Effect of soybean on breast cancer according to receptor status: a case-control study in Japan
Open accessAbstract
The possible association of high soy food consumption with low incidence of breast cancer in Asian countries has been widely investigated, but findings from epidemiologic studies have been inconsistent. Breast cancers defined by receptor status, estrogen receptor (ER), progesterone receptor (PR) and human epidermal growth factor receptor 2 (HER2) may have distinct etiologic factors. Here, we conducted a case–control study to clarify associations between intake of soybean products and breast cancer risk according to receptor status. A total of 678 breast cancer cases and 3,390 age‐ and menopausal status‐matched noncancer controls were included. Odds ratios (ORs) with 95% confidence intervals (CIs) were estimated using conditional logistic models adjusted for potential confounders. On analysis according to receptor status, we observed a significantly reduced risk of ER‐positive (ER+) (top tertile OR = 0.74; 95% CI, 0.58–0.94; trend p = 0.01) and HER2‐negative (HER2−) tumors (top tertile OR = 0.78; 95% CI, 0.61–0.99; trend p = 0.04). Further, when the 3 receptors were jointly examined, a reduced risk was observed only in patients with ER+/PR+/HER2− tumor (top tertile OR = 0.73; 95% CI, 0.54–0.97; trend p = 0.03). These findings indicate that the protective effect of soy against breast cancer risk differs by receptor status. © 2008 Wiley‐Liss, Inc.
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Eight of 12 (67%) studies examining high soy food or protein and six of seven (86%) studies examining high soy isoflavones reported inverse associations between soy and breast cancer risk.
“Eight of 12 (67%) studies examining high soy food or protein [45,46,61,64,72,77,78,81] and six of seven (86%) studies examining high soy isoflavones [42,43,45,75,77,81] reported inverse associations between soy and breast cancer risk.”
From Soy, Red Clover, and Isoflavones and Breast Cancer: A Systematic Review (2013) · cites this paper as [72]
The Results (page not supplied) report an inverse association between soybean-product intake and overall breast cancer risk, so this paper supports its inclusion among the soy-food studies reporting an inverse association. The Assessment of soybean intake section describes measuring soy foods, not isoflavone intake. This paper also does not establish the citing sentence’s counts of eight of 12 and six of seven studies. (LLM, conf=0.86)
Experimental — accuracy not yet measuredAmong case-control studies reporting odds ratios with confidence intervals, 11 of 19 (58%) showed significant inverse relationships between soy food or protein intake and breast cancer risk.
“Of the 19 studies, 11 (58%) showed significant inverse relationships between soy food or protein intake and risk of breast cancer [44-46,61,64,71-73,77,78,81].”
From Soy, Red Clover, and Isoflavones and Breast Cancer: A Systematic Review (2013) · cites this paper as [72]
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Sorted by citations
Soy, Red Clover, and Isoflavones and Breast Cancer: A Systematic Review
Fritz, H., Seely, D., Flower, G., Skidmore, B., Fernandes, R., Vadeboncoeur, S., Kennedy, D., Cooley, K., Wong, R., Sagar, S., et al. (2013) · PLoS ONE · doi:10.1371/journal.pone.0081968 · Cited by 188 · see citing works
- Authors
- Suzuki, T., Matsuo, K., Tsunoda, N., Hirose, K., Hiraki, A., Kawase, T., Yamashita, T., Iwata, H., Tanaka, H., & Tajima, K.
- Affiliations
- Aichi Cancer Center Research Institute (JP)
- Aichi Cancer Center (JP)
- Aichi Prefectural Institute of Public Health (JP)
- Corresponding author
- Suzuki, Takeshi
- ORCID
- Venue
- International Journal of Cancer
- Publisher
- Wiley
- Published
- 2008-07-11
- Volume
- 123
- Issue
- 7
- Pages
- 1674-1680
- ISSN
- 0020-7136 (ISSN-L)
- 1097-0215
- OpenAlex
- W2065778698
- Cited by
- 47
- References
- 2
- Citations by year
- 2026: 1 · 2025: 1 · 2023: 2 · 2022: 2 · 2021: 1 · 2020: 3 · 2019: 1 · 2018: 1 · 2017: 1 · 2016: 2 · 2015: 1 · 2014: 4 · 2013: 6 · 2012: 5
- FWCI
- 3.78
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- International Journal of Cancer (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Ministry of Health, Labour and Welfare
- Japan Society for the Promotion of Science
- Topics
- Health Sciences › Medicine › Pathology and Forensic Medicine › Phytoestrogen effects and research
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Nutritional Studies and Diet
- Health Sciences › Medicine › Oncology › Cancer Risks and Factors
- Keywords
- soy products, breast cancer risk, estrogen receptor, progesterone receptor, HER2, receptor status, Asian women, cancer prevention
- MeSH terms
- Adolescent, Adult, Aged, Breast Neoplasms, Humans, Japan, Male, Middle Aged, Receptors, Estrogen, Receptors, Progesterone, Glycine max, Confidence Intervals, Odds Ratio, Case-Control Studies
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