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'''Estrone sulfate''' ('''E1S'''), or '''estrone 3-sulfate''', is a [[natural product|natural]], [[endogenous]] [[steroid]] and an [[estrogen ester]] and [[estrogen conjugate|conjugate]].<ref name="pmid27960570">{{cite journal | vauthors = Rezvanpour A, Don-Wauchope AC | title = Clinical implications of estrone sulfate measurement in laboratory medicine | journal = Crit Rev Clin Lab Sci | volume = 54 | issue = 2 | pages = 73–86 | date = March 2017 | pmid = 27960570 | doi = 10.1080/10408363.2016.1252310 | url = }}</ref><ref name="Lobo2007">{{cite book| first = Rogerio A. | last = Lobo | name-list-format = vanc |title=Treatment of the Postmenopausal Woman: Basic and Clinical Aspects|url=https://books.google.com/books?id=gywV9hkcyOMC&pg=PA768|date=5 June 2007|publisher=Academic Press|isbn=978-0-08-055309-2|pages=768–}}</ref><ref name="pmid16112947">{{cite journal | vauthors = Kuhl H | title = Pharmacology of estrogens and progestogens: influence of different routes of administration | journal = Climacteric | volume = 8 Suppl 1 | issue = | pages = 3–63 | year = 2005 | pmid = 16112947 | doi = 10.1080/13697130500148875 | url = http://hormonebalance.org/images/documents/Kuhl%2005%20%20Pharm%20Estro%20Progest%20Climacteric_1313155660.pdf}}</ref>
'''Estrone sulfate''', also known as '''E1S''', '''E1SO4''' and '''estrone 3-sulfate''', is a [[natural product|natural]], [[endogenous]] [[steroid]] and an [[estrogen ester]] and [[estrogen conjugate|conjugate]].<ref name="pmid27960570">{{cite journal | vauthors = Rezvanpour A, Don-Wauchope AC | title = Clinical implications of estrone sulfate measurement in laboratory medicine | journal = Crit Rev Clin Lab Sci | volume = 54 | issue = 2 | pages = 73–86 | date = March 2017 | pmid = 27960570 | doi = 10.1080/10408363.2016.1252310 | url = }}</ref><ref name="Lobo2007">{{cite book| first = Rogerio A. | last = Lobo | name-list-format = vanc |title=Treatment of the Postmenopausal Woman: Basic and Clinical Aspects|url=https://books.google.com/books?id=gywV9hkcyOMC&pg=PA768|date=5 June 2007|publisher=Academic Press|isbn=978-0-08-055309-2|pages=768–}}</ref><ref name="pmid16112947">{{cite journal | vauthors = Kuhl H | title = Pharmacology of estrogens and progestogens: influence of different routes of administration | journal = Climacteric | volume = 8 Suppl 1 | issue = | pages = 3–63 | year = 2005 | pmid = 16112947 | doi = 10.1080/13697130500148875 | url = http://hormonebalance.org/images/documents/Kuhl%2005%20%20Pharm%20Estro%20Progest%20Climacteric_1313155660.pdf}}</ref>


In addition to its role as a natural hormone, estrone sulfate is used as a [[medication]], for instance in [[menopausal hormone therapy]]; for information on estrone sulfate as a medication, see the [[estrone sulfate (medication)]] article.
In addition to its role as a natural hormone, estrone sulfate is used as a [[medication]], for instance in [[menopausal hormone therapy]]; for information on estrone sulfate as a medication, see the [[estrone sulfate (medication)]] article.


