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雌激素替代和雄激素水平降低对绝经后妇女骨骼肌胶原和肌原纤维蛋白合成的影响。

Effects of estrogen replacement and lower androgen status on skeletal muscle collagen and myofibrillar protein synthesis in postmenopausal women.

机构信息

Institute of Sports Medicine, Department of Orthopaedic Surgery M, Bispebjerg Hospital and Center for Healthy Aging, Faculty of Health Sciences, University of Copenhagen, Denmark.

出版信息

J Gerontol A Biol Sci Med Sci. 2012 Oct;67(10):1005-13. doi: 10.1093/gerona/gls007. Epub 2012 Mar 1.

Abstract

Our aim was to determine synthesis rate of myofibrillar and collagen proteins in 20 postmenopausal women, who were either nonusers (Controls) or users of estrogen replacement therapy (ERT) after hysterectomy/oophorectomy. Myofibrillar and muscle collagen protein fractional synthesis rate (FSR) were determined in a nonexercised leg and 24 hours after exercise in the contralateral leg. A significant interaction between treatment and mechanical loading was observed in myofibrillar protein FSR. At rest, myofibrillar protein FSR was found to be lower in ERT users than in Controls. Exercise enhanced myofibrillar protein FSR only in ERT users. Similarly, muscle collagen FSR tended to be lower in ERT users compared with Controls. In ERT participants, the androgen profile was reduced, whereas estradiol and sex hormone-binding globulin were higher. In conclusion, at rest, myofibrillar protein FSR was lower in hysterectomized/oophorectomized women using ERT compared with healthy postmenopausal women. Nevertheless, resistance exercise in combination with ERT seems to have a counteracting effect on myofibrillar FSR in hysterectomized/oophorectomized women.

摘要

我们的目的是确定 20 名绝经后妇女的肌原纤维和胶原蛋白的合成速率,这些妇女要么是非使用者(对照组),要么是子宫切除/卵巢切除后使用雌激素替代疗法(ERT)的使用者。在未运动的腿和对侧腿运动 24 小时后,分别测定肌原纤维和肌肉胶原蛋白蛋白的部分合成率(FSR)。在肌原纤维蛋白 FSR 中观察到治疗和机械负荷之间存在显著的相互作用。在休息时,ERT 使用者的肌原纤维蛋白 FSR 低于对照组。运动仅在 ERT 使用者中增强肌原纤维蛋白 FSR。同样,与对照组相比,ERT 使用者的肌肉胶原蛋白 FSR 倾向于降低。在 ERT 参与者中,雄激素谱降低,而雌二醇和性激素结合球蛋白升高。总之,在休息时,与健康绝经后妇女相比,使用 ERT 的子宫切除/卵巢切除妇女的肌原纤维蛋白 FSR 较低。然而,阻力运动与 ERT 结合似乎对子宫切除/卵巢切除妇女的肌原纤维 FSR 具有拮抗作用。

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