Cited by 521Muscle Physiology and DisordersMuscle metabolism and nutritionCardiovascular and exercise physiology

The DOI matches its Crossref record; 158 of the 158 references it cites were found in a registry or an index; none of the 103 sources its claims cite is checked for support yet.

Sex-Based Differences in Skeletal Muscle Kinetics and Fiber-Type Composition

Open access

Abstract

Previous studies have identified over 3,000 genes that are differentially expressed in male and female skeletal muscle. Here, we review the sex-based differences in skeletal muscle fiber composition, myosin heavy chain expression, contractile function, and the regulation of these physiological differences by thyroid hormone, estrogen, and testosterone. The findings presented lay the basis for the continued work needed to fully understand the skeletal muscle differences between males and females.

Overview

AI snapshot

Written from the paper’s full text.

TL;DR

This review summarizes sex-based differences in skeletal muscle fiber-type composition, myosin heavy chain expression, contractility, fatigue, and hormonal regulation by thyroid hormone, estrogen, and testosterone. It concludes that females generally have a higher prevalence of slower, more oxidative type-I/IIA fibers and greater endurance/recovery, while males tend to have faster contractile kinetics and greater fatigability.

Key findings

  • More than 3,000 genes are differentially expressed between male and female skeletal muscle. In human vastus lateralis, female muscle has 35% more MyHC-I/β, 30% less MyHC-IIa, and 15% less MyHC-IIx mRNA than male muscle; type-I fibers account for 44% of biopsy area in women vs. 36% in men, while type-IIA fibers account for 34% in women vs. 41% in men.
  • Contractile and fatigue differences are reported: mouse masseter maximal rate of force generation is higher in males (516 vs. 382 g/s), and relaxation is faster in males (41 vs. 48 ms). Endurance is lower in men than women in some studies (11 vs. 18 min; elbow flexor 829 s in males vs. 1,806 s in females), and in adductor pollicis force falls to ∼93% of maximum in women vs. 80% in men after <1 min of exercise.
  • Hormonal regulation shows sex-specific effects. T3 treatment in rat soleus produces different fiber-type profiles in males (73% type-I/IIA, 26% type-I/IIAX) vs. females (37% type-I, 49% type-I/IIA, 6% type-I/IIAX). Ovariectomy reduces maximal isometric tetanic force from sham 180 mN to 168 mN, attenuated to 187 mN with estrogen; strong-binding myosin is 0.263 in OVX vs. 0.300 sham and 0.311 with estrogen.
  • Testosterone-related morphology: in human vastus lateralis, type-I fibers are 19% larger, type-IIA fibers 59% larger, and type-IIX fibers 66% larger in men than women.

Methods

  • Narrative review of sex-based differences in skeletal muscle fiber composition, myosin heavy chain expression, contractile function, and regulation by thyroid hormone, estrogen, and testosterone.
  • Evidence is synthesized from cited human and animal studies, including human vastus lateralis biopsies and rodent, rabbit, guinea pig, and canine muscle models; no new primary data are presented.
  • Main analysis is literature synthesis, with summary tables for fiber-type expression, baseline contractility, thyroid hormone effects, and ERβ-null mouse data.

Limitations

  • The paper states that studies investigating sex-based differences in muscle fiber type are somewhat limited, that experimental models often study only males because sex is thought to confound results, and that further investigations are needed; it also notes that one or two genes cannot explain all sex differences.
  • Evident from the text: this is a narrative review without a systematic search or meta-analysis, and findings are heterogeneous across species, muscles, ages, and methods; some cited results are contradictory, such as T3 effects on shortening velocity, and some mechanisms remain uninvestigated, including calcium storage capacity after ovariectomy.

Model-written summary. Check it against the paper before relying on it.

Integrity signals

Registry

Crossref · 10.1152/physiol.00024.2014

Cites

158 of 158 references verified0 citation errors · 0 not checkable

Statistics

Nothing to recompute.

Verification

Claims the paper makes

0 of 103 cited sources checked · 0 supported · 0 flagged

Show all 41 claims

  • It may state two separate claims as one. 63
  • Probably not a substantial claim. 9
67 of 67
  • The paper relies on this without support.

