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Flaxseed’s
role as the "nutraceutical food of the 21st century"
is enhanced by its potential effect on breast and colon
cancer prevention, according to Dr. Lilian Thompson,
Professor, Department of Nutritional Sciences, Faculty of
Medicine, University of Toronto. Dr. Thompson was
part of the symposium "Flaxseed in Human Nutrition"
at the 16th International Congress of Nutrition in Montreal
in July 1997. Dr. Thompson presented data on flaxseed and
its effect on breast and colon cancer prevention. Flaxseed
is the richest plant source of lignan precursors —
important because the lignans that mammals produce from
this food precursor have been shown to be protective against
breast and colon cancer. In animal studies, Dr.
Thompson found that flaxseed affects all three stages of
cancer development — initiation, tumour development
and tumor growth and spread. "Human studies
are needed to confirm, but flaxseed has tremendous potential
to positively affect our health," Dr. Thompson said.
Flaxseed contains Secoisolariciresinol
diglucoside (SDG), a potent antioxidant and a known precursor
of the mammalian lignans, enterolactone and enterodiol.
These compounds have other pharmacological properties including
phytoestrogen properties similar to isoflavones. Studies
performed in the Department of Physiology, College of Medicine,
University of Saskatchewan, have shown that SDG
prevents the development of hypercholesterolemic atherosclerosis,
reduces total cholesterol and LDL-cholesterol,
and has a tendency to raise HDL-cholesterol in animal models.
In addition, SDG has shown the ability to lower
blood pressure, and has demonstrated that it is
effective in preventing diabetes mellitus (Type
I and Type II) and endotoxic shock.
New (soft) technologies (as pioneered by Gaia Research)
can produce products that extend the nutraceutical properties
ascribed to flaxseed while minimizing drawbacks associated
with the consumption of whole flaxseed, which are usually
consumed associated with baked goods, which damages the
EFA’s and other healthful components. Correctly processed
raw flaxseed can have reduced levels of the strong laxative/purgative
effects normally associated with the high cyanogenic
glycoside mucilage component of flaxseed, which
otherwise releases toxic hydrogen cyanide via auto-hydrolysis
in the presence of water in the gut. Although this
is associated with a non-targeted additional laetrile-type
of anti-cancer effect, it strongly limits the amount of
the most healthful SDG, which could otherwise be consumed.
A typical concentration of SDG in oil-free flaxseed is around
1.5%. Careful processing can concentrate the SDG, whilst
reducing the glycosides, allowing for a much-reduced gastric
challenging serving size suitable for an optimal daily dosage. |


Secoisolariciresinol
diglucoside (SDG), an antioxidant in flaxseed,
is metabolized in the body and these metabolites have
antioxidant activity which are even more potent than SDG.
The effectiveness of SDG in hypercholesterolemic atherosclerosis,
diabetes, and endotoxic shock could be due to these metabolites.
(Prasad K, Int. J. Angiol, 9(4): 220, 2000)
Flaxseed and its lignan secoisolariciresinol diglycoside
(SDG) inhibit mammary tumor development in rats. Increased
plasma insulin-like growth factor I (IGF-I) concentrations
are associated with increased breast cancer risk. The
anticancer effect of flaxseed and SDG
may be related, in part, to reductions in plasma IGF-I.
(Rickard S, et al, Cancer Lett, 8; 161(1): 47, 2000)
Reactive oxygen species (ROS) have been implicated in
the development of diabetes mellitus. SDG isolated from
flaxseed is an antioxidant. An investigation was made
of the effects of SDG on the development of diabetes in
rat, to determine if SDG can prevent/reduce the development
of diabetes and if this prevention/reduction is associated
with reduction in oxidative stress. RESULTS: SDG
prevented the development of diabetes by 75%.
(Prasad K, et a, Mol Cell Biochem, 206(1-2): 141, 2000;
Prasad K, Mol Cell Biochem, 209(1-2): 89, 2000)
Flaxseed SDG may have a therapeutic role in lupus
nephritis.
(Clark W, et al Lupus, 9(6): 429, 2000)
Dietary estrogens, such as lignan-rich flaxseed,
are similar in structure to endogenous sex steroid hormones
and act in vivo to alter hormone metabolism and reduce
subsequent cancer risk in postmenopausal women.
(Hutchins A, Cancer
Epidemiol Biomarkers Prev, 9(10): 1113, 2000)
Asian men have much lower incidences of prostate cancer
and possibly of benign prostatic hyperplasia (BPH) than
their Western counterparts. Vegetarian men also
have a lower incidence of prostate cancer than omnivorous
males. Plant lignans give rise to the mammalian
lignans, enterodiol and enterolactone; the richest
source is linseed (flaxseed).
