The structural and functional quality of circulating proteins, such as Sex Hormone-Binding Globulin (SHBG) and albumin, that transport steroid hormones through the bloodstream. High integrity ensures proper binding, controlled release, and appropriate bioavailability of hormones to target tissues. Compromised integrity can lead to unpredictable hormone delivery and skewed measurements of free hormone levels.
Origin
This concept originates from clinical chemistry and protein biochemistry, where ‘carrier molecule’ refers to the specific transport proteins for hydrophobic substances like steroid hormones. ‘Integrity’ denotes the correctness of the molecule’s tertiary structure, which is essential for its binding affinity and half-life. It is a critical factor in the interpretation of hormone panels.
Mechanism
SHBG and albumin bind the majority of circulating sex steroids, effectively rendering them inactive until they dissociate near a target cell. The structural integrity of these carrier proteins ensures the appropriate binding capacity and affinity, which regulates the concentration of the biologically active, unbound ‘free’ hormone. Factors like chronic inflammation, liver function, and genetic variants can impair this integrity, thus affecting hormonal signaling.
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