Indoles, bioactive compounds found predominantly in cruciferous vegetables, are noted for their potential role in cancer prevention. It’s vital to understand how indoles contribute to lower cancer risks, as scientific evidence supports indole efficacy regarding numerous health conditions.
This article demonstrates ways to incorporate indole-rich foods or supplements into daily meal plans as an effective cancer-preventive health strategy.
[signup]
What Are Indoles?
Indoles are phytochemicals present in cruciferous vegetables, including broccoli, cauliflower, and cabbage. Their chemical makeup consists of heterocyclic aromatic compounds with fused pyrrole and benzene bicyclic rings. Indoles come from the breakdown of glucosinolates (sulfur-containing phytochemicals) found in certain vegetables.
The metabolism of indoles in the human body transforms these substances into compounds with significant biological activity, offering various health benefits. Examples include reduced inflammation, hypertension (high blood pressure), diabetes, cancer, and more.
While the potential advantages of indoles are endless, these anti-cancer compounds aren’t for everyone in high amounts.
The Link Between Indoles and Cancer Prevention
Research supports the benefits of consuming indoles for cancer prevention.
These phytochemicals contribute to cancer reduction by reducing carcinogens, protecting DNA from damage, repairing mutated genes, reducing cancer cell growth, and speeding up cancer cell death.
Indoles also help maintain hormone balance, reducing the risk of certain types of cancer. Studies show that indoles appear to influence estrogen metabolism, lessening the chance of hormone-dependent cancers (endometrial cancer, breast cancer, ovarian cancer, etc.).
The researchers also found a link between cruciferous vegetable consumption and lower rates of kidney, prostate, colorectal, endometrial, and digestive tract cancers.
Studies demonstrate that indole-3-carbinol (I3C), a type of indole, helps suppress tumor growth and that indole-rich foods boost the conversion of estrogen from cancer-producing forms to less harmful products.
Additional research shows that I3C in cruciferous vegetables stimulates natural detoxifying enzymes, boosts carcinogen (and other toxin) elimination, and enhances liver health.
The anti-inflammatory properties of indoles have profound potential impacts on chronic disease prevention, as studies suggest these phytochemicals optimize intestinal health and lessen the risk of inflammatory bowel disease (IBD) and colorectal cancer.
Dietary Sources of Indoles
The following cruciferous vegetables are exceptional sources of indoles:
- Broccoli: broccoli contains about 62 milligrams of glucosinolates in a 100-gram serving. Glucosinolates break down into indoles and other biologically active compounds.
- Brussels sprouts: Brussels sprouts are loaded with indoles, containing an astounding 237 milligrams of glucosinolates in each 100-gram portion of raw sprouts.
- Cabbage: cabbage provides 59 grams of indole-producing glucosinolates in each 100-gram serving.
- Cauliflower: cauliflower offers 43 grams of glucosinolates per 100-gram raw serving size.
- Collard greens: collard greens provide a whopping 201 grams of glucosinolates in each 100-gram portion.
- Kale: Kale consists of 89 grams of glucosinolates in each 100 grams.
- Kohlrabi: kohlrabi contains 46 grams of glucosinolates per serving (100 grams).
- Radishes: 100 grams of raw radishes contain 93 grams of glucosinolates.
- Turnips: turnips also provide 93 grams of glucosinolates in each 100-gram portion.
Choose a variety of these and other vegetables at each meal to increase the consumption of fiber, vitamins, minerals, antioxidants, indoles, and other phytochemicals.
Maximizing the Cancer-Preventive Effects of Indoles
To optimize your intake of indoles and reap numerous health benefits, aim for the following goals:
- Consume at least 2 ½ cups (or 5 cups of leafy green) vegetables daily when following a 2,000-calorie meal plan. Choose a variety of cruciferous and other vegetables to meet this daily goal.
- To preserve the glucosinolate and indole content of cruciferous vegetables, eat them raw or steam them. Studies show that other cooking methods (stir-frying, boiling, and microwaving) decrease the amount of phytochemicals in these veggies.
- Eat an abundant amount of plant-based foods (fruits, vegetables, nuts, seeds, whole grains, avocados, plant oils, etc.) to minimize the risk of cancer and other chronic diseases.
- Eat cruciferous vegetables dipped in hummus, plain Greek yogurt, guacamole, or other nutritious dips.
