The DOI matches its Crossref record; 35 of the 37 references it cites were found in a registry or an index.
Aromatase in endometriosis and uterine leiomyomata
Abstract
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. PGE2 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 PGE2 formation and establishes a positive feedback cycle. This mechanism seems to contribute to continuous production of estradiol and PGE2. 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.
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“The oestrogen can be further produced in the endometrial lesions by aromatase activity [14].”
From 5-Year data analysis of patients following abdominal wall endometrioma surgery (2014) · cites this paper as [14]
Citations
Cites
Sampson, J. A. (1927) · American Journal of Obstetrics and Gynecology · doi:10.1016/s0002-9378(15)30003-x · Cited by 2,334
Aromatase Cytochrome P450, The Enzyme Responsible for Estrogen Biosynthesis*
SIMPSON, E. R., Mahendroo, M., Means, G., Kilgore, M. W., Hinshelwood, M. M., Graham-Lorence, S. E., Amarneh, B., Ito, Y., Fisher, C. R., Michael, M. D., et al. (1994) · Endocrine Reviews · doi:10.1210/edrv-15-3-342 · Cited by 1,542
Self-citationOlive, D. L., & Schwartz, L. B. (1993) · New England Journal of Medicine · doi:10.1056/nejm199306173282407 · Cited by 675
Aromatase expression in endometriosis.
Noble, L. S., Simpson, E. R., Johns, A., & Bulun, S. E. (1996) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jcem.81.1.8550748 · Cited by 566
Self-citationAromatase cytochrome P450, the enzyme responsible for estrogen biosynthesis
Simpson, E. R. (1994) · Endocrine Reviews · doi:10.1210/er.15.3.342 · Cited by 482
MacDonald, P. C., Edman, C. D., Hemsell, D. L., Porter, J. C., & Siiteri, P. K. (1978) · American Journal of Obstetrics and Gynecology · doi:10.1016/0002-9378(78)90287-9 · Cited by 440
Aromatization of Androstenedione by Human Adipose Tissue Stromal Cells in Monolayer Culture*
Ackerman, G. E., Smith, M. E., Mendelson, C. R., MacDonald, P. C., & Simpson, E. R. (1981) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jcem-53-2-412 · Cited by 389
Bulun, S. E., Price, T. M., Aitken, R. J., Mahendroo, M., & Simpson, E. R. (1993) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jcem.77.6.8117355 · Cited by 334
Self-citationZeitoun, K., Takayama, K., Sasano, H., Suzuki, T., Moghrabi, N., Andersson, S., Johns, A., Meng, L., Putman, M., Carr, B., et al. (1998) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jcem.83.12.5301 · Cited by 308
Self-citationProstaglandin E2 Stimulates Aromatase Expression in Endometriosis-Derived Stromal Cells
Noble, L. S. (1997) · Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jc.82.2.600 · Cited by 301
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- Bulun, 1994, Expression of the CYP19 gene and its product aromatase cytochrome P450 in human leiomyoma tissues and cells in culture, J. Clin. Endocrinol. Metab., 78, 736
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Items 101–154 of 154
Nicolaus, K., Bräuer, D., Sczesny, R., Lehmann, T., Diebolder, H., & Runnebaum, I. B. (2019) · Archives of Gynecology and Obstetrics · doi:10.1007/s00404-019-05153-5 · Cited by 12
A prospective ultrasound study of cigarette smoking and uterine leiomyomata incidence and growth
Wesselink, A. K., Wegienka, G., Coleman, C. M., Geller, R. J., Harmon, Q. E., Upson, K., Lovett, S. M., Henn, B. C., Marsh, E. E., Noel, N. L., et al. (2023) · American Journal of Obstetrics and Gynecology · doi:10.1016/j.ajog.2023.04.041 · Cited by 14
Sprague, R. G., Kim, J. W., Konuk, E., Guo, X., Günay, N., Guzeloglu‐Kayisli, O., Özmen, A., Schatz, F., Imudia, A. N., Lockwood, C. J., et al. (2020) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/clinem/dgaa866 · Cited by 12