In addition to their oestrogenic activity, these plant
compounds can interfere with steroid metabolism and bioavailability,
and also inhibit enzymes, such as tyrosine kinase and
topoisomerase, which are crucial to cellular proliferation
and hence may contribute to lower incidences of
prostate cancer. (Eur
Urol, 35(5-6): 377, 1999)
Flaxseed ingestion produces large amounts of mammalian
lignans with weak estrogenic/anti-estrogenic properties
reduced adult relative prostate weight and cell proliferation,
suggesting potential protection against prostatic disease,
without affecting sex hormone levels. (Tou
J, et al, J Toxicol Environ Health, 56(8): 555, 1999)
SDG is a plant lignan isolated from flaxseed. Lignans
are platelet-activating factor-receptor antagonists that
inhibit the production of oxygen radicals by polymorphonuclear
leukocytes. SDG is an antioxidant. Antioxidants studied
thus far are known to reduce hypercholesterolemic atherosclerosis.
Research suggests that SDG reduces hypercholesterolemic
atherosclerosis and that this effect is associated with
a decrease in serum cholesterol, LDL-C, and lipid peroxidation
product and an increase in HDL-C and antioxidant reserve.
(Prasad K, Circulation, 99(10): 1355, 1999)
Phytoestrogens are diphenolic compounds that are present
in several plants eaten by human beings. Flaxseed
is a particularly abundant source of phytoestrogens. When
ingested in relatively large amounts, phytoestrogens have
been shown to have significant estrogen agonists/antagonists
effects in animals and humans. There is epidemiological,
laboratory and clinical evidence which indicates that
phytoestrogens, like certain selective estrogen receptor
modulators, have an antiproliferative effect on the breast,
and positive effects on the lipoprotein profile and bone
density. They might also improve some of the
climacteric symptoms.
(Brzezinski A & Debi A, Eur J Obstet Gynecol Reprod
Biol, 85(1): 47, 1999)
The antioxidant activities of the flaxseed lignan
secoisolariciresinol diglycoside (SDG) and its
mammalian lignan metabolites, enterodiol (ED) and enterolactone
(EL), were evaluated in both lipid and aqueous in vitro
model systems. All three lignans significantly (p <
or = 0.05) inhibited the linoleic acid peroxidation
at both 10 and 100 microM over a 24-48 h of incubation
at 40 degrees C. The efficacy of SDG and particularly
the mammalian lignans ED and EL to act as antioxidants
in lipid and aqueous in vitro model systems, at relatively
low concentrations (i.e. 100 microM), potentially
achievable in vivo, is an evidence of a potential anticarcinogenic
mechanism of flaxseed lignan SDG and its mammalian metabolites
ED and EL. (Kitts
D, et al, Mol Cell Biochem, 202(1-2): 91, 1999)
Flaxseed,
the richest known source of plant lignans, has
been shown to have chemo-protective effects
in animal and cell studies. Some of its effects may be
mediated through its influence on endogenous hormone production
and metabolism. Flaxseed supplementation significantly
increased urinary 2-OHEstrogen excretion (p < 0.0005)
and the urinary 2/16 alpha-OHE1 ratio (p < 0.05) in
a linear, dose-response fashion. These results suggest
that flaxseed may have chemo-protective effects
in postmenopausal women.
(Haggans C, et al, Nutr Cancer, 33(2): 188, 1999)
Flaxseed is high in secoisolariciresinol diglycoside
(SDG), the precursor of mammalian lignans, which
can affect mammary gland structures. Lifetime
or gestation and lactation exposure to 5 or 10% flaxseed
induce structural changes in the mammary gland that
may potentially reduce mammary cancer risk. (Tou
J & Thompson L, Carcinogenesis, 20(9): 1831, 1999)
Flaxseed
and SDG, regardless of dose, appeared to delay the progression
of MNU-induced mammary tumorigenesis.
(Rickard S, et al, Nutr
Cancer; 35(1): 50, 1999)
Dietary supplementation
with flaxseed or its lignan SDG has reduced induced mammary
tumor size and number in rats. There was a dose-dependent
effect of SDG on tumor multiplicity, lowest in the HSDG
group (high SDG 5%) and highest in the LSDG (low SDG 2.5%)
group throughout treatment, indicating that HSDG inhibited,
whereas LSDG promoted, MNU-induced mammary tumor development.
Tumor invasiveness and grade were decreased in
all treatment groups compared with the BD (basal diet).
Flaxseed and SDG treatment, regardless of dose, appeared
to delay the progression of MNU-induced mammary tumorigenesis.
