Receptor Sensitization Timelines define the predictable duration required for cellular hormone receptors to achieve an optimal functional state following a change in circulating ligand concentration or the introduction of a sensitizing agent. This acknowledges that cellular responsiveness is dynamic, not instantaneous, and is governed by receptor turnover and recycling kinetics. Understanding these timelines informs the appropriate lag period for assessing therapeutic efficacy.
Origin
This concept combines ‘Receptor Sensitization,’ the process of increasing receptor affinity or density, with ‘Timelines,’ emphasizing the critical element of time in achieving physiological adaptation. It is derived from pharmacodynamics applied to endocrinology.
Mechanism
The mechanism involves the upregulation or conformational change of receptor proteins, which can take days to weeks depending on the specific hormone system involved, such as the androgen receptor or estrogen receptor. Initial changes in hormone levels trigger gene expression changes that slowly alter the population of responsive receptors on the cell surface or within the nucleus. Patience is required when waiting for the full clinical effect of endocrine modulation.
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