Subtitles section Play video
"Should Women at High Risk for Breast Cancer Avoid Soy?"
Five studies have been performed
on breast cancer survival and soy foods
involving more than 10,000 breast cancer patients
and those who eat MORE soy
live longer and have a lower risk
of the cancer coming back.
But what about women who carry breast cancer genes?
Fewer than 10% of breast cancer cases run in families,
but when they do it's most likely mutations
to one of the tumor suppressor genes, BRCA1 or BRCA2,
that defend the integrity of our genes.
They are involved in DNA repair,
and so if either one of them is damaged, has mutations,
chromosomal abnormalities can result,
which can set us up for cancer.
This idea that we had tumor suppressor genes
goes back to famous research in the 60s
that showed that if you fuse together
a normal cell with a cancer cell,
the cancer cell doesn't turn the normal cell malignant,
rather the normal cell suppresses the cancerous one.
Tumor suppressor genes are typically
split up into 2 types.
There are gatekeeper genes that keep cancer cells in check,
and caretaker genes that keep the cell
from going cancerous in the first place.
And BRCA genes appear able to do both—
that's why their function is so important.
Until recently, dietary recommendations for those with mutations
focused on reducing DNA damage
caused by free radicals
by eating lots of antioxidant packed foods,
fruits and vegetables.
If your DNA repair capacity is low,
you want to be extra careful
about damaging your DNA in the first place.
But what if we could also boost BRCA function?
In my video on the topic, the last one I did,
I showed how in vitro, soy phytoestrogens
could turn back on BRCA protection
suppressed by breast cancer,
upregulating BRCA expression
as much as 1000% within 48 hours.
But does that translate out of the petri dish
and into the person?
Apparently so.
Soy intake was only associated with
a 27% breast cancer risk reduction
in people with normal BRCA genes,
but a 73% risk reduction
in carriers of BRCA gene mutations.
So a healthy diet may be particularly important
in those at high genetic risk.
Meat consumption, for example, was linked
to twice as much risk in those with BRCA mutations,
97% increased risk instead of just 41% increased risk of breast cancer
in those with normal BRCA genes.
So same dietary advice,
but just more important when there's more risk.