(Rickard S, et al, Nutr Cancer; 35(1): 50, 1999)
Because
flaxseed and its lignans are colon cancer protective,
it is concluded that, in contrast to other studies, beta-glucuronidase
activity may play a beneficial role in their presence
by increasing mammalian lignan absorption and enterohepatic
circulation. (Jenab M,
et al, Nutr Cancer, 33(2): 154, 1999)
Flax
seed is the richest source of omega-3 fatty acid and lignans.
Omega-3 Fatty acid suppresses the production of interleukin-1
(IL-1), tumor necrosis factor (TNF) and leukotriene B4
(LTB4), and of OFRs by polymorphonuclear leukocytes (PMNLs)
and monocytes. Lignans possess anti-platelet activating
factor (PAF) activity and are antioxidant. PAF,
IL-1, TNF and LTB4 are known to stimulate PMNLs to produce
OFRs. Flaxseed would, therefore, reduce the levels
of OFRs and hence would prevent the development of hypercholesterolemic
atherosclerosis. In rabbits, flax seed reduced
the development of aortic atherosclerosis by 46% and reduced
the PMNL-CL without significantly lowering the serum cholesterol.
Flax seed in normocholesterolemic rabbits increased serum
total cholesterol and decreased PMNL-CL without significantly
affecting the serum TG. Modest dietary flax seed
supplementation is effective in reducing hypercholesterolemic
atherosclerosis markedly without lowering serum cholesterol.
Its effectiveness against hypercholesterolemic atherosclerosis
could be due to suppression of enhanced production of
OFRs by PMNLs in hypercholesterolemia. Dietary
flax seed supplementation could, therefore, prevent hypercholesterolemia-related
heart attack and strokes.
(Ogborn M, et al, Kidney Int 55(2): 417, 1999)
Dietary
supplementation with secoisolariciresinol diglycoside
(SDG), a lignan precursor isolated from flaxseed,
significantly reduced pulmonary metastasis of melanoma
cells and inhibited the growth of metastatic tumors that
formed in the lungs. (Li
D, et al, Cancer Lett, 142(1): 91, 1999)
Flaxseed, the
richest source of lignans reduces metastasis and inhibits
the growth of the metastatic secondary tumors in animals.
Flaxseed may be a useful nutritional adjuvant
to prevent melanoma metastasis in cancer patients.
(Yan L, et al, Cancer Lett,
124(2): 181, 1998)
Flaxseed contains
lignans that have antioxidant activites and inhibit platelet-activating
factor (PAF). Pretreatment with flaxseed attenuated
endotoxin induced cardiac dysfunction and cellular damage.
Flaxseed antioxidant and anti-PAF agents may be effective
in the treatment of ET shock.
(Pattanaik U & Prasad K, J Cardiovasc Pharmacol Ther,
3(4): 305, 1998)
Ground
flaxseed modulated inflammatory response, but did not
prevent macrophages from killing bacteria (Babu
U et al, (Food And Drug Administration), Experimental
Biology 94, Parts I And II : April 1994, Faseb Journal,
1994); (Babu U, et al, Life Sci, V 60:545, 1997)
The mammalian
lignans enterolactone (EL) and enterodiol (ED) derived
from precursors in foods, particularly flaxseed, have
been shown to reduce the mammary tumor growth due to their
antiestrogenic properties. Lignans are growth
inhibitors of colon tumor cells and they may act through
mechanism(s) other than antiestrogenic activity. (Sung
M, et al, Anticancer Res 18(3A: 1405, 1998)
Flaxseed
and its mammalian lignan precursor SDG have been
shown to be mammary cancer-protective in rats. The anti-estrogenic
effects of flaxseed and SDG were compared with
tamoxifen, an antiestrogen, by monitoring rat
estrous cycling. Four-week supplementation of a high-fat
diet with flaxseed (2.5-10%) or SDG (0.75, 1.5 or 3.0
mg/day) produced a dose-related cessation or lengthening
(by 18-39%) of estrous cycles in up to 66% of rats.
With tamoxifen (1 mg/kg body weight/day), 83% of the animals
had irregular cycles or were in persistent diestrus. Flaxseed
and SDG were anti-estrogenic without gross tissue toxicity.
(Orcheson L, Cancer
Lett, 125(1-2): 69, 1998)
Flax seed
is the richest source of omega-3 fatty acid and lignans.
