The defined, temporally ordered sequence of hormone release and action that governs complex physiological processes, such as the menstrual cycle, stress response, or metabolic adaptation. Understanding this sequence allows clinicians to pinpoint where a disruption has occurred within the regulatory chain. It emphasizes the necessary order of endocrine events for proper function.
Origin
This term combines “hormonal cascade,” referring to sequential activation of signaling events, with “sequencing,” emphasizing the importance of temporal order. It is rooted in the study of multi-step signal transduction pathways common in endocrinology.
Mechanism
A classic example is the HPA axis sequence: Hypothalamus releases CRH, which triggers the pituitary to release ACTH, leading to adrenal cortisol production, with each step being contingent upon the successful completion of the preceding one. Disrupting this sequence at any point—for instance, by blocking a receptor or depleting a precursor—will alter the final downstream hormonal output and subsequent physiological effect. Careful assessment of timing is crucial for diagnosis.
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