Oncology
|
April 16, 2024

Indoles for Cancer Prevention: Understanding the Protective Role of Cruciferous Vegetables

Written By
Erin Coleman RD
Medically Reviewed by
Updated On
January 14, 2025

Indoles, bioactive compounds found predominantly in cruciferous vegetables, are noted for their potential role in supporting overall health. It’s vital to understand how indoles may contribute to maintaining health, as scientific evidence suggests indole efficacy regarding numerous health conditions

This article demonstrates ways to incorporate indole-rich foods or supplements into daily meal plans as part of a health-supportive 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 supporting inflammation management, blood pressure regulation, and promoting overall wellness. 

While the potential advantages of indoles are numerous, these compounds aren’t for everyone in high amounts.

The Link Between Indoles and Health Support

It explains the relationship between indoles and health support.

Research supports the benefits of consuming indoles for overall health support. 

These phytochemicals may contribute to health maintenance by supporting the body's natural processes, such as protecting DNA from damage and maintaining hormone balance.

Indoles also help maintain hormone balance, which may support the body's natural defenses. Studies show that indoles appear to influence estrogen metabolism, which could be beneficial for hormone balance. 

The researchers also found a link between cruciferous vegetable consumption and supporting healthy kidney, prostate, colorectal, endometrial, and digestive tract function. 

Studies demonstrate that indole-3-carbinol (I3C), a type of indole, may help support the body's natural processes, and that indole-rich foods support the conversion of estrogen to less active forms.

Additional research shows that I3C in cruciferous vegetables stimulates natural detoxifying enzymes, supports natural detoxification processes, and enhances liver health. 

The anti-inflammatory properties of indoles have potential impacts on supporting chronic disease prevention, as studies suggest these phytochemicals optimize intestinal health and may support the body's natural defenses against inflammatory bowel conditions. 

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 Health-Supportive Effects of Indoles

To optimize your intake of indoles and support overall health, consider 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 support overall health and wellness. 
  • 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 support overall health.
  • Consult with a healthcare professional for personalized diet planning advice and supplement use recommendations.
  • Combine cruciferous vegetables with other natural health-supportive nutrients (folic acid, vitamin B12, vitamin D, selenium, carotenoids, lycopene, etc.) abundant in fruits and vegetables.

Studies show that these health-supportive nutrients may help support the body's natural defenses. The researchers found that meats and other animal-based foods high in fat and generally cooked at high temperatures could impact health. 

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 support overall health and wellness.

Cons

When choosing indole supplements instead of indole-rich foods, you won’t be getting all of the fiber, vitamins, minerals, antioxidants, or other health-supportive 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 support health, 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 health issues, as lifestyle and genetic factors both contribute to overall health risks. For example, if someone in your family has health issues or you adopt unhealthy lifestyle habits, your risk of health issues increases. 

[signup]

Key Takeaways

The potential health benefits of indoles are numerous, as they’re a key factor in health-supportive diets. Indoles:

  • Are abundant in cruciferous vegetables (broccoli, cauliflower, cabbage, etc.) and indole supplements
  • May support the body's natural processes by reducing carcinogens, protecting DNA from damage, and supporting cell health
  • Help reduce toxin buildup, inflammation, hypertension, and chronic disease risk factors 
  • Aid in hormone balance to support overall health
  • May support the body's natural defenses against breast, ovarian, kidney, prostate, colorectal, endometrial, and digestive tract health issues
  • A holistic approach to health support 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 wellness. 
The information in this article is designed for educational purposes only and is not intended to be a substitute for informed medical advice or care. This information should not be used to diagnose or treat any health problems or illnesses without consulting a doctor. Consult with a health care practitioner before relying on any information in this article or on this website.

Learn more

No items found.

Lab Tests in This Article

No lab tests!

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

Order from 30+ labs in 20 seconds (DUTCH, Mosaic, Genova & More!)
We make ordering quick and painless — and best of all, it's free for practitioners.

Latest Articles

View more on Oncology
Subscribe to the magazine for expert-written articles straight to your inbox
Join the thousands of savvy readers who get root cause medicine articles written by doctors in their inbox every week!
Thanks for subscribing!
Oops! Something went wrong while submitting the form.
Are you a healthcare practitioner?
Thanks for subscribing!
Oops! Something went wrong while submitting the form.
Subscribe to the Magazine for free to keep reading!
Subscribe for free to keep reading, If you are already subscribed, enter your email address to log back in.
Thanks for subscribing!
Oops! Something went wrong while submitting the form.
Are you a healthcare practitioner?
Thanks for subscribing!
Oops! Something went wrong while submitting the form.

Hey practitioners! 👋 Join Dr. Chris Magryta and Dr. Erik Lundquist for a comprehensive 6-week course on evaluating functional medicine labs from two perspectives: adult and pediatric. In this course, you’ll explore the convergence of lab results across different diseases and age groups, understanding how human lab values vary on a continuum influenced by age, genetics, and time. Register Here! Register Here.