Omega-3 fatty acid suppresses the production of interleukin-1
(IL-1), tumor necrosis factor (TNF) and leukotriene B4
(LTB4), and of OFRs by polymorphonuclear leukocytes (PMNLs)
and monocytes. Lignans possess anti-platelet activating
factor (PAF) activity and are antioxidant. PAF,
IL-1, TNF and LTB4 are known to stimulate PMNLs to produce
OFRs. Flaxseed would, therefore, reduce the levels
of OFRs and hence would prevent the development of hypercholesterolemic
atherosclerosis. Flax seed reduced the development of
aortic atherosclerosis by 46% and reduced the PMNL-CL
without significantly lowering the serum cholesterol.
Modest dietary flax seed supplementation is effective
in reducing hypercholesterolemic atherosclerosis markedly
without lowering serum cholesterol. Dietary flax seed
supplementation could, therefore, prevent hypercholesterolemia-related
heart attack and strokes. (Prasad
K, Atherosclerosis, 132(1): 69, 1997)
Flaxseed,
the richest source of mammalian lignan precursors,
such as secoisolariciresinol diglycoside (SD), has been
shown over the short term to decrease some early markers
of colon cancer risk. This study determined that flaxseed
has a colon cancer protective effect, that it
is due, in part, to SD and that the protective effect
of flaxseed is associated with increased beta-glucuronidase
activity. (Jenab
M & Thompson L, Carcinogenesis, 17:1343, 1996)
Flaxseed,
a rich source of mammalian lignan precursor secoisolariciresinol-diglycoside
(SD) and alpha-linolenic acid (ALA), has been
shown to be protective at the early promotion stage of
carcinogenesis. In conclusion, the SD
lignans in flaxseed appears to be beneficial throughout
the promotional phase of carcinogenesis whereas the oil
component is more effective at the stage when tumors have
already been established. (Thompson
L, et al, Carcinogenesis, 17:1373, 1996)
Secoisolariciresinol
diglycoside (SD), a mammalian lignan precursor found
in flaxseed and tested for effects on mammary tumorigenesis,
resulted in a 37% reduction (p < 0.05) in the number
of tumors per tumor-bearing rat and a 46% reduction (p
< 0.05) in the number of tumors per number of rats
in each group. This study showed, for the first time,
that SD has an antitumor effect when provided
at the early promotion stage of tumorigenesis.
(Thompson L, et al, Nutr
Cancer, 26:159, 1996)
Flaxseed
18-3 (n-3) alpha-linoleic acid showed a marked immunomodulatory
effect on the exhaustive exercise-related immunosuppression,
as compared to the effects of other PUFA.
(Benquet C, et al, J Toxicol Environ Health, 43: 225,
1994)
Flaxseed
lignans have antitumor, antimitotic, antioxidant and weak
estrogenic activities, are potentially the richest source
of phytoestrogens in the human diet and may be linked
to a low incidence of breast and colon cancer.
Secoisolariciresinol was discovered to be a very
potent antioxidant similar to BHA. No toxicity
was found in the lignans. (Obermeyer
W, et al (US Food and Drug Administration, Center for
Food Safety and Applied Nutrition, Div. Contaminants Chem.,
Natural Products Branch), Meeting Of The Federation Of
American Societies For Experimental Biology On Experimental
Biology March/April, 1993, Faseb J (Fed Am Soc Exp Biol),
A863, 1993)
Flaxseed ingestion
produces potentially anticarcinogenic lignans in the colon.
This study determined that flaxseed decreases
the risk for colon carcinogenesis. In the descending
colon of supplemented groups, the total number of aberrant
crypts and foci were significantly reduced by 41-53% and
48-57%, respectively. Flaxseed may reduce the
risk for colon carcinogenesis.
(Serraino M & Thompson L, Cancer Lett, 63:159, 1992)
Vitamin
E-deficient diets containing 5 to 20% ground flaxseed
protected mice against the malarial parasite Plasmodium
voelii as shown by decreased parasitemia and enhanced
survival. (Levander
O, et al, (USDA/ARS Human Nutrition Research Center, Vitamin
Mineral Nutrition Laboratory), Nutrition Research, 11,
1991)
Since
lignans have been suggested to have some cancer-protective
effects, flaxseed, the most abundant
source of lignan precursors, was tested
for its effect on early markers of risk for mammary carcinogenesis.
Supplementation of a high-fat diet with flaxseed flour
(FF) or defatted flaxseed meal (FM) (5% or 10%) reduced
the epithelial cell proliferation by 38.8-55.4% and nuclear
aberrations by 58.8-65.9% in female rat mammary
gland, with optimum effects seen with the 5% FF. These
protective effects were accompanied by increases in urinary
lignan excretion indicating that they may be related to
the ability of flaxseed to provide lignan precursors.
