“…Additionally, E 2 acting via ERα is also shown to promote phosphorylation of p38 MAPK (Ronda et al, 2010a, 2010b), a signaling cascade shown to enhance GLUT4 intrinsic activity and glucose uptake (Furtado et al, 2002; Niu et al, 2003; Sweeney et al, 1999). Furthermore, it is possible that ERα activation of Akt and MAPK pathways may underlie in large part the E 2 -mediated protection of muscle against age-induced sarcopenia (Chen et al, 2005; Leger et al, 2008; Messier et al, 2011; Sipila et al, 2001; Sorensen et al, 2001; Teixeira et al, 2003; Tiidus, 2000), exercise-induced muscle damage (Dieli-Conwright et al, 2009; Sotiriadou et al, 2006; Thomas et al, 2010; Tiidus, 2000), and myocyte apoptosis in the face of a variety of cellular perturbations (Boland et al, 2008; McLoughlin et al, 2009; Vasconsuelo et al, 2008; Wang et al, 2010). Thus, ERα stimulation of muscle growth and insulin sensitivity via direct and indirect interaction with these pathways requires further exploration.…”