Review Article

Gender in Endocrine Diseases: Role of Sex Gonadal Hormones

Table 2

Endocrine roles of T in the human body.

Sexual functionIncrease libido and erectile function [131]

Glucose metabolismIncreased insulin sensitivity [132, 133]

BoneIncreased bone mineral density; reduction in bone resorption markers
Decrease of osteoblast apoptosis rate
Stimulation of osteoprogenitor cell proliferation and of differentiation of mature osteoblasts
Decrease of osteoclast formation and bone resorption through an increased production of osteoprotegerin [134ā€“136]

MuscleIncrease in both cross-sectional area and myonuclei number; increased muscle fiber area via hyperplasia and hypertrophy; increased muscle strength [101]

Haematopoietic systemStimulation of erythropoiesis directly and erythropoietin synthesis in the kidney
Promotion of erythropoietic stem cell differentiation and increased sensitivity of erythroid progenitors to erythropoietin [137, 138]

Adipose tissueCommitment of pluripotent mesenchymal cells into myogenic lineage; inhibition of commitment of pluripotent mesenchymal cells into adipocyte lineage and inhibition of differentiation of subcutaneous abdominal preadipocytes into adipocytes. Net decrease in fat mass [101]