RT Journal Article SR Electronic T1 Oestrogen-Synthesising Enzymes and Breast Cancer JF Anticancer Research JO Anticancer Res FD International Institute of Anticancer Research SP 1095 OP 1109 VO 29 IS 4 A1 MYUTAN KULENDRAN A1 MOHAMED SALHAB A1 KEFAH MOKBEL YR 2009 UL http://ar.iiarjournals.org/content/29/4/1095.abstract AB There is a large and compelling body of epidemiological and experimental evidence that oestrogens are the fuel behind the aetiology of breast cancer. The carcinogenic effects of oestrogen are postulated to be mediated by: the stimulation of cellular proliferation through their receptor-mediated hormonal activity. Other mechanisms include; direct genotoxic effects by increasing mutation rates through a cytochrome P450-mediated metabolic activation and induction of aneuploidy. The local biosynthesis of oestrogens, especially in postmenopausal women as a result of the interactions of various enzymes, is believed to play a very important role in the pathogenesis and development of hormone dependent breast carcinoma. The over-expression of such enzymes seems to be associated with the development of a more aggressive disease process, a poorer outcome and increased local and distant recurrences.