And now for something completely different

Note: before anyone pooh-poohs this article for being in a blog mostly about weather and climate, note the description on the masthead. Note also that I have recently experienced cancer in my family as I’m sure many readers have at some time, therefore it is relevant to me, and may be helpful to others, and that’s all that matters. – Anthony

Guest post by David Archibald

Before starting out in climate science in 2006, my main hobby was cancer research. To that end, I had co-invented a cancer drug with two professors from Purdue University, Professor Jim Morre and his wife Professor Dorothy Morre. I went on to lodge a patent on a benign prostatic hyperplasia (BPH) drug myself. I still operate in that space. Early in that journey, I was given the draft manuscript of a book on how isoflavones from soy and other legumes modulate the human female hormone system.

That was in 1998. The manuscript had been written by Dr Graham Kelly who had founded a company to commercialise isoflavone supplementation in men and women. Dr Kelly’s journey in cancer research started in the 1980s when a friend with bowel cancer asked him to look into the science of it. Dr Kelly was intrigued by the epidemiological differences in cancer rates between populations. For example, Japanese who migrate to the US go to the US breast cancer rate in a generation. The US breast cancer rate is five times the Japanese breast cancer rate. The difference in cancer rate is not genetic, it is obviously dietary. So what is the difference in diet that is causing the difference in cancer incidence? A big difference is isoflavone consumption. Amongst the Japanese, it is an average of 40 mg per day. The US average is 3 mg per day.

In Western countries, breast cancer and prostate cancer have the same incidence. In women, 11% get diagnosed with breast cancer in their lifetime and 5% die of it. In men, 11% get diagnosed with prostate cancer in their lifetime and 5% die of it. There are very big epidemiological differences in prostate cancer rates. As the following graph shows, the Vietnamese prostate cancer rate is one fortieth of the Western prostate cancer rate:

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Defeating the scourge of a lot of common cancers is as simple as changing your diet. It is a bit like Vitamin C. If you don’t get any Vitamin C in your diet, you die of scurvy within three years. Pigs and dogs make their own Vitamin C, and presumably some precursor ape to humans had the ability to make it. Humans must have lost the ability for an evolutionary advantage. There are probably a large number of other plant molecules which we evolved to rely upon in our diet. We might not die in the near term if we don’t get them in our diet, but we suffer an increased incidence of degenerative diseases if we don’t. With respect to the dietary components that might cause the low Vietnamese prostate cancer rate, the national dish of Vietnam is called pho. It is a bowl of noodles and meat with three side dishes – bean sprouts, chillis and mint. The anticancer effect would be the result of synergistic blocking of the tNOX molecule on the external membrane of cancer cells by sulforaphane from the bean sprouts with capsaicin from the chilli peppers, stopping the overproduction of anti-apoptotic proteins and allowing the death receptors to trigger the apoptotic cascade of the caspases.

Back to Dr Kelly’s book, “Hormones with Harmony”. It is 70,000 words and goes into highly readable detail on how the daughter metabolites of isoflavones become human hormones in the body. They then become very useful in evening out the peaks and troughs of the body’s estrogenic hormones: estradiol, estrone and estriol. The book goes into detail on how the plant-derived hormones are beneficial in pms, mastalgia, endometriosis, uterine fibroids, uterine cancer, ovarian cancer, menopausal symptoms, osteoporosis, cardiovascular disease, cataracts, senile dementia and breast cancer. Without being overly technical, it does not talk down to its readers. Earlier this year, I undertook to get it published and it is now available on Kindle for $5 per copy. I do recommend it.

Further to the subject of prostate cancer, there are a number of plant molecules that have an effect on it and BPH. All cancers have tNOX molecules on their external membranes. tNOX is the tumour variant of cNOX, or normal constituent NOX. No plant molecules bind to cNOX but a number bind to tNOX. tNOX has two binding sites. If both are bound to simultaneously, the effect is synergistic. For example, the combination of sulforaphane with capsaicin has twenty times the effect of sulforaphane alone. Another example of synergism is curcumin from turmeric with piperine from black pepper.