(Serraino M &
Thompson L, Cancer Lett, 60:135, 1991)
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Nutritional
profile of whole flaxseeds
Two (2) tablespoons provide the
following naturally occurring fatty acids, lignin fiber
and lignan:
Alpha Linolenic Acid (Omega-3)
........................1,710 mg
Linoleic Acid (Omega-6) ..............................……480
mg
Oleic Acid (Omega-9) .....................................…540
mg
Lignin Fiber ...................................................…1,003
mg
Lignan ...........................................................…13.6
mg
Nutrients per 100
gr of flax: Thiamin - .03 mg; Riboflavin - .1 mg; Niacin
- 5 mg; Pyridoxine - 10 mg; Pantothenic Acid - 7 mg; Calcium
- 410 mg; Phosphate - 880 mg; Sodium - 32 mg; Potassium
- 880 mg; Iron - 8.3 mg; Magnesium - 750 mg; Zinc - 12
mg; Copper - 1 mg; Manganese - 2.1 mg; Boron 3 mg; Chromium
- 0.5 mg; Vitamin E - 0.6 I.U.; Vitamin A - 10 I.U. Protein:
Alamine - 4.0 g; Arginine - 10.8 g; Aspartic Acid - 10.0
g; Cystine - 3.8 g; Glutamic - 20.2 g; Glycine - 6.0 g;
Histidine - 2.9 g; Isoleucine - 4.6 g; Leucine - 6.2 g;
Lysine - 3.9 g; Methionine - 2.3 g; Phenylalanine - 4.5
g; Proline - 4.5 g; Serine - 3.2 g; Threonine - 4.6 g;
Tryptophan - 2.3 g; Tyrosine - 2.7 g; Valine - 5.2 g.
Linum
usitatissimum
Nutrient
|
Units |
1 cup
-------
155.000 g |
Proximates |
|
|
Water |
g |
13.562 |
Energy |
kcal |
762.600 |
Energy |
kj |
3191.450 |
Protein |
g |
30.225 |
Total lipid (fat) |
g |
52.700 |
Carbohydrate, by difference |
g |
53.087 |
Fiber, total dietary |
g |
43.245 |
Ash |
g |
5.425 |
Minerals |
|
|
Calcium, Ca |
mg |
308.450 |
Iron, Fe |
mg |
9.641 |
Magnesium, Mg |
mg |
561.100 |
Phosphorus, P |
mg |
771.900 |
Potassium, K |
mg |
1055.550 |
Sodium, Na |
mg |
52.700 |
Zinc, Zn |
mg |
6.463 |
Copper, Cu |
mg |
1.614 |
Manganese, Mn |
mg |
5.086 |
Selenium, Se |
mcg |
8.525 |
Vitamins |
|
|
Vitamin C, ascorbic acid |
mg |
2.015 |
Thiamin |
mg |
0.264 |
Riboflavin |
mg |
0.248 |
Niacin |
mg |
2.170 |
Pantothenic acid |
mg |
2.372 |
Vitamin B-6 |
mg |
1.437 |
Folate |
mcg |
430.900 |
Vitamin B-12 |
mcg |
0.000 |
Vitamin A, IU |
IU |
0.000 |
Vitamin A, RE |
mcg_RE |
0.000 |
Vitamin E |
mg_ATE |
7.750 |
Lipids |
|
|
Fatty acids, saturated |
g |
4.954 |
4:0 |
g |
0.000 |
6:0 |
g |
0.000 |
8:0 |
g |
0.000 |
10:0 |
g |
0.000 |
12:0 |
g |
0.000 |
14:0 |
g |
0.000 |
16:0 |
g |
2.793 |
18:0 |
g |
2.161 |
Fatty acids, monounsaturated |
g |
10.645 |
16:1 |
g |
0.000 |
18:1 |
g |
10.645 |
20:1 |
g |
0.000 |
22:1 |
g |
0.000 |
Fatty acids, polyunsaturated |
g |
34.782 |
18:2 |
g |
6.693 |
18:3 |
g |
28.089 |
18:4 |
g |
0.000 |
20:4 |
g |
0.000 |
20:5 |
g |
0.000 |
22:5 |
g |
0.000 |
22:6 |
g |
0.000 |
Cholesterol |
mg |
0.000 |
USDA
Nutrient Database for Standard Reference, Release 12 (March
1998)
Cyanogenic Glycosides
Flaxseed is increasingly being
used in some food products because of its high content
of alpha-linolenic acid and dietary fibre. However, flaxseed
contains cyanogenic glycosides, which
release toxic hydrogen cyanide in the
presence of water (autohydrolysis). (Chadha
R, et al (Food Research Division, Bureau of Chemical Safety,
Ottawa, Ontario, Canada), Food Addit Contam, 12: 527,
1995) Cyanogenic glycosides (linamarin, linustatin,
neolinustatin) were highest in extracted flaxseed mucilage.
