Estrogen is usually thought of as the female hormone. While it is true women produce more estrogen than men, this applies to all of us. Estrogen – from how much is made to how it is broken down – is dependent on both genetics and lifestyle factors affecting both men and women.
If you’re like me, you probably think “I know what estrogen is”, but do you really? I’ll be honest and admit I hadn’t really thought about how estrogen works within a cell and what exactly it is doing.
This article explains (from a genetic point of view):
- how estrogen is made
- how estrogen is broken down – and –
- how this influences the risk of breast cancer, prostate cancer, and uterine fibroids
Members will see their genotype report below, plus additional solutions in the Lifehacks section. Join today.
Disclaimer: Everything written here is for informational purposes. Talk with your doc, read through the referenced literature before making any decisions – especially in relation to cancer or cancer prevention.
Estrogen creation and metabolism
When you look up estrogen online, it is usually defined as ‘a female sex hormone’… which really tells you nothing. There are actually several different types of estrogen, and it is a hormone important in both males and females.
Types of estrogen:
There are several forms of estrogen in the body, and the amounts of each type become important for hormone-related cancer risk and uterine fibroids.[ref]
- Estradiol (E2) or 17β-Estradiol – primary form in women prior to menopause
- Estriol (E3) – main type of estrogen during pregnancy
- Estrone (E1) -primarily made after menopause
- Estretrol (E4) – only during pregnancy, made by the fetus
How is estrogen created in the body?
Estrogen is made in the ovaries (major source, women), testes (males), brain, liver, pancreas, fat cells, intestines, and adrenals.[ref] The precursor for estrogen is cholesterol.
Cholesterol is first converted (using CYP11A1) into progesterone, which is then converted (using CYP17A1) into androstenedione.
Androstenedione can be converted into testosterone, dihydrotestosterone, or estrogen.
If it goes the estrogen route, androstenedione is converted (using CYP19A1) first to estrone, which is then converted (using 17β-HSD) into estradiol.[ref]
This definitely needs a flow chart!

Within follicle cells in the ovary, the conversion of the steroid hormone precursor into estrogen is controlled by follicle-stimulating hormone (FSH) levels. FSH is produced in the pituitary gland, and, along with luteinizing hormone, controls the menstrual cycle.
Estrogen Sulfate: Storage form
If you ever get a hormone panel done, you will probably see estrogen sulfate listed. Estrogen sulfate is the most abundant form of estrogen, but it is also not very active. It can be considered as a storage form of estrogen that can be converted by HSD17B1 (17β-Hydroxysteroid dehydrogenase) into estradiol. High levels of estrogen sulfate can be a risk factor for breast cancer.
What does estrogen do in the body?
For women, estrogen regulates the menstrual cycle and is imperative for reproduction.
The ‘primary and secondary sexual characteristics’ of women (breasts, wider hips, lack of facial hair, etc) are due to estrogen.
For everyone, estrogen is also important in maintaining bone density. Low estrogen is linked to osteoporosis. It is also important in brain function and controlling inflammation.
In men, estrogen is also necessary (at low levels) in the production of sperm. The loss of the estrogen receptor in the testes results in abnormal sperm. On the other hand, too much estrogen can also be bad.[ref]
What happens when you have too much estrogen?
Signs of excess estrogen in women include:
- weight gain
- heavy periods
- fibroids
- PMS
- fibrocystic breasts
- loss of sex drive
- fatigue, depression, anxiety
For men, too much estrogen leads to:
- gynecomastia (a.k.a. man boobs)
- sexual dysfunction
- loss of muscle mass
- fatigue, depression, anxiety
Estrogen Receptors: Controlling Genes
So we know that estrogen does a lot in the body – but exactly how does this work? Estrogen is transported all over the body via the bloodstream and then enters into cells.
So what exactly does estrogen do in cells? It binds to estrogen receptors in the nucleus causing them to turn on and off the transcription of a number of different genes. Thus, the different estrogen receptors can control whether a gene gets transcribed into a protein that is used in the cell.
There are several different estrogen receptors:
- ERα is encoded by the gene ESR1 gene.
- ERβ is encoded by the ESR2 gene.
- G protein-coupled estrogen receptor 1 is encoded by the GPER1 gene.
The estrogen receptors can bind to and turn on hundreds of different genes. Some important targets of estrogen include the LDL receptor, progesterone receptor, IGF-1, and many more. These genes are related to hormones, cholesterol, and growth within the body.[ref]
In a nutshell, estrogen causes the body to increase the production of other hormones, growth factors, and metabolic factors.
Getting rid of estrogen (metabolism):
To control the level of estrogen in the body, we have to have a way to break it down and eliminate it. This is a multi-step process.
In the liver, the CYP450 enzymes can metabolize estrogen. Specifically, this is done by the CYP1B1, CYP1A1, or CYP1A2 enzymes.
This process creates metabolites known as 2-OHE1 (E2), 4-OHE1(E2), and 16α-OHE1, all of which are also known as catechol estrogens.
These catechol estrogens can be metabolized by COMT (catechol-O-methyltransferase) or through glucuronidation (UGT genes) This makes them water-soluble and able to be excreted. [ref]
Essentially, this two-step process needs to work in tandem:
- Phase I, the CYP1B1, or CYP1A1 breaks down estradiol into the catechol estrogen metabolites.
- Phase II, they need to be made into water-soluble substances (by COMT, UGTs).
Why is it so important that both phases happen in sync? Because some of the metabolites, such as 16α-OHE1, are also able to activate the estrogen receptors — and are implicated, big time, in breast cancer.[ref] Thus, you don’t want certain Phase I metabolite hanging around in the body.
To recap: estrogen is broken down in two phases. The different phase I options can cause ‘good’ or ‘bad’ metabolites. Phase II then needs to make those metabolites water-soluble so that they can be pooped or peed out.
