Hormones that are unbound to carrier proteins and are thus readily available to interact with target cell receptors to elicit a biological response. In clinical endocrinology, this fraction, often referred to as “free hormone,” represents the physiologically relevant portion driving cellular signaling. Assessing the bio-active fraction provides a more accurate picture of tissue-level hormonal status than total hormone measurements.
Origin
The term combines Bio-, from the Greek bios (life), signifying a biological effect, and Active, denoting functional capacity. This concept originated from the understanding of plasma protein binding, particularly the role of Sex Hormone-Binding Globulin (SHBG) and albumin, in regulating hormone availability. It shifts the focus from simple quantity to functional efficacy within the endocrine system.
Mechanism
The mechanism centers on the principle of mass action and receptor availability. Only the unbound hormone molecule can diffuse across cell membranes or access membrane-bound receptors to initiate intracellular cascades. Carrier proteins, like SHBG, act as a circulating reservoir, releasing hormones only when the free concentration drops, thereby stabilizing the endocrine signal and preventing rapid clearance.
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