Department of Medicine, Division of Endocrinology, Leiden University Medical Center, Leiden, Netherlands.
Einthoven Laboratory for Experimental Vascular Medicine, Leiden University Medical Center, Leiden, Netherlands.
Front Endocrinol (Lausanne). 2022 Jul 11;13:907908. doi: 10.3389/fendo.2022.907908. eCollection 2022.
Muscle atrophy is common in patients with increased glucocorticoid exposure. Glucocorticoid effects are often sex-specific, and while different glucocorticoid responses between male and female subjects are reported, it is unclear why this is. In this study, we evaluated the effects of corticosterone and synthetic glucocorticoid treatment on muscle atrophy in male and female mice. We found that corticosterone treatment reduced grip strength in female mice only, whereas muscle mass was reduced in both sexes. Skeletal muscle transcriptional responses to corticosterone treatment were more pronounced and widespread in male mice. Synthetic glucocorticoid treatment reduced grip strength in both sexes, while female mice were more sensitive to muscle atrophy than male mice. To evaluate the role of androgens, chemically-castrated male mice were treated with synthetic glucocorticoids. We observed additively reduced muscle mass, but did not observe any interaction effects. Although sex differences in glucocorticoid responses in skeletal muscle are partly influenced by androgen signaling, further studies are warranted to fully delineate the underlying mechanisms.
肌肉萎缩在糖皮质激素暴露增加的患者中很常见。糖皮质激素的作用通常具有性别特异性,尽管报道了男性和女性受试者之间的不同糖皮质激素反应,但尚不清楚原因是什么。在这项研究中,我们评估了皮质酮和合成糖皮质激素治疗对雄性和雌性小鼠肌肉萎缩的影响。我们发现皮质酮处理仅降低雌性小鼠的握力,而雄性和雌性小鼠的肌肉质量均降低。雄性小鼠对皮质酮处理的骨骼肌转录反应更为明显和广泛。合成糖皮质激素治疗降低了两性的握力,而雌性小鼠对肌肉萎缩比雄性小鼠更为敏感。为了评估雄激素的作用,我们用合成糖皮质激素处理化学去势的雄性小鼠。我们观察到肌肉质量的减少具有加性效应,但没有观察到任何相互作用效应。尽管骨骼肌对糖皮质激素的反应存在性别差异部分受雄激素信号的影响,但仍需要进一步的研究来充分阐明潜在的机制。