Glycine max (L) Merrill, better known as soy or soybean, is a legume of asian origin considered an excellent biotype, given the fact that it contains almost everything the human being needs for the diet. Its cultivation worldwide is one of the most important, and soy itself and its derivatives are highly on demand. The health effects of soy derived foods have been investigated for more than 25 years, and some of them remain controversial. On the other hand, we wondered if soy could be used to ameliorate the toxic effects of heavy metals. Therefore, in this chapter we review general characteristics of soy as well as its nutritional potential, and we compiled the newest information about the health effects of soy. In order to test our hypothesis, we developed a model of animals exposed to cadmium, and we gave them a soy based diet, comparing it with a casein-based diet as control. This allowed us to collect information about its effect on the respiratory and nervous system. Among the results of this review, we show that it reduces the cholesterol level and obesity while also having antidiabetic effects. We enumerate the benefits of soy-based diets on the respiratory system, such as protection against lung cancer and radiotherapy, better lung function in asthma patients and protection against cadmium intoxication. In the cardiovascular system it reduces the risk of coronary heart disease, improves blood pressure, glycemic control, and inflammation while it reduces not all but some of the alterations induced by cadmium exposure on the aorta and heart. It apparently promotes neurogenesis, improves cognitive functions, and reduces the oxidative stress and apoptosis induced by cadmium exposure in the cerebellum. Taken all together, this information let us conclude that soy consumption would exhibit numerous benefits for human health, although future studies should try to elucidate the best outcome considering variables such as gender, age, treatment duration and dosage of soy products consumption in the diet.
- oxidative stress
- anti inflammatory
Soybean has been consumed in many countries since before recorded history. The health effects of soy derived foods have been investigated for more than 25 years. Actually, more than 2000 soy related articles are published annually. Most of the research is conducted because there is evidence that soy has beneficial effects on health, specially preventing chronic diseases.
In our laboratory, we specialize in the effect of heavy metals intoxication on different organs and given the fact that soy is known for its antioxidant properties, we wanted to study if the addition of soy in the diets of exposed animals would ameliorate the deleterious effects of a heavy metal.
In this chapter, we begin providing some background information about soy characteristics and nutritional information; but the main intent of this review is to provide a compilation of the current understanding of the health effects of soybean derived foods mainly on the lipid profile and on different systems such as the respiratory system, the cardiovascular system and the central nervous system. We made a search compiling the most relevant works in the field and added our most outstanding results regarding the possible uses of soy to counteract some environmental intoxications.
G. max(L) Merrill “soy”: general characteristics
The scientific name for soybeans is
After the vegetative growth period, the duration of which depends on the cultivar, latitude and environmental conditions (length of day and temperature) in addition to cultural practices, the soybean plant enters the reproductive phase. The flower is perfect (hermaphrodite), with axillary budding, developing a grouping of 2 to 35 flowers, which can be white or purple . Palmer et al.  and Takahashi et al.  established that the color of soybean flowers is controlled mainly by six genes (W1, W2, W3, W4, Wm and Wp). Under the W1 genotype, the combination with W3W4 results in deep purple flowers, W3w4 has pale purple flowers or with purple coloration at the base of the petal, w3W4 produces purple flowers and w3w4 has almost white flowers .
The seed develops in pods 4 to 6 cm long; each pod has between 2 to 3 seeds. The seed has a shape that varies from round to subtly oval and can present different colors depending on the variety; they can be essentially yellow, black or green. The root system is pivotal and can reach a depth of 15–30 cm; it is capable of nodulation in symbiosis with bacteria of the genus
Nutritionally, soy is an excellent biotype; since it contains almost everything the human being needs for his diet. It has between 38 and 40% protein, 18% fat due to its polyunsaturated nature, 15% carbohydrates and 15% fiber. It supplies most of the amino acids needed for protein synthesis, predominantly Lysine . It is the only protein of vegetable origin with an amino acid score of 100%, when compared to proteins of animal origin, although it is limited in the amino acid methionine, so it is important that it is combined with a cereal (rice, quinoa, oats) or with animal proteins to be able to form complete proteins [10, 11]. It has a high concentration of potassium and is a good source of magnesium, phosphorus, iron, calcium, manganese and phosphates. It also provides vitamins such as vitamins E and B6 [9, 12].
