Deutsche Zeitschrift für Onkologie 2015; 47(01): 13-19
DOI: 10.1055/s-0034-1395852
Forschung
© Karl F. Haug Verlag in MVS Medizinverlage Stuttgart GmbH & Co. KG

Meeresalgen in der Prävention von Brustkrebs

Bettina Hees
Further Information

Publication History

Publication Date:
09 April 2015 (online)

Zusammenfassung

Epidemiologische japanische Studien aus den 1980er-Jahren wiesen nach, dass die Rate des prämenopausal auftretenden Brustkrebses in Japan im Vergleich zu westlichen Populationen bei einem Viertel lag, beim postmenopausal auftretenden Brustkrebs sogar nur bei einem Neuntel. Internationale Tumorregister aus den USA und Japan bestätigen, dass Brustkrebserkrankungen in westlichen Regionen sowohl in der Prämenopause als auch in der Postmenopause auftreten, während es diesen postmenopausalen Peak in Japan nicht gibt. Lebensstil beeinflussende Faktoren – vor allem die Ernährung mit Soja und Meeresalgen – scheinen in Asien einen entscheidenden Einfluss auf die deutlich geringere Entwicklung von Hormon-sensitiven Tumoren zu nehmen. Die hier präsentierten Pilotstudien zeigen, wie die Zufuhr von Soja in Kombination mit Meeresalgen den Östrogen- und Phytoöstrogenmetabolismus bei postmenopausalen gesunden westlichen Frauen in Richtung Brustkrebsprophylaxe positiv beeinflussen. Soja und Meeresalgen zeigen eine Tumor-protektive synergistische Wirkung in der Senkung postmenopausal hoher Östrogenspiegel im Serum, eine verbesserte Equol-Bildung als Schutz gegen Brustkrebs, eine günstigere antiöstrogen-wirkende Ausscheidung der Östrogen-Metabolite über den Urin sowie eine Reduktion des IGF-1-Wachstumhormons. Die Studien zeigen sehr eindrucksvoll Wege auf in der Prophylaxe von Brustkrebs für Frauen in westlichen Regionen, aber nach japanischem Muster.

Summary

Seaweed in the prevention of breast cancer

Epidemiological Japanese studies from the eighties show that the rate of premenopausal breast cancer in Japan came to one quarter of the rate in western populations and post-menopausal breast cancer was even as low as one ninth. Particularly evident are the differences in post-menopause during which breast cancer occurs very frequently in regions such as the USA. This peak, however, does not occur in Japan. These figures indicate that lifestyle factors mainly nutrition and associated genetic and epigenetic factors can lead to breast cancer or, vice versa, can provide extra protection. Traditional Asian nutrition including fermented soy and seaweed clearly plays a special role here.

Many studies confirm that in post-menopause high serum oestradiol levels are associated with an increased risk of breast cancer or its recurrence. Studies with Japanese postmenopausal women who had recovered from breast cancer demonstrated serum oestradiol levels three times lower than those of American women under the same conditions. Japanese women who eat traditional soy and seaweed products also demonstrate a two to threefold higher faecal excretion rate of 17ß oestradiol, which leads to the following conclusion: nutritional factors and their effect on intestinal microflora could have an impact on the high breast cancer rates and the differences in worldwide distribution. The dietary fibre of seaweed has a higher binding and excretion affinity for oestrogens than the fibre of terrestrial plants. A plausible mechanism for the influence of intestinal microflora on the development of breast cancer could therefore be explained by means of oestrogen metabolism in which the recirculation of oestradiol from the gastrointestinal tract is reduced by the consumption of seaweed.

Diet which includes brown seaweed has a positive effect on intestinal microflora, which is very likely connected to the enhanced conversion of phyto-estrogens from soy isoflavones. The role of seaweed as a prebiotic catalyst for stimulating protective effects in phyto-estrogen and estrogen metabolism are intriguing and, in this combination, can offer a new approach in the natural chemoprevention of breast cancer.

