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Published on: July 5, 2017
Androgen therapy induces muscle protein anabolism in older women
Melinda Sheffield-Moore1, Douglas Paddon-Jones, Shanon L Casperson
1University of Texas Medical Branch, 301 University Boulevard, Galveston, TX 77555-0569, USA.
Context:
Normal healthy men and women undergo a gradual loss of skeletal muscle mass and strength with advancing age. While androgens are protein anabolic in older men, the metabolic effects in older women are poorly understood.
Objective And Design:
The objective of this study was to determine whether oral administration of a synthetic derivative of testosterone [oxandrolone, Oxandrin (OX)] (7.5 mg orally twice daily for 14 d) to five older women (age, 65 +/- 2 yr) would enhance skeletal muscle anabolic biomarkers including mixed muscle fractional synthetic rate (FSR), net phenylalanine balance, androgen receptor, and IGF-I protein expression at d 0, 5, and 14 of treatment. As a positive control, seven older men were examined after 14 d of OX (10 mg orally twice daily).
Setting:
The study was performed at the General Clinical Research Center.
Results:
Fourteen days of OX significantly increased skeletal muscle FSR in older women (d 0, 0.073 +/- 0.006 vs. d 5, 0.092 +/- 0.006 vs. d 14, 0.115 +/- 0.007%/h) (P < 0.05, d 0 vs. d 14). Conversely, OX stimulated FSR in older men after only 5 d (d 0, 0.061 +/- 0.003 vs. d 5, 0.101 +/- 0.01 vs. d 14, 0.084 +/- 0.01%/h) (P < 0.05, d 0 vs. d 5). Androgen receptor expression was significantly increased in older men by d 14, but had not increased in older women. No change was noted in IGF-I expression in either group. We conclude that the skeletal muscle of older women and men responds to androgen administration, although the time course of anabolism appears to be gender specific.
Insights
Older women and men respond to oxandrolone (OX), a testosterone derivative, for muscle growth. However, the anabolic response in women
Area of Science:
- Gerontology
- Muscle Physiology
- Endocrinology
Background:
- Aging leads to muscle mass and strength decline in both sexes.
- Androgens promote anabolism in older men, but their effects on older women's metabolism are unclear.
Purpose of the Study:
- To investigate the anabolic effects of oxandrolone (OX) on skeletal muscle biomarkers in older women.
- To compare the response in older women to that in older men.
Main Methods:
- Oral administration of oxandrolone (OX) to five older women (7.5 mg twice daily for 14 days) and seven older men (10 mg twice daily for 14 days).
- Measurement of skeletal muscle fractional synthetic rate (FSR), net phenylalanine balance, androgen receptor, and IGF-I protein expression at baseline and during treatment.
Main Results:
- Oxandrolone (OX) significantly increased skeletal muscle FSR in older women over 14 days.
- Older men showed a faster increase in FSR, with significant stimulation after 5 days.
- Androgen receptor expression increased in older men but not in older women; IGF-I expression remained unchanged in both groups.
Conclusions:
- Skeletal muscle in both older women and men responds to androgen administration.
- The time course of the anabolic response to oxandrolone (OX) appears to be gender-specific.
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