Continuous Hormone Signaling refers to the therapeutic objective of maintaining steady, physiological concentrations of specific hormones within the systemic circulation over an extended period, mimicking the body’s natural baseline secretion. This approach contrasts with dosing strategies that produce pronounced peaks and troughs in plasma hormone levels. The clinical goal is to saturate receptor sites consistently, promoting stable, non-fluctuating downstream biological effects.
Origin
The concept arises from a deep understanding of natural endocrine rhythms, which typically feature both pulsatile bursts and sustained basal secretion for many key regulatory hormones. Clinical pharmacology sought to replicate this natural, steady-state profile, moving beyond traditional oral or short-acting injectable formulations that often lead to supraphysiological spikes and subsequent sub-optimal dips.
Mechanism
Achieving this signaling requires advanced delivery systems, such as transdermal patches, gels, or subcutaneous pellets, designed for zero-order release kinetics. This steady delivery minimizes the acute feedback inhibition on the hypothalamic-pituitary-gonadal (HPG) axis and prevents the receptor desensitization that can occur with high, intermittent concentrations. The resulting stable ligand-receptor binding ensures consistent gene transcription and cellular maintenance throughout the dosing interval.
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