==Biological function==
==Biological function==
E1S itself is biologically inactive, with less than 1% of the [[relative binding affinity]] of estradiol for the [[ERα]] and [[ERβ]].<ref name="pmid16112947" /><ref name="pmid9048584">{{cite journal | vauthors = Kuiper GG, Carlsson B, Grandien K, Enmark E, Häggblad J, Nilsson S, Gustafsson JA | title = Comparison of the ligand binding specificity and transcript tissue distribution of estrogen receptors alpha and beta | journal = Endocrinology | volume = 138 | issue = 3 | pages = 863–70 | date = March 1997 | pmid = 9048584 | doi = 10.1210/endo.138.3.4979 | doi-access = free }}</ref> However, it can be [[biotransformation|transformed]] by [[steroid sulfatase]] (also known as estrogen sulfatase) into [[estrone]], an [[estrogen]].<ref name="FalconeHurd2013">{{cite book | first1 = Tommaso | last1 = Falcone | first2 = William W. | last2 = Hurd | name-list-format = vanc |title=Clinical Reproductive Medicine and Surgery: A Practical Guide|url=https://books.google.com/books?id=TAYnR1b8jRkC&pg=PA5|date=22 May 2013|publisher=Springer Science & Business Media|isbn=978-1-4614-6837-0|pages=5–6}}</ref> Simultaneously, [[estrogen sulfotransferase]]s, including [[SULT1A1]] and [[SULT1E1]], convert estrone to E1S, resulting in an [[chemical equilibrium|equilibrium]] between the two steroids in various tissues.<ref name="pmid27960570" /><ref name="FalconeHurd2013" /> Estrone can also be converted by [[17β-hydroxysteroid dehydrogenase]]s into the more [[potency (pharmacology)|potent]] estrogen [[estradiol]].<ref name="pmid27960570" /> E1S levels are much higher than those of estrone and estradiol, and it is thought to serve as a long-lasting reservoir for estrone and [[estradiol]] in the body.<ref name="pmid27960570" /><ref name="MelmedPolonsky2015">{{cite book |first1 = Shlomo | last1 = Melmed | first2 = Kenneth S. | last2 = Polonsky | first3 = P. Reed | last3 = Larsen | first4 = Henry M. | last4 = Kronenberg | name-list-format = vanc |title=Williams Textbook of Endocrinology |edition=13th |url=https://books.google.com/books?id=iPIACwAAQBAJ&pg=PA607 |date=11 November 2015 |publisher=Elsevier Health Sciences |isbn=978-0-323-34157-8 |pages=607–}}</ref><ref name="GreenblattBrogan2016">{{cite book | first1 = James M. | last1 = Greenblatt | first2 = Kelly | last2 = Brogan | name-list-format = vanc |title=Integrative Therapies for Depression: Redefining Models for Assessment, Treatment and Prevention|url=https://books.google.com/books?id=GpHwCgAAQBAJ&pg=PA198|date=27 April 2016|publisher=CRC Press|isbn=978-1-4987-0230-0|pages=198–}}</ref> In accordance, E1S has been found to [[transactivation|transactivate]] the [[estrogen receptor]] at physiologically relevant concentrations.<ref name="pmid26666359">{{cite journal | vauthors = Bjerregaard-Olesen C, Ghisari M, Kjeldsen LS, Wielsøe M, Bonefeld-Jørgensen EC | title = Estrone sulfate and dehydroepiandrosterone sulfate: Transactivation of the estrogen and androgen receptor | journal = Steroids | volume = 105 | issue = | pages = 50–8 | date = January 2016 | pmid = 26666359 | doi = 10.1016/j.steroids.2015.11.009 | url = }}</ref><ref name="ClarkPrough2018">{{cite book|last1=Clark|first1=Barbara J.|title=Dehydroepiandrosterone|last2=Prough|first2=Russell A.|last3=Klinge|first3=Carolyn M.|chapter=Mechanisms of Action of Dehydroepiandrosterone|volume=108|year=2018|pages=29–73|issn=0083-6729|doi=10.1016/bs.vh.2018.02.003|series=Vitamins and Hormones|isbn=9780128143612}}</ref> This was diminished with co-application of [[irosustat]] (STX-64), a [[steroid sulfatase inhibitor]], indicating the importance of transformation of estrone sulfate into estrone in the estrogenicity of E1S.<ref name="pmid26666359" /><ref name="ClarkPrough2018" />
