Skip to main content
Log in

Impairment of granulation tissue formation after menopause

  • Published:
Journal of Endocrinological Investigation Aims and scope Submit manuscript

Abstract

Formation of connective tissue is an essential step in the process of wound healing. After menopause an atrophy of connective tissues in skin, bone, and reproductive organs takes place. Using a dead-space wound healing model we measured collagen synthesis and deposition, and cell replication in the granulation tissue of 18 pre-menopausal and 23 peri- and postmenopausal women not receiving any hormonal therapy. In the postmenopausal group collagen synthesis and deposition and cell number in the granulation tissue were diminished. These results document the impairment of the granulation tissue formation after menopause.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Khaw K.T. Epidemiology of the menopause. Br. Med. Bull. 48: 249, 1992.

    PubMed  CAS  Google Scholar 

  2. Belchetz P.E. Hormonal treatment of postmenopausal women. N. Engl. J. Med. 330: 1062, 1994.

    Article  PubMed  CAS  Google Scholar 

  3. Schiff M. The influence of estrogens on connective tissue. In: Asboe-Hansen G. (Ed.), Hormones and connective tissue. Munksgaard, Copenhagen, 1966, p. 282.

  4. Brincat M., Studd J.W.W. Menopause-a multi system disease. Baillière Clin. Obst. Gynaecol. 2: 289, 1988.

    Article  CAS  Google Scholar 

  5. Vagenakis A.G. Endocrine aspects of menopause. Clin. Rheumatol. 8(Suppl 2): 48, 1989.

    Article  PubMed  Google Scholar 

  6. Bolognia J. Aging skin, epidermal and dermal changes. Prog. Clin. Biol. Res. 320: 121, 1989.

    PubMed  CAS  Google Scholar 

  7. Black N.M., Shuster S., Bottoms E. Osteoporosis. Skin collagen and androgen. Br. Med. J. 4: 773, 1970.

    Article  PubMed Central  PubMed  CAS  Google Scholar 

  8. Punnonen R. Effect of castration and peroral therapy on the skin. Acta Obstet. Gynaecol. 21(Suppl): 1, 1973.

    Google Scholar 

  9. Brincat M., Moniz C.J., Studd J.W.W. Long term effects of the menopause and sex hormones on skin thickness. Br. J. Obstet. Gynaecol. 92: 256, 1985.

    Article  PubMed  CAS  Google Scholar 

  10. Brincat M., Moniz C.F., Kabalan S. Decline in skin collagen content and metacarpal index after the menopause and its prevention with sex hormone replacement. Br. J. Obstet. Gynaecol. 94: 126, 1987.

    Article  PubMed  CAS  Google Scholar 

  11. Brincat M., Wong A., Studd J.W.W. The response of skin thickness and metacarpal index to oestradiol therapy in postmenopausal women. Obstet. Gynaecol. 70: 538, 1987.

    CAS  Google Scholar 

  12. Goodson W.H., Hunt T.K. Development of a new miniature method for the study of wound healing in normal subjects. J. Surg. Res. 33: 394, 1982.

    Article  PubMed  Google Scholar 

  13. Juva K., Prockop D.J. Modified procedure for the assay of 3H or 14C labelled hydroxyproline. Anal. Biochem. 15: 77, 1966.

    Article  PubMed  CAS  Google Scholar 

  14. Giles K.W., Myers A. An improved diphenylamine method for the estimation of deoxyribonucleic acid. Nature 206: 93, 1965.

    Article  CAS  Google Scholar 

  15. Hunt T.K., Goodson W.H., Scheuenstuhl H. A strategy for human studies: thoughts on models. In: Janssen H., Rooman R., Robertson J.I.S. (Eds.), Wound healing. Wrightson Biomedical Publishing, Petersfield, 1994, p. 177.

    Google Scholar 

  16. Jonsson K., Jensen J.A., Goodson W.H., Scheuenstuhl H., West J., Hopf H.W., Hunt T.K. Tissue oxygenation, anemia, and perfusion in relation to wound healing in surgical patients. Ann. Surg. 214: 605, 1991.

    Article  PubMed Central  PubMed  CAS  Google Scholar 

  17. Haydock D.A, Hill G.L. Improved wound healing response in surgical patients receiving intravenous nutrition. Br. J. Surg. 74: 320, 1987.

    Article  PubMed  CAS  Google Scholar 

  18. Brabul A., Lazarou S.A., Efron D.T., Wasserkrug H.L., Efron G. Arginine enhances wound healing and lymphocyte immune response in humans. Surgery 108: 331, 1990.

    Google Scholar 

  19. Brincat M., Moniz C.E., Studd J.W.W. Sex hormones and skin collagen content in postmenopausal women. Br. Med. J. 287: 1337, 1983.

    Article  CAS  Google Scholar 

  20. Brincat M., Versi E., Studd J.W.W. Skin collagen changes in postmenopausal women receiving different regimens of estrogen therapy. Obstet. Gynaecol. 70: 123, 1987.

    CAS  Google Scholar 

  21. Brincat M., Moniz C.F., Kabalan S. Skin collagen changes in postmenopausal women treated with oestradiol gel. Maturitas 9: 1, 1987.

    Article  PubMed  CAS  Google Scholar 

  22. Weissberger A.J., Ho K.K., Lazarus L. Contrasting effects of oral and transdermal routes of estrogen replacement therapy on 24-hour growth hormone (GH) secretion, insulin-like growth factor 1, and GH-binding protein in postmenopausal women. J. Clin. Endocrinol. Metab. 72: 374, 1991.

    Article  PubMed  CAS  Google Scholar 

  23. Jørgensen O., Schmidt A. Influence of sex hormones on granulation tissue formation and on healing of linear wounds. Acta Chir. Scand. 124: 1, 1962.

    PubMed  Google Scholar 

  24. Schlaff W.D., Cooley B.C., Shen W., Gittlesohn A.M., Rock J.A. A rat uterine horn model of genital tract wound healing. Fertil. Steril. 48: 866, 1987.

    PubMed  CAS  Google Scholar 

  25. Localio S.A., Chassin J. The effects of pregnancy on the tensile strength of healing laparatomy wounds in rats. Surgery 32: 9, 195

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Gniadecki, R., Wyrwas, B., Kabala, A. et al. Impairment of granulation tissue formation after menopause. J Endocrinol Invest 19, 215–218 (1996). https://doi.org/10.1007/BF03349870

Download citation

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF03349870

Key-words

Navigation