The physiological process describing how the unbound, biologically active fraction of a hormone is taken up by target cells and initiates a cellular response. Only the free hormone is capable of diffusing across cell membranes to interact with intracellular receptors or binding to cell-surface receptors to trigger a signal cascade. The utilization rate is a more accurate measure of hormonal effect than total hormone levels, as it reflects the true availability and cellular uptake. Factors like Sex Hormone-Binding Globulin (SHBG) significantly modulate this crucial biological parameter.
Origin
This concept is a fundamental tenet of endocrinology, differentiating between total circulating hormone levels and the bioavailable fraction. The term “utilization” emphasizes the final, critical step of biological action at the cellular level, moving beyond mere concentration measurements. It has become a key consideration in the clinical assessment and management of hormone deficiency or excess.
Mechanism
Free hormone utilization is governed by the concentration of carrier proteins, such as SHBG and albumin, which bind and sequester the majority of circulating hormones, effectively buffering their action. The unbound fraction then passively or actively enters the target cell. Inside the cell, the hormone binds to its specific receptor, forming a hormone-receptor complex that translocates to the nucleus to regulate gene transcription, thus executing the biological signal.
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