The lignans in rye could explain why rye intake is associated with lower breast and prostate cancer risk.
Does Rye Bread Protect Against Cancer?
Previously I’ve explored the beneficial effects of flaxseeds on prostate cancer as well as breast cancer prevention and survival, thought to be because of the lignans in flaxseeds, which are anticancer plant compounds found in red wine, whole grains, greens (cruciferous vegetables), but especially sesame seeds and flaxseeds, the most concentrated source on Earth. But this is per unit weight. People eat a lot more grains than seeds.
And of the grains people eat, the highest concentration of lignans is found in rye. So, can rye intake decrease the risk of breast cancer? Theoretically? Yes, but unlike flaxseeds, it’s never been put to the test.
If you measure the levels of lignans in the bloodstream of women living in a region where they eat lots of rye, the odds of breast cancer seem to be cut in half for women with the highest levels, but lignans are also found in tea and berries, and so, they couldn’t be sure where the protection was coming from. So, researchers decided to measure alkylresorcinol metabolites, a class of phytonutrients relatively unique to whole grains. They collected urine from women with breast cancer and women without, and the breast cancer survivors had significantly lower levels compared to women without breast cancer, be they omnivores or vegetarians. This suggests that women at risk of breast cancer consume significantly lower amounts of whole grains like rye.
But if you follow older women in their 50s through 60s, the intake of whole grain products was not associated with risk of breast cancer. A similar result was found for older men; whole grain consumption in one’s 50s and 60s did not seem to be linked to prostate cancer risk. Is it just too late at that point?
Well, we know from data on dairy that diet in our early life may be important in the development of prostate cancer—particularly around puberty, when the prostate grows and matures. And so, if you go back and look at what men were drinking in their adolescence, daily milk consumption appeared to triple their risk of advanced prostate cancer later in life. And so, researchers looked at daily rye bread consumption during adolescence and indeed those who consumed rye bread daily as kids may have cut their odds of advanced prostate cancer in half. This is consistent with immigrant studies suggesting that the first two decades of life may be most important for setting the pattern for cancer development in later life.
Certainly important for how we should feed our kids, but if we’re already middle-aged, is it too late to change course? To answer this question, researchers in Sweden put it to the test. How about we take men who already have prostate cancer, split them up into two groups. Half get lots of rye bread; the other half gets lots of high fiber, but low-lignan wheat bread, and see what happens. There’s been some indirect evidence that rye may be active against prostate cancer, like lower cancer rates in regions with high rye consumption, but it had never been directly investigated, until this study.
Biopsies were taken from their tumors before and after three weeks of bread-eating, and the number of cancer cells that were dying off were counted. There was no change in the cancer cell clearance of the control bread group, but a 180% increase in the number of cancer cells being killed off in the rye group. A follow-up study lasting six weeks found a 14% decrease in PSA levels, a cancer marker suggesting a shrinkage of the tumor.
Now they note that since they used very high rye bread intakes, and it remains to be tested if more normal intake levels would have effects that are of clinical importance. As any good red-blooded American, my ignorance of the metric system did not flag 485 grams of rye bread a day as out of the ordinary, but that translates to 15 slices a day! Rather than eating a loaf of bread a day, the same amount of lignans can be found in a single teaspoon of ground flax seeds.
To see any graphs, charts, graphics, images, and quotes to which Dr. Greger may be referring, watch the above video. This is just an approximation of the audio contributed by Katie Schloer.
Please consider volunteering to help out on the site.
- Randomised controlled short-term intervention pilot study on rye bran bread in prostate cancer. A Bylund, E Lundin, J X Zhang, A NOrdin, R Kaaks, U H Stenman, Aman, H Adlercreutz, T K Nilsson, G Hallmans, A Bergh, P Stattin. Eur J Cancer Prev. 2003 Oct;12(5):407-15.
- Intake of whole-grain products and risk of prostate cancer among men in the Danish Diet, Cancer and Health cohort study. R Egeberg, A Olsen, J Christensen, N F Johnsen, S Loft, K Overvad, A Tjonneland. Cancer Causes Control. 2011 Aug;22(8):1133-9.
- Rye whole grain and bran intake compared with refined wheat decreases urinary C-peptide, plasma insulin, and prostate specific antigen in men with prostate cancer. R Landberg, S O Andersson, J X Zhang, J E Johansson, U H Stenman, H Adlercreutz, A Kamal-Eldin, P Aman, G Hallmans. J Nutr. 2010 Dec;140(12):2180-6.
- Rye bread consumption in early life and reduced risk of advanced prostate cancer. J E Torfadottir, U A Valdimarsdottir, L Mucci, M Stampfer, J L Kasperzyk, K Fall, L Tryggvadottir, T Aspelund, O Lafsson, T B Harris, E Jonosson, H TUlinius, H O Adami, V Gudnason, L Steingrimsdottir. Cancer Causes Control. 2012 Jun;23(6):941-50.
