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No major adverse effects related to the use of Soyselect® have been observed during clinical trials in comparison with placebo and in pharmacokinetics studies.
Soyselect® safety profile has been determined in studies performed in rats aimed at evaluating 30-day oral toxicity and the effects on reproductive functions (1,2).
In two animal studies (3), Soyselect®, orally administered at 50 and 100 mg/kg/day, was proven devoid of effects on the growth of estrogen-dependent human breast cancer xenograft in ovariectomized athymic mice (chart 1) and on the growth of estrogen-unresponsive human breast cancer xenograft in athymic mice (4). Click here to download the complete poster.

However a recent study (5)
indicates that concomitant administration of 50mg/kg/day of Soyselect® in mice carrying estrogen-dependent breast cancer have slightly potentiated the effect of the estrogen antagonist fulvestrant drug, whereas a dose of 100 mg/kg/day partially negated the tumor reduction activity of the same drug.
It is advisable not to recommend the consumption of isoflavone supplements in conjunction of fulvestrant therapy in post menopausal women with estrogen-dependent breast
cancer.
In a recent study on Soyselect®, Gallo et al. (6) showed that 100 mg/kg/day by oral route in ovariectomized rats did not affect the weight and the histology of the uterus and reduced the expression of Ki67, an epithelial marker of proliferation. On the contrary, 17betaestradiol significantly increased uterine weight, induced hyperplasia in the majority of rats and enhanced Ki67 epithelial expression. Data from this pubblication improve our understanding on the effects of Soyselect® confirming its favourable tissue-specific modulation of cell-cycle control.
In a second study on Soyselect®, Gallo et al. (7) showed in an animal model that estrogens and soy phytochemicals similarly polarize the immune system toward a type 2 immune response. Even if data from preclinical models may not be entirely representative of the effects potentially accruing in humans, these finding is suggesting that soy phytochemicals should be used with caution in postmenopausal women with active TH2-related diseases (such as SLE), although they could be beneficial in women with TH1-related inflammatory disorders (eg, RA and multiple sclerosis).
(1) Report Dipartimento di Scienze Mediche - Trieste, November 4, 1997 - Indena S.p.A., Internal File.
(2) Report Sta /03/97 - Indena S.p.A., Internal File.
(3) Gallo D, Ferlini C, Fabrizi M, Prislei S, Scambia G., "Lack of stimulatory activity of a phytoestrogen-containing soy extract on the
growth of breast cancer tumors in mice", Carcinogenesis. Jul;27(7):1404-9. Epub 2006 Jan 7 (2006)
(4) Gallo D., Ferlini C., Fabrizi M., Prislei S., Riva A., Morazzoni P., Bombardelli E., Scambia G., 6th International Symposium on the Role of Soy, 30 October - 2 November 2005, Chicago, USA.
(5) Gallo D., Mantuano E., Fabrizi M., Ferlini C., Mozzetti S., De Stefano I., Scambia G.,
"Effects of a phytoestrogen-containing soy extract on the growth-inhibitory activity of ICI 182 780 in an experimental model of estrogen-dependent breast cancer",
Endocrine-Related Cancer., 14, pag. 317-324 (2007)
(6) Gallo D, Zannoni GF, Fabrizi M, De Stefano I, Mantuano E, Scambia G., "Comparative effects of 17beta-estradiol and phytoestrogens in the regulation of endometrial functions in the rodent
uterus", 1: J Endocrinol Invest. Jan;31(1):48-56 (2008)
(7) Daniela Gallo, MSc, Alessandra Battaglia, MSc, Elisabetta Mantuano,
PhD, Daniele Travaglia, AAS, Ilaria De Stefano, MSc, Alexia Buzzonetti, AAS, and Giovanni Scambia,
MD, “17A-Estradiol and soy phytochemicals selectively induce a type 2 polarization in mesenteric lymph nodes of ovariectomized rats”, Menopause: The Journal of The North American Menopause Society, Vol. 15, No. 4, pp. 718/725 (2008)

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