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Protein / target

Aromatase

Encoded byCYP19A1P11511Homo sapiensSwiss-Prot
Clinically validated
Therapeutic maturity
6
Approved medicines
Open Targets target-level
View by indication →
30
Clinical trials
Small-molecule tractable
Druggability
Approved Drug

Protein at a glance

Biological role

Estrogen 2-hydroxylase

Strongest disease association

Aromatase deficiency

Via encoding gene CYP19A1 · Genetic evidence · score 0.87

Therapeutic position

Established drug target

Small molecules

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 overview

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.

View complete UniProt function annotation

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.

Lipid & lipoprotein metabolismGO · Reactome
View supporting evidence

Lipid & lipoprotein metabolism

  • ·sterol metabolic process
  • ·Endogenous sterols
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.

Approved medicines with mapped indications

3 medicines · 2 areas

Approved therapies targeting this protein, grouped by what they are approved to treat — the disease-first view of the medicines below. Relationships come from the canonical approved-indication graph (ChEMBL phase-4), the same source as the drug cards.

Breast Neoplasms3 medicines
Broader indication categories (1)
Neoplasms3 medicines

Broad umbrella indications (e.g. “Neoplasms”). Shown here because every medicine also appears under a more specific disease above — kept for completeness, de-emphasised for clarity.

6 medicines meet Open Targets' target-level approved-medicine definition; the 3 shown here are those on this page with a canonical approved disease indication in the graph. Approved indications from ChEMBL (phase-4), via the canonical drug→disease graph.

Drugs targeting this protein

3

How approved and investigational drugs engage this protein — mechanism and action type, direct vs complex targeting, and how broadly each acts across other targets. A drug-first view (the section above groups the approved ones disease-first); direct binders with few recorded targets are listed first.

letrozole
Narrow target profileApprovedInhibitor

Cytochrome P450 19A1 inhibitor

Indicated for Breast Neoplasms, Neoplasms

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

anastrozole
Narrow target profileApprovedInhibitor

Cytochrome P450 19A1 inhibitor

Indicated for Breast Neoplasms, Neoplasms

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

exemestane
Narrow target profileApprovedInhibitor

Cytochrome P450 19A1 inhibitor

Indicated for Breast Neoplasms, Neoplasms

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

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

Translational evidence

Open Targets 26

Why this target matters therapeutically, strongest evidence first. Disease associations are gene-level (via the gene that encodes this protein) and open into the full confidence synthesis; the development universe, tractability and safety annotations are target-level, from Open Targets.

Strongest disease associations · via encoding gene CYP19A1

Gene-level evidence surfaced through the gene CYP19A1 that encodes this protein — not a direct protein–disease relationship. Ranked by Forefront's causal-directness weighting, so genetically- and clinically-evidenced diseases lead over ones that merely share the literature.

Aromatase deficiency
0.90Well supported

Genetic evidence dominant · Open Targets 0.77

Aromatase excess syndrome
0.81Well supported

Genetic evidence dominant · Open Targets 0.63

Osteoarthritis
0.70Moderately supported

Genetic evidence dominant · Open Targets 0.43

Neoplasms
0.70Moderately supported

Clinical evidence dominant · Open Targets 0.56

Osteoporosis
0.70Moderately supported

Genetic evidence dominant · Open Targets 0.42

View evidence synthesis (5)
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

OsteoarthritisModerately supported
0.70
agreement 0.560.84
Genetic98%Literature2%

Open Targets aggregate 0.43 · 2 independent evidence families

NeoplasmsModerately supported
0.70
agreement 0.550.85
Clinical82%Literature18%

Open Targets aggregate 0.56 · 2 independent evidence families

OsteoporosisModerately supported
0.70
agreement 0.590.80
Genetic94%Literature5%Clinical1%

Open Targets aggregate 0.42 · 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 per-type scores above show the calculation.

Show all associations
Aromatase deficiency0.77
Aromatase excess syndrome0.63
Neoplasms0.56
Polycystic Ovary Syndrome0.44
Osteoarthritis0.43
Osteoporosis0.42

Drug development

6 compounds recorded · 6 approved

Open Targets' development universe — every compound recorded against the target at any stage, not all approved medicines. Distinct from the 3 drugs that target this protein in Forefront's canonical graph (3 with a mapped approved indication, shown above): these count different sets and are not a subset relation.

View all recorded compounds (6)
LETROZOLEApproval
ANASTROZOLEApproval
TESTOLACTONEApproval
FADROZOLEApproval
EXEMESTANEApproval
AMINOGLUTETHIMIDEApproval

Open Targets known-drugs universe. Drug name and highest clinical stage only — the disease relationship is NOT read from this slice (it carries trial-context noise); approved indications come from the canonical graph above.