Soy contains isoflavones, which are mainly found in roots and seeds . The concentration ranges between 1.2 and 4.2 mg/g dry weight, depending on the characteristics of the soil in which it is grown, the climate, and the plant maturation at the time of harvesting the seeds . Like other phenolic compounds, soy isoflavones are mainly found as glycosylated conjugates (> 80%), which are absorbed in the intestine and have low estrogenic activity ; only after hydrolysis do they acquire their maximum bioavailability and biological activity .
2.1 Soybean cultivation characteristics
The cultivation of soy (
Pérez  assures that in order for this variety to obtain adequate growth and yield, it needs a significant amount of available nutrients so that it is able to yield good grain production. The nutrient requirements per ton of harvested soybean grain exceeds that one needed by other field crops such as corn or wheat.
Among the macronutrients and micronutrients necessary for its development are: phosphorus (P), potassium (K), calcium (Ca), magnesium (Mg), zinc (Zn), sulfur (S), boron (B), copper (Cu) and organic matter (OM) . According to Ortiz , soy contains high concentrations of nitrogen (N) in the grains and in the plant. Biological nitrogen fixation (BNF) increases as the crop develops, in this way the root nodules transfer between 30 and 50% of the fixed N to the vegetative stages, 80–90% between flowering and the formation of the fruit, reaching the maximum contribution during the filling of the grains .
2.2 Industrial use of soy
Soy is industrially used for the production of oil for both human and animal consumption. From the processed grain, 20% crude oil and 75% soy flour are obtained. Most of the soy flour is used as raw material for animals. Small percentages of protein are processed for human consumption in the form of soy milk, soy flour (SF), soy protein concentrate (SPC), tofu, and many retail food products .
Soy is also used for the production of industrial chemicals such as biodiesel, bio-composites, candles, ink, and wood. It is also used to produce synthetic wood floors and interior plywood. Soy products and other materials obtained from natural resources can be used as ingredients for the production of adhesives for wood due to their ability to bond with different materials . Biodegradable soy-based adhesives are considerably less polluting for the environment than petrochemical adhesives .
Soybean residual biomass (a low-cost residue resulting from oil extraction) was functionalized with an industrial sulfur-based chelating agent, which is a precipitation agent used in industrial wastewater treatment. This biomass combination and chelating agent is used for removing heavy metals from aqueous solution, such as Pb (II), Ni (II) and Cu (II) .
Various derived by-products from the soy processing industry are used for the manufacture of food, cosmetics and cleaning products. Also, soy is one of the most widely used crops for the production of biodiesel .
Soy production represents a very important fraction of the PBI of the entire Southern Common Market (Mercosur) agribusiness, with great economic importance for these countries. Practically, the Mercosur countries make up 42% of the total soy planted in the world, compared to 33% planted in the US, satisfying together the growing world demand .
3. Soybean and health
Different studies have been conducted to determine which components of soy exert bioactive effects. Soy components include protein, lipids, fiber and phytochemicals including isoflavones. The three main isoflavones found in soybeans are genistein, daidzein and glycitein. Furthermore, genistein has been suggested to act as an inhibitor of oxidative stress, angiogenesis, and metastasis .
3.1 Anti-cancer soy property
It has been suggested that many of the health effects of soy may be related to estrogen receptors (ER), mediated by soy-associated phytoestrogens . Epidemiologic studies have shown that isoflavones may exert their anticancer effects through an estrogen receptor (ER) signaling pathway in breast, endometrial, and ovarian cancers. In addition, some results from lung cancer studies link the decrease of lung cancer with soy intake. The mechanisms and active compounds in soybeans that may be responsible for this relationship will need to be elucidated in the future . A research conducted in 2014 with separated women according to menopause status explored the association between breast cancer and soy isoflavone consumption and it concluded that soy isoflavone intake could reduce the risk of breast cancer for both pre- and post-menopausal women in Asian countries .
