Cited by 1,151Sexual Differentiation and DisordersEstrogen and related hormone effectsAdrenal Hormones and Disorders

Effect of testosterone and estradiol in a man with aromatase deficiency

Open access
Carani, Cesare, Qin, Kenan, Simoni, Manuela, Faustini-Fustini, Marco, Serpente, Stefania, Boyd, Jeff, Korach, Kenneth S., Simpson, Evan R.·1997·New England Journal of Medicine

Abstract

Recent reports of disruptive mutations of the genes for the estrogen receptor or for cytochrome P-450 aromatase1–6 have shed new light on the role of estrogen. In females the lack of estrogen due to aromatase deficiency leads to pseudohermaphroditism and progressive virilization at puberty, whereas in males pubertal development is normal. In members of both sexes epiphyseal closure is delayed, resulting in a eunuchoid habitus, and osteopenia is present.6 These findings suggest a crucial role of estrogen in skeletal maturation.1–6 We describe the responses to androgen and estrogen in a man with a novel, homozygous inactivating mutation of . . .

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Crossref · 10.1056/nejm199707103370204

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  • Estradiol, dihydrotestosterone, and 3-alpha androstanediol have established roles in reproductive, bone, hepatic, renal, cardiovascular, dermatologic, prostatic, penile, and central nervous system functions.

    “Estradiol, DHT, and the DHT product, 3-alpha androstanediol have established roles in reproductive, bone, hepatic, renal, cardiovascular, dermatologic, prostatic, penile, and central nervous system functions, among others.”

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  1. WHO laboratory manual for the examination of the human semen and semen-cervical mucus interaction. 2nd ed. Cambridge, England: Cam- bridge University Press, 1987.

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Authors
Carani, C., Qin, K., Simoni, M., Faustini-Fustini, M., Serpente, S., Boyd, J., Korach, K. S., & Simpson, E. R.
Affiliations
  • University of Modena and Reggio Emilia (IT)
  • The University of Texas Southwestern Medical Center (US)
  • University of Münster (DE)
  • University of Pennsylvania (US)
  • National Institutes of Health (US)
Venue
New England Journal of Medicine
Published
1997-07-10
Volume
337
Issue
2
Pages
91-95
ISSN
  • 0028-4793 (ISSN-L)
  • 1533-4406
OpenAlex
W2324075496
Cited by
1,151
References
25
Citations by year
2026: 6 · 2025: 15 · 2024: 13 · 2023: 13 · 2022: 19 · 2021: 22 · 2020: 22 · 2019: 25 · 2018: 18 · 2017: 28 · 2016: 31 · 2015: 25 · 2014: 36 · 2013: 27 · 2012: 34
FWCI
16.38
Type
journal article
Language
en
Open access
Locations
  • New England Journal of Medicine (publishedVersion)
  • PubMed (publishedVersion)
  • IRIS UNIMORE (University of Modena and Reggio Emilia) (submittedVersion, cc-by)
Funders
Eunice Kennedy Shriver National Institute of Child Health and Human Development (T32HD007190, 5-T32 HD07190)
Topics
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Sexual Differentiation and Disorders
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Estrogen and related hormone effects
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Adrenal Hormones and Disorders
Keywords
aromatase deficiency, testosterone, estradiol, CYP19 gene, skeletal maturation, epiphyseal closure, osteopenia, androgen response, estrogen response, males
MeSH terms
Adult, Aromatase, Bone Diseases, Metabolic, Estradiol, Exons, Humans, Male, Metabolism, Inborn Errors, Pedigree, Testosterone, Point Mutation

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