Most of the enzymes involved in steroidogenesis belong to the family of cyt
ochrome P450. Most of the corresponding genes have been cloned. The key enz
yme for estradiol biosynthesis is P 450 arom. Several germline mutations ha
ve been described. These observations have lead to reconsider the role of e
stradiol. Estradiol plays a key role in bone growth and mineralisation and
in gonadotrope regulation in male.
Moreover, the recent discovery that an additional estrogen receptor (ERP) i
s present in various tissues has advanced ou, understanding of the mechanis
ms underlying estrogen signalling. It suggests the existence of two previou
sly unrecognized pathways of estrogen signalling : via the ERP sub type in
tissues exclusively expressing this subtype and via the formation of hetero
dimers in tissues expressing both ER subtypes. Various models have been sug
gested as explanations for the stricking cell and promoter-specific effects
of estrogens and antiestrogens, all on the basis of the assumption that on
ly a single ER exists. These models have to be reconsidered Moreover, new a
ntiestrogens with improved therapeutic profils could be designed.