We conclude that up to 50 g high-alpha-linolenic acid
flaxseed is palatable, safe and may be nutritionally beneficial
in humans by raising n-3 fatty acids in plasma and erythrocytes
and by decreasing post-prandial glucose responses. Cunnane
S, et al, (University of
Toronto, Toronto, Canada) Br J Nutr, 69:443, 1993)
The presence of cyanogenic
glycosides and diglucosides in flaxseeds is a
concern, as they may release cyanide upon hydrolysis.
In addition, the polyunsaturated fatty acids may undergo
thermal or auto-oxidation (rancidity) when exposed to
air or high temperatures that are used in food preparation
(& needed to detoxify the cyanogenic glycosides in
the mucilage). Cyanide levels produced as a result of
autolysis, are below the harmful limits to humans
(remember however that “the dose maketh the poison”).
(Wanasundara P & Shahidi
F, Adv Exp Med Biol, 434: 307, 1998)
Cyanogenic Glycosides in Flaxseed
By Robin
J. Marles, Ph.D.
The presence of cyanogenic glycosides
in the diet is significant only in relation to dose and
the nutritional status of the consumer. Flax seed meal
contains two cyanogenic glycosides, linustatin and neolinustatin.
Many foods are slightly cyanogenic (e.g. wheat and barley!),
probably as an evolutionary adaptation to discourage herbivory,
and our body has a limited capacity to detoxify low concentrations
of cyanide through addition of sulphur (from amino acids)
to form thiocyanate or reaction with cysteine directly
to form beta-cyanoalanine. Thus if the dietary levels
of sulphur-containing amino acids are high the body can
resist a low intake of cyanide, but if the diet is low
in protein overall or due to imbalances in vegetable protein
amino acid composition it is low in the sulphur-containing
amino acids, then we see toxicity.
The two most common symptoms of
chronic cyanide intoxication are goitre, probably caused
by high levels of thiocyanate formation where dietary
protein levels are adequate and the detoxification mechanism
is operating in high gear but the body can't clear the
thiocyanate product quickly enough, and fibrocalculous
pancreatic diabetes associated with protein malnutrition,
where toxicity is probably directly due to cyanide because
of the lack of adequate detoxification. Few of us are
likely to consume significant quantities of flax seed,
nor are those people consuming flax seed likely to have
protein malnutrition.
Robin J. Marles, Ph.D.
Associate Professor, Botany Department
Brandon University, Brandon, MB R7A 6A9 CANADA
The Effect
of Flax Seed on Menstrual Cycles
Haynes K & Kier
K, R.Ph., M.Sc., Professor of Clinical Pharmacy, Ohio
Northern University
For years, people have been attempting
to control menstrual cycles. Controlling menstrual cycles
has benefits including, decreasing the risk of breast
cancer.1 Flax, traditionally used as a dietary source
of fiber, is a primary source of plant lignans1,2 and
alpha -linolenic acid (18:3n-3).3 Flax’s high levels
of alpha -linolenic acid can lower total cholesterol and
low-density lipoprotein cholesterol.4 Lignans and alpha-linolenic
acid have significant effects on the menstrual cycle.1,3
Flax is composed of lignans, or
phytochemicals, which structurally resemble estrogens.
Secoisolariciresinol diglycoside (SDG) is the primary
plant lignan found in flax, which has shown anti-tumor
effects in animal studies.3,5 SDG is converted to enterodiol
and enterolactone the main mammalian lignans.5,6 Intestinal
bacteria are responsible for the conversion of SDG to
enterodiol and enteriolactone. Recent studies show these
mammalian lignans act as weak estrogen antagonists.2,6,7
According to Phipps et. al., the
effect of the phytochemicals on the menstrual cycle is
a lengthening of the luteal phase (LP), larger LP Progesterone/Estrogen
(P/E2) ratios, fewer anovulatory cycles and a lower tendency
for ovarian dysfunction. Flaxseed (linseed) ingestion
had no direct effect on the LP progesterone concentration,
but the LP progesterone/estradiol ratios were elevated;
this was due to a decreased LP estradiol (E2) concentration.
The women supplemented their diets with a dose of 10g/day
of flax during the flax cycles. Between the flax cycles
and the control cycles, no significant alterations of
weight, total calories, fat, protein, or carbohydrate
levels occurred.2 There was a small rise in fiber content
noted during the flax cycles, due to the fiber associated
with flax.7 Flaxseed had no significant changes on the
follicular phase. A crossover study had women ingesting
their normal diets for the first cycle, and then subjects
consumed flax supplements during cycles 2-4 or cycles
5-7.2 Concentrations of the lignans measured in the urine6
and fecal matter7 showed the levels of lignans absorbed.
