Gender differences in skeletal muscle substrate metabolism - molecular mechanisms and insulin sensitivity

It has become increasingly apparent that substrate metabolism is subject to gender specific regulation, and the aim of this review is to outline the available evidence of molecular gender differences in glucose and lipid metabolism of skeletal muscle. Female sex has been suggested to have a favorabl...

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Main Authors: Anne-Marie eLundsgaard, Bente eKiens
Format: Article
Language:English
Published: Frontiers Media S.A. 2014-11-01
Series:Frontiers in Endocrinology
Subjects:
Online Access:http://journal.frontiersin.org/Journal/10.3389/fendo.2014.00195/full
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author Anne-Marie eLundsgaard
Bente eKiens
author_facet Anne-Marie eLundsgaard
Bente eKiens
author_sort Anne-Marie eLundsgaard
collection DOAJ
description It has become increasingly apparent that substrate metabolism is subject to gender specific regulation, and the aim of this review is to outline the available evidence of molecular gender differences in glucose and lipid metabolism of skeletal muscle. Female sex has been suggested to have a favorable effect on glucose homeostasis, and the available evidence from hyperinsulinemic-euglycemic clamp studies is summarized to delineate whether there is a gender difference in whole body insulin sensitivity and in particular insulin-stimulated glucose uptake of skeletal muscle. Whether an eventual higher insulin sensitivity of female skeletal muscle can be related to gender specific regulation of molecular metabolism will be topic for discussion. Gender differences in muscle fiber type distribution and substrate availability to and in skeletal muscle are highly relevant for substrate metabolism in men and women. In particular, the molecular machinery for glucose and fatty acid oxidative and storage capacities in skeletal muscle and its implications for substrate utilization during metabolic situations of daily living are discussed, emphasizing their relevance for substrate choice in the fed and fasted state, and during periods of physical activity and recovery. Together, handling of carbohydrate and lipids and regulation of their utilization in skeletal muscle have implications for whole body glucose homeostasis in men and women. 17-β estradiol is the most important female sex hormone, and the identification of estradiol receptors in skeletal muscle has opened for a role in regulation of substrate metabolism. Also, higher levels of circulating adipokines as adiponectin and leptin in women and their implications for muscle metabolism will be considered.
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spelling doaj.art-325338efe93c463eaef1e365c462e0f82022-12-22T00:21:17ZengFrontiers Media S.A.Frontiers in Endocrinology1664-23922014-11-01510.3389/fendo.2014.00195117792Gender differences in skeletal muscle substrate metabolism - molecular mechanisms and insulin sensitivityAnne-Marie eLundsgaard0Bente eKiens1University of Copenhagen, DenmarkUniversity of Copenhagen, DenmarkIt has become increasingly apparent that substrate metabolism is subject to gender specific regulation, and the aim of this review is to outline the available evidence of molecular gender differences in glucose and lipid metabolism of skeletal muscle. Female sex has been suggested to have a favorable effect on glucose homeostasis, and the available evidence from hyperinsulinemic-euglycemic clamp studies is summarized to delineate whether there is a gender difference in whole body insulin sensitivity and in particular insulin-stimulated glucose uptake of skeletal muscle. Whether an eventual higher insulin sensitivity of female skeletal muscle can be related to gender specific regulation of molecular metabolism will be topic for discussion. Gender differences in muscle fiber type distribution and substrate availability to and in skeletal muscle are highly relevant for substrate metabolism in men and women. In particular, the molecular machinery for glucose and fatty acid oxidative and storage capacities in skeletal muscle and its implications for substrate utilization during metabolic situations of daily living are discussed, emphasizing their relevance for substrate choice in the fed and fasted state, and during periods of physical activity and recovery. Together, handling of carbohydrate and lipids and regulation of their utilization in skeletal muscle have implications for whole body glucose homeostasis in men and women. 17-β estradiol is the most important female sex hormone, and the identification of estradiol receptors in skeletal muscle has opened for a role in regulation of substrate metabolism. Also, higher levels of circulating adipokines as adiponectin and leptin in women and their implications for muscle metabolism will be considered.http://journal.frontiersin.org/Journal/10.3389/fendo.2014.00195/fullAdipose TissueExercisefatty acid oxidationglucose uptakemetabolic flexibilitysubstrate metabolism
spellingShingle Anne-Marie eLundsgaard
Bente eKiens
Gender differences in skeletal muscle substrate metabolism - molecular mechanisms and insulin sensitivity
Frontiers in Endocrinology
Adipose Tissue
Exercise
fatty acid oxidation
glucose uptake
metabolic flexibility
substrate metabolism
title Gender differences in skeletal muscle substrate metabolism - molecular mechanisms and insulin sensitivity
title_full Gender differences in skeletal muscle substrate metabolism - molecular mechanisms and insulin sensitivity
title_fullStr Gender differences in skeletal muscle substrate metabolism - molecular mechanisms and insulin sensitivity
title_full_unstemmed Gender differences in skeletal muscle substrate metabolism - molecular mechanisms and insulin sensitivity
title_short Gender differences in skeletal muscle substrate metabolism - molecular mechanisms and insulin sensitivity
title_sort gender differences in skeletal muscle substrate metabolism molecular mechanisms and insulin sensitivity
topic Adipose Tissue
Exercise
fatty acid oxidation
glucose uptake
metabolic flexibility
substrate metabolism
url http://journal.frontiersin.org/Journal/10.3389/fendo.2014.00195/full
work_keys_str_mv AT annemarieelundsgaard genderdifferencesinskeletalmusclesubstratemetabolismmolecularmechanismsandinsulinsensitivity
AT benteekiens genderdifferencesinskeletalmusclesubstratemetabolismmolecularmechanismsandinsulinsensitivity