Systemic Hormone Suppression is the clinical or pathological reduction of circulating concentrations of specific hormones across the entire physiological system, often achieved by inhibiting their production or action at multiple regulatory points. This intervention is employed therapeutically to manage hormone-sensitive conditions, or it can occur pathologically due to chronic stress, disease states, or external hormonal administration. It represents a broad-spectrum dampening of endocrine signaling.
Origin
This concept is central to clinical endocrinology and oncology, particularly in the management of conditions like prostate or breast cancer where hormone-dependent growth must be inhibited. ‘Suppression’ emphasizes the deliberate or involuntary reduction in endocrine output. Pathological suppression can also result from negative feedback loops triggered by exogenous hormone use, leading to pituitary or gonadal atrophy.
Mechanism
Therapeutic suppression mechanisms often involve the use of Luteinizing Hormone-Releasing Hormone (LHRH) agonists/antagonists to inhibit pituitary release of gonadotropins, thereby reducing gonadal hormone production. Alternatively, enzyme inhibitors like aromatase inhibitors can suppress the conversion of precursors into active hormones. The goal is to globally reduce the concentration of the target hormone below a critical biological threshold to achieve a clinical effect.
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