The clinical process of intentionally modulating the responsiveness of hormone receptors on target cells to optimize the cellular response to circulating hormone levels. This calibration is essential because even adequate hormone levels can be functionally deficient if the receptors are downregulated or desensitized, a common issue in conditions like insulin resistance. The goal is to restore optimal signal transduction efficiency.
Origin
This concept is rooted in molecular endocrinology, specifically the study of cell signaling and receptor dynamics. ‘Receptor Sensitivity’ refers to the affinity and number of receptors available for hormone binding. ‘Calibration’ is the clinical term for the interventions—often nutritional, lifestyle, or pharmacological—used to adjust this sensitivity back to a healthy set point.
Mechanism
Calibration operates by influencing the expression, turnover, and post-translational modification of hormone receptors. For instance, high-intensity exercise and specific micronutrients can increase the number of insulin receptors on muscle cells, thereby enhancing insulin sensitivity. Conversely, chronic overexposure to a hormone can cause receptor downregulation, which is corrected by reducing the stimulus and providing specific cofactors that support receptor recycling and membrane health.
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