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The role of estrogens in male skeletal development.
[aromatase deficiency]
The
developing
human
skeleton
is
known
to
be
influenced
by
the
presence
of
sex
steroids
.
In
girls
,
estrogens
have
been
considered
to
be
the
dominant
hormone
,
whereas
in
boys
,
androgens
have
occupied
a
primary
physiological
role
in
terms
of
bone
mass
accrual
.
Although
these
views
are
still
current
,
recent
observations
made
of
rare
defects
in
estrogen
receptor
sensitivity
or
estrogen
synthesis
have
called
attention
to
the
importance
of
estrogens
in
the
developing
male
skeleton
.
In
these
human
genetic
models
,
the
affected
men
have
demonstrated
continuous
linear
skeletal
growth
,
open
epiphyses
,
lack
of
pubertal
growth
spurt
,
and
reduced
bone
mass
.
In
the
example
of
men
with
aromatase
deficiency
,
lacking
estrogens
from
birth
,
administration
of
estrogen
led
to
impressive
increases
in
bone
density
,
maturation
of
the
skeletal
growth
plates
,
and
cessation
of
linear
growth
.
Animal
models
mimicking
these
human
syndromes
by
knockout
technology
,
have
tended
to
support
these
observations
.
The
data
argue
for
a
primary
role
of
estrogens
in
the
developing
male
skeleton
,
while
not
diminishing
the
important
role
for
androgens
.
Diseases
Validation
Diseases presenting
"bone mass"
symptom
aromatase deficiency
dentin dysplasia
dentinogenesis imperfecta
familial hypocalciuric hypercalcemia
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