Bio-Available Hormone Fractions represent the circulating portion of a hormone that is not tightly bound to high-affinity carrier proteins, rendering it immediately accessible to diffuse into tissues and exert biological effects. This free and loosely-bound fraction is the physiologically active component responsible for initiating cellular responses via receptor interaction. Clinical measurement of these fractions provides a more accurate assessment of functional endocrine status than total hormone levels alone.
Origin
This term is a fundamental concept in clinical endocrinology and pharmacology, stemming from the biophysical understanding of hormone transport and protein binding dynamics within the plasma. ‘Bio-available’ emphasizes the capacity for biological utilization, while ‘fractions’ refers to the distinct binding states of the hormone in the bloodstream.
Mechanism
Steroid and thyroid hormones primarily circulate bound to specific proteins like Sex Hormone-Binding Globulin (SHBG) or Thyroid-Binding Globulin (TBG), which act as inactive reservoirs. The small, unbound fraction and the easily dissociable albumin-bound fraction constitute the bio-available pool. This dynamic equilibrium ensures a constant, regulated supply of active hormone to target cells, where it engages intracellular receptors to modulate gene transcription or trigger non-genomic actions.
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