- Rye, lignans and human health. G Hallmans, J Z Zhang, E Lundin, P Stattin, A Johansson, I Johansson, K Hulten, A Winkvist, P Aman, P Lenner H Adlercreutz. Proc Nutr Soc. 2003 Feb;62(1):193-9.
- K Hemminki, X li. Cancer risks in second-generation immigrants to Sweden. K Hemminki, X Li. Int J Cancer. 2002 May 10;99(2):229-37.
- Milk intake in early life and risk of advanced prostate cancer. J E Torfadottir, L Steingrisdottir, L Mucci, T Aspelund, J L Kasperzyk, O Lafsson, K Fall, L Tryggvadottir, T B Harris, L Launer, E Jonsson, H Tulinius, M Stampfer, H O Adami, V Gudnason, U A Valdimarsdottir. Am J Epidemiol. 2012 Jan 15;175(2):144-53.
- Lignans and human health. H Adlercreutz. Crit Rev Clin Lab Sci. 2007;44(5-6):483-525.
- Intake of whole grain products and risk of breast cancer by hormone receptor status and histology among postmenopausal women. R Egeberg, A Olsen, S Loft, J Christensen, N F Johnsen, K Overvad, A Tjonneland. Intake of whole grain products and risk of breast cancer by hormone receptor status and histology among postmenopausal women. Int J Cancer. 2009 Feb 1;124(3):745-50.
- Plasma and urinary alkylresorcinol metabolites as potential biomarkers of breast cancer risk in Finnish women: a pilot study. M Aubertin-Leheudre, A Koskela, A Samaletdin, H Adlercreutz. Nutr Cancer. 2010;62(6):759-64.
- Serum enterolactone and risk of breast cancer: a case-control study in eastern Finland. P Pietinen, K Stumpf, S Mannisto, V Kataja, M Uusitupa, H Adlecreutz. Cancer Epidemiol Biomarkers Prev. 2001 Apr;10(4):339-44.
- Can rye intake decrease risk of human breast cancer? H Adlercreutz. Food Nutr Res. 2010 Nov 10;54.
Images thanks to Carolannie via Flickr.
Previously I’ve explored the beneficial effects of flaxseeds on prostate cancer as well as breast cancer prevention and survival, thought to be because of the lignans in flaxseeds, which are anticancer plant compounds found in red wine, whole grains, greens (cruciferous vegetables), but especially sesame seeds and flaxseeds, the most concentrated source on Earth. But this is per unit weight. People eat a lot more grains than seeds.
And of the grains people eat, the highest concentration of lignans is found in rye. So, can rye intake decrease the risk of breast cancer? Theoretically? Yes, but unlike flaxseeds, it’s never been put to the test.
If you measure the levels of lignans in the bloodstream of women living in a region where they eat lots of rye, the odds of breast cancer seem to be cut in half for women with the highest levels, but lignans are also found in tea and berries, and so, they couldn’t be sure where the protection was coming from. So, researchers decided to measure alkylresorcinol metabolites, a class of phytonutrients relatively unique to whole grains. They collected urine from women with breast cancer and women without, and the breast cancer survivors had significantly lower levels compared to women without breast cancer, be they omnivores or vegetarians. This suggests that women at risk of breast cancer consume significantly lower amounts of whole grains like rye.
But if you follow older women in their 50s through 60s, the intake of whole grain products was not associated with risk of breast cancer. A similar result was found for older men; whole grain consumption in one’s 50s and 60s did not seem to be linked to prostate cancer risk. Is it just too late at that point?
Well, we know from data on dairy that diet in our early life may be important in the development of prostate cancer—particularly around puberty, when the prostate grows and matures. And so, if you go back and look at what men were drinking in their adolescence, daily milk consumption appeared to triple their risk of advanced prostate cancer later in life. And so, researchers looked at daily rye bread consumption during adolescence and indeed those who consumed rye bread daily as kids may have cut their odds of advanced prostate cancer in half. This is consistent with immigrant studies suggesting that the first two decades of life may be most important for setting the pattern for cancer development in later life.
Certainly important for how we should feed our kids, but if we’re already middle-aged, is it too late to change course? To answer this question, researchers in Sweden put it to the test. How about we take men who already have prostate cancer, split them up into two groups. Half get lots of rye bread; the other half gets lots of high fiber, but low-lignan wheat bread, and see what happens. There’s been some indirect evidence that rye may be active against prostate cancer, like lower cancer rates in regions with high rye consumption, but it had never been directly investigated, until this study.
Biopsies were taken from their tumors before and after three weeks of bread-eating, and the number of cancer cells that were dying off were counted. There was no change in the cancer cell clearance of the control bread group, but a 180% increase in the number of cancer cells being killed off in the rye group. A follow-up study lasting six weeks found a 14% decrease in PSA levels, a cancer marker suggesting a shrinkage of the tumor.
Now they note that since they used very high rye bread intakes, and it remains to be tested if more normal intake levels would have effects that are of clinical importance. As any good red-blooded American, my ignorance of the metric system did not flag 485 grams of rye bread a day as out of the ordinary, but that translates to 15 slices a day! Rather than eating a loaf of bread a day, the same amount of lignans can be found in a single teaspoon of ground flax seeds.
