The effects of short-term oral phytoestrogen supplementation on the hypothalamic-pituitary-testicular axis in prostate cancer patients

Background Here we evaluate the effects of oral phytoestrogen supplementation on hypothalamic‐pituitary‐testicular (HPT) axis in CaP patients. Methods We recruited 40 men about to undergo radical prostatectomy for CaP to receive either 240 mg of clover phytoestrogens or placebo daily for 2 weeks. Se...

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Veröffentlicht in:The Prostate 2006-07, Vol.66 (10), p.1086-1091
Hauptverfasser: Rannikko, Antti, Petas, Anssi, Raivio, Taneli, Jänne, Olli A., Rannikko, Sakari, Adlercreutz, Herman
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container_end_page 1091
container_issue 10
container_start_page 1086
container_title The Prostate
container_volume 66
creator Rannikko, Antti
Petas, Anssi
Raivio, Taneli
Jänne, Olli A.
Rannikko, Sakari
Adlercreutz, Herman
description Background Here we evaluate the effects of oral phytoestrogen supplementation on hypothalamic‐pituitary‐testicular (HPT) axis in CaP patients. Methods We recruited 40 men about to undergo radical prostatectomy for CaP to receive either 240 mg of clover phytoestrogens or placebo daily for 2 weeks. Serum hormone levels were measured before and after treatment. In addition, recombinant cell bioassay was used to measure serum androgen bioactivity (ABA). Results Phytoestrogen treatment increased serum LH from mean of 3.4–5.2 IU, P = 0.03. Concomitantly, non‐significant trend towards decline in serum T, cfT and ABA values was noted. However, mean serum LH/T ratio was upregulated from 0.20 to 0.48 IU/nM, P = 0.004, suggesting compensated hypogonadism. During the course of treatment, serum concentration of equol correlated strongly with the concomitant decrease in ABA (r = −0.586, P = 0.022). Conclusions Phytoestrogen treatment interferes with HPT axis in CaP patients by inducing testicular resistance to LH and compensated hypogonadism. Prostate 66: 1086‐1091, 2006. © 2006 Wiley‐Liss, Inc.
doi_str_mv 10.1002/pros.20437
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Methods We recruited 40 men about to undergo radical prostatectomy for CaP to receive either 240 mg of clover phytoestrogens or placebo daily for 2 weeks. Serum hormone levels were measured before and after treatment. In addition, recombinant cell bioassay was used to measure serum androgen bioactivity (ABA). Results Phytoestrogen treatment increased serum LH from mean of 3.4–5.2 IU, P = 0.03. Concomitantly, non‐significant trend towards decline in serum T, cfT and ABA values was noted. However, mean serum LH/T ratio was upregulated from 0.20 to 0.48 IU/nM, P = 0.004, suggesting compensated hypogonadism. During the course of treatment, serum concentration of equol correlated strongly with the concomitant decrease in ABA (r = −0.586, P = 0.022). Conclusions Phytoestrogen treatment interferes with HPT axis in CaP patients by inducing testicular resistance to LH and compensated hypogonadism. Prostate 66: 1086‐1091, 2006. © 2006 Wiley‐Liss, Inc.</description><identifier>ISSN: 0270-4137</identifier><identifier>EISSN: 1097-0045</identifier><identifier>DOI: 10.1002/pros.20437</identifier><identifier>PMID: 16637075</identifier><identifier>CODEN: PRSTDS</identifier><language>eng</language><publisher>Hoboken: Wiley Subscription Services, Inc., A Wiley Company</publisher><subject>Administration, Oral ; Aged ; androgen ; Androgens - blood ; bioactivity ; Biological and medical sciences ; daidzein ; Dose-Response Relationship, Drug ; Double-Blind Method ; equol ; genistein ; Gynecology. Andrology. Obstetrics ; Humans ; Hypogonadism - etiology ; Hypogonadism - physiopathology ; Hypothalamus - drug effects ; Hypothalamus - physiopathology ; Luteinizing Hormone - blood ; Luteinizing Hormone - physiology ; Male ; Male genital diseases ; Medical sciences ; Middle Aged ; Nephrology. Urinary tract diseases ; Phytoestrogens - administration &amp; dosage ; Phytoestrogens - pharmacology ; Phytoestrogens - therapeutic use ; Pituitary Gland - drug effects ; Pituitary Gland - physiopathology ; Prospective Studies ; prostate cancer ; Prostatic Neoplasms - blood ; Prostatic Neoplasms - drug therapy ; Prostatic Neoplasms - physiopathology ; Testis - drug effects ; Testis - physiopathology ; Testosterone - blood ; Tumors ; Tumors of the urinary system ; Urinary tract. 