Bioavailable Fraction Metrics are the quantitative measures used in clinical endocrinology to assess the portion of a circulating hormone that is unbound to carrier proteins and is therefore physiologically active and capable of engaging target receptors. This measurement provides a more accurate and clinically relevant reflection of hormonal status at the tissue level than simply measuring total hormone levels. Clinically, these metrics are essential for the precise diagnosis of true deficiency and the accurate titration of hormonal therapies.
Origin
This term is rooted in clinical pharmacology and analytical endocrinology, where the “bioavailable fraction” precisely distinguishes the free, active hormone from the total circulating hormone pool. The development of accurate assays to measure this specific fraction has significantly refined the clinical understanding of hormone action and deficiency states.
Mechanism
Hormones like testosterone and estrogen are largely bound to high-affinity proteins such as Sex Hormone-Binding Globulin (SHBG) and albumin, which renders them temporarily inactive for cellular uptake. Only the unbound, or “free,” fraction can readily diffuse across cell membranes to interact with intracellular receptors and elicit a biological response. The metrics quantify this unbound fraction, offering critical insight into the actual hormonal signal received by peripheral tissues.
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