Aromatase in endometriosis and uterine leiomyomata

被引:124
作者
Bulun, SE [1 ]
Imir, G [1 ]
Utsunomiya, H [1 ]
Thung, S [1 ]
Gurates, B [1 ]
Tamura, M [1 ]
Lin, ZH [1 ]
机构
[1] Northwestern Univ, Dept Obstet & Gynecol, Chicago, IL 60611 USA
关键词
aromatase; aromatase inhibitor; letrozole; anastrozole; endometriosis; uterine leiomyomata; estrogen; estrogen biosynthesis; endometrium; uterus;
D O I
10.1016/j.jsbmb.2005.04.012
中图分类号
Q5 [生物化学]; Q7 [分子生物学];
学科分类号
071010 ; 081704 ;
摘要
Endometrial tissue from uterine disease-free women does not exhibit aromatase activity. In contrast, aromatase enzyme activity and mRNA levels are readily detectable in endometriosis. PGE(2) stimulates both aromatase expression and activity in endometriotic stromal cells via promoter II region of the aromatase gene. This results in local production of estradiol, which induces PGE(2) formation and establishes apositive feedback cycle. This mechanism seems to contribute to continuous production of estradiol and PGE(2). Aromatase mRNA levels and enzyme activity are also present in uterine leiomyomata that are estrogen-dependent benign tumors of the myometrium. Successful treatment of endometriosis and uterine leiomyomata using aromatase inhibitors by recent pilot trials underscores the clinical significance of these molecular studies. (c) 2005 Elsevier Ltd. All rights reserved.
引用
收藏
页码:57 / 62
页数:6
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