Muscle metabolism and atrophy: let’s talk about sex
Open accessAbstract
Skeletal muscle health is a strong predictor of overall health and longevity. Pathologies affecting skeletal muscle such as cancer cachexia, intensive care unit treatment, muscular dystrophies, and others are associated with decreased quality of life and increased mortality. Recent research has begun to determine that these muscular pathologies appear to present and develop differently between males and females. However, to our knowledge, there has yet to be a comprehensive review on musculoskeletal differences between males and females and how these differences may contribute to sex differences in muscle pathologies. Herein, we present a review of the current literature on muscle phenotype and physiology between males and females and how these differences may contribute to differential responses to atrophic stimuli. In general, females appear to be more susceptible to disuse induced muscle wasting, yet protected from inflammation induced (such as cancer cachexia) muscle wasting compared to males. These differences may be due in part to differences in muscle protein turnover, satellite cell content and proliferation, hormonal interactions, and mitochondrial differences between males and females. However, more works specifically examining muscle pathologies in females are necessary to more fully understand the inherent sex-based differences in muscle pathologies between the sexes and how they may correspond to different clinical treatments.
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Muscle protein synthesis rates are greater in older women at rest.
“Although muscle protein synthesis rates are greater in older women at rest [245]”
From International society of sports nutrition position stand: nutritional concerns of the female athlete (2023) · cites this paper as [245]
The Hormonal interactions section (page unavailable) reports greater fractional protein synthesis rates in older women than in younger women. It does not establish that older women have greater rates than older men at rest. The Muscle phenotypes section describes a female–male difference after whey ingestion, not at rest. (LLM, conf=0.83)
Experimental — accuracy not yet measuredBoth an upregulation of stimulatory and inhibitory muscle growth regulatory genes in postmenopausal women compared with premenopausal women have been reported.
“Both an upregulation of stimulatory and inhibitory muscle growth regulatory genes in postmenopausal women compared with premenopausal women have also been reported [245].”
From International society of sports nutrition position stand: nutritional concerns of the female athlete (2023) · cites this paper as [245]
The Background’s Hormonal interactions section says postmenopausal women generally have smaller muscles than controls, but it does not report upregulation of muscle-growth regulatory genes. Searches for postmenopausal and premenopausal comparisons found no passage reporting increased expression of both stimulatory and inhibitory genes; page numbers are unavailable in our copy. (LLM, conf=0.76)
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Self-citationDevelopment of skeletal muscle fibrosis in a rodent model of cancer cachexia
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Self-citationHallmarks of Cancer Cachexia: Sexual Dimorphism in Related Pathways
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Sex differences in cachexia and branched‐chain amino acid metabolism following chemotherapy in mice
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Rat Model of Quadriceps Contracture by Joint Immobilization
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The oestrous cycle and skeletal muscle atrophy: Investigations in rodent models of muscle loss
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Sex Differences in Quadriceps Atrophy After Anterior Cruciate Ligament Tear
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Differential Autophagy Response in Men and Women After Muscle Damage
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Self-citationExposure to Doxorubicin Modulates the Cardiac Response to Isoproterenol in Male and Female Mice
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Amino acid kinetics in the critically ill
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- Authors
- Rosa-Caldwell, M. E., & Greene, N. P.
- Affiliations
- University of Arkansas at Fayetteville (US)
- Corresponding author
- Greene, Nicholas P.
- ORCID
- Greene, Nicholas P.
- Venue
- Biology of Sex Differences
- Published
- 2019-08-28
- Volume
- 10
- Issue
- 1
- Pages
- 43-43
- ISSN
- 2042-6410 (ISSN-L)
- PMC
- PMC6714453
- OpenAlex
- W2971287565
- Cited by
- 202
- References
- 199
- Citations by year
- 2026: 18 · 2025: 26 · 2024: 23 · 2023: 49 · 2022: 32 · 2021: 32 · 2020: 18 · 2019: 2 · 2018: 2
- FWCI
- 1.85
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Biology of Sex Differences (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- National Institute of Arthritis and Musculoskeletal and Skin Diseases (R15 AR069913/AR/NIAMS)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Muscle Physiology and Disorders
- Health Sciences › Medicine › Physiology › Nutrition and Health in Aging
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cell Biology › Muscle metabolism and nutrition
- Keywords
- sex differences, skeletal muscle metabolism, muscle atrophy, cancer cachexia, muscle protein turnover, satellite cells, hormonal differences
- MeSH terms
- Energy Metabolism, Female, Humans, Male, Muscular Atrophy, Risk Factors, Sex Characteristics, Muscle, Skeletal
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