PMID- 20503397 OWN - NLM STAT- MEDLINE DCOM- 20100615 LR - 20131121 IS - 1097-0045 (Electronic) IS - 0270-4137 (Linking) VI - 70 IP - 10 DP - 2010 Jul 1 TI - Combined inhibitory effects of soy isoflavones and curcumin on the production of prostate-specific antigen. PG - 1127-33 LID - 10.1002/pros.21147 [doi] AB - BACKGROUND: Sustained chronic inflammation in the prostate promotes prostate carcinogenesis. Since an elevated level of prostate-specific antigen (PSA) per se reflects the presence of inflammation in the prostate, intervention to improve the PSA value might potentially have beneficial effects for the prevention of the development of prostate cancer. Isoflavones and curcumin have anti-inflammatory and anti-oxidant properties. We examined the biological effects of soy isoflavones and curcumin on LNCaP cells. After that, we conducted a clinical trial for men who received prostate biopsies, but were not found to have prostate cancer, to evaluate the effects of soy isoflavones and curcumin on serum PSA levels. METHODS: The expression of androgen receptor and PSA were examined in LNCaP cells before and after treatment of isoflavones and/or curcumin. Eighty-five participants were randomized to take a supplement containing isoflavones and curcumin or placebo daily in a double-blind study. Subjects were subdivided by the cut-off of their baseline PSA value at 10 microg/ml. We evaluated values of PSA before and 6 months after treatment. RESULTS: The production of PSA were markedly decreased by the combined treatment of isoflavones and curcumin in prostate cancer cell line, LNCaP. The expression of the androgen receptor was also suppressed by the treatment. In clinical trials, PSA levels decreased in the patients group with PSA >or= 10 treated with supplement containing isoflavones and curcumin (P = 0.01). CONCLUSIONS: Our results indicated that isoflavones and curcumin could modulate serum PSA levels. Curcumin presumably synergizes with isoflavones to suppress PSA production in prostate cells through the anti-androgen effects. FAU - Ide, Hisamitsu AU - Ide H AD - Department of Urology, Teikyo University School of Medicine, Itabashi-ku, Tokyo, Japan. FAU - Tokiwa, Shino AU - Tokiwa S FAU - Sakamaki, Kentaro AU - Sakamaki K FAU - Nishio, Koujiro AU - Nishio K FAU - Isotani, Shuji AU - Isotani S FAU - Muto, Satoru AU - Muto S FAU - Hama, Takanori AU - Hama T FAU - Masuda, Hiroko AU - Masuda H FAU - Horie, Shigeo AU - Horie S LA - eng PT - Journal Article PT - Randomized Controlled Trial PL - United States TA - Prostate JT - The Prostate JID - 8101368 RN - 0 (Anti-Inflammatory Agents, Non-Steroidal) RN - 0 (Isoflavones) RN - 0 (Receptors, Androgen) RN - EC 3.4.21.77 (Prostate-Specific Antigen) RN - IT942ZTH98 (Curcumin) SB - IM MH - Aged MH - Aged, 80 and over MH - Anti-Inflammatory Agents, Non-Steroidal/*pharmacology MH - Antineoplastic Combined Chemotherapy Protocols/*administration & dosage MH - Blotting, Western MH - Cell Line, Tumor MH - Curcumin/administration & dosage/*pharmacology MH - Double-Blind Method MH - Humans MH - Isoflavones/administration & dosage/*pharmacology MH - Male MH - Middle Aged MH - Prostate-Specific Antigen/*antagonists & inhibitors/biosynthesis/blood MH - Prostatic Neoplasms/blood/*drug therapy/metabolism MH - Receptors, Androgen/biosynthesis/blood EDAT- 2010/05/27 06:00 MHDA- 2010/06/16 06:00 CRDT- 2010/05/27 06:00 PHST- 2010/05/27 06:00 [entrez] PHST- 2010/05/27 06:00 [pubmed] PHST- 2010/06/16 06:00 [medline] AID - 10.1002/pros.21147 [doi] PST - ppublish SO - Prostate. 2010 Jul 1;70(10):1127-33. doi: 10.1002/pros.21147.