Polymorphisms of CYP17A1, CYP19, and androgen in Brazilian women with uterine leiomyomas
Rosa, F. E., Canevari, R. D. A., Ambrosio, E. P., Cirilo, P. D. R., Pontes, A., Rainho, C. A., & Rogatto, S. R. (2008) · Clinical Chemistry and Laboratory Medicine (CCLM) · doi:10.1515/cclm.2008.172 · Cited by 12
De Abreu, L. G., Silveira, V. S., Scrideli, C. A., Ramos, E. S., Dos Reis, R. M., Ferriani, R. A., & De Sá, M. F. S. (2011) · Journal of Endometriosis · doi:10.5301/je.2012.9070 · Cited by 11
Dynamics and Mechanism of Binding of Androstenedione to Membrane-Associated Aromatase
Paço, L., Zárate-Pérez, F., Clouser, A. F., Atkins, W. M., & Hackett, J. C. (2020) · Biochemistry · doi:10.1021/acs.biochem.0c00460 · Cited by 11
Wesselink, A. K., Henn, B. C., Fruh, V., Orta, O. R., Weuve, J., Hauser, R. B., Williams, P. L., McClean, M. D., Sjödin, A., Bethea, T. N., et al. (2021) · Epidemiology · doi:10.1097/ede.0000000000001320 · Cited by 10
Future of Endometriosis Research
Simsa, P., Mihalyi, A., Kyama, C. M., Mwenda, J. M., Fülöp, V., & D’Hooghe, T. M. (2007) · Women s Health · doi:10.2217/17455057.3.5.647 · Cited by 10
“Therefore, endometriotic cells are not only producing estrogen aberrantly, but they are unable to regulate and break the positive-feedback circles [27,37,38].”
BackgroundInfluentialHou, J., Chen, W., Wang, R., Huang, X., Cao, X., & Wang, X. (2024) · Frontiers in Endocrinology · doi:10.3389/fendo.2024.1450965 · Cited by 10
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The in vivo effects of knockdown of long non‐coding RNA XIST on fibroid growth and gene expression
Chuang, T., Ton, N., Rysling, S., & Khorram, O. (2024) · The FASEB Journal · doi:10.1096/fj.202401982r · Cited by 9
Uterine fibroids: the role of signaling pathways in the pathogenesis. A literature review
Yarmolinskaya, M. I., Polenov, N. I., & Kunitsa, V. V. (2020) · Journal of obstetrics and women s diseases · doi:10.17816/jowd695113-124 · Cited by 8
Glial estradiol synthesis after brain injury
Saldanha, C. J. (2021) · Current Opinion in Endocrine and Metabolic Research · doi:10.1016/j.coemr.2021.100298 · Cited by 8
Kim, S., Han, K., Choi, S.-Y., Yang, S. Y., Choi, S. H., Yim, J. Y., Kim, J., & Kim, M.-J. (2023) · American Journal of Obstetrics and Gynecology · doi:10.1016/j.ajog.2023.03.041 · Cited by 8
Brominated flame retardants and organochlorine pesticides and incidence of uterine leiomyomata
Orta, O. R., Wesselink, A. K., Bethea, T. N., Henn, B. C., Weuve, J., Fruh, V., McClean, M. D., Sjödin, A., Baird, D. D., & Wise, L. A. (2021) · Environmental Epidemiology · doi:10.1097/ee9.0000000000000127 · Cited by 7
Benign uterine disease: leiomyomata and benign polyps
Maguire, M., & Segars, J. H. (2008) · Reproductive medicine and assisted reproductive techniques series · doi:10.3109/9780203091500.055 · Cited by 7
Yi, Y., Nie, J., Liu, X., & Guo, S. (2024) · Reproductive Sciences · doi:10.1007/s43032-024-01658-w · Cited by 6
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Michel, R., Hazimeh, D., Saad, E., Olson, S. L., Musselman, K., Elgindy, E. A., & Borahay, M. A. (2024) · Beverages · doi:10.3390/beverages10020033 · Cited by 6
Involvement of bradykinin and bradykinin B1 receptor in patients with endometriosis
Meng, X., Li, Y., Li, Q., Yang, J., An, M., Fu, X., Zhang, S., & Chen, J. (2021) · Experimental and Therapeutic Medicine · doi:10.3892/etm.2021.10675 · Cited by 5
“vasoconstrictor; therefore, an aberrant increase in its expression can cause the contraction of uterine smooth muscles and blood vessels, enhancing the algogenic effect of bradykinin (BK) and ultimately causing spastic pain (8).”
