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| Isoflavones occur in many plant species, but are especially high in soybeans. Major isoflavones in soybean are genistein and daidzein Supplementation may help lower the risk of hormone-related cancers. Isoflavones — plant-derived polyphenolic compounds belonging to the flavonoid family and functioning as phytoestrogens with selective estrogen receptor modulator-like activity. The principal dietary soy isoflavones are genistein, daidzein, and glycitein, occurring largely as the glycosides genistin, daidzin, and glycitin before intestinal hydrolysis. Common abbreviations include IFs, soy isoflavones, and SIFs. Soybeans and soy foods are the major human dietary sources, while red clover and other legumes contain additional isoflavones such as biochanin A and formononetin. Genistein is substantially more mechanistically characterized than other members of the class, so many anticancer effects attributed broadly to isoflavones are principally supported by genistein studies. Isoflavones preferentially activate ERβ at physiologically relevant concentrations but can activate ERα as exposure increases, making biological effects strongly dependent on dose, tissue, estrogen-receptor composition, metabolism, and individual equol-producing status. Primary mechanisms (ranked):
Bioavailability / PK relevance: Orally administered isoflavone glycosides are hydrolyzed in the intestine and absorbed as aglycones, followed by extensive glucuronidation and sulfation. Circulating genistein and daidzein therefore consist predominantly of conjugated metabolites, with only a small fraction present as unconjugated biologically active aglycone. Genistein generally produces greater systemic exposure than daidzein. Daidzein may be converted by intestinal microbiota to equol, but only a subset of individuals consistently produce substantial equol, creating marked interindividual variability. Food matrix, intestinal transit, microbiome composition, glycoside form, and formulation materially affect exposure. In-vitro vs systemic exposure relevance: A major translational limitation exists. Many direct anticancer experiments use approximately 25–100 µM genistein, with some cytotoxic IC50 values exceeding 100 µM, whereas unconjugated genistein after ordinary dietary or supplemental exposure is generally far below these concentrations and represents only a small fraction of circulating total isoflavones. ERβ-mediated signaling and other high-affinity endocrine effects can occur at substantially lower concentrations and are therefore more pharmacologically plausible in humans than many high-concentration kinase inhibition, ROS, or direct cytotoxicity findings. Clinical evidence status: Human evidence is substantial for dietary exposure and supplement safety but limited for treatment of established cancer. Small randomized trials in prostate cancer demonstrate changes in tumor-associated molecular biomarkers, but convincing reductions in tumor progression, recurrence, or cancer mortality have not been established in therapeutic RCTs. Observational studies associate soy/isoflavone intake with lower incidence or recurrence of some hormone-related cancers, including breast cancer, but these data do not establish treatment efficacy. Isoflavones are therefore best classified as dietary/chemopreventive candidates with human biomarker and observational evidence rather than established anticancer drugs or standard adjunctive cancer therapy. Cancer-Relevant Isoflavone Mechanisms
Alzheimer’s disease relevance: Soy isoflavones have plausible neurological mechanisms through ERβ signaling, antioxidant and anti-inflammatory effects, vascular effects, and metabolism of daidzein to equol. However, direct clinical evidence does not support isoflavones as an established Alzheimer treatment. In a randomized trial of patients with Alzheimer’s disease, 100 mg/day soy isoflavones for six months produced no significant overall cognitive benefit versus placebo. Exploratory associations between higher equol exposure and selected cognitive measures suggest that microbiome-dependent metabolism may modify response, but this remains unconfirmed. Alzheimer-Relevant Isoflavone Effects
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| Also known as CP32. Cysteinyl aspartate specific proteinase-3 (Caspase-3) is a common key protein in the apoptosis and pyroptosis pathways, and when activated, the expression level of tumor suppressor gene Gasdermin E (GSDME) determines the mechanism of tumor cell death. As a key protein of apoptosis, caspase-3 can also cleave GSDME and induce pyroptosis. Loss of caspase activity is an important cause of tumor progression. Many anticancer strategies rely on the promotion of apoptosis in cancer cells as a means to shrink tumors. Crucial for apoptotic function are executioner caspases, most notably caspase-3, that proteolyze a variety of proteins, inducing cell death. Paradoxically, overexpression of procaspase-3 (PC-3), the low-activity zymogen precursor to caspase-3, has been reported in a variety of cancer types. Until recently, this counterintuitive overexpression of a pro-apoptotic protein in cancer has been puzzling. Recent studies suggest subapoptotic caspase-3 activity may promote oncogenic transformation, a possible explanation for the enigmatic overexpression of PC-3. Herein, the overexpression of PC-3 in cancer and its mechanistic basis is reviewed; collectively, the data suggest the potential for exploitation of PC-3 overexpression with PC-3 activators as a targeted anticancer strategy. Caspase 3 is the main effector caspase and has a key role in apoptosis. In many types of cancer, including breast, lung, and colon cancer, caspase-3 expression is reduced or absent. On the other hand, some studies have shown that high levels of caspase-3 expression can be associated with a better prognosis in certain types of cancer, such as breast cancer. This suggests that caspase-3 may play a role in the elimination of cancer cells, and that therapies aimed at activating caspase-3 may be effective in treating certain types of cancer. Procaspase-3 is a apoptotic marker protein. Prognostic significance: • High Cas3 expression: Associated with good prognosis and increased sensitivity to chemotherapy in breast, gastric, lung, and pancreatic cancers. • Low Cas3 expression: Linked to poor prognosis and increased risk of recurrence in colorectal, hepatocellular carcinoma, ovarian, and prostate cancers. |
| - | in-vitro, | Pca, | pCSCs |
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