In men with benign prostatic hyperplasia (BPH), finasteride treatment induced epidermal growth factor receptor (EGFR) nuclear translocation, but, when finasteride was combined with soy isoflavones, EGFR remained on the cell membrane. Since nuclear EGFR is a predictor of poor outcome in prostate cancer, addition of ERβ agonists should be considered as a treatment that might offer some benefit to patients .
Other studies have demonstrated that high intake of total soybean and non-fermented soybean products could reduce the risk of gastric cancer, but fermented soybean products could increase that risk, indicating that the beneficial effect of soy-based food might be related to the non-fermented products . Hua et al.  indicated that the isoflavone intake decreased the ovarian cancer risk by 33%, demonstrating that the intake of dietary isoflavones played a protective role against ovarian cancer. He et al.  showed that a daily diet rich in isoflavones might potentially decrease colorectal cancer incidence. In this sense, Yu et al.  results revealed that soy isoflavone consumption reduced the risk of developing colorectal cancer by 23%. Moreover, a higher intake of soy isoflavones was associated with a lower risk of mortality from lung, gastric, and colorectal cancers. Nachvak et al.  reported that an increase of 10 mg/day of soy isoflavones consumption was associated with a 7% lower risk of cancer mortality.
3.2 Soy enhances lipid profiles
The potential health effects of soybean in humans and animals remain controversial. One of the strongest health claims involves protection against coronary disease, based upon reductions in plasma cholesterol and triglycerides, and protection against atherosclerosis. However, the physiological mechanism by which soy may improve blood lipid profiles has been subject of numerous investigations. Additional health benefits involve antidiabetic effects, reduced weight gain, and improved body composition. Obesity clinically leads to nonalcoholic fatty liver disease (NAFLD), type 2-diabetes, and coronary heart disease. NAFLD is a potential risk factor for the development of both type 2-diabetes and metabolic syndrome. This illness is defined by excessive hepatic triglyceride (TG) content in the absence of excessive alcohol consumption. Moreover, NAFLD is the most common cause of chronic liver disease worldwide and it is a precursor of the more advanced liver disease nonalcoholic steatohepatitis (NASH). NAFLD is a condition that may progress to cirrhosis in up to 25% of the patients . To date, the growing global disease burden of NAFLD has not been remedied by pharmaceutical treatment but soy derived foods in the diet have been proposed as a therapeutic tool for patients with NAFLD .
The amount of liver fat appears to be related to the amount of fat incorporated in the diet. Therefore, the excess of TG in the diet can favor fatty liver formation. Sources of hepatic TG were detected directly in NAFLD patients, as follows: a) TGs that come from non-esterified fatty acids, which flow into the liver through lipolysis of adipose tissue; b) TG in smaller amounts derived from
Hepatic lipid metabolism is partially controlled by transcription factors: sterol regulatory element binding proteins (SREBPs) and peroxisome proliferator-activated receptors (PPARs) . Soybean intake decreases the expression of SREBP-1c and increases the expression of SREBP-2. SREBP-1c is a transcription factor that stimulates the expression of genes related to
SREBP-1c stimulates the transcription of fatty acid biosynthesis genes such as acetyl-CoA carboxylase (ACC) and fatty acid synthase (FAS). In contrast, PPAR
Interactions between soy components are believed to improve fatty acid oxidation in the liver by increasing the expression of peroxisome proliferator activated receptor α (PPARα) regulated genes, thus decreasing lipid accumulation in the liver . Another nuclear receptor involved in lipid metabolism is peroxisome proliferator-activated receptor (PPAR)γ2, whose expression is greatly increased in response to a high fat (HF) diet, especially a diet high in saturated and unsaturated fatty acids .
Japanese diet includes a high consumption of soy/isoflavones, fish/n-3 polyunsaturated fatty acids (PUFAs), salt/salted foods, and green tea, and a low consumption of red meat and saturated fat. Regarding this, inverse associations between soy/isoflavones or fish/n-3 PUFAs and diabetes have been found . Several groups studied the effects of β-conglycinin, a soy protein, on the prevention and improvement of NAFLD. Soybean is a popular ingredient in Japan, used in foods such as tofu, miso, and natto. Ikaga et al.  found that in Japan the intake of soybeans and related foods was 58.6 g/day, and their protein intake was 5.1 g, while 30% of the soy protein was β-conglycinin.