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Li, Z., Liu, H., Lang, J., Zhang, G., & He, Z. (2018) · Oncology Letters · doi:10.3892/ol.2018.9275 · Cited by 5
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Izawa, M., Taniguchi, F., & Harada, T. (2014) · Springer eBooks · doi:10.1007/978-4-431-54421-0_8 · Cited by 4
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“Estrogen secreted by leiomyoma tissue may reach a sufficient concentration within the local compartment to support its own growth, allowing independence from ovarian estrogen [34, 35].”
BackgroundMedical Therapies: Aromatase Inhibitors
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Association of TTTA polymorphism in CYP19 gene with endometrial and ovarian cancers risk in Basrah
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“This aberrant local production of oestradiol by EMS lesions stimulates cyclo-oxygenase-II, which induces prostaglandin formation, which then stimulates aromatase expression, creating a positive feedback loop that drives further localised production of oestradiol and oestrogen dominance [86, 88].”
Implication of FSHB rs10835638 variant in endometriosis in Brazilian women
Bianco, B. A. V., Loureiro, F. A., Trevisan, C. M., Christofolini, D. M., Laganà, A. S., & Barbosa, C. P. (2023) · Einstein (São Paulo) · doi:10.31744/einstein_journal/2023ao0483 · Cited by 1
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Yosry, L. M., Hamed, E. A., & Naggar, A. A. E. (2012) · Cited by 1
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Mishra, A., & Modi, D. (2024) · Fertility Science and Research · doi:10.25259/fsr_7_2024 · Cited by 1
Lee, I.-H., Kim, D.-H., Noh, J. H., Koh, J. W., & Kim, Y. B. (2010) · Korean Journal of Obstetrics & Gynecology · doi:10.5468/kjog.2010.53.4.346 · Cited by 1
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Moon, K. S., Cox, J. M., & DeCherney, A. H. (2011) · Wiley eBooks · doi:10.1002/9781444398519.ch46 · Cited by 1
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Catenacci, M., & Falcone, T. (2010) · Current Women s Health Reviews · doi:10.2174/157340410791321363 · Cited by 1
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Bohlmann, M. K., Hornemann, A., Weichert, J., Stichtenoth, G., Ortmann, J., Diedrich, K., & Lüdders, D. (2008) · Gynäkologische Endokrinologie · doi:10.1007/s10304-008-0265-6 · Cited by 1
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Horák, S., & Olejek, A. (2012) · InTech eBooks · doi:10.5772/30598
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Firnhaber, S. (2007) · DuEPublico (University of Duisburg-Essen)
Sokalska, A., & Dulęba, A. J. (2011) · doi:10.1002/9781444398519.ch36
Potential use of aromatase inhibitors in gynecology
Lukic, J., & Tulandi, T. (2006) · Expert Review of Obstetrics & Gynecology · doi:10.1586/17474108.1.1.41
Role of Aromatase Inhibitors in the Treatment of Endometriosis
Baştu, E. (2014) · The Annals of Clinical and Analytical Medicine · doi:10.4328/jcam.2782
“Aromatase activity is involved in the levels of protein expression, enzyme activity and transcriptional expression in endometriosis [2,7-8].”
BackgroundOlivares, C. N. (2012) · Repositorio Digital Institucional de la Universidad de Buenos Aires (Universidad de Buenos Aires)
Effects of letrozole on patients with symptomatic leiomyoma in the reproductive age women
Prakash, R., Pandey, S., & Chawla, I. (2017) · International Journal of Reproduction Contraception Obstetrics and Gynecology · doi:10.18203/2320-1770.ijrcog20171970
Aromatase inhibitors in “poor” ovarian responders undergoing in vitro fertilization
Merkulova, A. I. (2017) · Journal of obstetrics and women s diseases · doi:10.17816/jowd663169-175
“Однако активная форма фермента ароматазы в основном определяется в яичниках и в норме не выявляется в эндометрии и миометрии [46].”