Estrogen metabolites linked to breast, ovarian, and prostate cancer:
For breast cancer, the 4-OHE1(E2) and 16α-OHE1 metabolites are implicated in increasing the risk. Higher amounts of 2-OHE1(E2) or a better ratio of 2-OHE1:4-OHE1 decreases breast cancer risk. Additionally, you don’t want too much estrogen (E1 or E2), in general, hanging around (Goldilocks here- just the right amount is needed).[ref][ref]
Prostate cancer risk is increased with 4-HOE1(E2) metabolites also.[ref]
In general – the estrogen metabolites that start with “2” are good and the ones that start with “4” or “16” need to be limited. But this, in part, depends on your phase II metabolism as well.
So let’s take a look at how these catechol estrogen metabolites are formed and then processed out of the body with a nifty diagram:

As you can see, upregulating the CYP1A1 enzyme is going to increase the 2-OHE1 path.
Too much estrogen being metabolized through CYP1B1 into 4-OHE1(E2) and the estrogen quinones can potentially be bad if your body has slower phase II (COMT, GSTP1, GSTM1, NQO1) enzymes.[ref][ref]
The connection between smoking and estrogen-related cancers:
Smoking increases the risk of breast cancer and prostate cancer. I had always assumed that this is simply because smoking is bad… and I had never thought about why those specific cancers would be connected to smoking. Part of the ‘why’ for cancer, in general, is because cigarette smoke causes DNA damage – it’s bad :-).
But the specific of ‘why breast cancer‘ is those components of cigarette smoke increase the CYP1B1 and CYP1A1 enzymes. If that increase is tipped towards the CYP1B1 path (due to genetic variants) and you can’t get rid of the estrogen metabolites fast enough (due to phase II genes, diet, and lifestyle), then cigarette smoking is going to increase the ‘bad’ estrogen metabolites. Smoking also may impair the phase II metabolites, thus creating more estrogen quinone metabolites with a decreased ability to eliminate them.[ref][ref]
Therefore, combining some of phase I and phase II genetic variants (below) with smoking causes a fairly large increase in the risk of cervical, breast, or prostate cancer.
Estrogen Elimination: Phase III
Let’s go one step further and make the two-step process of estrogen metabolism into a three-step process… because once the catechol estrogen metabolites have been metabolized (COMT), they have to be excreted (yep – urine or feces). And this becomes important as well when it comes to the gut microbiome…
The estrogen that has been metabolized and is ready to be eliminated through feces can actually be recycled back into circulation due to an interaction with certain bacteria in your gut microbiome.
Beta-glucuronidase, an enzyme produced by the gut microbiome, can reverse the reaction that the UGT enzymes did to make the estrogen metabolites more water-soluble. This can cause the estrogen metabolites to be reabsorbed from the intestines and go back into circulation.[ref]
Calcium d-glucarate can suppress the beta-glucuronidase activity in the gut, thus increasing the number of estrogen metabolites that are excreted (which is a good thing!).[ref]

Estrogen Mimics: BPA, Phthalates, and Other Toxicants
There are several environmental toxicants acting similarly to estrogen in the body. Among these, phthalates and BPA are ubiquitous and found in almost everyone’s body these days. These chemicals can bind to the estrogen receptors.[ref][ref]
Phthalates are used in vinyl, plastics, adhesives, artificial fragrances (laundry detergent, air freshener), personal care products, and more.[ref]
BPA is also found in plastics, and we are exposed through food and drinks being stored in plastic containers or cans with linings containing BPA. Even the paperboard used in food packaging (especially if it is recycled cardboard) can contain BPA which is transferred to food.[ref]
These estrogen mimics (at the levels found in people every day) have been linked to increased risk of:
- endometriosis[ref]
- enlarged prostate[ref]
- almost 2-fold increase in breast cancer for higher phthalate exposure (estrogen receptor-positive)[ref]
- BPA exposure at low levels is linked to increased breast and prostate cancer[ref]
- uterine fibroids[ref][ref]
Estrogen Genotype Report:
This section digs into the details of how your genes make you unique when it comes to estrogen metabolism. Most of these are really common genetic variants, so don’t freak out if you have one or all of the variants and they are linked to cancer. Lots of things are linked to cancer… The variants interact with each other as well as with your diet and lifestyle when it comes to various conditions associated with them. The point here is to use the information to make changes – dietary, lifestyle – to minimize your risk factors.
Members:
Log in to see your data below.
Not a member? Join here. Membership lets you see your data right in each article and also gives you access to the member’s only information in the Lifehacks sections.
Here is the nifty diagram again so that you don’t have to scroll back up:

Estrogen metabolism genes:
Phase 1 metabolism:
CYP1A1 gene:
phase I detoxification of estrogen into 2-OHE1(E2)
Check your genetic data for rs1048943 (23andMe v4; AncestryDNA):
- T/T: most common type, a typical function
- C/T: increased risk of cervical cancer; increased risk of fibroids
- C/C: increased risk of cervical cancer[ref], especially in smokers (8-10-fold increase in risk for active smokers)[ref]; increased risk of uterine fibroids[ref]
Members: Your genotype for rs1048943 is —.
CYP1B1 gene:
phase I detoxification of estrogen into 4-OHE1(E2)
Check your genetic data for rs1056836 Leu432Val (23andMe v4, v5; AncestryDNA):*
- G/G: (Leu/Leu – slower); decreased estradiol metabolism[ref]; increased hot flashes, especially in smokers[ref]
- C/G: intermediate/decreased estradiol metabolism[ref]
- C/C: (Val/Val – faster); decreased risk of prostate cancer[ref][ref]
Members: Your genotype for rs1056836 is —.
*Note that these are referred to in the plus orientation to match 23andMe data. This variant is prone to confusion because the variant is very common and the orientation is often switched in studies.
