PMID- 19159688 OWN - NLM STAT- MEDLINE DCOM- 20090601 LR - 20220409 IS - 1879-1220 (Electronic) IS - 0960-0760 (Linking) VI - 113 IP - 3-5 DP - 2009 Feb TI - Testosterone action on erythropoiesis does not require its aromatization to estrogen: Insights from the testosterone and estrogen treatment of two aromatase-deficient men. PG - 189-94 LID - 10.1016/j.jsbmb.2008.12.007 [doi] AB - Androgens act on erythropoiesis, but the relative role of testosterone (T) and estradiol (E(2)) on erythropoietic parameters in men is a poorly investigated issue. In order to evaluate separately the effects on erythropoiesis of high-dose T administration alone and of physiological dose of E(2) administration alone two adult men with aromatase deficiency were assessed before and during each treatment. Blood cell count, hemoglobin (Hb), hematocrit (Hct), erythrocyte mean cell volume (MCV), erythrocyte mean corpuscular hemoglobin (MCH), erythrocyte mean corpuscular hemoglobin concentration (MCHC), serum ferritin, iron and total iron-binding capacity (TIBC), serum erythropoietin, serum total testosterone and estradiol were evaluated. Hb, Hct and red cell count rose during testosterone treatment, consistently with the increase in circulating testosterone, but failed to increase during estradiol treatment. A decrease in Hb, Hct and red cell count was recorded in one of the two subjects during estradiol treatment, with a concomitant decrease in serum testosterone. Circulating T alone is capable of and sufficient to influence erythropoiesis, especially at supraphysiological dosage, while circulating E(2) have not the same effect on erythropoietic parameters, suggesting the hypothesis that the erythropoietic changes induced by androgens are not mediated via its aromatization to estrogens. FAU - Rochira, Vincenzo AU - Rochira V AD - Department of Medicine, Endocrinology and Metabolism, and Geriatrics, University of Modena and Reggio Emilia, Argentina. vincenzo.rochira@unimore.it FAU - Zirilli, Lucia AU - Zirilli L FAU - Madeo, Bruno AU - Madeo B FAU - Maffei, Laura AU - Maffei L FAU - Carani, Cesare AU - Carani C LA - eng PT - Clinical Trial PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20081230 PL - England TA - J Steroid Biochem Mol Biol JT - The Journal of steroid biochemistry and molecular biology JID - 9015483 RN - 0 (Estrogens) RN - 0 (Hemoglobins) RN - 3XMK78S47O (Testosterone) RN - EC 1.14.14.1 (Aromatase) SB - IM MH - Adult MH - Aromatase/*deficiency MH - Blood Chemical Analysis MH - Erythropoiesis/*drug effects MH - Estrogens/*metabolism/*pharmacology/therapeutic use MH - Female MH - Hematocrit MH - Hemoglobins/metabolism MH - Humans MH - Hypogonadism/drug therapy/enzymology MH - Male MH - Testosterone/*metabolism/*pharmacology/therapeutic use EDAT- 2009/01/23 09:00 MHDA- 2009/06/02 09:00 CRDT- 2009/01/23 09:00 PHST- 2008/02/21 00:00 [received] PHST- 2008/11/27 00:00 [revised] PHST- 2008/12/22 00:00 [accepted] PHST- 2009/01/23 09:00 [entrez] PHST- 2009/01/23 09:00 [pubmed] PHST- 2009/06/02 09:00 [medline] AID - S0960-0760(08)00291-4 [pii] AID - 10.1016/j.jsbmb.2008.12.007 [doi] PST - ppublish SO - J Steroid Biochem Mol Biol. 2009 Feb;113(3-5):189-94. doi: 10.1016/j.jsbmb.2008.12.007. Epub 2008 Dec 30.