In humans, supplementation with β-conglycinin is able to reduce and/or prevent intra-abdominal obesity; it is also necessary to emphasize that this protein is considered in numerous investigations as an allergen, although this information is controversial . Small peptides released from β-conglycinin digestion may directly or indirectly affect lipid metabolism in adipose tissue and liver. In addition, digestion-released peptides were shown to activate low-density lipoprotein receptors and inhibit FAS biological activity. Therefore, β-conglycinin may be a promising dietary protein for NAFLD and intra-abdominal obesity amelioration. These results suggest that soy β-conglycinin could be a potentially useful dietary protein source for the prevention of hypertriglyceridemia, hyperinsulinemia, and hyperglycemia [36, 41].
Most studies on diet-induced obesity have always focused on the role of saturated fats, from animal fats, but there is enough evidence to suggest that polyunsaturated fatty acids (PUFAs), from vegetable fats also contribute to obesity [42, 43, 44]. On the other hand, there is strong evidence relating the cardiovascular health with soybean oil. Replacing high saturated FAs (SFAs) fats and oils or
3.3 Soy and the respiratory system
It is known that nutrition is very important in lung health and defense [46, 47, 48]. Protection against lung cancer and the radioprotective effect of soy isoflavones are well described in the bibliography [49, 50]. Soy isoflavones seem to increase chemotherapy induced cell death in different types of lung cancer [51, 52]. They also improve survival of non-carcinogenic cells after chemo- or radiotherapy. Its mechanisms might be related to the inhibition of the infiltration and activation of macrophages and neutrophils [53, 54, 55].
Asthma is a chronic disease affecting a great number of people in the world and airway remodeling is one of the main pathological hallmarks of uncontrolled asthma. Remodeling is attributed to treatment failure with conventional medications and poor asthma control. Plasminogen activator inhibitor-1 (PAI-1) is associated with asthma severity due to its role in airway remodeling. Patients with asthma have demonstrated that consumption of soy isoflavones results in better lung function. Genistein induces reduction of PAI-1 generation from airway epithelial cells and may be part of the therapeutic mechanism . Also, soy isoflavones recovered Th1/Th2 lymphocytes balance in bronchoalveolar lavage, inhibited eosinophil infiltration, collagen deposition and airway mucus production in murine models of allergic asthma [57, 58].
It is known that the respiratory system is highly susceptible to environmental contamination. Airways are the access door to a number of chemical compounds, microorganisms or viruses that can injure lungs [62, 63, 64, 65, 66]. Cadmium is a heavy metal associated with lung damage or pulmonary cancer [67, 68] and the sources of cadmium contamination are related to industry applications, color pigments, fossil fuel combustion, Ni-Cd batteries, and the use of phosphate fertilizers . The absorption of Cd takes place mainly through the respiratory tract and to a smaller extent via the gastro-intestinal tract. Cadmium induces oxidative stress and generates ROS, activates apoptosis, alters gene expression, inhibits respiratory chain complexes, and alters the inner mitochondrial permeability. Although inhalation is the most common source of intoxication, we recently demonstrated that ingested cadmium leads to pulmonary oxidative stress, cell death and fibrosis in rat lungs.
We developed a model of animals exposed to cadmium, and we gave them a soy based diet, comparing it with a casein-based diet as control. We showed that zinc and selenium levels in lungs were modified when cadmium intoxicated rats were fed with a soy-based diet. Zinc availability has an important role in lung redox-status maintenance . The higher levels of Zn we found in the soy-fed Cd intoxicated animals suggests there is a protective effect exerted by the diet in cadmium intoxicated lungs. Selenium is an essential micronutrient associated with antioxidant defense, protection against cancers, and physiological functions in the nervous system ; it also is a cofactor of selenoproteins, such as glutathione peroxidases . We observed a depletion of this element in animals fed with casein after 60 days of cadmium-induced pulmonary oxidative stress, however; Se concentration was maintained in soy-fed rats.