Check your genetic data for rs1056827 A119S (23andMe v4 only):
- C/C: typical
- A/C: somewhat increased risk of uterine fibroids
- A/A: increased risk of breast cancer[ref]; increased risk of uterine fibroids[ref]
Members: Your genotype for rs1056827 is —.
CYP3A4 gene:
converts estrogen into 16a-OHE1 (higher levels linked to breast cancer)
Check your genetic data for rs2740574 (23andMe v4, v5; AncestryDNA):
- T/T: typical
- C/T: somewhat increased risk of ovarian cancer
- C/C: increased risk of ovarian cancer, prostate cancer[ref]; increased CYP3A4 activity[ref]
Members: Your genotype for rs2740574 is —.
Phase II estrogen metabolism genes:
COMT gene:
phase II detoxification of estrogen metabolites
Check your genetic data for rs4680 (23andMe v4 and v5):
- G/G: (Val/Val) higher COMT activity
- A/G: intermediate COMT activity
- A/A: (Met/Met) lower COMT activity; increased risk of hot flashes, especially in smokers[ref]; increased risk of breast cancer[ref]
Members: Your genotype for rs4680 is —.
GSTP1 gene:
another phase II detoxification enzyme important for reducing estrogen quinones
Check your genetic data for rs1695 (23andMe v4, v5; AncestryDNA):
- A/A: typical
- A/G: typical risk of breast cancer
- G/G: reduced function, increased risk of breast cancer[ref]; increased risk of prostate cancer[ref]
Members: Your genotype for rs1695 is —.
GSTM1 gene: another phase II detoxification enzyme important for reducing estrogen quinones
Check your genetic data for rs366631 (23andMe v4 only):
- A/A: deletion (null) GSTM1 gene. GSTM1 deletion is associated with a 2x increased risk of breast cancer[ref] This is actually the most common genotype in most populations.
- A/G: GSTM1 present
- G/G: GSTM1 present
Members: Your genotype for rs366631 is —.
UGT1A1/6 gene:
phase II detoxification gene for reducing estrogen metabolites
Check your genetic data for rs2070959 (23andMe v4, v5; AncestryDNA):
- A/A: typical
- A/G: typical
- G/G: lower enzyme activity[ref]; possibly increased breast cancer risk[ref]
Members: Your genotype for rs2070959 is —.
NQO1 gene: phase II detoxification enzyme
Check your genetic data for rs1800566 (23andMe v4, v5; AncestryDNA):
- A/A: slightly increased cancer risk[ref][ref]; very low NQO1 enzyme activity[ref]; increased prostate cancer risk[ref]
- A/G: slightly increased cancer risk, reduced NQO1 enzyme activity
- G/G: typical
Members: Your genotype for rs1800566 is —.
While each of these genetic variants individually increases the risk of estrogen-related cancer by a bit, the combo of variants and the interaction with lifestyle factors can be large. Faster phase I metabolism combined with slower phase II metabolism can be a problem.[ref]
A combo of CYP1B1 rs1056836 CC (Val/Val – faster) and COMT rs4680 AA (Met/Met – slower) increases the risk of ovarian cancer significantly (2 – 5-fold). Smoking interacts here to also dramatically increases the risk of ovarian cancer in these women.[ref][ref]
The combo of CYP1B1 rs1056836 CC and COMT rs4680 AA also increases (somewhat) the risk of prostate cancer.[ref] This combo also doubles the risk of breast cancer.[ref]
Other studies simply note that a number of combos of the higher risk alleles in all these genes increase the risk of breast cancer. [ref]
Genes involved in making estrogen:
Here is the estrogen creation diagram again:

CYP19A1 gene (aromatase): converts androstenedione and testosterone into estrogen
Check your genetic data for rs4646 (23andMe v4, v5; AncestryDNA):
- A/A: less common genotype, lower estrogen levels; longer breast cancer survival in premenopausal women but shorter survival in postmenopausal women[ref]
- A/C: intermediate
- C/C: most common genotype, higher estrogen levels[ref]
Members: Your genotype for rs4646 is —.
Check your genetic data for rs700518 (23andMe v4, v5; AncestryDNA):
- T/T: increased risk of benign prostate hyperplasia[ref]; higher estrogen levels (men)[ref]
- C/T: intermediate
- C/C: lower estrogen levels (men)
Members: Your genotype for rs700518 is —.
CYP17A1 gene: converts progesterone into androstenedione
Check your genetic data for rs743572 (23andMe v4 only; AncestryDNA):
- A/A: typical
- A/G: decreased risk of breast cancer
- G/G: decreased risk of breast cancer[ref]
Members: Your genotype for rs743572 is —.
Estrogen Receptors:
GPER1 gene: G-protein estrogen receptor
Check your genetic data for rs11544331 (23andMe v5):
- C/C: typical
- C/T: decreased receptor activation, lower risk of fibroids[ref]; increased LDL-C
- T/T: decreased receptor activation, lower risk of fibroids, increased LDL-C[ref]
Members: Your genotype for rs11544331 is —.
Lifehacks for estrogen balance:
Most of these life hacks are geared toward getting rid of excess estrogen. Keep in mind that you may not want to get rid of estrogen, depending on your age and estrogen levels. There is no one-size-fits-all here!
Testing is the only way to actually know your estrogen levels. You can order your own hormone test panels online (e.g. UltaLabs Estrogen Panel) or go to a doctor. Honestly, this is one area where even if you don’t like to go to the doctor, you may want to find a qualified person to help with interpreting the test results.
Phase I enzymes:
CYP1A1:
Diindolylmethane (DIM) is a compound found in cruciferous vegetables. DIM upregulates CYP1A1.[ref] For someone who has a slower CYP1A1 variant or a faster CYP1B1 variant, this may be a really good thing. DIM may also decrease CYP19A1 (aromatase), thus decreasing the production of estrogen to begin with.
