This describes the clinical application of signaling molecules, often hormones or peptides, at concentrations that temporarily exceed the range typically found in a healthy, unstressed physiological state. The goal is to leverage a transient, potent molecular signal to initiate a robust, therapeutic cascade that a normal physiological level cannot achieve, often to overcome resistance or drive significant tissue remodeling. This strategy requires careful clinical oversight to manage the powerful downstream effects.
Origin
The term combines “supra,” meaning above, with “physiological,” referring to normal body function, and “signaling,” the molecular communication process. It is a concept borrowed from therapeutic endocrinology, where higher-than-normal doses are sometimes necessary to saturate receptors or drive a desired anabolic effect, such as in certain phases of hormone replacement or regenerative therapy. It emphasizes the dose-dependent nature of molecular intervention.
Mechanism
The mechanism relies on mass action, where a higher concentration of the signaling molecule increases the rate of receptor binding, leading to greater receptor occupancy and a more intense intracellular response. For example, a pulse of supra-physiological growth hormone can drive a greater release of IGF-1, strongly stimulating tissue repair pathways. The intervention is typically time-limited to prevent long-term receptor downregulation or negative feedback loop dysregulation.
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