

It belongs to isoflavanol [7-hydroxy-3-(4'-hydroxyphenyl)-chromanol] with poor water solubility and is unstable in acid solution environment; it has excellent lipophilicity, the ability to cross the blood-brain barrier, and higher bioavailability. Source:
Equol in animals comes from the degradation of plant flavonoids by intestinal bacteria. Human S-equol is formed by soybean flavonoids (daidzein) (Lactobacillus, Escherichia coli, Enterococcus faecalis, etc.). Humans take it orally and produce S-equol; intestinal microorganisms include (Bifidobacterium, daidzein). It takes 12 to 36 hours for equol to appear in plasma.
Equol has chiral carbon atoms and exists in enantiomers. Microbial fermentation only produces S-equol. Chemical synthesis method obtains a mixture of S-equol and R-equol.
Equol in humans is produced by intestinal bacteria metabolizing ingested soy isoflavones.

Intestinal microorganisms metabolize daidzein to produce only S-equol; chemical synthesis method obtains racemic body, which is composed of S-equol and R-equol. R-equol.
Pharmacokinetics of Equol (SE5-OH) in healthy postmenopausal women (A single-center, open-label, randomized, 2-period crossover design study)
Research methods: 12 healthy postmenopausal women (age: 58+5 years) took S-(-) equol tablets orally; dose: 10 and 30 mg
Analysis methods: Within 48 hours after administration, S-(-) equol in plasma and urine was determined by tandem mass spectrometry, and the production state of equol was determined after soy milk stimulation after pharmacokinetic sampling was completed.
Equol was rapidly absorbed after oral administration, and the time required to reach Cmax was about 1 hour (0.97-2.0 hours), and the half-life was 8h. The maximum plasma concentration/dose AUC and urinary excretion fraction (%fe,u) were similar (approximately 82%) for the two doses, indicating that the absorption and metabolism of S-equol is proportional to the dose.
Conclusion: The systemic bioavailability of S-equol is very high and higher than the published data for the soy isoflavones daidzein and genistein. The identity of the equol producer had no effect on the pharmacokinetics of S-equol.


Patients who do not produce equol
Conclusion: Supplementation with S-equol can improve mood-related symptoms in peri-/postmenopausal patients;
(equol nonproducers) showed more significant improvements after intervention.
Equol can reduce skin aging in postmenopausal women.
Oral administration of equol can improve skin health in adult men.
Equol stimulates the transcriptional activity of estrogen-related receptor Y (ERRY), thereby inhibiting the growth of prostate cancer PC-3 cells. Equol significantly inhibited the growth of LNCap (human prostate cancer cell) cells at concentrations >10 μM; and caused DNA strand breaks in both cell lines at concentrations >250 μM.
Equol inhibited the growth of prostate cancer cells by inducing DNA damage at higher concentrations, and also inhibited the invasion of DU145 prostate cancer cells by downregulating matrix metalloproteinase 2 (MMP-2) and M9.
These results suggest that the ability to produce equol or equol itself is closely associated with a lower incidence of prostate cancer. The results also suggest that a diet based on soy isoflavones will help prevent prostate cancer.