You could eat a ton of cruciferous vegetables to get your DIM, or it is available as a supplement. Cabbage is the cruciferous vegetable highest in DIM.
Studies show DIM increases the ratio of 2-OHE1:16α-OHE1 — which may be beneficial for preventing cancer.[ref][ref] There is some good evidence it may be beneficial for prostate cancer as well[ref][ref], but not all studies agree[ref]. Read the studies, and talk with your doctor.
If you decide to supplement with DIM, a lot of clinicians recommend combining it with calcium d-glucarate (which helps with estrogen elimination). Jarrow sells a combo of DIM and calcium d-glucarate, or you can get them as separate supplements if you want to take them at different times of the day.
One more layer to add to the complexity here: Circadian Rhythm.
The CYP1A1 enzyme levels rise and fall over the course of a day along with the core circadian gene, CLOCK.[ref] If I understand the research correctly, taking DIM in the morning may be more effective than taking DIM at night.
CYP3A4:
CYP3A4 is the enzyme needed for converting estradiol into 16α-OHE1.
Grapefruit juice and bergamot (both contain bergamottin) inhibit CYP3A4. You may think (like I did) that inhibiting the production of 16α-OHE1 would decrease breast cancer risk. On the other hand, inhibiting CYP3A4 may also increase the overall amount of estrogen in the body. Studies on grapefruit show mixed results: Drinking grapefruit juice lowers estradiol in postmenopausal women.[ref] One study did find eating grapefruit increased the risk of breast cancer a little bit.[ref] Another study found no effect from eating grapefruit.[ref] None of the studies looked at the ratio of 2-OHE1:16α-OHE1…
Just make sure that you don’t drink grapefruit juice while taking a medication that needs the CYP3A4 enzyme! The effects of a 6 oz glass of grapefruit juice can last for 24 hours.[ref]
St. John’s wort increases CYP3A4.[ref][ref] I can’t find any research studies, though, showing this could increase breast or prostate cancer risk. It may have benefits, such as inhibiting CYP1B1, that outweigh any possible negatives from the increase in CYP3A4.[ref]
The rest of this article is for Genetic Lifehacks members only. Consider joining today to see the rest of this article.
Increasing Phase II enzymes:
Member Content:
An active subscription is required to access this content.
Join Here for full access to this article, genotype reports, and much more!
Already a member? Log in below.
References:
Abbas, Mohammad, et al. “Association of CYP1A1 Gene Variants Rs4646903 (T>C) and Rs1048943 (A>G) with Cervical Cancer in a North Indian Population.” European Journal of Obstetrics, Gynecology, and Reproductive Biology, vol. 176, May 2014, pp. 68–74. PubMed, doi:10.1016/j.ejogrb.2014.02.036.Ahern, Thomas P., et al. “Phthalate Exposure and Breast Cancer Incidence: A Danish Nationwide Cohort Study.” Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology, vol. 37, no. 21, July 2019, pp. 1800–09. PubMed, doi:10.1200/JCO.18.02202.Barakat, Radwa, et al. “Extra-Gonadal Sites of Estrogen Biosynthesis and Function.” BMB Reports, vol. 49, no. 9, Sept. 2016, pp. 488–96. PubMed Central, doi:10.5483/BMBRep.2016.49.9.141.Bayer, Janine, et al. “Estrogen and the Male Hippocampus: Genetic Variation in the Aromatase Gene Predicting Serum Estrogen Is Associated with Hippocampal Gray Matter Volume in Men.” Hippocampus, vol. 23, no. 2, Feb. 2013, pp. 117–21. PubMed, doi:10.1002/hipo.22059.Bekö, Gabriel, et al. “Children’s Phthalate Intakes and Resultant Cumulative Exposures Estimated from Urine Compared with Estimates from Dust Ingestion, Inhalation and Dermal Absorption in Their Homes and Daycare Centers.” PLoS ONE, vol. 8, no. 4, Apr. 2013. PubMed Central, doi:10.1371/journal.pone.0062442.Beuten, Joke, et al. “CYP1B1 Variants Are Associated with Prostate Cancer in Non-Hispanic and Hispanic Caucasians.” Carcinogenesis, vol. 29, no. 9, Sept. 2008, pp. 1751–57. PubMed, doi:10.1093/carcin/bgm300.Butts, Samantha F., et al. “Joint Effects of Smoking and Gene Variants Involved in Sex Steroid Metabolism on Hot Flashes in Late Reproductive-Age Women.” The Journal of Clinical Endocrinology and Metabolism, vol. 97, no. 6, June 2012, pp. E1032–42. PubMed Central, doi:10.1210/jc.2011-2216.—. “Joint Effects of Smoking and Gene Variants Involved in Sex Steroid Metabolism on Hot Flashes in Late Reproductive-Age Women.” The Journal of Clinical Endocrinology and Metabolism, vol. 97, no. 6, June 2012, pp. E1032–42. PubMed Central, doi:10.1210/jc.2011-2216.Cao, X. L., et al. “Concentrations of Bisphenol A in the Composite Food Samples from the 2008 Canadian Total Diet Study in Quebec City and Dietary Intake Estimates.” Food Additives & Contaminants. Part A, Chemistry, Analysis, Control, Exposure & Risk Assessment, vol. 28, no. 6, June 2011, pp. 791–98. PubMed Central, doi:10.1080/19440049.2010.513015.Cavalieri, Ercole L., and Eleanor G. Rogan. “Etiology and Prevention of Prevalent Types of Cancer.” Journal of Rare Diseases Research & Treatment, vol. 2, no. 3, 2017, pp. 22–29. PubMed Central, doi:10.29245/2572-9411/2017/3.1093.Cerne, Jasmina-Ziva, et al. “Combined Effect of CYP1B1, COMT, GSTP1, and MnSOD Genotypes and Risk of Postmenopausal Breast Cancer.” Journal of Gynecologic Oncology, vol. 22, no. 2, June 2011, pp. 110–19. PubMed, doi:10.3802/jgo.2011.22.2.110.Chang, Wei-Hsiang, et al. “Sex Hormones and Oxidative Stress Mediated Phthalate-Induced Effects in Prostatic Enlargement.” Environment International, vol. 126, 2019, pp. 184–92. PubMed, doi:10.1016/j.envint.2019.02.006.Chaudhary, Amit, and Kristine L. Willett. “Inhibition of Human Cytochrome CYP 1 Enzymes by Flavonoids of St. John’s Wort.” Toxicology, vol. 217, no. 2–3, Jan. 2006, pp. 194–205. PubMed, doi:10.1016/j.tox.2005.09.010.Chen, Z. P., et al. “The Single Nucleotide Polymorphism Rs700518 Is an Independent Risk Factor for Metabolic Syndrome and Benign Prostatic Hyperplasia (MetS‐BPH).” Andrology, vol. 6, no. 4, July 2018, pp. 568–78. PubMed Central, doi:10.1111/andr.12498.