E1S itself is biologically inactive, with less than 1% of the [[relative binding affinity]] of estradiol for the [[ERα]] and [[ERβ]].<ref name="pmid16112947" /><ref name="pmid9048584">{{cite journal | vauthors = Kuiper GG, Carlsson B, Grandien K, Enmark E, Häggblad J, Nilsson S, Gustafsson JA | title = Comparison of the ligand binding specificity and transcript tissue distribution of estrogen receptors alpha and beta | journal = Endocrinology | volume = 138 | issue = 3 | pages = 863–70 | date = March 1997 | pmid = 9048584 | doi = 10.1210/endo.138.3.4979 | doi-access = free }}</ref> However, it can be [[biotransformation|transformed]] by [[steroid sulfatase]], also known as estrogen sulfatase, into [[estrone]], an [[estrogen]].<ref name="FalconeHurd2013">{{cite book | first1 = Tommaso | last1 = Falcone | first2 = William W. | last2 = Hurd | name-list-format = vanc |title=Clinical Reproductive Medicine and Surgery: A Practical Guide|url=https://books.google.com/books?id=TAYnR1b8jRkC&pg=PA5|date=22 May 2013|publisher=Springer Science & Business Media|isbn=978-1-4614-6837-0|pages=5–6}}</ref> Simultaneously, [[estrogen sulfotransferase]]s, including [[SULT1A1]] and [[SULT1E1]], convert estrone to E1S, resulting in an [[chemical equilibrium|equilibrium]] between the two steroids in various tissues.<ref name="pmid27960570" /><ref name="FalconeHurd2013" /> Estrone can also be converted by [[17β-hydroxysteroid dehydrogenase]]s into the more [[potency (pharmacology)|potent]] estrogen [[estradiol]].<ref name="pmid27960570" /> E1S levels are much higher than those of estrone and estradiol, and it is thought to serve as a long-lasting reservoir for estrone and [[estradiol]] in the body.<ref name="pmid27960570" /><ref name="MelmedPolonsky2015">{{cite book |first1 = Shlomo | last1 = Melmed | first2 = Kenneth S. | last2 = Polonsky | first3 = P. Reed | last3 = Larsen | first4 = Henry M. | last4 = Kronenberg | name-list-format = vanc |title=Williams Textbook of Endocrinology |edition=13th |url=https://books.google.com/books?id=iPIACwAAQBAJ&pg=PA607 |date=11 November 2015 |publisher=Elsevier Health Sciences |isbn=978-0-323-34157-8 |pages=607–}}</ref><ref name="GreenblattBrogan2016">{{cite book | first1 = James M. | last1 = Greenblatt | first2 = Kelly | last2 = Brogan | name-list-format = vanc |title=Integrative Therapies for Depression: Redefining Models for Assessment, Treatment and Prevention|url=https://books.google.com/books?id=GpHwCgAAQBAJ&pg=PA198|date=27 April 2016|publisher=CRC Press|isbn=978-1-4987-0230-0|pages=198–}}</ref> In accordance, E1S has been found to [[transactivation|transactivate]] the [[estrogen receptor]] at physiologically relevant concentrations.<ref name="pmid26666359">{{cite journal | vauthors = Bjerregaard-Olesen C, Ghisari M, Kjeldsen LS, Wielsøe M, Bonefeld-Jørgensen EC | title = Estrone sulfate and dehydroepiandrosterone sulfate: Transactivation of the estrogen and androgen receptor | journal = Steroids | volume = 105 | issue = | pages = 50–8 | date = January 2016 | pmid = 26666359 | doi = 10.1016/j.steroids.2015.11.009 | url = }}</ref><ref name="ClarkPrough2018">{{cite book|last1=Clark|first1=Barbara J.|title=Dehydroepiandrosterone|last2=Prough|first2=Russell A.|last3=Klinge|first3=Carolyn M.|chapter=Mechanisms of Action of Dehydroepiandrosterone|volume=108|year=2018|pages=29–73|issn=0083-6729|doi=10.1016/bs.vh.2018.02.003|series=Vitamins and Hormones|isbn=9780128143612}}</ref> This was diminished with co-application of [[irosustat]] (STX-64), a [[steroid sulfatase inhibitor]], indicating the importance of transformation of estrone sulfate into estrone in the estrogenicity of E1S.<ref name="pmid26666359" /><ref name="ClarkPrough2018" />


