Systemic Androgen Effects refer to the broad range of physiological and psychological outcomes resulting from the action of androgens on diverse target tissues throughout the body. These effects extend far beyond primary and secondary sexual characteristics, influencing metabolic processes, cardiovascular health, bone mineral density, and cognitive function. Maintaining optimal systemic androgen levels is crucial for both men and women, impacting mood, libido, muscle mass, and erythropoiesis. Clinical management must consider this wide-ranging systemic impact to ensure comprehensive health optimization.
Origin
This term is fundamental to endocrinology, where “Systemic” emphasizes the body-wide distribution and action of the “Androgens” (hormones promoting male characteristics). Early research on castration and hormone replacement therapy established the profound and varied effects of these steroids on non-reproductive tissues. Modern understanding recognizes the androgen receptor’s presence in nearly all tissues, necessitating a holistic view of their impact.
Mechanism
Androgens exert their systemic effects primarily by binding to the intracellular Androgen Receptor (AR), which then translocates to the nucleus to act as a transcription factor, modulating gene expression. The specific effect in any given tissue is determined by the local concentration of the androgen, the density of ARs, and the presence of converting enzymes like 5-alpha reductase and aromatase. For example, androgens promote muscle protein synthesis via AR activation in skeletal muscle cells, contributing to lean mass.
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