Cooke, Paul S., et al. “Estrogens in Male Physiology.” Physiological Reviews, vol. 97, no. 3, July 2017, pp. 995–1043. PubMed Central, doi:10.1152/physrev.00018.2016.
—. “Estrogens in Male Physiology.” Physiological Reviews, vol. 97, no. 3, July 2017, pp. 995–1043. PubMed Central, doi:10.1152/physrev.00018.2016.
Cote, Michele L., et al. “Tobacco and Estrogen Metabolic Polymorphisms and Risk of Non-Small Cell Lung Cancer in Women.” Carcinogenesis, vol. 30, no. 4, Apr. 2009, pp. 626–35. PubMed Central, doi:10.1093/carcin/bgp033.
Draz, Hossam, et al. “Diindolylmethane and Its Halogenated Derivatives Induce Protective Autophagy in Human Prostate Cancer Cells via Induction of the Oncogenic Protein AEG-1 and Activation of AMP-Activated Protein Kinase (AMPK).” Cellular Signalling, vol. 40, 2017, pp. 172–82. PubMed, doi:10.1016/j.cellsig.2017.09.006.
—. “Diindolylmethane and Its Halogenated Derivatives Induce Protective Autophagy in Human Prostate Cancer Cells via Induction of the Oncogenic Protein AEG-1 and Activation of AMP-Activated Protein Kinase (AMPK).” Cellular Signalling, vol. 40, 2017, pp. 172–82. PubMed, doi:10.1016/j.cellsig.2017.09.006.
Dvorakova, Marketa, et al. “Selected Bisphenols and Phthalates Screened for Estrogen and Androgen Disruption by in Silico and in Vitro Methods.” Neuro Endocrinology Letters, vol. 39, no. 5, Dec. 2018, pp. 409–16.
Dwivedi, C., et al. “Effect of Calcium Glucarate on Beta-Glucuronidase Activity and Glucarate Content of Certain Vegetables and Fruits.” Biochemical Medicine and Metabolic Biology, vol. 43, no. 2, Apr. 1990, pp. 83–92.
Fuentes, Nathalie, and Patricia Silveyra. “Estrogen Receptor Signaling Mechanisms.” Advances in Protein Chemistry and Structural Biology, vol. 116, 2019, pp. 135–70. PubMed Central, doi:10.1016/bs.apcsb.2019.01.001.
—. “Estrogen Receptor Signaling Mechanisms.” Advances in Protein Chemistry and Structural Biology, vol. 116, 2019, pp. 135–70. PubMed Central, doi:10.1016/bs.apcsb.2019.01.001.
—. “Estrogen Receptor Signaling Mechanisms.” Advances in Protein Chemistry and Structural Biology, vol. 116, 2019, pp. 135–70. PubMed Central, doi:10.1016/bs.apcsb.2019.01.001.
—. “Estrogen Receptor Signaling Mechanisms.” Advances in Protein Chemistry and Structural Biology, vol. 116, 2019, pp. 135–70. PubMed Central, doi:10.1016/bs.apcsb.2019.01.001.
Giudice, Aldo, et al. “Dissecting the Prevention of Estrogen-Dependent Breast Carcinogenesis through Nrf2-Dependent and Independent Mechanisms.” OncoTargets and Therapy, vol. 12, June 2019, pp. 4937–53. PubMed Central, doi:10.2147/OTT.S183192.
—. “Dissecting the Prevention of Estrogen-Dependent Breast Carcinogenesis through Nrf2-Dependent and Independent Mechanisms.” OncoTargets and Therapy, vol. 12, June 2019, pp. 4937–53. PubMed Central, doi:10.2147/OTT.S183192.
Goodman, M. T., et al. “Case-Control Study of Ovarian Cancer and Polymorphisms in Genes Involved in Catecholestrogen Formation and Metabolism.” Cancer Epidemiology, Biomarkers & Prevention: A Publication of the American Association for Cancer Research, Cosponsored by the American Society of Preventive Oncology, vol. 10, no. 3, Mar. 2001, pp. 209–16.
Gu, Cheng-Yuan, et al. “A Single Nucleotide Polymorphism in CYP1B1 Leads to Differential Prostate Cancer Risk and Telomere Length.” Journal of Cancer, vol. 9, no. 2, Jan. 2018, pp. 269–74. PubMed Central, doi:10.7150/jca.21774.
Gurley, Bill J., et al. “Clinical Assessment of Effects of Botanical Supplementation on Cytochrome P450 Phenotypes in the Elderly: St John’s Wort, Garlic Oil, Panax Ginseng and Ginkgo Biloba.” Drugs & Aging, vol. 22, no. 6, 2005, pp. 525–39. PubMed, doi:10.2165/00002512-200522060-00006.