Clearly, flax has a significant impact on controlling
women’s menstrual cycles.
The control flaxseed has over
the menstrual cycle has an influence on cancer growth.2
The estrogen window hypothesis proposed by Korenman states
that luteal inadequacy, ovarian dysfunction, and normal
estrogen stimulation characterized by a decreased progesterone
secretion is a major cause of breast cancer.8 Studies
show a linkage between ovarian dysfunction and breast
cancer risk; flax controls this dysfunction through regulation.
Flax increases the LP of women and decreases the tendency
for ovarian dysfunction.2 There are conflicting reports,
showing regular cycling, as opposed ovulatory dysfunctional
cycles, are a major risk. This study states mitotic activity
of breast cancer cells tends to reach a peak during LP,
which is in contrast to endothelial cancer cells. According
to the study, the less time a woman spends in the luteal
phase the lower the breast cancer risk.9 The popular drug
tamoxifen is structurally similar to the lignans. Tamoxifen
has similar properties including increasing LP estrogen
and progesterone concentrations and lengthening the LP.
Another essential component of flax, enterolactone combined
with estradiol inhibits MCF-7 breast cancer cell growth
in vitro. Interestingly, enterolactone alone or estradiol
alone promotes breast cancer cell growth.10 If used effectively
and under supervision, flax may have the power to control
irregular cycling, inhibit growth of breast cancer cells,
and therefore may prevent the development of cancerous
tissue in some women.
The other important component
of flax is alpha -linolenic acid (ALA), an n-3 omega essential
fatty acid.11 ALA enhances mental development,12 is a
precursor to eicosanoids,13 and helps maintain a normal
pregnancy.14 Diets lacking in essential fatty acids have
shown increased reproductive failure, irregular ovulation,
infertility, prolonged gestation, excessive hemorrhaging
at parturition and higher incidence of still birth. ALA,
found in flax, improves reproductive function.13,14 The
n-3 fatty acid is responsible for vision and neuronal
development primarily during the fetal and postnatal periods.
Retinal and neuronal development is determined by eicosapentaenoic
acid (20:5n-3) and ALA concentrations.13 The n-3 requirements
of the fetus are higher then the requirements of the suckling
offspring.12 The majority of the studies show the relationship
between ALA and development.
Epidemiological studies show an
association between the risk of further metastasis and
fatty acid intake. In a cohort study involving 121 breast
cancer patients, the risk of subsequent metastasis lowered
when ALA was above 0.38 percentage. A reduction in ALA
concentrations in breast adipose tissue proceeds metastasis
of cancer; dietary supplementation of ALA might delay
or prevent clinical appearance of metastasis. Decreased
breast cancer incidence and improved survival is associated
with higher n-3 fatty acid intake.15 Human clinical trials
will prove the true value of flax.
Many women and practitioners are
finding out about flax and other herbals on the Internet.
The Internet is full of ideas on the medical uses of flaxseed.
According to the web site http://www.flax.com/ a lignan
is a powerful antioxidant; bacterial enzymes in the intestinal
tract convert flax to anti-estrogen compounds. These compounds
prevent excess levels of estrogen from causing estrogen-related
tumors.11 A second site in Canada, where flaxseed ingestion
is higher, states lignans stimulate the synthesis of sex
hormone binding globulins which decrease the levels of
estrogen by inhibiting binding.5 These pages are part
of Canada’s Flax Council. The Flax Council noted
the effects of flaxseed on the initiation, promotion,
and tumor growth phases of breast and colon cancer.16
The information posted on these Internet pages is consistent
with literary articles; the pages suggest a need for long-term
studies.17
The Internet has several sites
discussing the importance of essential fatty acids including
omega-3 (alpha -linolenic acid).18 The ALA breaks down
to eicosapentaenoic acid (EPA) and docosahexaenoic acid
(DHA), the three fatty acids help to fortify the yolks.
These fatty acids thin the blood and may lower the risk
of heart attacks. A word of warning needs to go to patients
already on anticoagulants.5 The Flax Council suggests
0.16g of omega-3 during the second and third trimesters
of pregnancy and increased intake for lactating women.
The optimal intake of ALA is estimated to be 800-1100
mg/day. Flax is an excellent source of essential polyunsaturated
fatty acids, but lacks monounsaturated and saturated fatty
acids.5
Many health magazines are making
flaxual claims. An article in Prevention magazine, cited
several reasons to include flax in the daily diet. The
article states that ALA is effective in relieving menstrual
cramps. According to the article, flax is the highest
source of alpha-linolenic acid. A typical dose for flax
ranges from 6-25 grams a day.
