Social and behavioural influences on the uptake of hormone replacement therapy among younger women

Author(s):  
Diana Kuh ◽  
Rebecca Hardy ◽  
Michael Wadsworth
1998 ◽  
Vol 333 (3) ◽  
pp. 787-794 ◽  
Author(s):  
Michael A. ANKROM ◽  
Julie A. PATTERSON ◽  
Patricia Y. d'AVIS ◽  
Ulrich K. VETTER ◽  
Marc R. BLACKMAN ◽  
...  

Oestrogen receptors (ERs) are present in human osteoblasts and mediate anti-resorptive effects on bone. Human osteoblast-like cells derived from different aged healthy female donors not on hormone replacement therapy were utilized under well-defined conditions in vitro to investigate ER function and levels. Treatment with 0.1 nM oestradiol-17β of cell strains derived from eight young women (less than 50 years of age) increased hydroxyproline levels significantly [an average (2.2±0.1 S.E.M.)-fold increase], whereas cells derived from nine older women (more than 50 years of age) were not significantly affected. Similarly, cell strains, derived from younger women, transfected with a consensus oestrogen-responsive element linked to chloramphenicol acetyltransferase exhibited a greater response to oestrogen than strains derived from older women. When basal ERα levels were measured by enzyme immunoassay and normalized on a per cell basis, osteoblast-like strains derived from younger women (n = 24) had a mean value of 2.54±0.16 fmol of ERα per 106 cells. In contrast, strains derived from older women (n = 20) had a mean value of 5.44±0.48 fmol of ERα per 106 cells. An age-related increase in ERα number was also observed in human skin-derived fibroblasts and directly in dermal biopsies from women not on hormone replacement therapy. The results demonstrate ligand concentration-dependent ERα induction and indicate a loss of receptor regulation and diminution of ligand–receptor signal transduction with increasing donor age.


2013 ◽  
Vol 22 (01) ◽  
pp. 46-51
Author(s):  
M. Rahnama ◽  
I. Jastrzêbska-Jamrogiewicz ◽  
R. Jamrogiewicz

Summary Objective: The aim of this study was to observe the variability of the level of copper, zinc and manganese in saliva amongst women with hypoestrogenia, treated and untreated with hormone replacement therapy (HRT). Methods: The study was conducted on a group of 60 women treated and untreated with HRT. Half of the patients were after natural menopause and other half was after surgical removal of ovaries. Research on micronutrients in non-stimulated saliva and blood serum was carried out in 2005. Tests on saliva were repeated in 2010. Investigation of bone mineral density (BMD) of femoral bone was performed in year 2010. Results: Statistical analysis of concentration of copper and zinc revealed a linear correlation between the levels of these microelements in blood serum and saliva. The study revealed that HRT has a beneficial effect on BMD and the concentration of copper and manganese in saliva and blood serum of patients after the menopause. Patients treated with HRT showed higher BMD values than groups not treated with hormones. Conclusions: Saliva appears to be a promising diagnostic material which can be used to analyze the content of trace elements, but further research should be carried out on a broader research group.


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