- Add indole-rich foods to salads, soups, stews, smoothies, green juices, slaws, wraps, sandwiches, dips, casseroles, or any other favorite recipe to increase its nutritional content and cancer-fighting effects.
- Consult with a healthcare professional for personalized diet planning advice and supplement use recommendations.
- Combine cruciferous vegetables with other natural anticancer nutrients (folic acid, vitamin B12, vitamin D, selenium, carotenoids, lycopene, etc.) abundant in fruits and vegetables.
Studies show that these cancer-fighting nutrients help reduce colorectal, breast, prostate, and lung cancers. The researchers found that meats and other animal-based foods high in fat and generally cooked at high temperatures could increase the risk of stomach, prostate, and colorectal cancers.
Supplementation: Pros and Cons
Indole supplements, including indole-3-carbinol (I3C) and diindolylmethane (DIM), are alternative sources of highly concentrated indoles. Over-the-counter doses typically range from 100-800 milligrams daily for I3C or DIM supplements, though there are no established safety guidelines — especially for pregnant and nursing women.
Indole supplements provide potential pros and cons, including:
Pros
Ingesting indole supplements is a simple way to consume large amounts of health-promoting phytochemicals. These supplements may reduce the risk of cancers and other chronic diseases.
Cons
When choosing indole supplements instead of indole-rich foods, you won’t be getting all of the fiber, vitamins, minerals, antioxidants, or other cancer-fighting micronutrients abundant in cruciferous vegetables.
In high amounts, indole-rich vegetables or supplements could cause bloating, gas, interactions with blood-thinning medications, or health concerns for people with thyroid disease.
Potential side effects of higher-dose indole supplementation may include tremors, disequilibrium, gastrointestinal symptoms, and skin rashes. These supplements could reduce the effectiveness of certain medications.
Considerations and Potential Limitations
While indoles are highly effective phytochemicals that may prevent cancer, check with your doctor before eating large amounts of cruciferous vegetables or taking indole supplements. This is particularly true if you have a thyroid condition or take any medications.
Phytochemicals alone may not eliminate the chance of developing cancer, as lifestyle and genetic factors both contribute to overall cancer risks. For example, if someone in your family has cancer or you adopt unhealthy lifestyle habits, your risk of cancer increases.
[signup]
Key Takeaways
The potential health benefits of indoles are endless, as they’re a key factor in cancer-preventive diets. Indoles:
- Are abundant in cruciferous vegetables (broccoli, cauliflower, cabbage, etc.) and indole supplements
- Have anti-cancer properties by reducing carcinogens, protecting DNA from damage, speeding up cancer cell death, repairing mutated genes, and slowing cancer cell growth
- Help reduce toxin buildup, inflammation, hypertension, and chronic disease risk factors
- Aid in hormone balance to lessen the risk of hormone-linked cancers
- May reduce the risk of breast, ovarian, kidney, prostate, colorectal, endometrial, and digestive tract cancers
- A holistic approach to cancer prevention includes consuming a well-balanced diet rich in fruits, vegetables, and other plant-based foods; exercising regularly; healthy weight management; and not smoking or drinking alcohol in excess.
- Always check with a doctor to determine if you’re a candidate for indoles or other dietary supplements, and which dosage is safest.
- Incorporate indole-rich cruciferous vegetables into weekly meal plans as part of a comprehensive strategy for health promotion and cancer risk reduction.
