Dietary genistein, a natural flavone compound found in soy, has been p
roposed to be responsible for the low rate of breast cancer in Asian w
omen. The cellular mechanisms of genistein's chemopreventive effects i
n vivo have been largely unexplored. In our previous studies, we found
that genistein exerted pronounced antiproliferative effects on both e
strogen receptor-positive and -negative human breast carcinoma cells t
hrough G(2)-M arrest, induction of p21(WAF1/CIP1) expression, and apop
tosis. Because chemopreventive effects need not be limited to antiprol
iferation, we decided to examine whether genistein exerted other suppr
essive effects on breast carcinoma progression. Genistein inhibited in
vasion in vitro of MCF-7 and MDA-MB-231 cells. This inhibition was cha
racterized by down-regulation of MMP (matrix metalloproteinase)-9 and
up-regulation of tissue inhibitor of metalloproteinase-1, the former o
f which was transcriptionally regulated at activation protein-1 sites
in the MMP-9 promoter. Genistein's in vitro effects on MMP-9 and tissu
e inhibitor of metalloproteinase-1 were also demonstrated in in vivo s
tudies in nude mouse xenografts of MDA-MB-231 and MCF-7 cells. In thes
e xenograft studies, genistein inhibited tumor growth, stimulated apop
tosis, and up-regulated p21(WAF1/CIP1) expression. In the MDA-MB-231 x
enograft, genistein also inhibited angiogenesis by decreasing vessel d
ensity and decreasing the levels of vascular endothelial growth factor
and transforming growth factor-beta 1. These in vitro and in vivo stu
dies demonstrate that genistein exerts multiple suppressive effects on
breast carcinoma cells, suggesting that its mechanism of chemoprevent
ion is pleiotropic.