Skip to content
2000
Volume 21, Issue 3
  • ISSN: 1573-403X
  • E-ISSN: 1875-6557

Abstract

Phytoestrogens are plant-derived compounds resembling human estrogen and have recently gained attention due to their potential role in improving cardiovascular health. These compounds exert their effects through various mechanisms, including interactions with estrogen receptors, growth factor receptors, inflammatory mediators, thrombogenic reactions, and apoptotic pathways. This results in cardioprotective effects like modulating endothelial function, decreasing vessel tone, reducing inflammation, altering lipid profiles, and influencing arrhythmogenesis. Recent studies indicate the intricate and multidimensional association between phytoestrogens and cardiovascular disease. Despite the overwhelming evidence that phytoestrogen intake lowers the risk of myocardial infarction (MI), prevents atherosclerosis, improves cardiac function, prevents hypertension, and reduces the risk of arrhythmias, there have been studies that show contradictory outcomes. For this reason, the therapeutic use of phytoestrogens for the treatment of cardiovascular diseases, which appears to be extremely promising, should be handled cautiously, considering the individual variances, dosage, and the specific components of phytoestrogens. This review consolidates findings on the effects of phytoestrogens on the heart and blood vessels, explores the mechanisms behind these interactions, and seeks to determine the best methods for using phytoestrogens as a supplement in managing and preventing cardiovascular disease. By understanding these aspects, we can better evaluate the potential of phytoestrogens in cardiovascular health and develop guidelines for their safe and effective use.

Loading

Article metrics loading...

/content/journals/ccr/10.2174/011573403X333952241203050033
2025-01-02
2025-05-31
Loading full text...

Full text loading...

