This is the measure of how accurately and promptly the endocrine system’s feedback loops—both negative and positive—respond to fluctuations in circulating hormone levels and peripheral tissue demands. High integrity ensures that the hypothalamic-pituitary-target gland axes maintain precise homeostatic setpoints despite physiological challenges. Compromised integrity is a hallmark of many age-related hormonal dysfunctions.
Origin
Rooted deeply in endocrinology, the concept formalizes the required stability of the classic endocrine regulatory circuits first described in the early 20th century. It emphasizes the quality of the communication system rather than just the absolute level of a single hormone. We assess this integrity to understand systemic regulatory robustness.
Mechanism
Integrity is maintained through receptor sensitivity, adequate synthesis rates of releasing and stimulating hormones, and efficient clearance mechanisms for active and inactive metabolites. For example, sufficient TSH stimulation must elicit a proportional T4/T3 release, and peripheral thyroid hormone levels must then correctly signal back to the pituitary and hypothalamus. Maintaining nutrient substrate availability supports the enzymatic machinery required for this constant, delicate biochemical negotiation.
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