Hormonal modulation of connective tissue homeostasis and sex differences in risk for osteoarthritis of the knee

Young female athletes experience a higher incidence of ligament injuries than their male counterparts, females experience a higher incidence of joint hypermobility syndrome (a risk factor for osteoarthritis development), and post-menopausal females experience a higher prevalence of osteoarthritis th...

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Main Authors: Boyan, Barbara D, Hart, David A, Enoka, Roger M, Nicolella, Daniel P, Resnick, Eileen, Berkley, Karen J, Sluka, Kathleen A, Kwoh, C Kent, Tosi, Laura L, O’Connor, Mary I, Coutts, Richard D, Kohrt, Wendy M
Format: Online
Language:English
Published: BioMed Central 2013
Online Access:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3583799/
id pubmed-3583799
recordtype oai_dc
spelling pubmed-35837992013-02-28 Hormonal modulation of connective tissue homeostasis and sex differences in risk for osteoarthritis of the knee Boyan, Barbara D Hart, David A Enoka, Roger M Nicolella, Daniel P Resnick, Eileen Berkley, Karen J Sluka, Kathleen A Kwoh, C Kent Tosi, Laura L O’Connor, Mary I Coutts, Richard D Kohrt, Wendy M Review Young female athletes experience a higher incidence of ligament injuries than their male counterparts, females experience a higher incidence of joint hypermobility syndrome (a risk factor for osteoarthritis development), and post-menopausal females experience a higher prevalence of osteoarthritis than age-matched males. These observations indicate that fluctuating sex hormone levels in young females and loss of ovarian sex hormone production due to menopause likely contribute to observed sex differences in knee joint function and risk for loss of function. In studies of osteoarthritis, however, there is a general lack of appreciation for the heterogeneity of hormonal control in both women and men. Progress in this field is limited by the relatively few preclinical osteoarthritis models, and that most of the work with established models uses only male animals. To elucidate sex differences in osteoarthritis, it is important to examine sex hormone mechanisms in cells from knee tissues and the sexual dimorphism in the role of inflammation at the cell, tissue, and organ levels. There is a need to determine if the risk for loss of knee function and integrity in females is restricted to only the knee or if sex-specific changes in other tissues play a role. This paper discusses these gaps in knowledge and suggests remedies. BioMed Central 2013-02-04 /pmc/articles/PMC3583799/ /pubmed/23374322 http://dx.doi.org/10.1186/2042-6410-4-3 Text en Copyright ©2013 Boyan et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
repository_type Open Access Journal
institution_category Foreign Institution
institution US National Center for Biotechnology Information
building NCBI PubMed
collection Online Access
language English
format Online
author Boyan, Barbara D
Hart, David A
Enoka, Roger M
Nicolella, Daniel P
Resnick, Eileen
Berkley, Karen J
Sluka, Kathleen A
Kwoh, C Kent
Tosi, Laura L
O’Connor, Mary I
Coutts, Richard D
Kohrt, Wendy M
spellingShingle Boyan, Barbara D
Hart, David A
Enoka, Roger M
Nicolella, Daniel P
Resnick, Eileen
Berkley, Karen J
Sluka, Kathleen A
Kwoh, C Kent
Tosi, Laura L
O’Connor, Mary I
Coutts, Richard D
Kohrt, Wendy M
Hormonal modulation of connective tissue homeostasis and sex differences in risk for osteoarthritis of the knee
author_facet Boyan, Barbara D
Hart, David A
Enoka, Roger M
Nicolella, Daniel P
Resnick, Eileen
Berkley, Karen J
Sluka, Kathleen A
Kwoh, C Kent
Tosi, Laura L
O’Connor, Mary I
Coutts, Richard D
Kohrt, Wendy M
author_sort Boyan, Barbara D
title Hormonal modulation of connective tissue homeostasis and sex differences in risk for osteoarthritis of the knee
title_short Hormonal modulation of connective tissue homeostasis and sex differences in risk for osteoarthritis of the knee
title_full Hormonal modulation of connective tissue homeostasis and sex differences in risk for osteoarthritis of the knee
title_fullStr Hormonal modulation of connective tissue homeostasis and sex differences in risk for osteoarthritis of the knee
title_full_unstemmed Hormonal modulation of connective tissue homeostasis and sex differences in risk for osteoarthritis of the knee
title_sort hormonal modulation of connective tissue homeostasis and sex differences in risk for osteoarthritis of the knee
description Young female athletes experience a higher incidence of ligament injuries than their male counterparts, females experience a higher incidence of joint hypermobility syndrome (a risk factor for osteoarthritis development), and post-menopausal females experience a higher prevalence of osteoarthritis than age-matched males. These observations indicate that fluctuating sex hormone levels in young females and loss of ovarian sex hormone production due to menopause likely contribute to observed sex differences in knee joint function and risk for loss of function. In studies of osteoarthritis, however, there is a general lack of appreciation for the heterogeneity of hormonal control in both women and men. Progress in this field is limited by the relatively few preclinical osteoarthritis models, and that most of the work with established models uses only male animals. To elucidate sex differences in osteoarthritis, it is important to examine sex hormone mechanisms in cells from knee tissues and the sexual dimorphism in the role of inflammation at the cell, tissue, and organ levels. There is a need to determine if the risk for loss of knee function and integrity in females is restricted to only the knee or if sex-specific changes in other tissues play a role. This paper discusses these gaps in knowledge and suggests remedies.
publisher BioMed Central
publishDate 2013
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3583799/
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