David Archibald

December 2012

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208 Comments
georgi
December 12, 2012 7:18 am

interesting. a friend of mine got prostate cancer in his 30s. since recovering he has a Japanese diet and swears by it. been fine since. n=1 😉

Nick
December 12, 2012 7:36 am

Very interesting article. There are so many confounding factors. Sugar consumption as a percentage of calories, obesity rates and diabetes are also much higher in the US than the other countries mentioned. Interestingly, there are those who also believe soy consumption in the form of industrial oils contributes to some of these issues. So, fermintation could also play a role in health outcomes, as this is often how soy is consumed in Asian countries.

December 12, 2012 7:37 am

Very convincing, and thought-provoking. I frequently consume the foods and spices David mentions, with the exception of soya. A favourite (and cheap) dish is dhal – lentils cooked with turmeric, chillies and ginger. Fingers crossed then.

John R T
December 12, 2012 7:39 am

Anthony, many thanks for this.
What a Christmas gift, for men and women, of all ages!

ozspeaksup
December 12, 2012 7:40 am

hmm? and what research done on GMO soy?
which is whats eaten if the japanese etc come to usa and still eat soy..
personally I would rather avoid all soy until GMO is removed entirely from the food system, ditto the corn.
seems I have it half right re the alternative:-) I love pepper and can add turmeric to diet.
and how many of the present older age group cancers get tested for SV40? In the cancer itself.
millions of us copped the polio vax carrying that too.
then add a fair whack of our lives eating food off of or cooked and stored in hormone and chem emitting plastics.
having tried the soy based hormone replacer patches and getting near immediate breast lumps,, again I think I prefer to leave it well alone.

Morley Sutter
December 12, 2012 7:40 am

It should be pointed out that both prostate and breast tissue are influenced, indeed controlled by hormones. Cancers occurring in these tissues therefore are special. Possible benefits of isoflavones cannot be extrapolated to all cancers.

Gilbert K. Arnold
December 12, 2012 7:40 am

As a member of a family who parents died of cancer, I find this post interesting and appropos. Anything that can help reduce the incidence of the cancers listed in the article is a GOOD thing. Especially if all it takes is a minor adjustment in one’s diet

MinB
December 12, 2012 7:43 am

Very interesting article. I thought that much of the difference in breast cancer rates had been correlated to later menarche in Asian countries reducing lifetime exposure to estrogen. The later menarche was due to lower caloric intake. That being said, I do believe that soy can alleviate many female hormonal swings and associated symptoms.

Kerry Eubanks
December 12, 2012 7:44 am

David,
A very interesting analysis, and one I am in no position to dispute. I will just state that in my opinion, the statistics being cited are being done in an overly simplistic manner. For example, you can’t discuss cancer mortality and morbidity without controlling for life expectancy differences between cultures. So yes, the differences appear dramatic (and thus likely are real), but I believe the analysis needs to be a bit more careful.
Having said that, thank you. Cancer touches almost all of us in one way or another during our lifetimes.
Kerry

Jim Rose
December 12, 2012 7:45 am

Hi
This is a naive question from a lay person. Do bean sprouts (or soy bean sprouts) actually contain sulforaphane? I was under the impression that sulforaphane was a constituent of the criciferous vegatables — and found in high concentration in broccoli sprouts. Does the Vietnameese meal you referenced contain broccoli sprouts? Could you please give me a reference for sulforaphane in bean sprouts — I want to make this part of my diet.
Thank you, Jim Rose

December 12, 2012 7:45 am

Comparing rates between Vietnam and US.
Life expectancy is not a factor for higher rates in the US?

techgm
December 12, 2012 7:45 am

I took notes. Tnx, Anthony.

Bobl
December 12, 2012 7:46 am

Thank you Anthony – most useful post

Nerd
December 12, 2012 7:48 am

I knew this high school student that had stage 4 cancer in the digestive region. Her doctor had her taking 10,000 IU of vitamin D3 a day to compliment chemotherapy. She beat it last spring.
Here’s the background on how vitamin D3 prevent/fight cancer – http://www.vitamindcouncil.org/health-conditions/cancer/
http://grassrootshealth.net/media/download/london032311.pdf
I only take 5,000 IU a day just to prevent cold, flu and especially sinus infection. It works perfectly for 4 years now. It’s like your universal vaccine against cold and flu. Apparently, cancers too.