    Sex is often thought to confound results in experimental models, so usually only males are studied.

    “This is often the case in experimental models where sex is thought to confound results and therefore usually only males are studied.”
  • The paper relies on this without support.

    A strong actin-myosin bond produces a greater force.

    “Since a strong actin-myosin bond will produce a greater force, this has been measured in muscles with and without estrogen manipulation.”
  • The paper relies on this without support.

    In adult mammalian muscle, the four main MyHC isoforms (MyHC-I, -IIa, -IIx, and -IIb) increase in contractile speed in that order.

    “There are four main MyHC isoforms present in adult mammalian muscle (MyHC-I, -IIa, -IIx, and -IIb), which increase in contractile speed in the presented order.”
  • The paper relies on this without support.

    Thyroid hormone induces a conversion from slow to fast fibers and increases contractile velocity.

    “Although thyroid hormone induces a conversion from slow to fast fibers and increases contractile velocity, sex-specific hormones estrogen and testosterone are implicated in skeletal muscle growth, fiber size, and minimally in contractile function.”
4 of 4

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

Each contradiction between two passages listed here was confirmed by an independent check.

  • Hypothyroidism table reverses the stated type-II fiber change

    Minor

    The prose says hypothyroidism lowers the type-II fiber percentage in both sexes relative to healthy patients, while Table 4 marks type-II fibers as increasing in both sexes.

  • Wild-type male soleus relaxation time differs from Table 5

    Minor

    The prose gives wild-type males a soleus relaxation time of 104 ms, whereas Table 5 reports 100.4 ms. The prose's 104 ms matches the table's null-male value instead.

  • Claim of no fiber-type composition change conflicts with plantaris results

    Minor

    The later summary says the referenced studies found no change in overall fiber-type composition, but the preceding plantaris results report type-IIX composition changing after ovariectomy and estrogen supplementation.

3 of 3

Citations

Cites

Flagged first, then by citations

Show all 157 references

Research works printed but not linked: 3

  1. Brodsky IG, 1996, J Clin Endocrinol Metab, 81, 3469
  2. MacIntosh BR, 2003, News Physiol Sci, 18, 222
  3. Maggiolini M, 1999, Cancer Res, 59, 4864

Cited by

Sorted by citations

Items 401–500 of 519

Metadata

Authors
Haizlip, K. M., Harrison, B. C., & Leinwand, L. A.
Affiliations
University of Colorado Boulder (US)
Corresponding author
Leinwand, L. A.
Venue
Physiology
Published
2015-01
Volume
30
Issue
1
Pages
30-39
ISSN
  • 0886-1714 (ISSN-L)
  • 1548-9213
  • 1548-9221
OpenAlex
W2097561994
Cited by
521
References
157
Citations by year
2026: 52 · 2025: 79 · 2024: 89 · 2023: 65 · 2022: 69 · 2021: 49 · 2020: 37 · 2019: 41 · 2018: 20 · 2017: 8 · 2016: 7 · 2015: 4
FWCI
1.25
Type
journal article
Language
en
Open access
Locations
  • Physiology (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • National Heart, Lung, and Blood Institute (T32HL007822)
  • National Institute of General Medical Sciences (GM-029090-30A1S1, GM-29090-31, R01GM029090)
  • National Institute of Arthritis and Musculoskeletal and Skin Diseases (K01AR055676)
Topics
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Muscle Physiology and Disorders
  • Health Sciences › Nursing › Nutrition and Dietetics › Muscle metabolism and nutrition
  • Health Sciences › Medicine › Physiology (medical) › Cardiovascular and exercise physiology
Keywords
sex differences, skeletal muscle, muscle fiber composition, myosin heavy chain, muscle contractility, thyroid hormones, estrogen, testosterone, gene expression
MeSH terms
Animals, Female, Humans, Kinetics, Male, Muscle Contraction, Sex Characteristics, Thyroid Hormones, Muscle Fibers, Skeletal, Myosin Heavy Chains

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