According to Essential Nutrient
Research Company, (ENRECO) Flax contains: Lignans - 800mg/kg
All of these components have beneficial
applications.11 Flax, like other herbals, requires the
proper exercise and diet to be effective. Some remedies
flax include female disorders, colon problems, inflammation
and cancerous tumors. The oil of flaxseed promotes stronger
nails, bone, teeth and skin.20 Not all of these claims
have significant testing to prove efficacy. Flaxseeds
are richer in essential fatty acids than fish oil. Flax
oil is better than fish oil because fish oil only contains
a trace amount of ALA.5
There is sound evidence for the
use of flax as a means to control or at least help to
regulate menstrual cycles. Flax lignans reduce the risk
of cancer including breast cancer. ALA is beneficial in
the reduction of total cholesterol. Mahatma Gandhi once
said, "Wherever flax seed becomes a regular food
item among the people, there will be better health."11
References:
1. Flax. The Lawrence Review
of Natural Products. Facts and Comparisons 1995.
2. Phipps W & Martini M,
J Clin Endocrinol Metab 1993; 77:1215-1219.
3. Allen J. Flax. Pharmacist’s Letter 1997 Jun;
33-34.
4. Cherian G. Sim JS. Lipids 1992; 27:706-710.
5. "Flax Council of Canada."
6. Lampe J al, Am J Clin Nutr 1994; 60:122-128.
7. Kurzer et al, Cancer Epidemiology, Biomarkers &
Prevention 1995; 4:353-358.
8. Korenman SG. Oestrogen window hypothesis of the
aetiology of breast cancer. Lancet 1980; 1:700-701.
9. Henderson B, et al, Cancer 1985; 56:1206-1208.
10. Mousavi Y & Adlercreutz H, J Steroid Biochem
Mol Biol 1992; 41:331-337.
11. "Essential Nutrient Research Company."
12. Guesnet P, et al, Lipids 1997;32:527-534.
13. Guesnet P, et al, Repro. Nutr. Develop. 1986;
26:969-985.
14. Parlanti I & Orellana L, Repro. Nutr. Develop.
1985; 25:851-860.
15. Bougnoux P, et al, Brit J of Cancer 1994; 70(2):
330-334.
16. "Healthy food from flaxseed feed." Flax
Focus
17. Serraino M & Thompson L, Nutr Cancer 1992;
17:153-159.
18. "Omega Nutrition - About EFAs."
19. McCord H. Top seed. Prevention Magazine 1997;
49:81-85.
20. "Alternative Medicine – Flaxseed, Flax
Focus www.alternative-medicines.com/1flaxsee.htm.
January, 1998.
The Phipps Study. Abstract.
Lignans are a group of phytochemicals shown to have weakly
estrogenic and antiestrogenic properties. Two specific
lignans, enterodiol and enterolactone, are absorbed after
formation in the intestinal tract from plant precursors
particularly abundant in fiber-rich food and are excreted
in the urine. We evaluated the effect of the ingestion
of flax seed powder, known to produce
high concentrations of urinary lignans, on the menstrual
cycle in 18 normally cycling women, using a balanced randomized
cross-over design. Each subject consumed her usual omnivorous,
low fiber (control) diet for 3 cycles and her usual diet
supplemented with flax seed for another 3 cycles. The
second and third flax cycles were compared to the second
and third control cycles. Three anovulatory cycles occurred
during the 36 control cycles, compared to none during
the 36 flax seed cycles. Compared to the ovulatory control
cycles, the ovulatory flax cycles were consistently associated
with longer luteal phase (lp) lengths (mean +/- sem, 12.6
+/- 0.4 Vs. 11.4 +/- 0.4 Days; p = 0.002). There were
no significant differences between flax and control cycles
for concentrations of either estradiol or estrone during
the early follicular phase, midfollicular phase, or lp.
Although flax seed ingestion had no significant effect
on lp progesterone concentrations, the lp progesterone/estradiol
ratios were significantly higher during the flax cycles.
Midfollicular phase testosterone concentrations were slightly
higher during flax cycles. Flax seed ingestion had no
effect on early follicular phase concentrations of dhea-s,
prl, or sex hormone-binding globulin. Our data
suggest a significant specific role for lignans in the
relationship between diet and sex steroid action, and
possibly between diet and the risk of breast and other
hormonally dependent cancers. (Phipps
W, et al, J Clinl Endocrinol Metab, 77(5), 1993)
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