Hormonal Feedback Override describes a clinical or pathological state where the normal, self-regulating negative feedback loops of the endocrine system are intentionally bypassed or involuntarily disrupted. Clinically, this is often a therapeutic strategy, such as administering exogenous hormones at supraphysiological doses, which suppresses the body’s endogenous production via pituitary inhibition. Pathologically, it represents a failure of homeostatic control.
Origin
This term is rooted directly in classical endocrinology, specifically the study of the hypothalamic-pituitary-target gland axes. Feedback refers to the regulatory signals sent from the peripheral gland to the central controllers. Override denotes the intentional or accidental imposition of a signal that supersedes the native regulatory mechanism, often leading to central gland suppression.
Mechanism
In a healthy state, rising levels of a target gland hormone (e.g., testosterone) inhibit the release of its trophic hormones (e.g., LH, FSH) from the pituitary and hypothalamus. An override mechanism introduces a high concentration of the hormone, which strongly binds to central receptors, sending a potent inhibitory signal that effectively halts the production of the upstream trophic factors. This cessation of central signaling leads to a functional suppression of the peripheral gland.
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