December 12, 2012 7:48 am

It would be interesting to see data for China to compare with Japan and Vietnam.

December 12, 2012 7:50 am

Or is that what the “age standardized” accounts for?

MarkW
December 12, 2012 7:52 am

Just to be anal about it, I see two mastheads, the first and more prominent states:
The world’s most viewed site on global warming and climate change
Not that I have any problem with Anthony putting up articles on any subject that interests him. On those few occassions when it’s not a topic that interests me, I just skip to the next article.

Steveta_uk
December 12, 2012 7:53 am

Pigs and dogs make their own Vitamin C, and presumably some precursor ape to humans had the ability to make it. Humans must have lost the ability for an evolutionary advantage.

Not necessarily. Millions of years living with a diet that had no vitamin C deficiency may have allowed the ability to create vitamin C to be lost with no downside, so it could have been lost by chance mutation with no evolutionary consequences (at the time).

December 12, 2012 7:54 am

Thanks Anthony.

Rob Potter
December 12, 2012 7:58 am

Thanks David,
An informative review and it is good to consider how much the existing compounds in foods are often biologically active (not just the added compounds used in production/processing). I also think it is noticeable that disease rates change in ethnic populations when people move from one area to another – I have reviewed a number of projects which used this as a starting point for some very useful research. However I am always concerned with any comparison of cancer rates across countries as there are massive differences in medical care in these countries which account for a good deal of the differences in incidence rates.
One of the issues now being widely recognized with both breast and prostate cancer screening is that we are detecting higher levels, but not affecting death rates from these diseases to the same level we have with many other cancers. This has been interpreted as suggesting that we are finding many tumours which would not go on to cause disease (or death) and thus increased incidence rates are a symptom of the screening and not an underlying cause. Screening is a difficult subject right now, with good arguments on both sides and made more complex because the treatments are not benign and cancer impacts individuals directly (not a hypothetical population).
I do not doubt the biological effects you have pointed out, but I am wary of ascribing the differences in incidence to one (or even a few) dietary components. This is a case – very similar to ascribing a cause to climate change – where there are a lot of factors involved and one should be as sceptical about deterministic mechanisms of cellular responses as about climate models.
Thanks again for the review – I hope I can make the time to read the book and that it will allay some of my scepticism. I am always hopeful that we can find some valid approaches to reducing cancer incidence: cancer treatments have improved immensely in recent years, but are still very unpleasant by their very nature. I suspect Anthony is not alone on this site in having direct knowledge of what cancer treatment involves – I sincerely hope you are done with that part now and wish you (and other readers) all the best.

r murphy
December 12, 2012 7:59 am

Got hooked on pho a few years ago and am pleased to discover its medical benefits. It is a very tasty lunch that leaves me energized. The broth is the secret and is anything but simple to make. Every restaurant has it’s own version, enjoy finding your favorite.

Tony
December 12, 2012 7:59 am

Pho Bo and Pho Ga are iconic dishes of Vietnam, but most meals are probably rice, chicken or fish, fresh vegetables and vegetable soup, accompaniment of herbs, with chilis and lots and lots of fish sauce. The Vietnamese eat lots of fish. Typically, the dishes are simple, fresh and untouched by preservatives. However, pesticide contamination is a concern.
There are other factors that may affect the average Vietnamese person’s overall well being besides a great diet. Their positive happy go lucky culture with an uncomplicated and comparatively low stress way of life (to a degree).
Also sadly the fact that probably many die of causes that were never properly diagnosed (or even any attempt at a diagnosis), records are simply unavailable and individuals are unable or unwilling to seek healthcare that they cannot afford. The health system is can be indescribably bad, being involved in a significant amount of charitable work in Vietnam, we have seen what the average Vietnamese family faces first hand.
I would not believe any statistics from the region. Health issues are simply unquantifiable.

December 12, 2012 7:59 am

I can see where this field can take a lifetime to learn and understand! But your short synopsis was very clear and educational. You also forced me to Google sulforaphane and find out where it comes from. While I am a BIG capsaicin consumer (I like my foods spicy), I was unsure of where to get the sulforaphane. Seeing Broccoli at the head of the list made me smile.

December 12, 2012 8:01 am

so what foods are recommended for this?I hate taking supplements if I can avoid it.

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