Cytochrome P450-mediated metabolism of estrogens and its regulation in human
Abstract
Estrogens are eliminated from the body by metabolic conversion to estrogenically inactive metabolites that are excreted in the urine and/or feces. The first step in the metabolism of estrogens is the hydroxylation catalyzed by cytochrome P450 (CYP) enzymes. Since most CYP isoforms are abundantly expressed in liver, the metabolism of estrogens mainly occurs in the liver. A major metabolite of estradiol, 2-hydroxyestradiol, is mainly catalyzed by CYP1A2 and CYP3A4 in liver, and by CYP1A1 in extrahepatic tissues. However, CYP1B1 which is highly expressed in estrogen target tissues including mammary, ovary, and uterus, specifically catalyzes the 4-hydroxylation of estradiol. Since 4-hydroxyestradiol generates free radicals from the reductive-oxidative cycling with the corresponding semiquinone and quinone forms, which cause cellular damage, the specific and local formation of 4-hydroxyestradiol is important for breast and endometrial carcinogenesis. Changes in the expression level of estrogen-metabolizing CYP isoforms not only alter the intensity of the action of estrogen but may also alter the profile of its physiological effect in liver and target tissues. Generally, many CYP isoforms are induced by the substrates themselves, resulting in enhanced metabolism and elimination from the body. Of particular interest is a novel finding that human CYP1B1 is regulated by estradiol via the estrogen receptor. This fact suggests that the regulation of CYP enzymes involved in estrogen metabolism by estrogen itself would be physiologically significant for the homeostasis of estrogens at local organs. In this mini-review, we discuss the CYP-mediated metabolism of estrogens and the regulation of the estrogen-metabolizing CYP enzymes in relation to the risk of cancer.
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In the liver approximately 80% of 17β-estradiol is hydroxylated to the 2 position and 20% at the 4 position.
“In the liver approximately 80% of 17β-estradiol is hydroxylated to the 2 position and 20% at the 4 position [322].”
From Human steroid biosynthesis, metabolism and excretion are differentially reflected by serum and urine steroid metabolomes: a comprehensive review (2019) · cites this paper as [322]
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“17β-estradiol is hydroxylated to the 2 position and 20% at the 4 position [322].”
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- Authors
- Tsuchiya, Y., Nakajima, M., & Yokoi, T.
- Affiliations
- Kanazawa University (JP)
- Corresponding author
- Yokoi, Tsuyoshi
- Venue
- Cancer Letters
- Publisher
- Elsevier BV
- Published
- 2005-09
- Volume
- 227
- Issue
- 2
- Pages
- 115-124
- ISSN
- 0304-3835 (ISSN-L)
- OpenAlex
- W2094879937
- Cited by
- 616
- References
- 92
- Citations by year
- 2026: 22 · 2025: 45 · 2024: 29 · 2023: 30 · 2022: 38 · 2021: 28 · 2020: 27 · 2019: 34 · 2018: 25 · 2017: 31 · 2016: 34 · 2015: 21 · 2014: 41 · 2013: 27 · 2012: 25
- FWCI
- 1.78
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Cancer Letters (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Pharmacology, Toxicology and Pharmaceutics › Pharmacology › Pharmacogenetics and Drug Metabolism
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Estrogen and related hormone effects
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Steroid Chemistry and Biochemistry
- Keywords
- estrogen metabolism, cytochrome P450, CYP1A2, CYP3A4, CYP1B1, 4-hydroxyestradiol, 2-hydroxyestradiol, enzyme induction, breast cancer, endometrial cancer, free radical generation, semiquinone, estrogen homeostasis
- MeSH terms
- Animals, Cytochrome P-450 Enzyme System, Estrogens, Humans, Neoplasms, Polymorphism, Genetic, Receptors, Estrogen, Gene Expression Regulation, Enzymologic
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