ABSTRACT

Introduction 327

Isoflavones 329

Isoflavones and Breast Cancer 329

Isoflavones and Prostate Cancer 332

Isoflavones and Colon Cancer 334

Isoflavones and Cancer-An Overview and the Future 335

References 336

INTRODUCTION

The incidence and mortality rates of several hormonally related tumors, including

breast, prostate, and colon cancer, have until recently been considered low in

Asian countries like China, Japan, and Indonesia when compared with western

countries (1). Additionally, cancer rates appear to differ between westernized

countries. For example, Italy and Finland have substantially lower rates than

other western countries. A number of studies have concluded that lifestyle and

dietary factors may be important in explaining these differences in incidence

rate. Asian diets, which are mainly vegetarian or semivegetarian, differ markedly

from western diets, which are rich in animal proteins and fats. This may affect

cancer incidence in a number of ways including alteration of the metabolism

and actions of a number of phytochemicals, some of which may have steroidal

effects. Of crucial importance is the role of the gut and more specifically the

microflora in the gut and its impact in mediating certain effects of diet on

disease patterns in western countries (2-4).