References

  1. CassidyA. HooperL. Phytoestrogens and cardiovascular disease.J. Br. Menopause Soc.2006122495610.1258/136218006777525776 16776855
    [Google Scholar]
  2. KřížováL. DadákováK. KašparovskáJ. KašparovskýT. Isoflavones.Molecules2019246107610.3390/molecules24061076
    [Google Scholar]
  3. BalakumarP Maung-UK JagadeeshG Prevalence and prevention of cardiovascular disease and diabetes mellitus.Pharmacol Res2016113Pt A60060910.1016/j.phrs.2016.09.040 27697647
    [Google Scholar]
  4. WestermanS. EngberdingN. WengerN.K. Pathophysiology and lifetime risk factors for atherosclerosis and coronary artery disease in women and in the elderly. JagadeeshG. BalakumarP. Maung-UK. Pathophysiology and Pharmacotherapy of Cardiovascular Disease.ChamAdis201542544110.1007/978‑3‑319‑15961‑4_21
    [Google Scholar]
  5. RietjensI.M.C.M. LouisseJ. BeekmannK. The potential health effects of dietary phytoestrogens.Br. J. Pharmacol.2017174111263128010.1111/bph.13622 27723080
    [Google Scholar]
  6. SirotkinA.V. HarrathA.H. Phytoestrogens and their effects.Eur. J. Pharmacol.201474123023610.1016/j.ejphar.2014.07.057 25160742
    [Google Scholar]
  7. Wroblewski LissinL. CookeJ.P. Phytoestrogens and cardiovascular health.J. Am. Coll. Cardiol.20003561403141010.1016/S0735‑1097(00)00590‑8 10807439
    [Google Scholar]
  8. TempferC.B. BentzE.K. LeodolterS. Phytoestrogens in clinical practice: A review of the literature.Fertil. Steril.20078761243124910.1016/j.fertnstert.2007.01.120 17490659
    [Google Scholar]
  9. TokedeO.A. OnabanjoT.A. YansaneA. GazianoJ.M. DjousséL. Soya products and serum lipids: A meta-analysis of randomised controlled trials.Br. J. Nutr.2015114683184310.1017/S0007114515002603 26268987
    [Google Scholar]
  10. Domínguez-LópezI. Yago-AragónM. Salas-HuetosA. Tresserra-RimbauA. Hurtado-BarrosoS. Effects of dietary phytoestrogens on hormones throughout a human lifespan: A review.Nutrients2020128245610.3390/nu12082456 32824177
    [Google Scholar]
  11. Kris-EthertonP.M. HeckerK.D. BonanomeA. Bioactive compounds in foods: Their role in the prevention of cardiovascular disease and cancer.Am. J. Med.2002113Suppl. 9B718810.1016/S0002‑9343(01)00995‑0 12566142
    [Google Scholar]
  12. GencelV.B. BenjaminM.M. BahouS.N. KhalilR.A. Vascular effects of phytoestrogens and alternative menopausal hormone therapy in cardiovascular disease.Mini Rev. Med. Chem.201212214917410.2174/138955712798995020 22070687
    [Google Scholar]
  13. GayaP. MedinaM. Sánchez-JiménezA. LandeteJ. Phytoestrogen metabolism by adult human gut microbiota.Molecules2016218103410.3390/molecules21081034 27517891
    [Google Scholar]
  14. GrossiniE. MolinariC. MaryD.A.S.G. Intracoronary genistein acutely increases coronary blood flow in anesthetized pigs through β-adrenergic mediated nitric oxide release and estrogenic receptors.Endocrinology200814952678268710.1210/en.2007‑1361 18202136
    [Google Scholar]
  15. QinW. GuoJ. GouW. Molecular mechanisms of isoflavone puerarin against cardiovascular diseases: What we know and where we go.Chin. Herb. Med.202214223424310.1016/j.chmed.2021.12.003 36117660
    [Google Scholar]
  16. JinY.G. YuanY. WuQ.Q. Puerarin protects against cardiac fibrosis associated with the inhibition of TGF- β1/Smad2-mediated endothelial-to-mesenchymal transition.PPAR Res.2017201711410.1155/2017/2647129 28638404
    [Google Scholar]
  17. HoolL.C. MiddletonL.M. HarveyR.D. Genistein increases the sensitivity of cardiac ion channels to β-adrenergic receptor stimulation.Circ. Res.1998831334210.1161/01.RES.83.1.33 9670916
    [Google Scholar]
  18. KondoK. SuzukiY. IkedaY. UmemuraK. Genistein, an isoflavone included in soy, inhibits thrombotic vessel occlusion in the mouse femoral artery and in vitro platelet aggregation.Eur. J. Pharmacol.20024551535710.1016/S0014‑2999(02)02449‑4 12433594
    [Google Scholar]
  19. BarskyL. Cook-WiensG. DoyleM. Phytoestrogen blood levels and adverse outcomes in women with suspected ischemic heart disease.Eur. J. Clin. Nutr.202175582983510.1038/s41430‑020‑00800‑6 33162556
    [Google Scholar]
  20. ZhangX. ShuX.O. YangG. Soy food consumption is associated with lower risk of coronary heart disease in Chinese women.J. Nutr.200313392874287810.1093/jn/133.9.2874 12949380