Unlike unconjugated estradiol and estrone, which are [[lipophilic]] compounds, E1S is an [[anion]] and is [[hydrophilic]].<ref name="pmid21693170">{{cite journal | vauthors = Purohit A, Woo LW, Potter BV | title = Steroid sulfatase: a pivotal player in estrogen synthesis and metabolism | journal = Mol. Cell. Endocrinol. | volume = 340 | issue = 2 | pages = 154–60 | date = July 2011 | pmid = 21693170 | doi = 10.1016/j.mce.2011.06.012 | url = https://hal.archives-ouvertes.fr/hal-00717913/file/PEER_stage2_10.1016%252Fj.mce.2011.06.012.pdf}}</ref><ref name="pmid28527781">{{cite journal | vauthors = Africander D, Storbeck KH | title = Steroid metabolism in breast cancer: Where are we and what are we missing? | journal = Mol. Cell. Endocrinol. | volume = 466 | issue = | pages = 86–97 | date = May 2018 | pmid = 28527781 | doi = 10.1016/j.mce.2017.05.016 | url = }}</ref><ref name="pmid26213785">{{cite journal | vauthors = Mueller JW, Gilligan LC, Idkowiak J, Arlt W, Foster PA | title = The Regulation of Steroid Action by Sulfation and Desulfation | journal = Endocr. Rev. | volume = 36 | issue = 5 | pages = 526–63 | date = October 2015 | pmid = 26213785 | pmc = 4591525 | doi = 10.1210/er.2015-1036 | url = }}</ref> As a result of this, whereas estradiol and estrone are able to readily diffuse through the [[lipid bilayer]]s of cells, E1S is unable to permeate through [[cell membrane]]s.<ref name="pmid21693170" /><ref name="pmid28527781" /><ref name="pmid26213785" /> Instead, estrone sulfate is transported into cells in a tissue-specific manner by [[active transport]] via [[organic-anion-transporting polypeptide]]s (OATPs), including [[OATP1A2]], [[OATP1B1]], [[OATP1B3]], [[OATP1C1]], [[OATP2B1]], [[OATP3A1]], [[OATP4A1]], and [[OATP4C1]], as well as by the [[sodium-dependent organic anion transporter]] (SOAT; SLC10A6).<ref name="pmid28527781" /><ref name="pmid26213785" /><ref name="pmid21854228">{{cite journal | vauthors = Obaidat A, Roth M, Hagenbuch B | title = The expression and function of organic anion transporting polypeptides in normal tissues and in cancer | journal = Annu. Rev. Pharmacol. Toxicol. | volume = 52 | issue = | pages = 135–51 | date = 2012 | pmid = 21854228 | pmc = 3257355 | doi = 10.1146/annurev-pharmtox-010510-100556 | url = }}</ref><ref name="pmid30186172">{{cite journal | vauthors = Karakus E, Zahner D, Grosser G, Leidolf R, Gundogdu C, Sánchez-Guijo A, Wudy SA, Geyer J | title = Estrone-3-Sulfate Stimulates the Proliferation of T47D Breast Cancer Cells Stably Transfected With the Sodium-Dependent Organic Anion Transporter SOAT (SLC10A6) | journal = Front Pharmacol | volume = 9 | issue = | pages = 941 | date = 2018 | pmid = 30186172 | pmc = 6111516 | doi = 10.3389/fphar.2018.00941 | url = }}</ref>
Unlike unconjugated estradiol and estrone, which are [[lipophilic]] compounds, E1S is an [[anion]] and is [[hydrophilic]].<ref name="pmid21693170">{{cite journal | vauthors = Purohit A, Woo LW, Potter BV | title = Steroid sulfatase: a pivotal player in estrogen synthesis and metabolism | journal = Mol. Cell. Endocrinol. | volume = 340 | issue = 2 | pages = 154–60 | date = July 2011 | pmid = 21693170 | doi = 10.1016/j.mce.2011.06.012 | url = https://hal.archives-ouvertes.fr/hal-00717913/file/PEER_stage2_10.1016%252Fj.mce.2011.06.012.pdf}}</ref><ref name="pmid28527781">{{cite journal | vauthors = Africander D, Storbeck KH | title = Steroid metabolism in breast cancer: Where are we and what are we missing? | journal = Mol. Cell. Endocrinol. | volume = 466 | issue = | pages = 86–97 | date = May 2018 | pmid = 28527781 | doi = 10.1016/j.mce.2017.05.016 | url = }}</ref><ref name="pmid26213785">{{cite journal | vauthors = Mueller JW, Gilligan LC, Idkowiak J, Arlt W, Foster PA | title = The Regulation of Steroid Action by Sulfation and Desulfation | journal = Endocr. Rev. | volume = 36 | issue = 5 | pages = 526–63 | date = October 2015 | pmid = 26213785 | pmc = 4591525 | doi = 10.1210/er.2015-1036 | url = }}</ref> As a result of this, whereas estradiol and estrone are able to readily diffuse through the [[lipid bilayer]]s of cells, E1S is unable to permeate through [[cell membrane]]s.<ref name="pmid21693170" /><ref name="pmid28527781" /><ref name="pmid26213785" /> Instead, estrone sulfate is transported into cells in a tissue-specific manner by [[active transport]] via [[organic-anion-transporting polypeptide]]s (OATPs), including [[OATP1A2]], [[OATP1B1]], [[OATP1B3]], [[OATP1C1]], [[OATP2B1]], [[OATP3A1]], [[OATP4A1]], and [[OATP4C1]], as well as by the [[sodium-dependent organic anion transporter]] (SOAT; SLC10A6).<ref name="pmid28527781" /><ref name="pmid26213785" /><ref name="pmid21854228">{{cite journal | vauthors = Obaidat A, Roth M, Hagenbuch B | title = The expression and function of organic anion transporting polypeptides in normal tissues and in cancer | journal = Annu. Rev. Pharmacol. Toxicol. | volume = 52 | issue = | pages = 135–51 | date = 2012 | pmid = 21854228 | pmc = 3257355 | doi = 10.1146/annurev-pharmtox-010510-100556 | url = }}</ref><ref name="pmid30186172">{{cite journal | vauthors = Karakus E, Zahner D, Grosser G, Leidolf R, Gundogdu C, Sánchez-Guijo A, Wudy SA, Geyer J | title = Estrone-3-Sulfate Stimulates the Proliferation of T47D Breast Cancer Cells Stably Transfected With the Sodium-Dependent Organic Anion Transporter SOAT (SLC10A6) | journal = Front Pharmacol | volume = 9 | issue = | pages = 941 | date = 2018 | pmid = 30186172 | pmc = 6111516 | doi = 10.3389/fphar.2018.00941 | url = }}</ref>