The enzymatic antioxidant system is composed by a group of proteins responsible for maintaining the redox state. Superoxide dismutase 2 (SOD-2) is in charge of transforming superoxide anions into hydrogen peroxide and oxygen, as McCord and Fridovich  well described. It is known that the expression of antioxidant enzymes is mediated by antioxidant response elements (ARE) . SOD has been identified as Nrf2-regulated antioxidant enzyme [75, 76]. Our studies demonstrated that mRNA levels of Nrf-2 and SOD-2 increased only in soy fed Cd exposed animals, revealing an improvement in the antioxidant system when soy was included in the diet. Soy also reduces oxidative stress caused by other sources [77, 78]. It has been reported that flavonoids scavenge free radicals, chelate redox-active metal ions and increase metallothionein expression [79, 80, 81].
LDH activity measured in bronchoalveolar lavages is also an indicator of cell damage [82, 83]; we found a strong increase of its activity in casein-fed Cd exposed animals, which decreased in the soy-fed group. mRNA ratio of BAX (a pro-apoptotic protein) and Bcl-2 (anti-apoptotic) showed similar results to LDH activity. These data are in accordance with other studies that report that apoptosis is one of the main mechanisms involved in cell death induced by cadmium in the lungs [84, 85, 86]. Taking into account these data, we assume that a soy based diet exerts a protective effect against cadmium induced cell death in the lungs.
Pulmonary fibrosis is a common response to multiple pathologies [87, 88, 89]. Fibrosis is also related to aging , lung infection processes , and chemical intoxications [92, 93, 94]. Our study also showed that Cd caused advanced pulmonary fibrosis, capillary fragility, and numerous fused alveoli when casein was the protein source in the diet (Figure 1A). However, the animals that were fed with a soy diet showed less severe injuries in the lungs (Figure 1B).
3.4 Soy and the cardiovascular system
It is known that cardiovascular diseases (CVD) are the leading cause of death worldwide, which is affecting millions of people in both developing and developed countries. The association between CVD risk and dietary consumption has been investigated and Yan et al.  summarized several studies made in the last few years, showing that soy foods were associated with a reduced risk of CVD (including coronary heart disease [CHD] and stroke). Furthermore, the American Heart Association published a statement saying that daily consumption of ≥25 g of soy protein with its associated phytochemicals intact can improve lipid profiles in hypercholesterolemic humans and that soy protein without the isoflavones appears to be less effective .
More recently, 3 prospective cohorts studies in the US showed that higher intake of isoflavones and tofu was associated with a moderately lower risk of developing CHD, and in women the favorable association of tofu were more pronounced in young women or postmenopausal women without hormone use . All these results are consistent with what we mentioned above, about soy being able to decrease LDL-cholesterol levels. Besides, Ramdath et al.  reviewed the effects of soy on blood pressure, glucose levels, inflammatory markers, and obesity. They concluded that isoflavones and their metabolites may improve blood pressure, glycemic control, and inflammation.
On the other hand, epidemiological studies have shown that exposure to heavy metals is associated with high prevalence and incidence of cardiovascular diseases; therefore, Ferramola et al.  studied the effect of soy based-diets on animals exposed to cadmium in the myocardium. They found that those animals fed a soy-based diet while exposed to Cd had increased activity of CAT and SOD, suggesting an increased antioxidant response in the heart but it failed to protect the heart from Cd-induced histological alterations.
Working in the same model, Perez Diaz et al.  found that soy administered as a dietary protein source can modulate the pro-inflammatory and pro-apoptotic effects of a subchronic intoxication with Cd in rat’s aortas. This was done by decreasing the expression of ICAM-1, which would result in a reduced leukocyte accumulation into the vasculature wall and by increasing the Bax/bcl-2 ratio respectively.
