2010
DOI: 10.1677/joe-10-0209
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Skeletal sexual dimorphism: relative contribution of sex steroids, GH–IGF1, and mechanical loading

Abstract: Structural gender differences in bone mass - characterized by wider but not thicker bones - are generally attributed to opposing sex steroid actions in men and women. Recent findings have redefined the traditional concept of sex hormones as the main regulators of skeletal sexual dimorphism. GH-IGF1 action is likely to be the most important determinant of sex differences in bone mass. Estrogens limit periosteal bone expansion but stimulate endosteal bone apposition in females, whereas androgens stimulate radial… Show more

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Cited by 195 publications
(168 citation statements)
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References 69 publications
(59 reference statements)
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“…Sexual dimorphism is largely the outcome of the sex-biased expression of autosomal genes, which in turn are regulated by sex-specific hormone levels and/or differential hormone receptor sensitivity (26,27,42). In mice, for example, testicular-feminized males (i.e., males lacking androgen receptors) and gonadectomized males develop female-like pelvic morphologies, whereas experimental administration of androgens to females induces male-like morphologies (28)(29)(30).…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…Sexual dimorphism is largely the outcome of the sex-biased expression of autosomal genes, which in turn are regulated by sex-specific hormone levels and/or differential hormone receptor sensitivity (26,27,42). In mice, for example, testicular-feminized males (i.e., males lacking androgen receptors) and gonadectomized males develop female-like pelvic morphologies, whereas experimental administration of androgens to females induces male-like morphologies (28)(29)(30).…”
Section: Discussionmentioning
confidence: 99%
“…In humans, direct evidence for hormone-mediated sex-specific bone remodeling patterns of the pelvis is not yet available. Nevertheless, studies on long bone morphology indicate that sexual skeletal dimorphism develops via complex interactions between sex-specific steroid hormone levels, sex-biased gene expression, and gender differences in sensitivity to bone-loading conditions and to hormones such as the growth hormone/insulin-like growth factor 1 (IGF1) axis (42)(43)(44)(45).…”
Section: Discussionmentioning
confidence: 99%
“…However, to systematically address the sexually dimorphic skeletal phenotype in these mice, studies should be conducted comparing estrogen-replete and estrogen-deficient mice. Importantly, gender-specific differences in bone are a result of numerous systemic factors, thus estrogen signaling alone is unlikely to fully account for this discrepancy (Callewaert et al, 2010a;Manolagas et al, 2013).…”
Section: Discussionmentioning
confidence: 99%
“…Skeleton sexual dimorphism is generally attributed to sex steroids such as estradiol (E 2 ), but also to growth hormone, insulin-like growth factor, and mechanical sensitivity to loading (Callewaert et al 2010). Gender differences in lipoprotein metabolism have also been evidenced (for a review, Knopp et al (2005)), but it is unknown if and how this affects bone.…”
Section: Introductionmentioning
confidence: 99%