The consumption of a plant-based diet can prevent the development and progr
ession of chronic diseases associated with extensive neovascularization, in
cluding the progression and growth of solid malignant tumours. We have prev
iously shown that the plant-derived isoflavonoid genistein is a potent inhi
bitor of cell proliferation and in vitro angiogenesis. Moreover, the concen
tration of genistein in the urine of subjects consuming a plant-based diet
is 30-fold higher than that in subjects consuming a traditional Western die
t. We have also reported that certain structurally related flavonoids are m
ore potent inhibitors than genistein. Indeed, 3-hydroxyflavone, 3',4'-dihyd
roxyflavone, 2',3'-dihydroxyflavone, fisetin, apigenin and luteolin inhibit
the proliferation of normal and tumour cells as well as in vitro angiogene
sis at half-maximal concentrations in the lower micromolar range. The wide
distribution of isoflavonoids and flavonoids in the plant kingdom, together
with their anti-angiogenic and anti-mitotic properties, suggest that these
phytoestrogens may contribute to the preventive effect of a plant-based di
et on chronic diseases, including solid tumours.