Hehn, Rebecca Simonne. “NHANES Data Support Link between Handling of Thermal Paper Receipts and Increased Urinary Bisphenol A Excretion.” Environmental Science & Technology, vol. 50, no. 1, Jan. 2016, pp. 397–404. PubMed, doi:10.1021/acs.est.5b04059.
Hodges, Romilly E., and Deanna M. Minich. “Modulation of Metabolic Detoxification Pathways Using Foods and Food-Derived Components: A Scientific Review with Clinical Application.” Journal of Nutrition and Metabolism, vol. 2015, 2015. PubMed Central, doi:10.1155/2015/760689.
Huang, Po-Chin, et al. “Characterization of Phthalates Exposure and Risk for Cosmetics and Perfume Sales Clerks.” Environmental Pollution (Barking, Essex: 1987), vol. 233, Feb. 2018, pp. 577–87. PubMed, doi:10.1016/j.envpol.2017.10.079.
Jaeger, Cassie, and Shelley A. Tischkau. “Role of Aryl Hydrocarbon Receptor in Circadian Clock Disruption and Metabolic Dysfunction.” Environmental Health Insights, vol. 10, Aug. 2016, pp. 133–41. PubMed Central, doi:10.4137/EHI.S38343.
Jain, Vijaylakshmi, et al. “Polymorphism of CYP1A1 Gene Variants Rs4646903 and Rs1048943 Relation to the Incidence of Cervical Cancer in Chhattisgarh.” Environmental Toxicology and Pharmacology, vol. 52, June 2017, pp. 188–92. ScienceDirect, doi:10.1016/j.etap.2017.04.009.
Jaramillo-Rangel, G., et al. “Polymorphisms in GSTM1, GSTT1, GSTP1, and GSTM3 Genes and Breast Cancer Risk in Northeastern Mexico.” Genetics and Molecular Research: GMR, vol. 14, no. 2, June 2015, pp. 6465–71. PubMed, doi:10.4238/2015.June.11.22.
—. “Polymorphisms in GSTM1, GSTT1, GSTP1, and GSTM3 Genes and Breast Cancer Risk in Northeastern Mexico.” Genetics and Molecular Research: GMR, vol. 14, no. 2, June 2015, pp. 6465–71. PubMed, doi:10.4238/2015.June.11.22.
Johansson, Harriet, et al. “Prognostic Impact of Genetic Variants of CYP19A1 and UGT2B17 in a Randomized Trial for Endocrine-Responsive Postmenopausal Breast Cancer.” The Pharmacogenomics Journal, Apr. 2019. PubMed, doi:10.1038/s41397-019-0087-z.
Justenhoven, Christina. “Polymorphisms of Phase I and Phase II Enzymes and Breast Cancer Risk.” Frontiers in Genetics, vol. 3, Nov. 2012. PubMed Central, doi:10.3389/fgene.2012.00258.
Kim, E. H., et al. “A Prospective Study of Grapefruit and Grapefruit Juice Intake and Breast Cancer Risk.” British Journal of Cancer, vol. 98, no. 1, Jan. 2008, pp. 240–41. PubMed Central, doi:10.1038/sj.bjc.6604105.
Kispert, Shannon, and Jane McHowat. “Recent Insights into Cigarette Smoking as a Lifestyle Risk Factor for Breast Cancer.” Breast Cancer : Targets and Therapy, vol. 9, Mar. 2017, pp. 127–32. PubMed Central, doi:10.2147/BCTT.S129746.
Kisselev, Pyotr, et al. “Association of CYP1A1 Polymorphisms with Differential Metabolic Activation of 17β-Estradiol and Estrone.” Cancer Research, vol. 65, no. 7, Apr. 2005, pp. 2972–78. cancerres.aacrjournals.org, doi:10.1158/0008-5472.CAN-04-3543.
Ko, Jeong-Hyeon, et al. “Pharmacological Utilization of Bergamottin, Derived from Grapefruits, in Cancer Prevention and Therapy.” International Journal of Molecular Sciences, vol. 19, no. 12, Dec. 2018. PubMed Central, doi:10.3390/ijms19124048.
Lajin, B., and A. Alachkar. “The NQO1 Polymorphism C609T (Pro187Ser) and Cancer Susceptibility: A Comprehensive Meta-Analysis.” British Journal of Cancer, vol. 109, no. 5, Sept. 2013, pp. 1325–37. PubMed Central, doi:10.1038/bjc.2013.357.
Lee, Sang-Ah, et al. “Cruciferous Vegetables, the GSTP1 Ile105Val Genetic Polymorphism, and Breast Cancer Risk.” The American Journal of Clinical Nutrition, vol. 87, no. 3, Mar. 2008, pp. 753–60. PubMed, doi:10.1093/ajcn/87.3.753.
Li, Hai-Ling, et al. “Phthalates in Infant Cotton Clothing: Occurrence and Implications for Human Exposure.” The Science of the Total Environment, vol. 683, Sept. 2019, pp. 109–15. PubMed, doi:10.1016/j.scitotenv.2019.05.132.
Li, Yiwei, and Fazlul H. Sarkar. “Role of BioResponse 3,3′-Diindolylmethane in the Treatment of Human Prostate Cancer: Clinical Experience.” Medical Principles and Practice, vol. 25, no. Suppl 2, July 2016, pp. 11–17. PubMed Central, doi:10.1159/000439307.
Mandal, Raju K., et al. “Genetic Variants in Metabolizing Genes NQO1, NQO2, MTHFR and Risk of Prostate Cancer: A Study from North India.” Molecular Biology Reports, vol. 39, no. 12, Dec. 2012, pp. 11145–52. PubMed, doi:10.1007/s11033-012-2023-z.
