The comprehensive effect exerted by androgenic hormones, such as testosterone and dihydrotestosterone (DHT), on target tissues throughout the body. This influence extends beyond the reproductive system, critically affecting muscle mass, bone density, energy levels, and psychological well-being. Understanding this influence is essential for assessing vitality and addressing clinical presentations related to hormonal balance.
Origin
The term originates from the Greek words andrós, meaning ‘of a man’, and gennán, meaning ‘to produce’, directly referencing the hormones responsible for male characteristics. Within endocrinology, this concept evolved to describe the broad biological actions of these steroid hormones in both males and females. The clinical practice of hormone assessment relies heavily on quantifying this specific influence.
Mechanism
Androgenic hormones exert their influence by binding to the intracellular androgen receptor (AR) found in various cell types. This hormone-receptor complex then translocates to the cell nucleus, where it directly regulates gene transcription, leading to protein synthesis and subsequent physiological changes. The extent of the influence is determined by hormone concentration, receptor density, and the local enzymatic conversion of testosterone to the more potent DHT by 5-alpha reductase.
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