topicManganese Bone Health Meta-Analysis
claimIn bone development, it was found that Mn is also necessary for the functioning of key enzymes, that is, it has a high ability to protect cells from damage by free radicals [].
evidence level3
citationTaskozhina Gulaim (2024)
sourceThe Manganese–Bone Connection: Investigating the Role of Manganese in Bone Health
topicManganese Bone Health Meta-Analysis
claim2+ 3+ 2+ 3+ 2+ 2+ 3+ 2+ 3+ − 2+ 3+ 19 20 21 22 23 2 2 2 Although Mn has many oxidation states, the two most common forms found in the human body are Mnand Mn[].
evidence level3
citationTaskozhina Gulaim (2024)
sourceThe Manganese–Bone Connection: Investigating the Role of Manganese in Bone Health
topicManganese Bone Health Meta-Analysis
claimCollagen types II and X are present in the growth plate bone, and they are proposed to participate in bone formation, but they are mainly found in cartilage [,].
evidence level3
citationTaskozhina Gulaim (2024)
sourceThe Manganese–Bone Connection: Investigating the Role of Manganese in Bone Health
topicManganese Bone Health Meta-Analysis
claim1 2 3 4 5 6 7 8 9 The main support function in the human body is provided by the structural integrity of bones [].
evidence level3
citationTaskozhina Gulaim (2024)
sourceThe Manganese–Bone Connection: Investigating the Role of Manganese in Bone Health
topicManganese Bone Health Meta-Analysis
claimAlthough testosterone (T) is the principal circulating androgen, evidence from both genetic models and clinical studies of men with aromatase deficiency or ER mutations indicates that estrogens, generated through peripheral aromatization of testosterone, play a dominant role in regulating bone metabolism and maintaining bone mass [].
evidence level4
citationRył Aleksandra (2026)
sourceAssessment of Factors Regulating Androgen Receptor (AR) and Estrogen Receptor Alpha (ERα) Expression in Men with End-Stage Hip Osteoarthritis
topicManganese Bone Health Meta-Analysis
claimWhile testosterone is essential for muscle mass and joint loading distribution, high genetically predicted levels of sex steroids, particularly testosterone, have been paradoxically linked to an increased risk of developing hip and knee osteoarthritis in men, as demonstrated by recent Mendelian randomization studies [].
evidence level4
citationRył Aleksandra (2026)
sourceAssessment of Factors Regulating Androgen Receptor (AR) and Estrogen Receptor Alpha (ERα) Expression in Men with End-Stage Hip Osteoarthritis
topicManganese Bone Health Meta-Analysis
claimIn contrast, local ERdensity exhibited a pronounced negative correlation with BMI (rs = −0.442,= 0.002), indicating that increased adiposity is linked to a downregulation of estrogenic pathways within the joint microenvironment.
evidence level4
citationRył Aleksandra (2026)
sourceAssessment of Factors Regulating Androgen Receptor (AR) and Estrogen Receptor Alpha (ERα) Expression in Men with End-Stage Hip Osteoarthritis
topicManganese Bone Health Meta-Analysis
claim1 2 3 The maintenance of bone tissue homeostasis in men is a multifactorial process in which the regulation of steroid receptor-dependent signaling pathways—androgen receptor (AR) and estrogen receptors (ERα and ERβ)—plays a central role.
evidence level4
citationRył Aleksandra (2026)
sourceAssessment of Factors Regulating Androgen Receptor (AR) and Estrogen Receptor Alpha (ERα) Expression in Men with End-Stage Hip Osteoarthritis