Soybean isoflavones have been proposed to be anticarcinogenic, but the
ir effective doses have not been established. To study their bioavaila
bility, seven women consumed 3.4, 6.9, or 10.3 mu mol isoflavones/kg b
ody wt in soymilk in each of three meals of a liquid diet on one of th
ree feeding days that were separated by 2-wk washout periods. Subjects
were randomly assigned to doses in a cross-over design. Plasma, urine
and fecal isoflavones were measured by reverse phase HPLC. In two sub
jects, fecal isoflavone recovery was 10-20 times that in the other fiv
e subjects. Average 48-h urinary recoveries of ingested daidzein and g
enistein were 16 +/- 4 and 10 +/- 4%, respectively, at all three doses
among the five subjects excreting only small amounts of isoflavones i
n feces, whereas urinary recoveries of daidzein and genistein in the t
wo subjects who excreted large amounts of fecal isoflavones were 32 +/
- 5 and 37 +/- 6%, respectively. Urinary isoflavone excretion was near
ly zero in all subjects at 48 h after dosing. Average plasma concentra
tion of genistein at 24 h after the breakfast isoflavone dose in subje
cts excreting large amounts of fecal isoflavones was significantly gre
ater by 2.5-fold than in subjects who excreted small amounts of fecal
isoflavones (P < 0.05). In vitro anaerobic incubation of isoflavones w
ith human feces showed that intestinal half-life of daidzein and genis
tein may be as little as 7.5 and 3.3 h, respectively. These data sugge
st that human isoflavone bioavailability depends upon the relative abi
lity of gut microflora to degrade these compounds.