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Estrogens and growth: review.
[aromatase deficiency]
Longitudinal
bone
growth
occurs
in
the
growth
plate
through
a
process
where
resting
zone
chondrocytes
are
recruited
to
start
active
proliferation
and
then
undergo
differentiation
,
followed
by
apoptosis
and
later
mineralization
.
Bone
growth
is
controlled
by
several
hormones
and
growth
factors
acting
systemically
and
/
or
locally
in
the
growth
plate
.
From
studies
of
individuals
with
aromatase
deficiency
and
a
man
with
defective
estrogen
receptor
(
ER
)
-
alpha
it
has
become
clear
that
estrogen
action
is
indispensable
for
normal
pubertal
growth
and
growth
plate
fusion
.
Any
functional
role
of
ERbeta
has
not
yet
been
defined
in
the
human
growth
plate
.
As
new
specific
modulators
of
estrogen
receptors
are
developed
,
these
could
offer
more
specific
ways
to
modulate
longitudinal
growth
and
growth
plate
fusion
.
It
is
difficult
to
extrapolate
data
obtained
in
experimental
animals
,
as
clear
species
differences
exist
,
emphasizing
the
need
for
new
models
allowing
studies
in
human
growth
plate
cartilage
.
Diseases
Validation
Diseases presenting
"later mineralization"
symptom
aromatase deficiency
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