3.5 Soy and the central nervous system
It is known that soybean isoflavones influence neuronal proliferation
As we stated before, soy isoflavones are referred to as phytoestrogens because they bind to the estrogen receptor (ER) and as such, they affect estrogen mediated processes . Soy isoflavones can exert both agonistic and antagonistic estrogenic effects , and have inhibitory effects on tyrosine kinase, topoisomerase and angiogenesis . There are several studies that mentioned that soy isoflavones can improve cognitive function in both humans and rats [107, 108] and the SOPHIA study  observed the effects of soy isoflavone supplementation (110 mg/day) on cognitive function of postmenopausal women. A good performance was observed in this treatment. Duffy et al.  showed that postmenopausal women who received a daily treatment with 60 mg soy isoflavones along 12 weeks showed significantly better results in memorizing images and in sustained attention and planning tasks. Furthermore, isoflavone treatment showed no effect on menopausal symptoms. However, another study in healthy postmenopausal women aged 60 to 75 years showed no significant changes in cognitive function after 1 year of treatment . Contradictory results have also been found in men. Some researchers have found that soy isoflavones appear to be detrimental to cognitive function in men , showing that middle-aged men with high tofu consumption had lower brain weight and greater cognitive decline compared to those who consumed less tofu. However, other studies demonstrated that supplementation with soy isoflavones improves cognitive function in men . The treatment was carried out in young men, and consisted of the consumption of high doses of soy (100 mg of soy isoflavones/day), showing significant improvements in short- and long-term memory, as well as mental flexibility. Regardless, clinical trials indicate that soy isoflavones may improve cognitive function not only in postmenopausal women and young adults, but also in young adult men.
On the other hand, cognitive function was also evaluated in male rats and surprisingly the results were the same as in humans. Lund et al. demonstrated that the performance of a visual spatial memory test on male rats fed a soy isoflavone diet was less satisfactory than that executed on rats fed an isoflavone-free diet . Other research showed that male rats that consumed soy isoflavones for life showed poorer performance in the radial arm maze test than male rats that switched to the isoflavone-free diet at 80 days of age and continued the same diet up to 120 days of age. However, another study reported that 10-month-old male rats fed 0.3 g/kg of isoflavone for 16 weeks had a significantly higher performance than male rats fed the isoflavone-free diet in the spatial water maze test . The discrepancy between the two studies can be attributed to the difference in the age of the rats, dietary regimes, and maze tests.
Among the multiple mechanisms that soy has, it is also known to act at the tyrosine kinase level. Phosphorylation of this protein is a regulatory mechanism involved in numerous responses in the brain, including neuroregeneration , synaptic plasticity  and neuronal damage . Protein tyrosine kinases are highly expressed in the brain and are reported to be involved in the induction of long-term potentiation (LTP) in the hippocampus , which is crucial for learning and memory. Genistein is known to inhibit tyrosine kinase , which is generally considered to be detrimental to a neuron. However, these effects appear to occur only when the level of genistein in a cell is high . In a model of calcium ATPase inhibitor-induced apoptosis, low concentrations of genistein prevented apoptosis, however high concentrations reversed all phenotypes. High concentrations of genistein were also shown to induce apoptosis in primary cortical neurons , blocked tyrosine kinase activity, and contributed to H2O2-induced apoptosis in SH-SY5Y human neuroblastoma cells . It can be postulated that LTP suppression by genistein is dose dependent, similar to its effects on neuroprotection.
On the other hand, Deol et al.  found that soy diets would produce significant dysregulation of gene expression in the hypothalamus of male mice, the most notable of which is the gene encoding Oxytocin (Oxt). These results demonstrated that different fatty diets can have differential effects on hypothalamic gene expression and increase the possibility that a rich soy diet could contribute both to increasing rates of metabolic disease as well as affecting neurological functions.
Also, just as we did with lungs, we analyzed the effect of a soy-based diet after chronic cadmium intoxication. Cadmium has been shown to have negative effects on the central nervous system, it has been observed that it is capable of crossing the blood–brain barrier (BBB), increasing its permeability in rats  allowing it to accumulate in the brain of developing and adult rats, thus affecting the integrity of the vascular endothelium, producing cellular dysfunction and cerebral edema [125, 126, 127]. These could induce cognitive dysfunctions [128, 129], leading to neurological alterations like olfactory dysfunctions, peripheral neuropathy, decreased ability to concentrate and neurodegenerative diseases [130, 131]. Moreover, it is known that oxidative stress is a factor involved in neurodegenerative disorders in adults, such as strokes, traumas and seizures , where the CNS is susceptible to free radicals damage .
