Bioactive Fraction Availability is the concentration of a hormone or therapeutic compound that is unbound to carrier proteins and therefore remains biologically active, capable of binding to target cellular receptors. This measurement is crucial in endocrinology because only the free, or unbound, fraction can elicit a physiological response within the body. Low availability can lead to deficiency symptoms even if total hormone levels appear adequate on standard lab panels.
Origin
This pharmacological and endocrinological principle is rooted in the understanding of hormone transport and receptor theory established in the mid-20th century. The term emphasizes the critical distinction between total circulating levels and the functionally relevant portion of a substance. It is a key consideration in optimizing hormonal replacement therapies and evaluating true endocrine function.
Mechanism
Most steroid and thyroid hormones circulate bound to plasma proteins, such as Sex Hormone-Binding Globulin (SHBG) or albumin. The equilibrium between bound and unbound fractions dictates the bioactive availability. Factors like liver function, nutritional status, and other hormones can alter the concentration of these binding proteins, thereby regulating the amount of hormone available to target cells and influencing overall cellular receptor saturation.
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