Aromatase and endometriosis.

Abstract:

:Aromatase p450 (p450arom) is the key enzyme for biosynthesis of estrogen, which is an essential hormone for the establishment and growth of endometriosis. There is no detectable aromatase enzyme activity in normal endometrium; therefore, estrogen is not locally produced in endometrium. Endometriosis tissue, however, contains very high levels of aromatase enzyme, which leads to production of significant quantities of estrogen. Moreover, one of the best-known mediators of inflammation and pain, prostaglandin E (2), strikingly induces aromatase enzyme activity and formation of local estrogen in this tissue. Additionally, estrogen itself stimulates cyclo-oxygenase-2 and therefore increases the formation of prostaglandin E (2) in endometriosis. We were able to target this positive feedback cycle in endometriosis using aromatase inhibitors. In fact, pilot trials showed that aromatase inhibitors could decrease pelvic pain associated with endometriosis.

journal_name

Semin Reprod Med

authors

Bulun SE,Fang Z,Imir G,Gurates B,Tamura M,Yilmaz B,Langoi D,Amin S,Yang S,Deb S

doi

10.1055/s-2004-823026

keywords:

subject

Has Abstract

pub_date

2004-02-01 00:00:00

pages

45-50

issue

1

eissn

1526-8004

issn

1526-4564

journal_volume

22

pub_type

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