 
  • Literatur

  • 1 Funahashi H et al. Seaweed prevents breast cancer?. Jpn J Cancer Res 2001; 92: 483-7
  • 2 Gudiel-Urbano M. Effect of edible seaweeds (Undaria pinnatifida and Porphyra ternera) on the metabolic activities of intestinal microflora in rats. Nutr Res 2002; 22: 323-31
  • 3 Hall AC et al. Ascophyllum nodosum enriched bread reduces subsequent energy intake with no effect on post-prandial glucose and cholesterol in healthy, overweight males. A pilot study. Appetite 2012; 58: 379-386
  • 4 Hankinson SF et al. Endogenous estrogen, testosterone and progesterone levels in relation to breast cancer risk. J Steroid Biochem Mol Biol 2007; 106: 24-30
  • 5 Höbler C et al. Supplementation of pig diet with algal fibre changes the chemical and physiochemical characteristics of digesta. J Sci Food Agric 2000; 80: 1357-64
  • 6 Jemal A, Bray F, Center MM et al. Global Cancer Statistics. CA Cancer J Clin 2011; 61: 69-90
  • 7 Key T et al. Endogenous hormones and breast cancer collaborative Group T. Insulin-like growth factor 1 (IGF-1), IGF binding protein 3 (IGFBP3) and breast cancer risk: pooled individual data analysis of 17 prospective studies. Lancet Oncol 2010; 11: 530-542
  • 8 Kuda T et al. Food Chem Inhibitory effects of laminaran and low moleculer alginate against the nutrefactive compounds produced by intestinal microflora in vitro and in rats. 2005; 91: 745-9
  • 9 www.lebensmittelwissen.de
  • 10 Lustigman B et al. Production of antibacterial substances by macroalgae of the New York/New Jersey coast, USA. Bull Einviron Contam Toxicol 1992; 49: 743-9
  • 11 Mandal P et al. Structural features and antiviral acitivity of sulphated fucans from the brown seaweed Cystoseira indica. Antivir Chem Chemother 2007; 18 (3): 153-162
  • 12 Maruyama K et al. Associations of food and nutrient intakes with serum IGF-1, IGF-2, IGFBP-3, TGF-ß1, total SOD activity and sFAS levels among middle-aged Japanese: the JACC Study. Asian Pacific J Cancer Prev 2009; 10: 7-22
  • 13 Matsuno RK, Anderson WF, Yamamoto S et al. Early- and late-onset breast cancer types among women in the United States and Japan. Cancer Epidemiol Biomarkers Prev 2007; 16: 1437-1442
  • 14 Miyoshi Y et al. Association of serum estrone levels with estrogen receptor positive breast cancer risk in postmenopausal Japanese women. Clin Cancer Res 2003; 9: 2229-33
  • 15 Nagayama K. Bactericidal activity of phlorotannins from the brown alga Ecklonia kurome. J Antimicrob Chemother 2002; 50(6): 889-93
  • 16 Ozasa K et al. Association of serum phytoestrogen concentration and dietary habits in a sample set of the JACC study. J Epidemiol 2005; 15: 196-202
  • 17 Probst-Hensch N et al. Determinants of circulating insulin-like growth factor 1 and Insulin-like growth factor binding protein 3 concentrations in a cohort of Singapore men and women. Cancer Epidemiol Biomark Prev 2003; 12: 739-46
  • 18 Qin LQ et al. Soyfood intake on the prevention of breast cancer risk in women: a meta-analysis of observational epidemiological studies. J Nutr Sci Vitaminol 2006; 52: 428-36
  • 19 Reddy BS, Cohen LA, McCoy GD et al. Nutrition and its relationship to cancer. Adv Cancer Res 1980; 32: 237-345
  • 20 Rock CL Et al. Reproductive steroid hormones and recurrence-free survival in women with a history of breast cancer. Cancer Epidemiol Biomarkers Prev 2008; 17: 614-20
  • 21 Rupérez P. Mineral content of edible marine seaweeds. Food Chemistry 2002; 79: 23-26
  • 22 Sanderson M et al. Insulin-like growth factor-1, soy protein intake, and breast cancer risk. Nutr Cancer 2004; 50: 8-15
  • 23 Sekiya M et al. Intracellular signaling in the induction of apoptosis cancer cell line by water extract of Mekabu. Int J Clin Oncol 2005; 10: 122-6
  • 24 Setchell KD et al. Method of defining equol-producer status and its frequency among vegetarians. J Nutr 2006; 136: 2188-93
  • 25 Shi H et al. Adsorption effect of dietary fibers from seaweeds on estrogens. Zhongguo Haiyang Yaowu. Chin J Mar Drugs 2005; 24: 1-4
  • 26 Shimizu H et al. Cancers of the prostate and breast among Japanese and white immigrants in Los Angeles County. Br J Cancer 1991; 63: 963-6
  • 27 Skibola CF et al. The effect of Fucus vesiculosus, an edible brown seaweed, upon menstrual cycle length and hormonal status in three pre-menopausal women: a case report. BMC Complement Altern Med 2004; 4: 10
  • 28 Skibola C et al. Brown kelp modulates endocrine hormones in female Sprague-Dawley rats and in human luteinized granulosa cells. J Nutr 2005; 135: 296-300
  • 29 Takata Y et al. A comparison of dietary habits among women in Japan and Hawaii. Public Health Nutr 2004; 7: 319-26
  • 30 Teas J et al. Algae – a poor man’s HAART?. Medical Hypotheses 2004; 62: 507-10
  • 31 The consumption of seaweed as a protective factor in the etiology of breast cancer: proof of principle. J Appl Phycol 2013; 25: 771-779
  • 32 Teas J. The dietary intake of Laminaria, a brown seaweed, and breast cancer prevention. Nutr Cancer 1983; 4: 217-222
  • 33 Teas J et al. Dietary seaweed modifies estrogen and phytoestrogen metabolism in healthy postmenopausal women. J Nutr 2009; 139: 939-44
  • 34 Teas J et al. Serum IGF-1 concentrations change with soy and seaweed supplements in healthy postmenopausal American women. Nutr Cancer 2011; 63 (5): 743-48
  • 35 Trock BJ et al. Meta-analysis of soy-intake and breast cancer risk. J Natl Cancer Inst 2006; 98: 459-71
  • 36 Vrieling A et al. Dietary determints of circulating insulin-like growth factor (IGF-1) and IGF-binding proteins 1, -2 and -3 in women in the Netherlands. Cancer Causes Control 2004; 15: 787-796
  • 37 Yamamoto S et al. Soy, isoflavones and breast cancer risk in Japan. Japan Public Health Center-based prospective study on cancer and cardiovascular diseases (JPHC Study). J Natl Cancer Inst 2003; 95(24): 1881-1882
  • 38 Zhou JR et al. Combined inhibition of estrogen-dependent human breast carcinoma by soy and tea bioactive components in mice. Int J Cancer 2004; 108: 8-14