• ]]>Cancer Prevention]]>
Sulforaphane is a chemical found in broccoli sprouts, as well as other cabbage-family vegetables such as broccoli, Brussels sprouts, cabbage, cauliflower, and kale. Some evidence hints that sulforaphane might help prevent cancer.
Sulforaphane is not an essential nutrient. It is found in especially high levels in broccoli sprouts.
Numerous observational studies]]> have found that a high consumption of vegetables in the cabbage family is associated with a reduced risk of cancer, especially breast, prostate, lung, stomach, colon, and rectal cancer. ]]>1]]> On this basis, scientists have looked for anticancer substances in these foods. Sulforaphane is one such candidate substance ( ]]>indole-3-carbinol]]> , I3C, is another). In ]]>test-tube]]> and ]]>animal studies]]> , sulforaphane exhibits properties that suggest it could indeed help prevent many forms of cancer. ]]>2-23]]>
However, it is a long way from such studies to reliable evidence of benefit. Observational studies are notoriously poor guides to treatment, sometimes leading to conclusions that are the reverse of what is ultimately found to be correct. ]]>24,25]]> The problem is that they can’t show cause-and-effect—they only show association. It is possible, for example, that people who consume more cabbage-family vegetables share other traits that are responsible for reduced cancer rates. Consider the history of hormone replacement therapy. In the 1990s, scientists had concluded that estrogen prevents heart disease, based largely on observational studies that showed menopausal women who use hormone replacement have lower heart disease rates. When ]]>double-blind]]> , placebo-controlled studies were performed, however, they showed that hormone replacement therapy actually increases heart disease risk. For all we know, we could be making a similar mistake with cabbage-family vegetables.
Certainly, it is too great a leap to jump to one constituent of such vegetables and advocate that substance for preventing cancer. Thousands of substances show anticancer properties in the test tube and fail to pan out in real life. The ]]>beta-carotene]]> story is another instructive example. Not only did observational studies show that people who consume foods high in beta-carotene have less lung cancer, test-tube studies found that beta-carotene has anti-cancer properties. However, subsequent large double-blind studies found that beta-carotene supplements do not help prevent lung cancer, and might even increase risk.
The bottom line: At present, we cannot recommend sulforaphane for preventing cancer.
The proper daily intake (if there is any) of sulforaphane is not known. Typical recommendations range from 200 to 400 mcg daily.
No major adverse effects have been reported with sulforaphane supplements, but comprehensive studies have not been performed. Maximum safe doses in young children, pregnant or nursing women, or people with severe liver or kidney disease are not known.
NOTE: Sulforaphane has shown the potential for interacting with numerous medications. 26]]> For this reason, we recommend that people taking any oral or injected medication that is critical to their health or well-being avoid using sulforaphane supplements until more is known.
5. Pham NA, Jacobberger JW, Schimmer AD, et al. The dietary isothiocyanate sulforaphane targets pathways of apoptosis, cell cycle arrest, and oxidative stress in human pancreatic cancer cells and inhibits tumor growth in severe combined immunodeficient mice. Mol Cancer Ther . 2004;3:1239–48.
8. Fahey JW, Haristoy X, Dolan PM, et al. Sulforaphane inhibits extracellular, intracellular, and antibiotic-resistant strains of Helicobacter pylori and prevents benzo[a]pyrene-induced stomach tumors. Proc Natl Acad Sci USA . 2002;99:7610–7615.
15. Gamet-Payrastre L, Li P, Lumeau S, et al. Sulforaphane, a naturally occurring isothiocyanate, induces cell cycle arrest and apoptosis in HT29 human colon cancer cells. Cancer Res . 2000;60:1426–1433.
21. Conaway CC, Getahun SM, Liebes LL, et al. Disposition of glucosinolates and sulforaphane in humans after ingestion of steamed and fresh broccoli. Nutr Cancer . 2000;38:168–78. Erratum in: Nutr Cancer . 2001;41:196.
22. Steinkellner H, Rabot S, Freywald C, et al. Effects of cruciferous vegetables and their constituents on drug metabolizing enzymes involved in the bioactivation of DNA-reactive dietary carcinogens. Mutat Res . 2001;480-481:285–97.
Last reviewed April 2009 by EBSCO CAM Review Board]]>
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
Copyright © 2007 EBSCO Publishing All rights reserved.