Protein / target

Aromatase

CYP19A1P11511Homo sapiensSwiss-Prot
Clinically validated
Therapeutic maturity
6
Approved medicines
30
Clinical trials
Small-molecule tractable
Druggability
Approved Drug

Protein at a glance

Biological role

Estrogen 2-hydroxylase activity

Primary system

Endocrine & metabolic

Strongest disease association

aromatase deficiency

Genetic evidence · score 0.87

Therapeutic maturity

Clinically validated target

6 approved medicines against this target

Druggability

Small molecule

Open Targets tractability · Approved Drug

Clinical development

6 approved

30 linked trials

Derived from structured UniProt, Open Targets and literature data on this page.

Protein profile

UniProt 2026_02

Canonical identity and biological annotation from UniProt.

Function

A cytochrome P450 monooxygenase that catalyzes the conversion of C19 androgens, androst-4-ene-3,17-dione (androstenedione) and testosterone to the C18 estrogens, estrone and estradiol, respectively (PubMed:27702664, PubMed:2848247). Catalyzes three successive oxidations of C19 androgens: two conventional oxidations at C19 yielding 19-hydroxy and 19-oxo/19-aldehyde derivatives, followed by a third oxidative aromatization step that involves C1-beta hydrogen abstraction combined with cleavage of the C10-C19 bond to yield a phenolic A ring and formic acid (PubMed:20385561). Alternatively, the third oxidative reaction yields a 19-norsteroid and formic acid. Converts dihydrotestosterone to delta1,10-dehydro 19-nordihydrotestosterone and may play a role in homeostasis of this potent androgen (PubMed:22773874). Also displays 2-hydroxylase activity toward estrone (PubMed:22773874). Mechanistically, uses molecular oxygen inserting one oxygen atom into a substrate, and reducing the second into a water molecule, with two electrons provided by NADPH via cytochrome P450 reductase (CPR; NADPH-ferrihemoprotein reductase) (PubMed:20385561, PubMed:22773874)

Subcellular location

Endoplasmic reticulum membraneMicrosome membrane
Domains and Gene Ontology detail (19)

Gene Ontology

  • Cendoplasmic reticulum
  • Cendoplasmic reticulum membrane
  • Cmembrane
  • Faromatase activity
  • Felectron transfer activity
  • Festrogen 2-hydroxylase activity
  • Fheme binding
  • Firon ion binding
  • Foxidoreductase activity, acting on paired donors, with incorporation or reduction of molecular oxygen, reduced flavin or flavoprotein as one donor, and incorporation of one atom of oxygen
  • Foxygen binding
  • Fsteroid hydroxylase activity
  • Pandrogen catabolic process

503 aa · 58 kDa · 2 isoforms

Biological roles

Reactome v97

What this protein does, drawn together from its UniProt function, Gene Ontology terms and Reactome pathways.

Metabolic enzyme activityGO
View supporting evidence

Metabolic enzyme activity

  • ·oxidoreductase activity, acting on paired donors, with incorporation or reduction of mol…
  • ·sterol metabolic process
View underlying pathways (3)

Concepts derived from UniProt GO Reactome — each badge above shows which sources supported that role.

Interaction neighbourhood

STRING v12.0

Proteins with the strongest functional or physical association. Node size and line weight reflect STRING confidence; hover or select a partner to inspect one association.

HSD3B1HSD17B1HSD3B2HSD17B3SRD5A1CYP17A1HSD17B2HSD17B7SRD5A2SULT1E1CYP19A1

10 strongest partners — larger node and heavier line mean higher confidence

Functional and physical associations from STRING v12.0. Only associations with this protein are drawn — partner-to-partner links are not part of this evidence.