In cerebellum, the motor coordination center, also involved in cognitive processing and sensory discrimination, the effects of Cd in experimental animals include cerebellar bleeding, cerebellar edema and hyperactivity [134, 135]. Our investigation revealed an increase in Cd concentrations in the cerebellum of the rats after 60 days of treatment while the animals fed a soy diet did not have high levels of the heavy metal. Soybean has an apparent defensive effect against Cd accumulation. Besides, some studies showed that a chronic ingestion of diet enriched in casein induced substantial BBB disruption in the cortex region resulting in non-specific blood-to-brain extravasation of plasma-derived proteins, while a diet enriched in soy protein showed no significant effects on BBB permeability . Besides, it has been shown that certain amino acids found in protein-rich diets, specifically methionine, are associated with elevated plasma homocysteine levels [137, 138]. Tyagi et al. demonstrated that hyperhomocysteinemia induces structural and functional alterations of BBB by promoting oxidative stress and neuroinflammation in mouse models of cognitive dysfunction [139, 140].
Regarding the effect on the antioxidant defense system in cerebellum, we found a reduction of catalase activity in the intoxicated animals fed with soy, probably due to the isoflavones content, just like Halder  described in his study, where that an isoflavone like quercetin, helped to reduce Cd levels in brain tissue and modulated the antioxidant system of the cell by affecting expression of antioxidant enzymes at the transcription level. Furthermore, these animals showed increased expression of SOD-2, suggesting a protective, antioxidant effect of this protein source, as it was previously shown by Liu et al. .
It is known that the adult human brain contains about 20% of the body’s total cholesterol , making cholesterol the main constituent of this tissue. Unlike cholesterol in other organs, in the brain it is primarily derived by
Cd has been recognized as an inducer of apoptosis in a diversity of tissues including the brain . In casein-fed cadmium intoxicated animals the Bax/Bcl-2 ratio increased. The replacement of casein for soy as dietary protein reduced this Bax increase but also increased Bcl-2 expression, changing the ratio. These data suggest that a soy diet inhibited Cd-induced apoptosis by increasing Bcl-2 expression, which may play an inducible cytoprotective role against Cd toxicity . In this regard, it has been reported that a long-term intervention with genistein can lead to a decrease in apoptosis in hippocampal neurons of ovariectomized rats, upregulate the expression of Bcl-2, and downregulate the expression of Bax, playing genistein an anti-apoptotic and neuroprotective role . This was also consistent with the structural changes observed, like a reduction in the number in the granular cells in the casein group and also with the morphometric results that indicated that Cd intoxication produced striking variations in the thickness of the granular layer in the casein group as reported by Mahmoud . In the soy groups no significant differences were noticed, consistent with Farahmand who find that the antioxidant effect of
Soy is used for the production of oil, flour, milk, protein concentrate and tofu, among others; products that can be used for both human and animal consumption. In addition, soybeans are used for the production of industrial chemicals such as biodiesel, in the treatment of industrial wastewater and in the manufacture of cosmetics and cleaning products.
In this chapter we summarized the benefits of adding soy to the daily diet. Its consumption exhibits numerous benefits for human health. It can reduce the risk of a variety of health problems, such as different cancers, cardiovascular diseases, stroke and it also acts as an anti-neuroinflammatory. What is more, it can ameliorate the toxic effect of cadmium intoxication in several organs.
Soy isoflavone may bind to some hormone receptors, such as estrogen receptors (ER). Therefore, the intake of phytoestrogens was found to be beneficial in breast, ovarian, endometrial and colorectal cancer and also in lung cancer. However, more research is needed to understand its effects, mechanisms and dosages. Several studies demonstrated that the intake of total soybean could also reduce the risk of gastric cancer. The consumption of soy protein and fiber reduces the risk of CVD and is associated with glycemic control. Soy is a high-quality protein that could be an alternative strategy to palliate pulmonary damage in several pathologies and to prevent the damage due to heavy metals intoxication.
Therefore, the use of soy in functional food is very interesting, but future studies should try to elucidate the best outcome considering variables such as genetic load, gender, age, treatment duration and the dosage of soy products consumption in the diet.
Conflict of interest
The authors report no conflicts of interest.