The specific portion of a circulating hormone that is unbound to plasma proteins, such as sex hormone-binding globulin (SHBG) or albumin, and is therefore freely available to interact with target tissue receptors. This unbound fraction represents the physiologically active component of the hormone that exerts its biological effect. Accurate measurement of this fraction is often more clinically relevant than total hormone levels for assessing true endocrine function.
Origin
The concept originated in classical endocrinology, specifically from the understanding of protein-binding dynamics in the circulatory system. The terms ‘bioactive’ and ‘free’ hormone fractions emerged to distinguish the metabolically potent pool from the larger, protein-bound reservoir. This distinction became crucial for interpreting hormone assays and understanding conditions that alter binding protein concentrations, such as liver or thyroid dysfunction.
Mechanism
The mechanism is rooted in the principle of mass action and receptor binding affinity. Only the free, unbound hormone molecules can traverse capillary walls and cell membranes to bind with intracellular or cell-surface receptors. Once bound, this bioactive fraction initiates the downstream signaling cascade that leads to the hormone’s specific physiological response. The bound fraction acts as a circulating reserve, buffering rapid changes and ensuring a stable supply of the hormone.
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