Revision as of 13:38, 31 May 2020

Estrone sulfate
Skeletal formula of estrone sulfate
Space-filling model of the estrone sulfate molecule
Names
IUPAC name
[(8R,9S,13S,14S)-13-methyl-17-oxo-7,8,9,11,12,14,15,16-octahydro-6H-cyclopenta[a]phenanthren-3-yl] hydrogen sulfate
Other names
E1S; Oestrone sulfate; Estrone 3-sulfate; Estra-1,3,5(10)-trien-17-one 3-sulfate
Identifiers
3D model (JSmol)
ChEBI
ChEMBL
ChemSpider
DrugBank
ECHA InfoCard 100.006.888 Edit this at Wikidata
EC Number
  • 207-120-4
KEGG
UNII
  • InChI=1S/C18H22O5S/c1-18-9-8-14-13-5-3-12(23-24(20,21)22)10-11(13)2-4-15(14)16(18)6-7-17(18)19/h3,5,10,14-16H,2,4,6-9H2,1H3,(H,20,21,22)/t14-,15-,16+,18+/m1/s1
    Key: JKKFKPJIXZFSSB-CBZIJGRNSA-N
  • C[C@]12CC[C@H]3[C@H]([C@@H]1CCC2=O)CCC4=C3C=CC(=C4)OS(=O)(=O)O
Properties
C18H22O5S
Molar mass 350.429 g/mol
Except where otherwise noted, data are given for materials in their standard state (at 25 °C [77 °F], 100 kPa).

Estrone sulfate, also known as E1S, E1SO4 and estrone 3-sulfate, is a natural, endogenous steroid and an estrogen ester and conjugate.[1][2][3]

In addition to its role as a natural hormone, estrone sulfate is used as a medication, for instance in menopausal hormone therapy; for information on estrone sulfate as a medication, see the estrone sulfate (medication) article.