Tractability

Small moleculesStrong

Approved Drug and Structure with Ligand support this modality.

AntibodiesEmerging

Feasibility evidence (uniprot sigp or tmhmm) — no clinical-stage drug of this modality recorded.

Protein degradersEmerging

Feasibility evidence (small molecule binder) — no clinical-stage drug of this modality recorded.

View underlying tractability evidence (6)
SM · Approved DrugSM · Structure with LigandSM · High-Quality LigandSM · Druggable FamilyAB · UniProt SigP or TMHMMPR · Small Molecule Binder

Raw Open Targets tractability assessment buckets, by modality.

Safety-related annotations

irregularities, ovarian cycleAOP-Wikiregulation of catalytic activityToxCastReduction, Cumulative fecundity and spawningAOP-Wikiodds of vasomotor symptoms (VMSs)ClinPGxregulation of transcription factor activityToxCastDecrease, Population growth rateAOP-WikiReduction, Cumulative fecundity and spawningAOP-WikiDecrease, Population growth rateAOP-Wikibone density lossClinPGxarthralgiaClinPGxodds of vasomotor symptomsClinPGxDecreased fertility, Reduced number of oocytes ovulatedAOP-Wiki

Terms indexed against this target in Open Targets' safety data, with their datasource. These are annotations, not causal claims: the direction of effect (whether activation or inhibition is implicated), species and evidence strength are not captured here, so an entry does not mean that modulating this target is known to cause that condition.

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. Ranked by active status, then clinical phase and recency, and spread across the targeting drugs.

View all trials (26)

ACTIVE_NOT_RECRUITING · via letrozole · NCT04568616

ClinicalTrials.gov via the drug-target graph.

What's happening now

12

Recent therapeutic activity around this target — regulatory actions, clinical trials and safety signals for 3 drugs that target this protein, plus publications where such a drug is a genuine subject. Every item is reached indirectly through the drug, not the protein itself; incidental mentions (a paper that merely measures a drug) and press items are excluded.

  1. Trial status changed2026-08-31

    Phase 2 Study of Neoadjuvant Endocrine Therapy in ER-positive, HER2-negative Early Stage Breast Cancer

    Status changed to Completed · ClinicalTrials.gov · via letrozole

  2. Trial status changed2026-08-17

    Comparison of Rate of Complete Abortion Between Letrozole Plus Misoprostol vs Misoprostol Alone in First Trimester Pregnancy

    Status changed to Completed · ClinicalTrials.gov · via letrozole

  3. Trial status changed2026-08-13

    A Phase 3 Randomized, Open-Label Study of OP-1250 Monotherapy vs Standard of Care for the Treatment of ER+, HER2- Advanced or Metastatic Breast Cancer Following Endocrine and CDK 4/6 Inhibitor Therapy (OPERA-01)

    Status changed to Active, not recruiting · ClinicalTrials.gov · via letrozole

  4. Trial status changed2026-08-11

    A Randomized, Open-label, Phase III Study of SIM0270 Combined With Everolimus Versus Treatment of Physician's Choice in Patients With CDK4/6 Inhibitors Previously Treated , ER+/HER2- Locally Advanced or Metastatic Breast Cancer

    Status changed to Active, not recruiting · ClinicalTrials.gov · via exemestane

  5. Trial results posted2026-07-30

    A Phase II, Single-Arm Study of RAD001 (Everolimus), Letrozole, and Metformin in Patients With Advanced or Recurrent Endometrial Carcinoma

    Results posted · ClinicalTrials.gov · via letrozole

  6. Trial status changed2026-07-30

    A Phase II, Single-Arm Study of RAD001 (Everolimus), Letrozole, and Metformin in Patients With Advanced or Recurrent Endometrial Carcinoma

    Status changed to Completed · ClinicalTrials.gov · via letrozole

  7. Trial results posted2026-07-17

    A Phase II Clinical Trial Evaluating the Combination of Onapristone With Anastrozole for Women With Refractory Hormone Receptor Positive Endometrial Cancer

    Results posted · ClinicalTrials.gov · via anastrozole

  8. Trial status changed2026-07-17

    A Phase II Clinical Trial Evaluating the Combination of Onapristone With Anastrozole for Women With Refractory Hormone Receptor Positive Endometrial Cancer

    Status changed to Completed · ClinicalTrials.gov · via anastrozole

  9. 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 letrozole

  10. 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

  11. 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

  12. 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

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.