Martínez-Ramírez, O. C., et al. “Polymorphisms of Catechol Estrogens Metabolism Pathway Genes and Breast Cancer Risk in Mexican Women.” Breast (Edinburgh, Scotland), vol. 22, no. 3, June 2013, pp. 335–43. PubMed, doi:10.1016/j.breast.2012.08.004.
Matthews, J. B., et al. “In Vitro and in Vivo Interactions of Bisphenol A and Its Metabolite, Bisphenol A Glucuronide, with Estrogen Receptors Alpha and Beta.” Chemical Research in Toxicology, vol. 14, no. 2, Feb. 2001, pp. 149–57. PubMed, doi:10.1021/tx0001833.
Monroe, K. R., et al. “Prospective Study of Grapefruit Intake and Risk of Breast Cancer in Postmenopausal Women: The Multiethnic Cohort Study.” British Journal of Cancer, vol. 97, no. 3, Aug. 2007, pp. 440–45. PubMed, doi:10.1038/sj.bjc.6603880.
Moore, Steven C., et al. “Endogenous Estrogens, Estrogen Metabolites, and Breast Cancer Risk in Postmenopausal Chinese Women.” Journal of the National Cancer Institute, vol. 108, no. 10, 2016. PubMed, doi:10.1093/jnci/djw103.
Moreira Fernandez, Miriany Avelino, et al. “Study of Possible Association between Endometriosis and Phthalate and Bisphenol A by Biomarkers Analysis.” Journal of Pharmaceutical and Biomedical Analysis, vol. 172, Aug. 2019, pp. 238–42. PubMed, doi:10.1016/j.jpba.2019.04.048.
Morgan, Marsha K., et al. “Distribution, Variability, and Predictors of Urinary Bisphenol A Levels in 50 North Carolina Adults over a Six-Week Monitoring Period.” Environment International, vol. 112, Mar. 2018, pp. 85–99. PubMed Central, doi:10.1016/j.envint.2017.12.014.
Nock, Nora L., et al. “Associations between Smoking, Polymorphisms in Polycyclic Aromatic Hydrocarbon (PAH) Metabolism and Conjugation Genes and PAH-DNA Adducts in Prostate Tumors Differ by Race.” Cancer Epidemiology, Biomarkers & Prevention: A Publication of the American Association for Cancer Research, Cosponsored by the American Society of Preventive Oncology, vol. 16, no. 6, June 2007, pp. 1236–45. PubMed, doi:10.1158/1055-9965.EPI-06-0736.
Oussalah, Abderrahim, et al. “Exome-Wide Association Study Identifies New Low-Frequency and Rare UGT1A1 Coding Variants and UGT1A6 Coding Variants Influencing Serum Bilirubin in Elderly Subjects.” Medicine, vol. 94, no. 22, June 2015. PubMed Central, doi:10.1097/MD.0000000000000925.
Pearce, C. L., et al. “Validating Genetic Risk Associations for Ovarian Cancer through the International Ovarian Cancer Association Consortium.” British Journal of Cancer, vol. 100, no. 2, Jan. 2009, pp. 412–20. PubMed Central, doi:10.1038/sj.bjc.6604820.
Peng, Qiliu, et al. “The NQO1 Pro187Ser Polymorphism and Breast Cancer Susceptibility: Evidence from an Updated Meta-Analysis.” Diagnostic Pathology, vol. 9, May 2014, p. 100. PubMed Central, doi:10.1186/1746-1596-9-100.
“PharmGKB.” PharmGKB, https://www.pharmgkb.org/literature/14603832. Accessed 25 Sept. 2019.
Pollack, A. Z., et al. “Bisphenol A, Benzophenone-Type Ultraviolet Filters, and Phthalates in Relation to Uterine Leiomyoma.” Environmental Research, vol. 137, Feb. 2015, pp. 101–07. PubMed, doi:10.1016/j.envres.2014.06.028.
Qiu, Juanjuan, et al. “Association between Polymorphisms in Estrogen Metabolism Genes and Breast Cancer Development in Chinese Women.” Medicine, vol. 97, no. 47, Nov. 2018. PubMed Central, doi:10.1097/MD.0000000000013337.
—. “Association between Polymorphisms in Estrogen Metabolism Genes and Breast Cancer Development in Chinese Women.” Medicine, vol. 97, no. 47, Nov. 2018. PubMed Central, doi:10.1097/MD.0000000000013337.
Reding, Kerryn W., et al. “Genetic Polymorphisms in the Catechol Estrogen Metabolism Pathway and Breast Cancer Risk.” Cancer Epidemiology, Biomarkers & Prevention: A Publication of the American Association for Cancer Research, Cosponsored by the American Society of Preventive Oncology, vol. 18, no. 5, May 2009, pp. 1461–67. PubMed, doi:10.1158/1055-9965.EPI-08-0917.
Rogan, Eleanor G., et al. “Relative Imbalances in Estrogen Metabolism and Conjugation in Breast Tissue of Women with Carcinoma: Potential Biomarkers of Susceptibility to Cancer.” Carcinogenesis, vol. 24, no. 4, Apr. 2003, pp. 697–702. academic.oup.com, doi:10.1093/carcin/bgg004.
Sakhi, Amrit Kaur, et al. “Phthalate Metabolites in Norwegian Mothers and Children: Levels, Diurnal Variation and Use of Personal Care Products.” The Science of the Total Environment, vol. 599–600, Dec. 2017, pp. 1984–92. PubMed, doi:10.1016/j.scitotenv.2017.05.109.
Seachrist, Darcie D., et al. “A Review of the Carcinogenic Potential of Bisphenol A.” Reproductive Toxicology (Elmsford, N.Y.), vol. 59, Jan. 2016, pp. 167–82. PubMed Central, doi:10.1016/j.reprotox.2015.09.006.
