The physiological condition characterized by a net synthesis of complex molecules from simpler precursors, notably encompassing muscle protein synthesis, bone matrix formation, and tissue repair. This state is fundamentally driven by a favorable balance between anabolic hormones like insulin, growth hormone, and testosterone, and catabolic hormones such as cortisol. Clinically, achieving and maintaining this metabolic environment is critical for recovery, growth, and mitigating age-related decline in lean body mass, which directly impacts overall longevity and vitality.
Origin
The term derives from the Greek word anabole, meaning “a building up.” This concept is central to the field of metabolism, which broadly classifies all biochemical reactions in the body into either anabolic (building up) or catabolic (breaking down) processes. Within endocrinology, the “state” component emphasizes the systemic hormonal milieu required for these constructive processes to predominate throughout the human body.
Mechanism
Anabolic hormones bind to specific cellular receptors, triggering intracellular signaling cascades, such as the mTOR pathway, which enhance protein translation and reduce protein degradation. Increased amino acid uptake into muscle cells is a hallmark of this mechanism, facilitated by hormones like insulin. This intricate hormonal orchestration promotes positive nitrogen balance, which is the biochemical signature of tissue accretion and repair across multiple organ systems.
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