New Lab Evidence Suggests Preventive Effect of DHEA in Prostate Cancer

Men have taken DHEA as an over-the-counter supplement because it has been suggested that DHEA can reverse aging or have anabolic effects since it can be metabolized in the body to androgens. Increased consumption of dietary isoflavones is associated with a decreased risk of prostate cancer. Red clover (Trifolium pratense) is one source of isoflavones. Both supplements may have hormonal effects in the prostate and little is known about the safety of these supplements.

Julia Arnold, Ph.D., a staff scientist at the U.S. National Center for Complementary and Alternative Medicine (NCCAM) at the National Institutes of Health (Bethesda, MD, USA), reported that more research is necessary in an environment where men and women concerned about health problems tend to self-prescribe based on information they find on the Internet.

Towards this end, the NCCAM laboratory is studying signaling between human prostate cancer cells and their supporting stromal cells as they grow together in laboratory culture. "DHEA effects in the prostate tissues may depend on how these two cells types ‘talk to each other' and further, it may be potentially harmful in tissues containing inflammation or with early cancer lesions because the cells can induce DHEA to become more androgenic,” said Dr. Arnold.

Combining DHEA with transforming growth factor beta-1 increased testosterone production in the stromal cells and prostate-specific antigen (PSA) protein secretion two to four-fold and gene expression up to 50-fold in the cancer cells. When these cell cultures were treated with red clover isoflavones, the androgenic effects of DHEA were reversed. "Something is happening in the prostate tissue microenvironment that is illustrating a potential cancer prevention effect from this supplement,” said Dr. Arnold.

Red clover isoflavones may modify androgenic effects in the prostate but much more research in the laboratory and clinic is needed to validate these effects. This type of laboratory manipulation will allow scientists to understand the basic prostate biology as well as learn cellular and molecular mechanisms of over-the-counter supplements and other botanical or herbal agents. According to Dr. Arnold, NCCAM will continue to study DHEA with other supplements to determine any cancer preventive effects.

The study is slated for publication in an upcoming issue of Cancer Prevention Research, a journal of the American Association for Cancer Research.

Related Links:
National Center for Complementary and Alternative Medicine