Modern methodological approaches to the definition of ovarian aromatase in polycystic ovary syndrome

Authors

  • D.Sh. Kudratova
  • D.I. Tuksanova
  • R.Kh. Khodjaeva

Keywords:

polycystic ovary syndrome, ovarian aromatase

Abstract

In order to study ovarian flavor ase activity in polycystic ovary syndrome (PCOS) examined 65 patients with PCOS and 45
healthy women of reproductive age. Aromatase activity determined using estradiol/number of antral follicles in both ovaries
ratio (Е2/п). Values ovarian aromatase positively correlated (p < 0.05) with the results of its determi¬nation by a test with
the aromatase inhibitor letrozole in PCOS. Reduced aromatase activity of antral follicles was present in 59 % of patients with
PCOS. These data indicate that Е2/п ratio allows to evaluate ovarian aromatase and that an absolute or relative deficiency of
ovarian aromatase underlies the pathogenesis of PCOS.

References

Потин В.В., и др. Нормогонадотропная первично-яичниковая недостаточность // Пробл. эндо- кринол. - 1990. - №4. - С. 83-87. [Potin VV, et al. Normogonadotropic primary ovarian failure. Probl. jendokrinol. 1990;4:83-87. (In Russ).]

Fertility: assessment and treatment for people with fertility problems / National Collaborating Center for Women’s and Children’s Health. London: RCOG Press 2004;216.

Escobar-Morreale HF, Luque-Ramirez M, San Millan JL. The molecular-genetic basis of functional hyperandrogen- ism and the polycystic ovary syndrome. Endocrine Reviews. 2004;26(2):251-282. doi: 10.1210/er.2004-0004.

Erickson G. Follicle growth and development. Gynecol Obstet. 2001; 5(12):2061-2071.

Merlotti D, Gennari L, Stolakis K, et al. Aromatase activ¬ity and bone loss in men. J Osteoporos. 2011;2011:1- 11. doi: 10.4061/2011/230671.

Matsumine H, Hirato K, Yanaihara T, et al. Aromati- zation by skeletal muscle. J Clin Endocrinol Metab. 1986; 63(3):717-720. doi: 10.1210/jcem-63-3-717.

Ackerman GE, Smith ME, Mendelson CR, et al. Aroma- tization of androstenedione by human adipose tissue stromal cells in monolayer culture. J Clin Endocnnol Metab. 1981;53:412-417. doi: 10.1210/jcem-53-2-412.

Hall PF, Chen S, Nakajin S, et al. Purification and characterization of aromatase from human placenta. Steroids. 1987; 50:37-50. doi: 10.1016/0039- 128X(83)90060-0.

Zouboulis CC. The human skin as a hormone target and an endocrine gland. Hormones. 2004;3(1):9-26. doi: 10.14310/horm.2002.11109.

Thompson EA, Siiteri PK. Utilization of oxygen and reduced nicotinamide adenine dinucltide phosphate by human placental microsomes during aromatization of androstenedione. J Biol Chem. 1974;249:5364-5372.

Santen RJ, Brodie H, Simpson ER, et al. History of aro- matase: saga of an important biological mediator and therapeutic target. Endocr Rev. 2009;30(4):343-375. doi: 10.1210/er.2008-0016.

Osawa Y, Yoshida N, Fronckowiak M, et al. Immuno- affinity purification of aromatase cytochrome P-450 from human placental microsomes, metabolic switch¬ing from aromatization to 1- and 2-monohydroxylation, and recognition of aromatase isozymes. Steroids. 1987;50:11-28. doi: 10.1016/0039-128X(83)90058-2.

Kellis JT, Vickery LE. Purification and characterization of human placental aromatase cytochrome P-450. J Biol Chem. 1987; 262:4413-4420.

Muto N, Tan L. Purification of oestrogen synthetase by high-performance liquid chromatography. Two membrane-bound enzymes from the human placenta. J Chromatogr. 1985;326:137-146. doi: 10.1016/S 0021- 9673(01)87439-2.

Pasanen M, Pelkonen O. Solubilization and partial purification of human placental cytochromes P-450. Biochem Biophys Res Commun. 1981; 103:1310-1317. doi: 10.1016/0006-291X(81)90265-5.

Mendelson CR, Wright EE, Evans CT, et al. Prepara¬tion and characterization of polyclonal and monoclonal antibodies against human aromatase cytochrome P-450 (P-450AROM), and their use in its purification. Arch Biochem Biophys. 1985; 243:480-491. doi: 10.1016/0003-9861(85)90525-9

Simpson ER, Mahendroo MS, Mean GD, et al. Aroma- tase cytochrome P450, the enzyme responsible for estrogen biosynthesis. Endocr Rev. 1994;15:342-355.

