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Publication : Knee ligament mechanical properties are not influenced by estrogen or its receptors.

First Author  Warden SJ Year  2006
Journal  Am J Physiol Endocrinol Metab Volume  290
Issue  5 Pages  E1034-40
PubMed ID  16317027 Mgi Jnum  J:108394
Mgi Id  MGI:3623860 Doi  10.1152/ajpendo.00367.2005
Citation  Warden SJ, et al. (2006) Knee ligament mechanical properties are not influenced by estrogen or its receptors. Am J Physiol Endocrinol Metab 290(5):E1034-40
abstractText  Women are at greater risk of tearing their knee anterior cruciate ligament (ACL) than men participating in similar athletic activities. There is currently no conclusive explanation for this disparity; however, as ACL injuries in women have been linked with estrogen fluctuations during the menstrual cycle, one hypothesis is that estrogen has a direct detrimental effect on knee ligament mechanical properties. This study investigated the influence of estrogen and its receptors (ER alpha and ER beta) on knee ligament mechanical properties. This was achieved by testing the viscoelastic and tensile mechanical properties of knee medial collateral ligaments (MCL) and ACLs from: 1) male Sprague-Dawley rats treated with either estrogen (17alpha-ethynylestradiol; 0.03 mg/kg) or an ER alpha-specific agonist (propyl pyrazole triol; 2 mg/kg), and 2) female mice with a null mutation of the gene encoding for ER beta. Estrogen treatment had no significant effects on the viscoelastic or tensile mechanical properties of the rat MCL or ACL. Similarly, pharmacological stimulation of ER alpha using a selective agonist in rats and genetic modulation of ER beta by null mutation of its gene in mice did not influence MCL or ACL properties. These data indicate that estrogen does not have a major direct effect on ligament mechanical properties. Energies for the prevention of the disproportionately high rate of knee ligament injuries in women may be better spent focusing on more established and modifiable risk factors, such as abnormalities in neuromuscular control about the knee.
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