Biological function

E1S itself is biologically inactive, with less than 1% of the relative binding affinity of estradiol for the ERα and ERβ.[3][4] However, it can be transformed by steroid sulfatase, also known as estrogen sulfatase, into estrone, an estrogen.[5] Simultaneously, estrogen sulfotransferases, including SULT1A1 and SULT1E1, convert estrone to E1S, resulting in an equilibrium between the two steroids in various tissues.[1][5] Estrone can also be converted by 17β-hydroxysteroid dehydrogenases into the more potent estrogen estradiol.[1] E1S levels are much higher than those of estrone and estradiol, and it is thought to serve as a long-lasting reservoir for estrone and estradiol in the body.[1][6][7] In accordance, E1S has been found to transactivate the estrogen receptor at physiologically relevant concentrations.[8][9] This was diminished with co-application of irosustat (STX-64), a steroid sulfatase inhibitor, indicating the importance of transformation of estrone sulfate into estrone in the estrogenicity of E1S.[8][9]

Unlike unconjugated estradiol and estrone, which are lipophilic compounds, E1S is an anion and is hydrophilic.[10][11][12] As a result of this, whereas estradiol and estrone are able to readily diffuse through the lipid bilayers of cells, E1S is unable to permeate through cell membranes.[10][11][12] Instead, estrone sulfate is transported into cells in a tissue-specific manner by active transport via organic-anion-transporting polypeptides (OATPs), including OATP1A2, OATP1B1, OATP1B3, OATP1C1, OATP2B1, OATP3A1, OATP4A1, and OATP4C1, as well as by the sodium-dependent organic anion transporter (SOAT; SLC10A6).[11][12][13][14]

E1S, serving as a precursor and intermediate for estrone and estradiol, may be involved in the pathophysiology of estrogen-associated diseases including breast cancer, benign breast disease, endometrial cancer, ovarian cancer, prostate cancer, and colorectal cancer.[1][15][16] For this reason, enzyme inhibitors of steroid sulfatase and 17β-hydroxysteroid dehydrogenase and inhibitors of OATPs, which prevent activation of E1S into estrone and estradiol, are of interest in the potential treatment of such conditions.[1][16][15]

Chemistry

E1S, also known as estrone 3-sulfate or as estra-1,3,5(10)-trien-17-one 3-sulfate, is a naturally occurring estrane steroid and a derivative of estrone.[17] It is an estrogen conjugate or ester, and is specifically the C3 sulfate ester of estrone.[17] Related estrogen conjugates include estradiol sulfate, estriol sulfate, estrone glucuronide, estradiol glucuronide, and estriol glucuronide, while related steroid conjugates include dehydroepiandrosterone sulfate and pregnenolone sulfate.

Biochemistry

Metabolism of estrone sulfate in humans
The image above contains clickable links
Description: The metabolic pathways involved in the metabolism of estradiol and other natural estrogens (e.g., estrone, estriol) in humans. In addition to the metabolic transformations shown in the diagram, conjugation (e.g., sulfation and glucuronidation) occurs in the case of estradiol and metabolites of estradiol that have one or more available hydroxyl (–OH) groups. Sources: See template page.


Biosynthesis

E1S is produced via estrogen sulfotransferases from the peripheral metabolism of the ovarian estrogens estradiol and estrone.[18][19][20] Estrogen sulfotransferases are expressed minimally or not at all in the gonads.[21] In accordance, E1S is not secreted from the ovaries in humans.[18]

Metabolism

The elimination half-life of estrone sulfate is 10 to 12 hours.[3] Its metabolic clearance rate is 80 L/day/m2.[3]

Ovarian tumors have been found to express steroid sulfatase and have been found to convert E1S into estradiol.[22][23] This may contribute to the often elevated levels of estradiol observed in women with ovarian cancer.[22][23]

Levels

Circulating levels of estrone sulfate range from a low of 0.13 ng/mL in postmenopausal women to a high of 105 ng/mL in pregnant women during the third trimester.[8]

