The Effects of Soy Supplementation on Gene Express
2016-08-26 15:39阅读:
伊利诺大学医学院-神经内科-主治医师 mingtao
wang
The Effects of Soy Supplementation on Gene
Expression in Breast Cancer: A Randomized Placebo-Controlled
Study
-
Moshe Shike,
-
Ashley S. Doane
,
-
Affiliations of authors: Department
of Medicine (MS, AD, LR, JB, LN) and Department of
Pathology (RC, JRF, WG) and Department of
Surgery (HC) and Department of Computational
Biology (RK), Memorial Sloan-Kettering Cancer Center
and Weill Cornell Medical College (MS, JRF, WG, HC, JB,
LN).
-
↵† Deceased.
- Correspondence
to:
Moshe Shike, MD, MSKCC, 1275 York Avenue box 224, New York, NY
10065 (e-mail: shikem@mskcc.org).
- Received February 6, 2014.
- Revision received May 22, 2014.
- Accepted May 28, 2014.
Abstract
Background There are conflicting reports on the
impact of soy on breast carcinogenesis. This study examines the
effects of soy supplementation on breast cancer-related genes and
pathways.
Methods Women (n = 140) with early-stage breast
cancer were randomly assigned to soy protein supplementation (n =
70) or placebo (n = 70) for 7 to 30 days, from diagnosis until
surgery. Adherence was determined by plasma isoflavones: genistein
and daidzein. Gene expression changes were evaluated by NanoString
in pre- and posttreatment tumor tissue. Genome-wide expression
analysis was performed on posttreatment tissue. Proliferation
(Ki67) and apoptosis (Cas3) were assessed by
immunohistochemistry.
Results Plasma isoflavones rose in the soy group
(two-sided Wilcoxon rank-sum test,
P < .001) and did
not change in the placebo group. In paired analysis of pre- and
posttreatment samples, 21 genes (out of 202) showed altered
expression_r(
two-sided Student’s t-test,
P
< .05). Several genes including
FANCC and
UGT2A1 revealed different magnitude and direction of
expression changes between the two groups (two-sided Student’s
t-test,
P < .05). A high-genistein signature consisting
of 126 differentially expressed genes was identified from
microarray analysis of tumors. This signature was characterized by
overexpression_r(>2-fold) of cell cycle transcripts, including
those that promote cell proliferation, such as FGFR2, E2F5, BUB1,
CCNB2, MYBL2, CDK1, and CDC20 (
P < .01). Soy intake did
not result in statistically significant changes in Ki67 or
Cas3.
Conclusions Gene expression associated with soy
intake and high plasma genistein defines a signature characterized
by overexpression of
FGFR2 and genes that drive cell cycle
and proliferation pathways. These findings raise the concerns that
in a subset of women soy could adversely affect gene expression in
breast cancer.
- © The Author 2014. Published by Oxford University Press. All
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Memo to the Media: Soy
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