Toda K, Yang LX, Shizuta SJ. Transcriptional regulation of the human aromatase cytochrome P450 gene expression in human placental cells. Steroid Biochem Mol Biol. 1995;53:181-190. doi: 10.1016/0960- 0760(95)00032-U.

Shozu M, Zhao Y, Bulun SE, et al. Multiple splicing events involved in regulation of human aromatase expression by a novel promoter, I.6. Endocrinology. 1998;139:1610-1617. doi: 10.1210/en.139.4.1610

Sebastian S, Bulun SE. A highly complex organization of the regulatory region of the human CYP19 (aroma- tase) gene revealed by the human genome project. J Clin Endocrinol Metab. 2001;86(10):4600-4602. doi: 10.1210/jcem.86.10.7947.

Bulun SE, Sebastian S, Takayama K, et al. The human CYP19 (aromatase P450) gene: update on physiologic roles and genomic organization of promoters. J Ste¬roid Biochem Mol Biol. 2003;86(3-5):219-224. doi: 10.1016/S 0960-0760(03)00359-5.

Shozu M, Akasofu K, Harada T, Kubota Y. A new cause of female pseudohermaphroditism: placen- tal aromatase deficiency. J Clin Endocrinol Metab. 1991;72:560-566. doi: 10.1210/jcem-72-3-560.

Belgorosky A, Guercio G, Pepe C, et al. Genetic and Clinical Spectrum of Aromatase Deficiency in Infancy, Childhood and Adolescence. Horm Res. 2009;72:321- 330. doi: 10.1159/000249159.

Mullis PE, Yoshimura N, Kuhlmann B, et al. Aromatase deficiency in a female who is compound heterozygote for two new point mutations in the P450arom gene: impact of estrogens on hypergonadotropic hypogo- nadism, multicystic ovaries, and bone densitometry in childhood. J Clin Endocrinol Metab. 1997;82:1739- 1745. doi: 10.1210/jc.82.6.1739.

Burkhard LH, Saller B, Janssen OE, et al. Impact of Estrogen Replacement Therapy in a Male with Congenital Aromatase Deficiency Caused by a Novel Mutation in the CYP19 Gene. J Clin Endocrinol Metab. 2002;87(12):5476-5484. doi: 10.1210/jc.2002-020498.

Берштейн Л.М., Ларионов А.А., Крюкова О.Г., и др. Исследование ароматазной активности в мышечной ткани человека // Вопр. мед. химии. - 1996. - Т. 42. - № 1. - С. 76-82. [Bershtejn LM, Larionov AA, Krjuko- va OG, et al. Research aromatase activity in human mus¬cle tissue. Vopr. med. himii. 1996;42(1):76-82. (In Russ).]

Tilson-Mallett N, Santner SJ, Feil PD, et al. Biological significance of aromatase activity in human breast tumors. J Clin Endocrinol Metab. 1983;57:1125-1128. doi: 10.1210/jcem-57-6-1125.

Longcope C, Kato T, Horton R. Conversion of blood androgens to estrogens in normal adult men and women. J Clin Investigat. 1969;48:2191-2201. doi: 10.1172/JCI106185.

MacDonald PC, Rombaut RP, Siiteri PK. Plasma precursors of estrogen. I. Extent of conversion of plasma A4-and rostenedione to estrone in normal males and nonpregnant normal, castrate and adrenalectomized. J Clin Endocrinol Metab. 1967;27:1103-1111. doi: 10.1210/jcem-27-8-1103.

Hemsell DL, Grodin JM, Brenner PF, et al. Plasma precursors of estrogen II. Correlation of the extent of conversion of plasma androstenedione to estrone with age. J Clin Endocrinol Metab. 1974;38:476-479. doi: 10.1210/jcem-38-3-476.

Айламазян Э.К. Содержание бета-эндорфина, эстро- на и андростендиона в крови женщин с ожирением и недостаточностью яичников // Актуальные вопросы физиологии и патологии репродуктивной функции женщины: материалы XXI научной сессии НИИ акушерства и гинекологии им. Д.О. Отта РАМН. - СПб., 1992. - С. 117-120. [Ajlamazjan JeK. The content of beta-endorphin, androstenedione and estrone in blood of obese women with ovarian failure. Aktual’nye voprosy fiziologii i patologii reproduktivnoj funkcii zhenshhiny. [Conference proceedings] Materialy XXI nauchnoj sessii NII akusherstva i ginekologii im. D.O. Otta RAMN. Saint Petersburg; 1992. P. 117-120. (In Russ).]

Lin L, Ercan O, Raza J, et al. Variable phenotypes associated with aromatase (CYP19) insufficiency in humans. J Clin Endocrinol Metab. 2007; 92:982-990. doi: 10.1210/jc.2006-1181.

