The therapeutic strategy of providing a continuous, stable concentration of a bioactive agent—such as a hormone, peptide, or essential nutrient—to the body’s circulation over an extended period. This input is designed to maintain a consistent signaling environment, ensuring that target tissues are perpetually exposed to the therapeutic concentration without the fluctuations characteristic of pulsatile or diurnal rhythms. This is often achieved through transdermal patches, slow-release formulations, or frequent, small-dose administration.
Origin
This concept is a cornerstone of drug delivery science and replacement endocrinology, contrasting with the pulsatile nature of many endogenous hormones. The term emphasizes the continuous presence of the agent throughout the entire biological system. This approach aims for stable, non-fluctuating levels.
Mechanism
The sustained systemic input mechanism works by ensuring constant receptor occupancy, which can be advantageous for maintaining a steady-state effect, such as stable mood or consistent basal metabolism. However, this continuous presence can also lead to receptor downregulation or desensitization over time, which must be clinically managed. The goal is to provide a reliable baseline level for essential systemic functions.
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