Drugs targeting this protein

3

Whether each drug engages this protein directly or through a complex, and how many other targets are recorded for it. Direct binders with few recorded targets are listed first.

letrozole
Narrow target profileApprovedInhibitor

Cytochrome P450 19A1 inhibitor

Appears in clinical studies involving breast carcinoma, breast cancer, neoplasm, hypogonadotropic hypogonadism

Direct interaction with this protein · Only this protein recorded as a target

anastrozole
Narrow target profileApprovedInhibitor

Cytochrome P450 19A1 inhibitor

Appears in clinical studies involving breast carcinoma, breast cancer, neoplasm, ductal breast carcinoma in situ

Direct interaction with this protein · Only this protein recorded as a target

exemestane
Narrow target profileApprovedInhibitor

Cytochrome P450 19A1 inhibitor

Appears in clinical studies involving breast carcinoma, breast cancer, neoplasm, breast cancer

Direct interaction with this protein · Only this protein recorded as a target

ChEMBL mechanism, action type and target identity. Open Targets clinical status and indications.

Translational evidence

Open Targets 26

Why this target matters therapeutically — disease associations, drugs in development, tractability and safety, from Open Targets.

Strongest genetic associations

Human genetic evidence — the most direct causal link between this target and a disease.

aromatase deficiency0.87

Genetic · overall 0.77

aromatase excess syndrome0.77

Genetic · overall 0.63

osteoarthritis0.70

Genetic · overall 0.43

osteoporosis0.68

Genetic · overall 0.42

endometrial cancer0.65

Genetic · overall 0.47

Highest-confidence therapeutic associations

Diseases where a drug acting on this target has already reached clinical development.

breast cancer0.99

Clinical · overall 0.63

breast carcinoma0.99

Clinical · overall 0.63

neoplasm0.87

Clinical · overall 0.56

polycystic ovary syndrome0.67

Clinical · overall 0.44

endometrial carcinoma0.37

Clinical · overall 0.44

Show all associations
aromatase deficiency0.77
breast cancer0.63
breast carcinoma0.63
aromatase excess syndrome0.63
neoplasm0.56
endometrial cancer0.47
endometrial carcinoma0.44
polycystic ovary syndrome0.44
osteoarthritis0.43
osteoporosis0.42

Open Targets ranks 1,854 associations for this target and we store the top 10 by aggregated score. The long tail is largely literature co-mention and RNA-expression evidence, not evidence that this target drives those diseases.

Known drugs · 6 total

LETROZOLEApproval

breast carcinoma · breast cancer · neoplasm

ANASTROZOLEApproval

breast carcinoma · breast cancer · neoplasm

TESTOLACTONEApproval

breast cancer · congenital adrenal hyperplasia · precocious puberty

FADROZOLEApproval

breast cancer

EXEMESTANEApproval

breast carcinoma · breast cancer · neoplasm

AMINOGLUTETHIMIDEApproval

neoplasm · breast cancer · prostate cancer

Tractability

SM · Approved DrugSM · Structure with LigandSM · High-Quality LigandSM · Druggable FamilyAB · UniProt SigP or TMHMMPR · Small Molecule Binder

Safety liabilities

irregularities, ovarian cycleregulation of catalytic activityReduction, Cumulative fecundity and spawningodds of vasomotor symptoms (VMSs)regulation of transcription factor activityDecrease, Population growth rateReduction, Cumulative fecundity and spawningDecrease, Population growth ratebone density lossarthralgiaodds of vasomotor symptomsDecreased fertility, Reduced number of oocytes ovulated

Clinical trials

30

Trials of drugs that target this protein — reached indirectly through those drugs, so a trial listed here studies the drug, not the protein.

Show remaining trials (24)

ClinicalTrials.gov via the drug-target graph.

Forefront confidence

Synthesis

Our own weighting of the evidence behind each disease association. Human genetics and clinical evidence count for most; literature co-mention counts for little, because two entities sharing an abstract is not evidence that one drives the other.

aromatase deficiencyWell supported
0.90
agreement 0.781.00
Genetic80%Animal model19%Literature2%Genetic literaturedup

Open Targets aggregate 0.77 · 3 independent evidence families · 1 not counted as duplicate

aromatase excess syndromeWell supported
0.81
agreement 0.690.93
Genetic82%Animal model17%Literature2%Genetic literaturedup

Open Targets aggregate 0.63 · 3 independent evidence families · 1 not counted as duplicate

breast carcinomaWell supported
0.79
agreement 0.650.92
Clinical80%Literature16%RNA expression4%