Large Asymptomatic FIGO Type 3–5 Fibroid and Primary Infertility
Brady, P. C., & Gargiulo, A. (2017) · Springer eBooks · doi:10.1007/978-3-319-58780-6_5
Molecular Pathogenesis of Uterine Fibroids
Kimura, F., Tsuji, S., & Murakami, T. (2018) · Comprehensive gynecology and obstetrics · doi:10.1007/978-981-10-7167-6_3
Buquet, R. A., & Rolla, E. D. (2011) · Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature · doi:10.3410/f.13357046.14726369
Endometriosis: Locations and coexistence with other uterine conditions, single-center experience.
Hamid, S., Tariq, S., Khanum, R., Hamid, N., Hameed, S., & Mehmood, T. (2022) · The Professional Medical Journal · doi:10.29309/tpmj/2022.29.08.6608
van Trotsenburg, M., Luikenaar, R. A. C., & Meriggiola, M. C. (2022) · Cambridge University Press eBooks · doi:10.1017/9781108899987.012
Benign Gynecological Conditions in Transgender and Gender Diverse People
van Trotsenburg, M., Meriggiola, M. C., & Luikenaar, R. A. C. (2022) · Cambridge University Press eBooks · doi:10.1017/9781108899987.015
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Koirala, S. P., Magar, B. S., Yadav, A. K., Regmi, A., Pokharel, A., Subedi, S., & Aryal, P. (2023) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.1101/2023.09.13.557603
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Sharma, A., & Rajender, S. (2023) · Springer eBooks · doi:10.1007/978-981-99-7028-5_11
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Xia, S., Huang, S., Wu, J., Lin, H., Duan, J., Ye, W., Xie, T., Cai, J., Sun, Y., Luo, X., et al. (2025) · Biology of Reproduction · doi:10.1093/biolre/ioaf219
Tian, W., Wang, C., Chu, R., Ge, H., Sun, X., & Li, M. (2024) · Figshare · doi:10.6084/m9.figshare.26624470
Postmenopausal bladder endometriosis without exogenous estrogen: a case report and literature review
Wu, N., He, Y., Jia, Y., & Wang, G. (2026) · BMC Women s Health · doi:10.1186/s12905-026-04522-y
“…two pathways: first, peripheral adipose tissue converts androstenedione to estrogen via aromatase; and second, the lesion site forms an autocrine positive feedback loop through aberrantly expressed aromatase (CYP19A1) and steroidogenic factor-1 (SF-1), autonomously synthesizing estradiol [18–20].”
Akbaba, E., Sezgi̇n, B., Demirtaş, A., Özdemir, Ç., & Edgünlü, T. (2026) · International Journal of Molecular Sciences · doi:10.3390/ijms27219625
Metadata
- Authors
- Bulun, S. E., Imir, G., Utsunomiya, H., Thung, S., Gurates, B., Tamura, M., & Lin, Z.
- Affiliations
- Northwestern University (US)
- Corresponding author
- Bulun, Serdar E.
- Venue
- The Journal of Steroid Biochemistry and Molecular Biology
- Publisher
- Elsevier BV
- Published
- 2005-05
- Volume
- 95
- Issue
- 1-5
- Pages
- 57-62
- ISSN
- 0960-0760 (ISSN-L)
- OpenAlex
- W2119512564
- Cited by
- 154
- References
- 37
- Citations by year
- 2026: 2 · 2025: 2 · 2024: 8 · 2023: 9 · 2022: 10 · 2021: 11 · 2020: 5 · 2019: 3 · 2018: 4 · 2017: 5 · 2016: 7 · 2015: 6 · 2014: 11 · 2013: 3 · 2012: 11
- FWCI
- 10.90
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Journal of Steroid Biochemistry and Molecular Biology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (R01HD046260, HD-38691, HD46260)
- Topics
- Health Sciences › Medicine › Reproductive Medicine › Endometriosis Research and Treatment
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Endocrinology › Estrogen and related hormone effects
- Health Sciences › Medicine › Obstetrics and Gynecology › Uterine Myomas and Treatments
- Keywords
- aromatase, endometriosis, uterine fibroids, prostaglandin E2, endometrial stromal cells, estradiol production, positive feedback loop, aromatase inhibitors, estrogen-dependent tumors
- MeSH terms
- Aromatase, Endometriosis, Estrogens, Female, Humans, Leiomyoma, Uterine Neoplasms, Uterus, Aromatase Inhibitors
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