Shao, Xiying, et al. “The CYP19 RS4646 Polymorphism IS Related to the Prognosis of Stage I–II and Operable Stage III Breast Cancer.” PLoS ONE, vol. 10, no. 3, Mar. 2015. PubMed Central, doi:10.1371/journal.pone.0121535.
Shen, Yang, et al. “Role of Single Nucleotide Polymorphisms in Estrogen-Metabolizing Enzymes and Susceptibility to Uterine Leiomyoma in Han Chinese: A Case-Control Study.” The Journal of Obstetrics and Gynaecology Research, vol. 40, no. 4, Apr. 2014, pp. 1077–84. PubMed, doi:10.1111/jog.12275.
Szaefer, Hanna, et al. “Modulation of CYP1A1, CYP1A2 and CYP1B1 Expression by Cabbage Juices and Indoles in Human Breast Cell Lines.” Nutrition and Cancer, vol. 64, no. 6, Aug. 2012, pp. 879–88. PubMed, doi:10.1080/01635581.2012.690928.
Taioli, Emanuela, et al. “Comparison of Estrogens and Estrogen Metabolites in Human Breast Tissue and Urine.” Reproductive Biology and Endocrinology : RB&E, vol. 8, Aug. 2010, p. 93. PubMed Central, doi:10.1186/1477-7827-8-93.
—. “Comparison of Estrogens and Estrogen Metabolites in Human Breast Tissue and Urine.” Reproductive Biology and Endocrinology : RB&E, vol. 8, Aug. 2010, p. 93. PubMed Central, doi:10.1186/1477-7827-8-93.
—. “Comparison of Estrogens and Estrogen Metabolites in Human Breast Tissue and Urine.” Reproductive Biology and Endocrinology : RB&E, vol. 8, Aug. 2010, p. 93. PubMed Central, doi:10.1186/1477-7827-8-93.
Thayer, Kristina A., et al. “Bisphenol A, Bisphenol S, and 4-HydroXyphenyl 4-IsoproOxyphenylSulfone (BPSIP) in Urine and Blood of Cashiers.” Environmental Health Perspectives, vol. 124, no. 4, Apr. 2016, pp. 437–44. PubMed, doi:10.1289/ehp.1409427.
Thomson, Cynthia A., et al. “A Randomized, Placebo-Controlled Trial of Diindolylmethane for Breast Cancer Biomarker Modulation in Patients Taking Tamoxifen.” Breast Cancer Research and Treatment, vol. 165, no. 1, Aug. 2017, pp. 97–107. PubMed, doi:10.1007/s10549-017-4292-7.
Vandermarken, T., et al. “Assessment of Estrogenic Compounds in Paperboard for Dry Food Packaging with the ERE-CALUX Bioassay.” Chemosphere, vol. 221, Apr. 2019, pp. 99–106. PubMed, doi:10.1016/j.chemosphere.2018.12.192.
Wang, Kai-Hung, et al. “Bisphenol A at Environmentally Relevant Doses Induces Cyclooxygenase-2 Expression and Promotes Invasion of Human Mesenchymal Stem Cells Derived from Uterine Myoma Tissue.” Taiwanese Journal of Obstetrics & Gynecology, vol. 52, no. 2, June 2013, pp. 246–52. PubMed, doi:10.1016/j.tjog.2013.04.016.
Wanwimolruk, Sompon, and Virapong Prachayasittikul. “Cytochrome P450 Enzyme Mediated Herbal Drug Interactions (Part 1).” EXCLI Journal, vol. 13, Apr. 2014, pp. 347–91.
Wielsøe, Maria, et al. “Genetic Variations, Exposure to Persistent Organic Pollutants and Breast Cancer Risk – A Greenlandic Case-Control Study.” Basic & Clinical Pharmacology & Toxicology, vol. 123, no. 3, Sept. 2018, pp. 335–46. PubMed, doi:10.1111/bcpt.13002.
Yang, Li, et al. “Novel Biomarkers for Risk of Prostate Cancer: Results from a Case–Control Study.” The Prostate, vol. 69, no. 1, Jan. 2009, pp. 41–48. onlinelibrary.wiley.com, doi:10.1002/pros.20850.
Ye, Yi, et al. “CYP1A1 and CYP1B1 Genetic Polymorphisms and Uterine Leiomyoma Risk in Chinese Women.” Journal of Assisted Reproduction and Genetics, vol. 25, no. 8, Aug. 2008, pp. 389–94. PubMed Central, doi:10.1007/s10815-008-9246-x.
—. “CYP1A1 and CYP1B1 Genetic Polymorphisms and Uterine Leiomyoma Risk in Chinese Women.” Journal of Assisted Reproduction and Genetics, vol. 25, no. 8, Aug. 2008, pp. 389–94. PubMed Central, doi:10.1007/s10815-008-9246-x.
Yu, Hongping, et al. “A Functional NQO1 609C>T Polymorphism and Risk of Gastrointestinal Cancers: A Meta-Analysis.” PLoS ONE, vol. 7, no. 1, Jan. 2012. PubMed Central, doi:10.1371/journal.pone.0030566.
Zahid, Muhammad, et al. “Unbalanced Estrogen Metabolism in Ovarian Cancer.” International Journal of Cancer. Journal International Du Cancer, vol. 134, no. 10, May 2014, pp. 2414–23. PubMed Central, doi:10.1002/ijc.28565.
—. “Unbalanced Estrogen Metabolism in Ovarian Cancer.” International Journal of Cancer. Journal International Du Cancer, vol. 134, no. 10, May 2014, pp. 2414–23. PubMed Central, doi:10.1002/ijc.28565.
Zhang, Yixiang, et al. “Association between GSTP1 Ile105Val Polymorphism and Urinary System Cancer Risk: Evidence from 51 Studies.” OncoTargets and Therapy, vol. 9, 2016, pp. 3565–69. PubMed, doi:10.2147/OTT.S106527.