References

  1. ^ a b c d e f Rezvanpour A, Don-Wauchope AC (March 2017). "Clinical implications of estrone sulfate measurement in laboratory medicine". Crit Rev Clin Lab Sci. 54 (2): 73–86. doi:10.1080/10408363.2016.1252310. PMID 27960570.
  2. ^ Lobo, Rogerio A. (5 June 2007). Treatment of the Postmenopausal Woman: Basic and Clinical Aspects. Academic Press. pp. 768–. ISBN 978-0-08-055309-2. {{cite book}}: Unknown parameter |name-list-format= ignored (|name-list-style= suggested) (help)
  3. ^ a b c d Kuhl H (2005). "Pharmacology of estrogens and progestogens: influence of different routes of administration" (PDF). Climacteric. 8 Suppl 1: 3–63. doi:10.1080/13697130500148875. PMID 16112947.
  4. ^ Kuiper GG, Carlsson B, Grandien K, Enmark E, Häggblad J, Nilsson S, Gustafsson JA (March 1997). "Comparison of the ligand binding specificity and transcript tissue distribution of estrogen receptors alpha and beta". Endocrinology. 138 (3): 863–70. doi:10.1210/endo.138.3.4979. PMID 9048584.
  5. ^ a b Falcone, Tommaso; Hurd, William W. (22 May 2013). Clinical Reproductive Medicine and Surgery: A Practical Guide. Springer Science & Business Media. pp. 5–6. ISBN 978-1-4614-6837-0. {{cite book}}: Unknown parameter |name-list-format= ignored (|name-list-style= suggested) (help)
  6. ^ Melmed, Shlomo; Polonsky, Kenneth S.; Larsen, P. Reed; Kronenberg, Henry M. (11 November 2015). Williams Textbook of Endocrinology (13th ed.). Elsevier Health Sciences. pp. 607–. ISBN 978-0-323-34157-8. {{cite book}}: Unknown parameter |name-list-format= ignored (|name-list-style= suggested) (help)
  7. ^ Greenblatt, James M.; Brogan, Kelly (27 April 2016). Integrative Therapies for Depression: Redefining Models for Assessment, Treatment and Prevention. CRC Press. pp. 198–. ISBN 978-1-4987-0230-0. {{cite book}}: Unknown parameter |name-list-format= ignored (|name-list-style= suggested) (help)
  8. ^ a b c Bjerregaard-Olesen C, Ghisari M, Kjeldsen LS, Wielsøe M, Bonefeld-Jørgensen EC (January 2016). "Estrone sulfate and dehydroepiandrosterone sulfate: Transactivation of the estrogen and androgen receptor". Steroids. 105: 50–8. doi:10.1016/j.steroids.2015.11.009. PMID 26666359.
  9. ^ a b Clark, Barbara J.; Prough, Russell A.; Klinge, Carolyn M. (2018). "Mechanisms of Action of Dehydroepiandrosterone". Dehydroepiandrosterone. Vitamins and Hormones. Vol. 108. pp. 29–73. doi:10.1016/bs.vh.2018.02.003. ISBN 9780128143612. ISSN 0083-6729.
  10. ^ a b Purohit A, Woo LW, Potter BV (July 2011). "Steroid sulfatase: a pivotal player in estrogen synthesis and metabolism" (PDF). Mol. Cell. Endocrinol. 340 (2): 154–60. doi:10.1016/j.mce.2011.06.012. PMID 21693170.
  11. ^ a b c Africander D, Storbeck KH (May 2018). "Steroid metabolism in breast cancer: Where are we and what are we missing?". Mol. Cell. Endocrinol. 466: 86–97. doi:10.1016/j.mce.2017.05.016. PMID 28527781.
  12. ^ a b c Mueller JW, Gilligan LC, Idkowiak J, Arlt W, Foster PA (October 2015). "The Regulation of Steroid Action by Sulfation and Desulfation". Endocr. Rev. 36 (5): 526–63. doi:10.1210/er.2015-1036. PMC 4591525. PMID 26213785.
  13. ^ Obaidat A, Roth M, Hagenbuch B (2012). "The expression and function of organic anion transporting polypeptides in normal tissues and in cancer". Annu. Rev. Pharmacol. Toxicol. 52: 135–51. doi:10.1146/annurev-pharmtox-010510-100556. PMC 3257355. PMID 21854228.
  14. ^ Karakus E, Zahner D, Grosser G, Leidolf R, Gundogdu C, Sánchez-Guijo A, Wudy SA, Geyer J (2018). "Estrone-3-Sulfate Stimulates the Proliferation of T47D Breast Cancer Cells Stably Transfected With the Sodium-Dependent Organic Anion Transporter SOAT (SLC10A6)". Front Pharmacol. 9: 941. doi:10.3389/fphar.2018.00941. PMC 6111516. PMID 30186172.{{cite journal}}: CS1 maint: unflagged free DOI (link)
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Further reading

  • Rezvanpour A, Don-Wauchope AC (March 2017). "Clinical implications of estrone sulfate measurement in laboratory medicine". Critical Reviews in Clinical Laboratory Sciences. 54 (2): 73–86. doi:10.1080/10408363.2016.1252310. PMID 27960570.