Lab Tests in This Article
References
Auborn, K. J., Fan, S., Rosen, E. M., Goodwin, L., Chandraskaren, A., Williams, D. E., Chen, D., & Carter, T. H. (2003). Indole-3-Carbinol is a negative regulator of estrogen. The Journal of Nutrition, 133(7), 2470S2475S. https://doi.org/10.1093/jn/133.7.2470s
Blake, K. (2023a, April 28). What is a heart healthy diet and who should follow one? Rupa Health. https://www.rupahealth.com/post/what-is-a-heart-healthy-diet-and-who-should-follow-one
Blake, K. (2023b, December 15). The power of functional foods in cancer prevention. Rupa Health. https://www.rupahealth.com/post/the-power-of-functional-foods-in-cancer-prevention
Chadha, N., & Silakari, O. (2014, April 29). Indole-3-Carbinol. Linus Pauling Institute. https://lpi.oregonstate.edu/mic/dietary-factors/phytochemicals/indole-3-carbinol#food-sources
Christie, J. (2022, December 13). 95% of Americans aren’t getting enough fiber: How many grams should we be consuming per day? Www.rupahealth.com. https://www.rupahealth.com/post/95-of-americans-arent-getting-enough-fiber-how-many-grams-of-fiber-should-we-be-consuming-per-day
Christie, J. (2023, January 6). A functional medicine approach to obesity and weight management. Rupa Health. https://www.rupahealth.com/post/an-integrative-approach-to-obesity
Cleveland Clinic. (2013). Estrogen and cancer: Information & risks | Cleveland Clinic. Cleveland Clinic. https://my.clevelandclinic.org/health/diseases/10312-estrogen-dependent-cancers
Cloyd, J. (2023a, April 28). What is the difference between medical-grade supplements and over-the-counter supplements? Rupa Health. https://www.rupahealth.com/post/what-is-the-difference-between-medical-grade-supplements-and-over-the-counter-supplements
Cloyd, J. (2023b, May 18). Complementary and integrative medicine approaches to managing high blood pressure: Specialty testing, lifestyle modifications, and natural remedies. Rupa Health. https://www.rupahealth.com/post/complementary-and-integrative-medicine-approaches-to-managing-high-blood-pressure-testing-lifestyle-modifications-and-natural-remedies
Cloyd, J. (2023c, October 27). Macro and micronutrients uncovered: Understanding their role, deficiencies, and clinical relevance. Rupa Health. https://www.rupahealth.com/post/macro-and-micronutrients-uncovered-understanding-their-role-deficiencies-and-clinical-relevance
DeClercq, V., Nearing, J. T., & Sweeney, E. (2022). Plant-Based diets and cancer risk: What is the evidence? Current Nutrition Reports, 2. https://doi.org/10.1007/s13668-022-00409-0
DePorto, T. (2023, January 10). Timeline: What happens inside your body when you quit smoking? Rupa Health. https://www.rupahealth.com/post/what-happens-to-our-bodies-when-we-quit-smoking-a-timeline
Diorio, B. (2023, April 7). Could your patients benefit from the phytonutrient spectrum food plan? Rupa Health. https://www.rupahealth.com/post/could-your-patients-benefits-from-the-phytonutrient-spectrum-food-plan
Ellis, E. (2020, August 13). The beginners guide to cruciferous vegetables. Www.eatright.org. https://www.eatright.org/food/food-groups/vegetables/the-beginners-guide-to-cruciferous-vegetables
Food guides for prostate health. (2024). University of California San Francisco . https://urology.ucsf.edu/sites/urology.ucsf.edu/files/uploaded-files/basic-page/food-guides-for-prostate-health-web-2024.pdf
Indole-3-Carbinol. (2010). Memorial Sloan Kettering Cancer Center. https://www.mskcc.org/cancer-care/integrative-medicine/herbs/indole-3-carbinol
Kalaichandran, A. (2024, February 13). The link between dietary antioxidants and alzheimer’s disease. Rupa Health. https://www.rupahealth.com/post/the-link-between-dietary-antioxidants-and-alzheimers-disease
Katz, E., Nisani, S., & Chamovitz, D. A. (2018). Indole-3-carbinol: A plant hormone combatting cancer. F1000Research, 7, 689. https://doi.org/10.12688/f1000research.14127.1
Licznerska, B., & Baer-Dubowska, W. (2016). Indole-3-Carbinol and its role in chronic diseases. Advances in Experimental Medicine and Biology, 131–154. https://doi.org/10.1007/978-3-319-41334-1_6
Malani, S. (2023a, April 17). An integrative medicine approach to breast cancer prevention. Rupa Health. https://www.rupahealth.com/post/an-integrative-medicine-approach-to-breast-cancer-prevention
Malani, S. (2023b, May 11). Complementary and integrative therapies for treatment and recovery of ovarian cancer. Rupa Health. https://www.rupahealth.com/post/complementary-and-integrative-therapies-for-treatment-and-recovery-of-ovarian-cancer
