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Clinical Pharmacology Branch (E.K., L.N., R.B.),
Navy Medical
Oncology Branch (C.T.), and
Clinical Director (G.C.), National Cancer
Institute, National Institutes of Health, Bethesda, Maryland 20892
Genistein (5,7,4
-trihydroxyisoflavone), an isoflavinoid found in soy
beans, has been identified as potentially causal for the low incidence
of metastatic prostate cancer (PCa) in certain countries. Although
genistein-induced PCa cell adhesion has been identified as a possible
causative mechanism, direct growth inhibition by genistein has been
reported and also could be causal. If in vivo growth
inhibition was significant, then growth inhibition should occur at
concentrations attained with dietary consumption, the mechanism of
growth inhibition should be relevant to PCa, and genistein (a
broad-spectrum in vitro protein-tyrosine kinase inhibitor) should have relatively specific kinase inhibitory effects in vivo. These considerations were investigated by
measuring growth inhibitory activity in a variety of PCa cell lines.
Growth inhibitory effects were shown not to occur with concentrations
below the low micromolar range (i.e., 3 logs above that attained in
serum). In-depth mechanistic studies with the PC3-M metastatic variant cell line demonstrated that growth inhibition was independent of
genistein's estrogenic effects. Genistein was shown to decrease the
viability of nonadherent cells, suggesting a lack of dependence on cell
adhesion for growth inhibition. However, important molecular and
kinetic differences between genistein's effects on growth in adherent
versus nonadherent cells were identified. Specific suppression of focal
adhesion kinase activity (without global decreases in phosphotyrosine)
was shown to precede induction of apoptosis, which was responsible for
growth inhibition in adherent cells. These findings do not support an
in vivo growth inhibitory role by genistein consumed in
quantities associated with a soy-based diet. They do, however, identify
genistein as a potential therapeutic agent for PCa and as a tool with
which to study the control of apoptosis in PCa.
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