To see any graphs, charts, graphics, images, and quotes to which Dr. Greger may be referring, watch the above video. This is just an approximation of the audio contributed by Katie Schloer.
Please consider volunteering to help out on the site.
- Randomised controlled short-term intervention pilot study on rye bran bread in prostate cancer. A Bylund, E Lundin, J X Zhang, A NOrdin, R Kaaks, U H Stenman, Aman, H Adlercreutz, T K Nilsson, G Hallmans, A Bergh, P Stattin. Eur J Cancer Prev. 2003 Oct;12(5):407-15.
- Intake of whole-grain products and risk of prostate cancer among men in the Danish Diet, Cancer and Health cohort study. R Egeberg, A Olsen, J Christensen, N F Johnsen, S Loft, K Overvad, A Tjonneland. Cancer Causes Control. 2011 Aug;22(8):1133-9.
- Rye whole grain and bran intake compared with refined wheat decreases urinary C-peptide, plasma insulin, and prostate specific antigen in men with prostate cancer. R Landberg, S O Andersson, J X Zhang, J E Johansson, U H Stenman, H Adlercreutz, A Kamal-Eldin, P Aman, G Hallmans. J Nutr. 2010 Dec;140(12):2180-6.
- Rye bread consumption in early life and reduced risk of advanced prostate cancer. J E Torfadottir, U A Valdimarsdottir, L Mucci, M Stampfer, J L Kasperzyk, K Fall, L Tryggvadottir, T Aspelund, O Lafsson, T B Harris, E Jonosson, H TUlinius, H O Adami, V Gudnason, L Steingrimsdottir. Cancer Causes Control. 2012 Jun;23(6):941-50.
- Rye, lignans and human health. G Hallmans, J Z Zhang, E Lundin, P Stattin, A Johansson, I Johansson, K Hulten, A Winkvist, P Aman, P Lenner H Adlercreutz. Proc Nutr Soc. 2003 Feb;62(1):193-9.
- K Hemminki, X li. Cancer risks in second-generation immigrants to Sweden. K Hemminki, X Li. Int J Cancer. 2002 May 10;99(2):229-37.
- Milk intake in early life and risk of advanced prostate cancer. J E Torfadottir, L Steingrisdottir, L Mucci, T Aspelund, J L Kasperzyk, O Lafsson, K Fall, L Tryggvadottir, T B Harris, L Launer, E Jonsson, H Tulinius, M Stampfer, H O Adami, V Gudnason, U A Valdimarsdottir. Am J Epidemiol. 2012 Jan 15;175(2):144-53.
- Lignans and human health. H Adlercreutz. Crit Rev Clin Lab Sci. 2007;44(5-6):483-525.
- Intake of whole grain products and risk of breast cancer by hormone receptor status and histology among postmenopausal women. R Egeberg, A Olsen, S Loft, J Christensen, N F Johnsen, K Overvad, A Tjonneland. Intake of whole grain products and risk of breast cancer by hormone receptor status and histology among postmenopausal women. Int J Cancer. 2009 Feb 1;124(3):745-50.
- Plasma and urinary alkylresorcinol metabolites as potential biomarkers of breast cancer risk in Finnish women: a pilot study. M Aubertin-Leheudre, A Koskela, A Samaletdin, H Adlercreutz. Nutr Cancer. 2010;62(6):759-64.
- Serum enterolactone and risk of breast cancer: a case-control study in eastern Finland. P Pietinen, K Stumpf, S Mannisto, V Kataja, M Uusitupa, H Adlecreutz. Cancer Epidemiol Biomarkers Prev. 2001 Apr;10(4):339-44.
- Can rye intake decrease risk of human breast cancer? H Adlercreutz. Food Nutr Res. 2010 Nov 10;54.
Images thanks to Carolannie via Flickr.
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Does Rye Bread Protect Against Cancer?
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Content URLDoctor's Note
What was that about milk and prostate cancer? See my video Prostate Cancer and Organic Milk vs. Almond Milk.
Here’s my video series on flaxseeds for both breast cancer prevention and treatment:
- Flaxseeds & Breast Cancer Prevention
- Breast Cancer Survival and Lignan Intake
- Flaxseeds & Breast Cancer Survival Epidemiological Evidence
- Flaxseeds & Breast Cancer Survival: Clinical Evidence
Flaxseeds may also help with cyclical breast pain (Flax Seeds for Breast Pain), prostate cancer (Flaxseed vs. Prostate Cancer), diabetes (Flaxseeds vs. Diabetes), and hypertension (Flax Seeds for Hypertension).
More on the wonders of whole grains in:
- Whole Grains May Work As Well As Drugs
- Can Oatmeal Reverse Heart Disease?
- Can Oatmeal Help Fatty Liver Disease?
If you haven’t yet, you can subscribe to my videos for free by clicking here. Read our important information about translations here.