Clinical Chemistry
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Clinical Chemistry 43: 850-852, 1997;
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(Clinical Chemistry. 1997;43:850-852.)
© 1997 American Association for Clinical Chemistry, Inc.


Letters

Isoflavone Content of Breast Milk and Soy Formulas: Benefits and Risks

Daniel M. Sheehan

a Author for correspondence.

Adrian Franke
Leslie J. C. Blucka and Sheila A. Bingham

National Center for Toxicol. Res. USFDA, 3900 NCTR Rd., HFT-130, Jefferson, AR 72079
Cancer Res. Center of Hawaii, 1236 Lauhala St., Honolulu, HI 96813
Dunn Nutritional Lab., Downhams Lane, Cambridge CB4 1XJ, UK


To the Editor:

A recent editorial (1) properly credited Franke and Custer (2) for an important study of urinary and breast milk concentrations of isoflavones in women consuming soybeans. This editorial cited literature concerning potential health benefits of phytoestrogens and, to a much lesser extent, potential toxicity. In the accompanying letter below, Franke points out that infants consuming soy-based formula are exposed to high concentrations of phytoestrogens.

Estrogens are two-edged swords in humans; both risks and benefits can be demonstrated in the same person. Two examples are oral contraceptives (benefit: fertility control; risk: increased incidence of breast cancer (3)) and unopposed estrogen replacement therapy (benefit: reduction in mortality due to heart disease and osteoporosis and relief of menopause symptoms; risk: increased incidence of endometrial cancer (4)). Given this characteristic of estrogens generally, what do we know of risks from phytoestrogens?

Adverse effects of phytoestrogens on reproduction and development in wildlife (5), livestock (6), and experimental animals (7) have been documented. Developmental exposure to phytoestrogens results in toxicities similar or identical to those of other estrogens. Neonatal rodents have long been used as a model of human prenatal diethylstilbestrol (DES) exposure on the basis of developmental staging and similar outcomes from exposure (8). However, the neonatal rodent and postnatal human are not at equivalent morphological stages of development (9) and the neonatal rodent does not model the infant human. In addition to lacking a rodent estrogen model of the human infant, we also have little clinical experience with human infant exposure to estrogens generally. Although the data are limited for developmental effects of phytoestrogens, the similarity of DES and phytoestrogen effects in newborn rodents should be considered a cautionary note for the developmentally later exposure that . . . [Full Text of this Article]


To the Editor:


To the Editor:


References

Joanne Slavin

Dept. of Food Sci. and Nutrition, University of Minnesota, 1334 Eckles Ave., St. Paul, MN 55108
a Author for correspondence.


To the Editor:


References




The following articles in journals at HighWire Press have cited this article:


Home page
EndocrinologyHome page
E. Padilla-Banks, W. N. Jefferson, and R. R. Newbold
Neonatal Exposure to the Phytoestrogen Genistein Alters Mammary Gland Growth and Developmental Programming of Hormone Receptor Levels
Endocrinology, October 1, 2006; 147(10): 4871 - 4882.
[Abstract] [Full Text] [PDF]


Home page
Toxicol SciHome page
R. W. Lewis, N. Brooks, G. M. Milburn, A. Soames, S. Stone, M. Hall, and J. Ashby
The Effects of the Phytoestrogen Genistein on the Postnatal Development of the Rat
Toxicol. Sci., January 1, 2003; 71(1): 74 - 83.
[Abstract] [Full Text] [PDF]


Home page
J. Nutr.Home page
T. M. Badger, M. J. J. Ronis, R. Hakkak, J. C. Rowlands, and S. Korourian
The Health Consequences of Early Soy Consumption
J. Nutr., March 1, 2002; 132(3): 559S - 565.
[Abstract] [Full Text] [PDF]


Home page
J. Am. Coll. Nutr.Home page
K. D. R. Setchell
Soy Isoflavones--Benefits and Risks from Nature's Selective Estrogen Receptor Modulators (SERMs)
J. Am. Coll. Nutr., October 1, 2001; 20(90005): 354S - 362.
[Abstract] [Full Text]




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