Open Targets aggregate 0.63 · 3 independent evidence families

breast cancerWell supported
0.78
agreement 0.630.94
Clinical84%Literature16%

Open Targets aggregate 0.63 · 2 independent evidence families

endometrial cancerWell supported
0.78
agreement 0.680.89
Genetic62%Clinical32%Literature7%

Open Targets aggregate 0.47 · 3 independent evidence families

The evidence agreement range shows how closely the independent evidence families agree — it is not a statistical confidence interval, and nothing here is fitted to outcome data. Derived from Open Targets evidence types under Forefront weighting; the underlying per-type scores are shown above so the calculation can be checked.

What's happening now

16

Recent activity around this target, drawn from one canonical event stream. Every item is reached through 3 drugs that target this protein, so each event is news about that drug rather than about the protein directly.

  1. New publication2024-11-26
    Chronic Aromatase Inhibition Attenuates Synaptic Plasticity in Ovariectomized Mice.

    eNeuro · 2024 · 1 citation · Europe PMC · via letrozole

  2. New publication2024-05-08
    Abemaciclib plus a nonsteroidal aromatase inhibitor as initial therapy for HR+, HER2- advanced breast cancer: final overall survival results of MONARCH 3.

    Annals of oncology : official journal of the European Society for Medical Oncology · 2024 · 161 citations · Europe PMC · via anastrozole

  3. New publication2023-09-01
    Efficacy, safety, and biomarker analysis of nivolumab in combination with abemaciclib plus endocrine therapy in patients with HR-positive HER2-negative metastatic breast cancer: a phase II study (WJOG11418B NEWFLAME trial).

    Journal for immunotherapy of cancer · 2023 · 48 citations · Europe PMC · via letrozole

  4. New publication2018-03-01
    Clinical considerations of the role of palbociclib in the management of advanced breast cancer patients with and without visceral metastases.

    Annals of oncology : official journal of the European Society for Medical Oncology · 2018 · 73 citations · Europe PMC · via letrozole

  5. New publication2017-07-05
    A randomized phase II trial of ridaforolimus, dalotuzumab, and exemestane compared with ridaforolimus and exemestane in patients with advanced breast cancer.

    Breast cancer research and treatment · 2017 · 29 citations · Europe PMC · via exemestane

  6. New publication2017-06-01
    A Phase II Clinical Trial of an Aromatase Inhibitor for Postmenopausal Women with Lymphangioleiomyomatosis.

    Annals of the American Thoracic Society · 2017 · 26 citations · Europe PMC · via letrozole

  7. New publication2017-02-01
    Anastrozole in Pulmonary Arterial Hypertension. A Randomized, Double-Blind, Placebo-controlled Trial.

    American journal of respiratory and critical care medicine · 2017 · 91 citations · Europe PMC · via anastrozole

  8. New publication2016-11-01
    Palbociclib and Letrozole in Advanced Breast Cancer.

    The New England journal of medicine · 2016 · 2,179 citations · Europe PMC · via letrozole

  9. New publication2016-10-07
    Ribociclib as First-Line Therapy for HR-Positive, Advanced Breast Cancer.

    The New England journal of medicine · 2016 · 1,477 citations · Europe PMC · via letrozole

  10. New publication2016-06-05
    Extending Aromatase-Inhibitor Adjuvant Therapy to 10 Years.

    The New England journal of medicine · 2016 · 466 citations · Europe PMC · via letrozole

  11. New publication2014-07-01
    Letrozole versus clomiphene for infertility in the polycystic ovary syndrome.

    The New England journal of medicine · 2014 · 371 citations · Europe PMC · via letrozole

  12. New publication2011-06-04
    Exemestane for breast-cancer prevention in postmenopausal women.

    The New England journal of medicine · 2011 · 639 citations · Europe PMC · via exemestane

Objective event titles are shown unmodified; the event kind and significance line are derived from structured fields. Forefront AttentionEvent stream aggregating Europe PMC Regulatory filings ClinicalTrials.gov.