Summary The effects of two steroidal (4-hydroxyandrostenedione and atamestane) and three non-steroidal (fadrozole, vorozole and pentrozole) aromatase inhibitors on the levels of aromatase mRNA and protein were examined using cultured JEG-3 and HepG2 cells. Immunocytochemical studies demonstrated increased quantities of immunoreactive aromatase in both cell types as a result of these treatments. To clarify this effect in detail, quantitation of aromatase protein in JEG-3 cells was performed after various treatments using an enzyme-linked immunosorbent assay. Time-dependent increase was observed with all the aromatase inhibitors except 4-hydroxyandrostenedione. The three non-steroidal agents caused an approximately fourfold elevation in the cells 24 h after the treatment compared with untreated controls. The inhibitors also appeared to block the rapid degradation observed in JEG-3 cells after induction with forskolin. However, aromatase mRNA levels in JEG-3 cells remained unchanged. Furthermore, the increase in aromatase protein in JEG-3 cells due to the inhibitor action was not blocked by treatment with cycloheximide, an inhibitor of protein synthesis. These results thus suggest that aromatase inhibitors increase aromatase protein through stabilization and reduced protein turnover as a side-effect of their binding.Keywords: aromatase inhibitors; oestrogen synthetase; suicide substrate; choriocarcinoma cell; hepatoma cell Aromatase catalyses a rate-limiting step of aromatization of androgens in oestrogen biosynthesis and is known to play an important role through oestrogen production in various physiological functions. This enzyme has been shown to be present in breast (AbulHajj et al, 1979;Santner et al, 1984;Miller and O'Neill, 1987) and endometrial cancer tissues (Noble et al, 1996) as well as various gonadal and extragonadal tissues. In the case of breast cancer, aromatase protein and mRNA were reported to be localized in adipose stromal cells proximal to tumours (Bulun et al, 1993;Santen et al, 1994;Sasano et al, 1994;Harada et al, 1995) and intratumoral stromal cells (Esteban et al, 1992;Lu et al, 1996). Oestrogens are known to function as mitogenic factors in certain tissues, suggesting that local production of oestrogens by aromatase may play an essential role in the pathogenesis of oestrogen-dependent breast and endometrial cancers, maintaining proliferation in a paracrine or autocrine fashion. Therefore, one approach to therapy is to reduce or eliminate continuous stimulation by circulating and locally produced oestrogens, and a number of aromatase inhibitors capable of causing cancer regression in patients have been introduced for such endocrine therapy (Brodie, 1994).Aminoglutethimide is an agent initially finding clinical application as a possible therapeutic aromatase inhibitor for breast cancer patients (Santen and Misbin, 1981). However, it also inhibits cholesterol side-chain cleavage reaction by P-450scc, resulting in a deficiency of glucocorticoids and mineralocorticoids as well as sex steroids....