Women's Health
Onyekachi Okeiyi
Undergraduate
Georgia Institute of Technology
Atlanta, Georgia, United States
Luis Rodriguez, II, MS (he/him/his)
PhD Candidate
UT Southwestern Medical Center/UT Dallas, United States
Yasin Dhaher
Professor
UT Southwestern Medical Center, United States
Joel Wells, M.D, MPH, FAAOS
Surgeon
Baylor-Scott and White Hip Preservation Center, United States
Results
The range of estradiol concentrations for the subjects was 26-356 pg/mL. The range of progesterone concentrations for subjects was 0.5-1 ng/mL. Following linear regression analysis, collagen 1,3, and 6 relative gene expression and estradiol concentration had no significant relationship (p = 0.5339, 0.6613, and 0.3167 respectively). However, collagen 4 RQ showed a statistically significant, positive relationship with estradiol concentration (p = 0.0358).
Conclusions
The purpose of this study was to determine if collagen gene expression in skeletal muscle biopsies is associated with circulating estradiol levels in eumenorrheic women. The results from our study suggest a significant relationship between collagen 4 gene expression and circulating estradiol concentration. While the mechanism in which collagen 4 promotes muscle regeneration is still not fully known it has been hypothesized that collagen 4 promotes the IGF1-mediated migration, differentiation, and fusion of myoblasts, thus promoting the regeneration of skeletal muscle (Ito et al. 2015). This may provide an estradiol-driven mechanism explaining why women with low estradiol levels (e.g., amenorrheic, post-menopausal) have poor muscle regeneration after injury, and potentially suggesting a therapeutic target (Col 4 production) to improve muscle regeneration. Future directions for this study include increasing the sample size and determining if these transcriptional changes manifest in an increase in col 4 protein.