Sternberger LA, Hardy PH, Cuculis JJ, et al. The unlabeled antibody enzyme method of immunohistochemistry: preparation and properties of soluble antigen-antibody complex (horseradish peroxidase-antihorseradish peroxidase) and its use in identification of spirochetes. J Histochem Cytochem. 1970;18:315-333. doi: 10.1177/18.5.315.

Савина В.А., Потин В.В., Тарасова М.А. Роль ароматазы в патогенезе первично-овариальной недостаточности // Журнал акушерства и женских болезней. - 2010. - Вып. 6. - С. 85-93. [Savina VA, Potin VV, Tarasova MA. The role of aromatase in the pathogenesis of primary ovarian insufficiency. Zhurnal akusherstva izhenskih boleznej. 2010;6:85-93. (In Russ).]

Kitawaki J, Kusuki I, Koshiba H, et al. Detection of aromatase cytochrome P-450 in endometrial biopsy specimens as a diagnostic test for endometriosis. Fer- til Steril. 1999;72(6):1100-1106. doi: 10.1016/S 0015- 0282(99)00424-0.

Потин В.В., Тарасова М.А., Ярмолинская М.И., и др. Способ оценки ароматазной активности Пат. № 2481587; опубл. 10.05.2013, Бюл. № 13. [Potin VV, Tarasova MA, Jarmolinskaja MI, et al. Method for evaluation of aromatase activity. Pat. № 2481587 opubl. 10.05.2013, Bjul. № 13. (In Russ).]

Тимофеева Е.М., Потин В.В., Ярмолинская М.И. Методика определения овариальной ароматазной активности у женщин репродуктивного возраста // Вестник Российской военно-медицинской академии. - 2014. - Т. 2. - №46. - С.58-62. [Timofeeva EM, Potin VV, Jarmolinskaja MI. Methods of determining the ovarian flavor ase activity in women of reproductive age. Vestnik Rossijskoj voenno-medicinskoj akademii. 2014;46:58-62. (In Russ).]

Потин В.В., Тарасова М.А., Ярмолинская М.И., и др. Способ оценки овариальной ароматазной активности. Пат. №2549491; опубл. 27.04.2015, Бюл. № 12. [Potin VV, Tarasova MA, Jarmolinskaja MI, et al. A method of evaluating ovarian aromatase activity. Pat. № 2549491. opubl. 27.04.2015, Bjul. № 12. (In Russ).]

Денисова В.М., Потин В.В., Ярмолинская М.И., Тимофеева Е.М. Активность овариальной ароматазы при эндометриозе // Журнал акушерства и женских бо-лезней. - 2013. - Вып. 2. - С. 17-22. [Denisova VM, Potin VV, Jarmolinskaja MI, Timofeeva EM. Ovarian aromatase activity in endometriosis. Zhurnal akusherstva izhenskih boleznej. 2013;12(2):17-22. (In Russ).]

Николаенков И.П., Потин В.В., Тарасова М.А., и др. Активность овариальной ароматазы у больных синдромом поликистозных яичников // Журнал акушерства и женских болезней. - 2014. - Вып. 1. - С. 10-16. [Nikolaenkov I.P., Potin V.V., Tarasova M.A., et al. Ovarian aromatase activity in patients with polycystic ovary syndrome. Zhurnal akusherstva izhenskih boleznej. 2014;1:10-16. (In Russ).]

Visser J.A., Schipper I, Laven J.S., et al. Anti-Mullerian hormone: an ovarian reserve marker in primary ovarian insufficiency. Nat Rev Endocrinol. 2012;8:331-341. doi: 10.1038/nrendo.2011.224.

Самойлович Я.А., Потин В.В., Тарасова М.А., и др. Дефицит овариальной ароматазы как причина нормогонадотропной ановуляции // Российский вестник акушера-гинеколога. - 2015. - №2. - С. 25-31. [Samojlovich Ja.A., Potin V.V, Tarasova M.A, et al. Ovarian aromatase deficiency as the cause of anovulation normogonadotropic. Rossijskij vestnik akushera-ginekologa. 2015;2:25-31. (In Russ.).].

Беляков Н.А., Беляков Н.А., Чубриева С.Ю., Глухов Н.В. Инсулинорезистентность и синдром поликистозных яичников // Эфферентная терапия. 2002

Additional Files

Published

2019-07-01

How to Cite

[1]
Kudratova Д., Tuksanova Д. and Khodjaeva Р. 2019. Modern methodological approaches to the definition of ovarian aromatase in polycystic ovary syndrome. Reproductive Medicine (Central Asia). 2 (39) (Jul. 2019), 29–37.