Abstract

Objective: Aromatase P450 (P450arom), the key enzyme in the biosynthesis of estrogen, is expressed aberrantly in endometriosis tissue. In human ectopic endometriotic stromal cells, markedly high levels of P450arom mRNA and activity are present and can be vigorously stimulated by dibutyryl (Bt2) cAMP or PGE2 to give rise to physiologically significant estrogen biosynthesis. On the other hand, eutopic endometrial tissue or stomal cells lack P450arom expression. We sought to determine herein the molecular basis for the presence of P450arom expression in endometriosis and its absence in eutopic endometrium.

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