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Bone metabolism in men: role of aromatase activity.
[aromatase deficiency]
Sex
steroid
hormones
play
an
important
role
in
the
maintenance
of
bone
mass
in
males
and
in
females
.
Even
though
androgens
are
the
major
sex
steroids
in
men
,
direct
and
indirect
evidence
emerged
suggesting
that
estrogens
may
also
play
a
major
role
in
male
skeletal
health
.
Since
the
testes
account
for
only
15
%
of
circulating
estrogens
in
males
,
the
remaining
85
%
comes
from
peripheral
aromatization
of
androgen
precursors
in
different
tissues
,
including
bone
.
Human
models
of
aromatase
deficiency
clearly
demonstrated
the
critical
importance
of
the
conversion
of
androgens
into
estrogens
in
regulating
male
skeletal
homeostasis
.
Aromatase-
deficient
men
showed
tall
stature
due
to
continued
longitudinal
growth
,
unfused
epiphyses
,
high
bone
turnover
,
and
osteopenia
.
Interventional
studies
in
adult
men
using
aromatase
inhibition
confirmed
that
estrogens
are
important
in
controlling
bone
remodeling
.
Importantly
either
inherited
(
i
.
e
.
due
to
common
polymorphisms
at
the
human
aromatase
CYP
19
gene
)
or
acquired
(
i
.
e
.
by
diseases
or
different
compounds
)
variation
in
aromatase
ability
to
convert
androgen
precursors
into
estrogen
may
also
be
relevant
for
skeletal
homeostasis
.
Diseases
Validation
Diseases presenting
"in females"
symptom
aromatase deficiency
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