DHEA-S Kinetics describes the quantitative study of the absorption, distribution, metabolism, and excretion (ADME) of Dehydroepiandrosterone Sulfate (DHEA-S) within the human body, focusing on its rate of synthesis and clearance. As the most abundant circulating steroid hormone, its kinetics are a vital indicator of adrenal reserve and the overall flux of the steroidogenesis pathway. Age and chronic stress significantly influence these kinetic parameters.
Origin
The term combines DHEA-S, a key adrenal androgen and neurosteroid precursor, with “kinetics,” derived from the Greek kinēsis meaning “movement,” which in pharmacology and physiology refers to the dynamic processes governing substance concentration over time.
Mechanism
DHEA-S is primarily synthesized in the adrenal cortex under the influence of ACTH and is characterized by a long half-life due to its sulfate conjugation, which enhances its stability in circulation. The kinetics involve its conversion to active androgens and estrogens in peripheral tissues, followed by eventual hepatic metabolism and renal excretion. Analyzing these dynamics provides insight into the adrenal-gonadal axis and the availability of precursor hormones for target tissue function.
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