The developing fetus is uniquely sensitive to perturbation with estrogenic
chemicals. The carcinogenic effect of prenatal exposure to diethylstilbestr
ol (DES) is the classic example, Because phytoestrogen use in nutritional a
nd pharmaceutical applications for infants and children is increasing, we i
nvestigated the carcinogenic potential of genistein, a naturally occurring
plant estrogen in soy, in an experimental animal model previously reported
to result in a high incidence of uterine adenocarcinoma after neonatal DES
exposure. Outbred female CD-1 mice were treated on days 1-5 with equivalent
estrogenic doses of DES (0.001 mg/kg/day) or genistein (50 mg/kg/day), At
18 months, the incidence of uterine adenocarcinoma was 35% for genistein an
d 31% for DES, These data suggest that genistein is carcinogenic if exposur
e occurs during critical periods of differentiation. Thus, the use of soy-b
ased infant formulas in the absence of medical necessity and the marketing
of soy products designed to appeal to children should be closely examined.