bouillon, and C. Ohlsson
Androgens and Bone
Endocr. Rev., June 1, 2004; 25(3): 389 - 425.
[Abstract] [Full Text] [PDF]


Home page
J. Clin. Endocrinol. Metab.Home page
E. Nikander, M. Metsa-Heikkila, O. Ylikorkala, and A. Tiitinen
Effects of Phytoestrogens on Bone Turnover in Postmenopausal Women with a History of Breast Cancer
J. Clin. Endocrinol. Metab., March 1, 2004; 89(3): 1207 - 1212.
[Abstract] [Full Text] [PDF]


Home page
Cancer Res.Home page
C. Vissac-Sabatier, V. Coxam, P. Dechelotte, C. Picherit, M.-N. Horcajada, M.-J. Davicco, P. Lebecque, Y.-J. Bignon, and D. Bernard-Gallon
Phytoestrogen-Rich Diets Modulate Expression of Brca1 and Brca2 Tumor Suppressor Genes in Mammary Glands of Female Wistar Rats
Cancer Res., October 15, 2003; 63(20): 6607 - 6612.
[Abstract] [Full Text] [PDF]


Home page
J. Clin. Endocrinol. Metab.Home page
Y.-M. Chen, S. C. Ho, S. S. H. Lam, S. S. S. Ho, and J. L. F. Woo
Soy Isoflavones Have a Favorable Effect on Bone Loss in Chinese Postmenopausal Women with Lower Bone Mass: A Double-Blind, Randomized, Controlled Trial
J. Clin. Endocrinol. Metab., October 1, 2003; 88(10): 4740 - 4747.
[Abstract] [Full Text] [PDF]


Home page
Am. J. Clin. Nutr.Home page
K. D. Setchell and E. Lydeking-Olsen
Dietary phytoestrogens and their effect on bone: evidence from in vitro and in vivo, human observational, and dietary intervention studies
Am. J. Clinical Nutrition, September 1, 2003; 78(3): 593S - 609.
[Abstract] [Full Text] [PDF]


Home page
Integr Cancer Ther