Angiogenesis is a key in cancer progression and its regulators are released both by the tumor cells and the stroma. Dietary phytoestrogens, such as the lignan enterolactone (ENL) and the isoflavone genistein (GEN), may differently affect breast cancer growth. In this study, human breast cancer cells (MCF-7) were established in mice creating a tumor with species-specific cancer and stroma cells. Ovariectomized athymic mice supplemented with estradiol (E2) were fed basal AIN-93G diet (BD) or BD supplemented with 100 mg/kg ENL, 100 mg/kg GEN or their combination (ENL1GEN). We show that ENL and ENL1GEN inhibited E2-induced cancer growth and angiogenesis, whereas GEN alone did not. Microdialysis was used to sample extracellular proteins in tumors in vivo. ENL and ENL1GEN decreased both stroma-and cancer cell-derived VEGF, whereas cancer cell-derived PlGF increased. In subcutaneous Matrigel plugs in mice, ENL and ENL1GEN decreased E2-induced endothelial cell infiltration, whereas GEN alone did not. In endothelial cells, ENL inhibited E2-induced VEGFR-2 expression, whereas GEN did not. These results suggest that ENL has potent effects on breast cancer growth, even in combination with GEN, by downregulating E2-stimulated angiogenic factors derived both from the stroma and the cancer cells, whereas dietary GEN does not possess any antiestrogenic effects.Epidemiological studies suggest that lifestyle factors such as diets containing large amounts of phytoestrogens, including isoflavones and plant lignans, rather than genetics may be associated with reduced breast cancer risk.1 Soy protein is the richest known dietary source of isoflavones, genistein (GEN) being the major compound.2 In Western diet, plant lignans are the major phytoestrogens obtained from, for example, flaxseed, cereals, vegetables and berries. These lignans may be metabolized in the gut flora into enterolignans with enterolactone (ENL) as the main metabolite in humans.
3Epidemiological studies have revealed varying results on breast cancer growth depending on the amount and type of ingested phytoestrogen, menopausal status of women and estrogen receptor (ER) status of the tumors. 4,5 In experimental models, GEN has been shown to stimulate human ER-positive MCF-7 breast cancer xenografts in the absence of ovarian hormones. 6 Contrary to the GEN results, ENL has been shown to inhibit growth of established mammary tumors in nonovariectomized rats 7 and not to stimulate MCF-7 tumors in ovariectomized mice. 6 Moreover, in mice with maintained estrogen levels, flaxseed and parenteral administration of ENL inhibited tumor growth.8