Mentella, M. C., Scaldaferri, F., Ricci, C., Gasbarrini, A., & Miggiano, G. A. D. (2019). Cancer and mediterranean diet: A review. Nutrients, 11(9), 2059. https://doi.org/10.3390/nu11092059
Montgomery Hays, B., & Hudson, T. (2020). Indole-3-Carbinol - an overview | sciencedirect topics. Www.sciencedirect.com. https://www.sciencedirect.com/topics/medicine-and-dentistry/indole-3-carbinol#:~:text=Indole-3-carbinol%20%28I3C%29%20is%20a%20phytochemical%20found%20in%20vegetables
National Cancer Institute. (2015, December 23). Risk factors. National Cancer Institute; Cancer.gov. https://www.cancer.gov/about-cancer/causes-prevention/risk
Sweetnich, J. (2023a, March 22). Selenium 101: Testing, top foods, and supplements. Rupa Health. https://www.rupahealth.com/post/selenium-101-testing-top-foods-and-supplements
Sweetnich, J. (2023b, March 24). Vitamin A 101: Health benefits, testing, & top foods. Rupa Health. https://www.rupahealth.com/post/vitamin-a-101-health-benefits-testing-top-foods
Sweetnich, J. (2023c, April 26). Unlocking the benefits of vitamin B12: The importance of maintaining optimal levels. Rupa Health. https://www.rupahealth.com/post/vitamin-b12-101
Sweetnich, J. (2023d, May 4). Getting to know vitamin D: From testing to supplementing and meeting your rda’s. Rupa Health. https://www.rupahealth.com/post/vitamin-d-101-testing-rdas-and-supplementing
Sweetnich, J. (2023e, May 8). Understanding the importance of folate testing and proper supplementation for optimal health. Rupa Health. https://www.rupahealth.com/post/understanding-the-importance-of-folate-testing-and-proper-supplementation-for-optimal-health
This is why mom said to eat your broccoli (and other cruciferous veggies). (2023, June 6). Cleveland Clinic. https://health.clevelandclinic.org/crunchy-and-cruciferous-youll-love-this-special-family-of-veggies
Thomson, C. A., Ho, E., & Strom, M. B. (2016). Chemopreventive properties of 3,3′-diindolylmethane in breast cancer: Evidence from experimental and human studies. Nutrition Reviews, 74(7), 432–443. https://doi.org/10.1093/nutrit/nuw010
UCLA Health. (2023, May 10). What are phytochemicals? (And why should you eat more of them?). Www.uclahealth.org. https://www.uclahealth.org/news/what-are-phytochemicals-and-why-should-you-eat-more-them
USDA. (2020). Dietary guidelines for americans 2020 -2025. In Dietary Guidelines for Americans. USDA. https://www.dietaryguidelines.gov/sites/default/files/2021-03/Dietary_Guidelines_for_Americans-2020-2025.pdf
Weinberg MD, J. L. (2023, January 24). Functional medicine treatment for graves’ disease. Rupa Health. https://www.rupahealth.com/post/functional-medicine-treatment-for-graves-disease
Weinberg, J. L. (2024a, January 2). Impact of plant-based diets on chronic inflammation reduction. Rupa Health. https://www.rupahealth.com/post/impact-of-plant-based-diets-on-chronic-inflammation-reduction
Weinberg, J. L. (2024b, February 2). A functional medicine approach to colon polyps. Rupa Health. https://www.rupahealth.com/post/a-functional-medicine-approach-to-colon-polyps
Weng, J.-R., Tsai, C.-H., Kulp, S. K., & Chen, C.-S. (2008). Indole-3-carbinol as a chemopreventive and anti-cancer agent. Cancer Letters, 262(2), 153–163. https://doi.org/10.1016/j.canlet.2008.01.033
Ye, X., Li, H., Anjum, K., Zhong, X., Miao, S., Zheng, G., Liu, W., & Li, L. (2022). Dual role of indoles derived from intestinal microbiota on human health. Frontiers in Immunology, 13. https://doi.org/10.3389/fimmu.2022.903526
Yoshimura, H. (2023a, April 26). Complementary and integrative medicine approaches to oncology in gerontology. Rupa Health. https://www.rupahealth.com/post/complementary-and-integrative-medicine-approaches-to-oncology-in-gerontology
Yoshimura, H. (2023b, October 10). A root cause medicine approach to chronic inflammation. Rupa Health. https://www.rupahealth.com/post/a-root-cause-medicine-approach-to-chronic-inflammation
Yoshimura, H. (2023c, November 7). The remarkable power of exercise on our health: A comprehensive overview. Rupa Health. https://www.rupahealth.com/post/the-remarkable-power-of-exercise-on-our-health-a-comprehensive-overview
Yuan, G., Sun, B., Yuan, J., & Wang, Q. (2009). Effects of different cooking methods on health-promoting compounds of broccoli. Journal of Zhejiang University SCIENCE B, 10(8), 580–588. https://doi.org/10.1631/jzus.b0920051