Estrogens have widespread biologic actions, and there are naturallyoccurring phytoestrogens that mimic some of the actions of endogenouslyproduced estrogens. In this review, we will focus on new biochemicaland molecular aspects of the action of estrogen, as well asthe clinical and physiologic aspects.
Synthesis, Transport, and Metabolism of Estrogens
Synthesis of Estrogens
The naturally occurring estrogens 17-estradiol (E2), estrone(E1), and estriol (E3) are C18 steroids derived from cholesterol(Figure 1). After binding to lipoprotein receptors, cholesterolis taken up by steroidogenic cells, stored, and moved to thesites of steroid synthesis. This intracellular movement is facilitatedby the cytoskeleton . . . [Full Text of this Article]
Endogenous Sources of Estrogens
Transport and Metabolism of Estrogens
Molecular Actions of Estrogens
Ligand-Dependent Activation of Estrogen Receptors The Classic Pathway
Estrogen Receptors and
Selective Estrogen-Receptor Modulators
Coactivators and Corepressors of Estrogen Receptors
Estrogen-Response Elements and Estrogen-Response Units
Alternative Pathways
Ligand-Independent Activation of Estrogen Receptors
Nonnuclear Actions of Estrogens
Physiologic Actions of Estrogens
Actions on Breast Tissue
Actions on the Central Nervous System
Vascular Effects
Effects on Bone
Conclusions
Source Information
From the Department of Gynecologic Endocrinology and Reproductive Medicine, University of Vienna Medical School, Vienna, Austria.
Address reprint requests to Dr. Gruber at the Department of Gynecologic Endocrinology and Reproductive Medicine, University of Vienna Medical School, Währinger Gürtel 1820, A-1090 Vienna, Austria, or at christian_gruber@chello.at.
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