    [Google Scholar]
  21. YamoriY. Food factors for atherosclerosis prevention: Asian perspective derived from analyses of worldwide dietary biomarkers.Exp. Clin. Cardiol.20061129498 18651042
    [Google Scholar]
  22. KokuboY. IsoH. IshiharaJ. OkadaK. InoueM. TsuganeS. Association of dietary intake of soy, beans, and isoflavones with risk of cerebral and myocardial infarctions in Japanese populations: The Japan Public Health Center-based (JPHC) study cohort I.Circulation2007116222553256210.1161/CIRCULATIONAHA.106.683755 18025534
    [Google Scholar]
  23. PanA. FrancoO.H. YeJ. Soy protein intake has sex-specific effects on the risk of metabolic syndrome in middle-aged and elderly Chinese.J. Nutr.2008138122413242110.3945/jn.108.097519 19022966
    [Google Scholar]
  24. van der SchouwY.T. Kreijkamp-KaspersS. PeetersP.H.M. Keinan-BokerL. RimmE.B. GrobbeeD.E. Prospective study on usual dietary phytoestrogen intake and cardiovascular disease risk in Western women.Circulation2005111446547110.1161/01.CIR.0000153814.87631.B0 15687135
    [Google Scholar]
  25. SirtoriC.R. ArnoldiA. JohnsonS.K. Phytoestrogens: End of a tale?Ann. Med.200537642343810.1080/07853890510044586 16203615
    [Google Scholar]
  26. HodisH.N. MackW.J. KonoN. Isoflavone soy protein supplementation and atherosclerosis progression in healthy postmenopausal women: A randomized controlled trial.Stroke201142113168317510.1161/STROKEAHA.111.620831 21903957
    [Google Scholar]
  27. MyasoedovaV.A. KirichenkoT.V. MelnichenkoA.A. Anti-atherosclerotic effects of a phytoestrogen-rich herbal preparation in postmenopausal women.Int. J. Mol. Sci.2016178131810.3390/ijms17081318 27529226
    [Google Scholar]
  28. AhujaV. MiuraK. VishnuA. Significant inverse association of equol-producer status with coronary artery calcification but not dietary isoflavones in healthy Japanese men.Br. J. Nutr.2017117226026610.1017/S000711451600458X 28205492
    [Google Scholar]
  29. HematiN. AsisM. MoradiS. Effects of genistein on blood pressure: A systematic review and meta-analysis.Food Res. Int.202012810876410.1016/j.foodres.2019.108764 31955737
    [Google Scholar]
  30. ChongE. ChangS.L. HsiaoY.W. Resveratrol, a red wine antioxidant, reduces atrial fibrillation susceptibility in the failing heart by PI3K/AKT/eNOS signaling pathway activation.Heart Rhythm20151251046105610.1016/j.hrthm.2015.01.044 25640634
    [Google Scholar]
  31. HodgsonJ. PuddeyI.B. BeilinL.J. Effects of isoflavonoids on blood pressure in subjects with high-normal ambulatory blood pressure levels A randomized controlled trial.Am. J. Hypertens.1999121475310.1016/S0895‑7061(98)00216‑7 10075384
    [Google Scholar]
  32. QinW. DuN. ZhangL. Genistein alleviates pressure overload‐induced cardiac dysfunction and interstitial fibrosis in mice.Br. J. Pharmacol.2015172235559557210.1111/bph.13002 25362897
    [Google Scholar]
  33. HoieL.H. GuldstrandM. SjoholmA. Cholesterol-lowering effects of a new isolated soy protein with high levels of nondenaturated protein in hypercholesterolemic patients.Adv. Ther.200724243944710.1007/BF02849913 17565935
    [Google Scholar]
  34. AmerizadehA. AsgaryS. VaseghiG. FarajzadeganZ. Effect of genistein intake on some cardiovascular risk factors: An updated systematic review and meta-analysis.Curr. Probl. Cardiol.202247910090210.1016/j.cpcardiol.2021.100902 34266697
    [Google Scholar]
  35. TeedeH.J. DalaisF.S. KotsopoulosD. LiangY.L. DavisS. McGrathB.P. Dietary soy has both beneficial and potentially adverse cardiovascular effects: A placebo-controlled study in men and postmenopausal women.J. Clin. Endocrinol. Metab.20018673053306010.1210/jc.86.7.3053 11443167
    [Google Scholar]
  36. RiosD.R.A. RodriguesE.T. CardosoA.P.Z. MontesM.B.A. FranceschiniS.A. ToloiM.R.T. Lack of effects of isoflavones on the lipid profile of Brazilian postmenopausal women.Nutrition20082411-121153115810.1016/j.nut.2008.06.030 18842392
    [Google Scholar]
/content/journals/ccr/10.2174/011573403X333952241203050033
Loading
/content/journals/ccr/10.2174/011573403X333952241203050033
Loading

Data & Media loading...

This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error
Please enter a valid_number test