Effects of sex steroids on bones and muscles: Similarities, parallels, and putative interactions in health and disease

Bone. 2015 Nov:80:67-78. doi: 10.1016/j.bone.2015.04.015.

Abstract

Estrogens and androgens influence the growth and maintenance of bones and muscles and are responsible for their sexual dimorphism. A decline in their circulating levels leads to loss of mass and functional integrity in both tissues. In the article, we highlight the similarities of the molecular and cellular mechanisms of action of sex steroids in the two tissues; the commonality of a critical role of mechanical forces on tissue mass and function; emerging evidence for an interplay between mechanical forces and hormonal and growth factor signals in both bones and muscles; as well as the current state of evidence for or against a cross-talk between muscles and bone. In addition, we review evidence for the parallels in the development of osteoporosis and sarcopenia with advancing age and the potential common mechanisms responsible for the age-dependent involution of these two tissues. Lastly, we discuss the striking difference in the availability of several drug therapies for the prevention and treatment of osteoporosis, as compared to none for sarcopenia. This article is part of a Special Issue entitled "Muscle Bone Interactions".

Keywords: Androgens; Bone cells; Estrogens; Muscle fibers; Osteoporosis; Sarcopenia.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, U.S. Gov't, Non-P.H.S.
  • Review

MeSH terms

  • Androgens / therapeutic use
  • Animals
  • Bone and Bones / drug effects
  • Bone and Bones / metabolism*
  • Estrogens / therapeutic use
  • Humans
  • Muscle, Skeletal / drug effects
  • Muscle, Skeletal / metabolism*
  • Osteoporosis / drug therapy
  • Osteoporosis / metabolism
  • Sarcopenia / drug therapy
  • Sarcopenia / metabolism

Substances

  • Androgens
  • Estrogens