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Methods We recruited 40 men about to undergo radical prostatectomy for CaP to receive either 240 mg of clover phytoestrogens or placebo daily for 2 weeks. Serum hormone levels were measured before and after treatment. In addition, recombinant cell bioassay was used to measure serum androgen bioactivity (ABA). Results Phytoestrogen treatment increased serum LH from mean of 3.4–5.2 IU, P = 0.03. Concomitantly, non‐significant trend towards decline in serum T, cfT and ABA values was noted. However, mean serum LH/T ratio was upregulated from 0.20 to 0.48 IU/nM, P = 0.004, suggesting compensated hypogonadism. During the course of treatment, serum concentration of equol correlated strongly with the concomitant decrease in ABA (r = −0.586, P = 0.022). Conclusions Phytoestrogen treatment interferes with HPT axis in CaP patients by inducing testicular resistance to LH and compensated hypogonadism. Prostate 66: 1086‐1091, 2006. © 2006 Wiley‐Liss, Inc.</description><subject>Administration, Oral</subject><subject>Aged</subject><subject>androgen</subject><subject>Androgens - blood</subject><subject>bioactivity</subject><subject>Biological and medical sciences</subject><subject>daidzein</subject><subject>Dose-Response Relationship, Drug</subject><subject>Double-Blind Method</subject><subject>equol</subject><subject>genistein</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Humans</subject><subject>Hypogonadism - etiology</subject><subject>Hypogonadism - physiopathology</subject><subject>Hypothalamus - drug effects</subject><subject>Hypothalamus - physiopathology</subject><subject>Luteinizing Hormone - blood</subject><subject>Luteinizing Hormone - physiology</subject><subject>Male</subject><subject>Male genital diseases</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Nephrology. Urinary tract diseases</subject><subject>Phytoestrogens - administration &amp; dosage</subject><subject>Phytoestrogens - pharmacology</subject><subject>Phytoestrogens - therapeutic use</subject><subject>Pituitary Gland - drug effects</subject><subject>Pituitary Gland - physiopathology</subject><subject>Prospective Studies</subject><subject>prostate cancer</subject><subject>Prostatic Neoplasms - blood</subject><subject>Prostatic Neoplasms - drug therapy</subject><subject>Prostatic Neoplasms - physiopathology</subject><subject>Testis - drug effects</subject><subject>Testis - physiopathology</subject><subject>Testosterone - blood</subject><subject>Tumors</subject><subject>Tumors of the urinary system</subject><subject>Urinary tract. Prostate gland</subject><issn>0270-4137</issn><issn>1097-0045</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kM2KFDEUhYMoTju68QEkG10INd4kVUlnKY2OwtAj2iK4CanULStaf5OkcPoFfG7TduvshEA23zn3nEPIUwYXDIC_msMULziUQt0jKwZaFQBldZ-sgCsoSibUGXkU43eAjAN_SM6YlEKBqlbk165Dim2LLkU6tTR2U0hFwjDQKdiezt0-TRhTmL7hSOMyzz0OOCab_DTS_FLWd_t5Sp3t7eBdMfu0-GTDPrvE5N3S20DtrY_Uj_QQNWuROjs6DHTOPtktPiYPWttHfHL6z8nnt292m3fF1fXl-83rq8IJXamiZkq0nDWyqYGvWck1WAC1Rs0tbxWTlRZQNti4usZGgiq5YFxJ51ytXePEOXlx9M1Bbpaczww-Oux7O-K0RCOV1kqXVQZfHkGXE8eArZmDH3Irw8AcVjeHKubP6hl-dnJd6gGbO_Q0cwaenwAbne3bkNv7eMeptda61JljR-6n73H_n5Pmw8frT3-PF0eNjwlv_2ls-JHbCFWZL9tLI7XcbvlmZ76K3_rYrS0</recordid><startdate>20060701</startdate><enddate>20060701</enddate><creator>Rannikko, Antti</creator><creator>Petas, Anssi</creator><creator>Raivio, Taneli</creator><creator>Jänne, Olli A.</creator><creator>Rannikko, Sakari</creator><creator>Adlercreutz, Herman</creator><general>Wiley Subscription Services, Inc., A Wiley Company</general><general>Wiley-Liss</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20060701</creationdate><title>The effects of short-term oral phytoestrogen supplementation on the hypothalamic-pituitary-testicular axis in prostate cancer patients</title><author>Rannikko, Antti ; Petas, Anssi ; Raivio, Taneli ; Jänne, Olli A. ; Rannikko, Sakari ; Adlercreutz, Herman</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3957-b173f21d6db02814290a0078e92a2f71659304dedcbbed6074231276cccb9cdc3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Administration, Oral</topic><topic>Aged</topic><topic>androgen</topic><topic>Androgens - blood</topic><topic>bioactivity</topic><topic>Biological and medical sciences</topic><topic>daidzein</topic><topic>Dose-Response Relationship, Drug</topic><topic>Double-Blind Method</topic><topic>equol</topic><topic>genistein</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Humans</topic><topic>Hypogonadism - etiology</topic><topic>Hypogonadism - physiopathology</topic><topic>Hypothalamus - drug effects</topic><topic>Hypothalamus - physiopathology</topic><topic>Luteinizing Hormone - blood</topic><topic>Luteinizing Hormone - physiology</topic><topic>Male</topic><topic>Male genital diseases</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Nephrology. Urinary tract diseases</topic><topic>Phytoestrogens - administration &amp; dosage</topic><topic>Phytoestrogens - pharmacology</topic><topic>Phytoestrogens - therapeutic use</topic><topic>Pituitary Gland - drug effects</topic><topic>Pituitary Gland - physiopathology</topic><topic>Prospective Studies</topic><topic>prostate cancer</topic><topic>Prostatic Neoplasms - blood</topic><topic>Prostatic Neoplasms - drug therapy</topic><topic>Prostatic Neoplasms - physiopathology</topic><topic>Testis - drug effects</topic><topic>Testis - physiopathology</topic><topic>Testosterone - blood</topic><topic>Tumors</topic><topic>Tumors of the urinary system</topic><topic>Urinary tract. Prostate gland</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Rannikko, Antti</creatorcontrib><creatorcontrib>Petas, Anssi</creatorcontrib><creatorcontrib>Raivio, Taneli</creatorcontrib><creatorcontrib>Jänne, Olli A.</creatorcontrib><creatorcontrib>Rannikko, Sakari</creatorcontrib><creatorcontrib>Adlercreutz, Herman</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Prostate</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Rannikko, Antti</au><au>Petas, Anssi</au><au>Raivio, Taneli</au><au>Jänne, Olli A.</au><au>Rannikko, Sakari</au><au>Adlercreutz, Herman</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The effects of short-term oral phytoestrogen supplementation on the hypothalamic-pituitary-testicular axis in prostate cancer patients</atitle><jtitle>The Prostate</jtitle><addtitle>Prostate</addtitle><date>2006-07-01</date><risdate>2006</risdate><volume>66</volume><issue>10</issue><spage>1086</spage><epage>1091</epage><pages>1086-1091</pages><issn>0270-4137</issn><eissn>1097-0045</eissn><coden>PRSTDS</coden><abstract>Background Here we evaluate the effects of oral phytoestrogen supplementation on hypothalamic‐pituitary‐testicular (HPT) axis in CaP patients. Methods We recruited 40 men about to undergo radical prostatectomy for CaP to receive either 240 mg of clover phytoestrogens or placebo daily for 2 weeks. Serum hormone levels were measured before and after treatment. In addition, recombinant cell bioassay was used to measure serum androgen bioactivity (ABA). Results Phytoestrogen treatment increased serum LH from mean of 3.4–5.2 IU, P = 0.03. Concomitantly, non‐significant trend towards decline in serum T, cfT and ABA values was noted. However, mean serum LH/T ratio was upregulated from 0.20 to 0.48 IU/nM, P = 0.004, suggesting compensated hypogonadism. During the course of treatment, serum concentration of equol correlated strongly with the concomitant decrease in ABA (r = −0.586, P = 0.022). Conclusions Phytoestrogen treatment interferes with HPT axis in CaP patients by inducing testicular resistance to LH and compensated hypogonadism. Prostate 66: 1086‐1091, 2006. © 2006 Wiley‐Liss, Inc.</abstract><cop>Hoboken</cop><pub>Wiley Subscription Services, Inc., A Wiley Company</pub><pmid>16637075</pmid><doi>10.1002/pros.20437</doi><tpages>6</tpages></addata></record>
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source Wiley Online Library - AutoHoldings Journals; MEDLINE
subjects Administration, Oral
Aged
androgen
Androgens - blood
bioactivity
Biological and medical sciences
daidzein
Dose-Response Relationship, Drug
Double-Blind Method
equol
genistein
Gynecology. Andrology. Obstetrics
Humans
Hypogonadism - etiology
Hypogonadism - physiopathology
Hypothalamus - drug effects
Hypothalamus - physiopathology
Luteinizing Hormone - blood
Luteinizing Hormone - physiology
Male
Male genital diseases
Medical sciences
Middle Aged
Nephrology. Urinary tract diseases
Phytoestrogens - administration & dosage
Phytoestrogens - pharmacology
Phytoestrogens - therapeutic use
Pituitary Gland - drug effects
Pituitary Gland - physiopathology
Prospective Studies
prostate cancer
Prostatic Neoplasms - blood
Prostatic Neoplasms - drug therapy
Prostatic Neoplasms - physiopathology
Testis - drug effects
Testis - physiopathology
Testosterone - blood
Tumors
Tumors of the urinary system
Urinary tract. Prostate gland
title The effects of short-term oral phytoestrogen supplementation on the hypothalamic-pituitary-testicular axis in prostate cancer patients
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