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[Cancer Research 65, 879-886, February 1, 2005]
© 2005 American Association for Cancer Research


Cell and Tumor Biology

Low-Dose Dietary Phytoestrogen Abrogates Tamoxifen-Associated Mammary Tumor Prevention

Bolin Liu1, Susan Edgerton1, Xiaohe Yang1, Aeree Kim1, Dalia Ordonez-Ercan1, Terza Mason1, Kathy Alvarez1, Christine McKimmey1, Naxin Liu2 and Ann Thor1

1 Department of Pathology, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma and 2 Evanston Northwestern Healthcare Research Institute, Evanston, Illinois

Requests for reprints: Ann Thor, Department of Pathology, University of Oklahoma Health Sciences Center, 940 Stanton L Young Boulevard, BMSB 451, Oklahoma City, OK 73104. Phone: 405-271-2422; Fax: 405-271-2568; E-mail: ann-thor{at}ouhsc.edu.

Wild-type erbB-2/neu transgenic mice were used to study the interactions between tamoxifen and dietary phytoestrogens (or isoflavones) by dose and form in vivo. Mice were randomized to one of four dietary formulas and implanted with an 8-week continuous-release tamoxifen or placebo pellet at 8 weeks of age. In placebo-treated mice, soy meal diet (but not diets supplemented with low-dose or high-dose isoflavones or a casein diet) resulted in prolongation of tumor latency. In tamoxifen-treated mice fed the soy meal, casein, or high-dose isoflavone enriched diets, the majority (>80%) showed no tumor formation by 60 weeks of age. Of the mice that developed tumors, latency was significantly prolonged. In tamoxifen-treated mice fed the low-dose isoflavone enriched diet, a much higher rate of mammary tumor development (>50%; P < 0.002) and a shorter tumor latency were observed. In vitro studies of human and mouse mammary tumor cell lines confirm that low doses of genistein, co-administered with tamoxifen, promote cell proliferation. This is in contrast to tamoxifen alone or tamoxifen with higher doses of genistein that are growth inhibitory. In summary, low-dose dietary isoflavones abrogated tamoxifen-associated mammary tumor prevention in vivo. These interactions are supported by in vitro data from human and mouse mammary tumor cell lines. These dose-associated interactions likely have relevance to the human use of tamoxifen for prevention or treatment of breast cancer.

Key Words: Breast Cancer • Estrogen • Transgenic Mouse • erbB-2




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