The physiological regulation of the continuous processes of cellular degradation (catabolism) and regeneration (anabolism) within specific tissues, such as bone, muscle, and skin, which dictates their structural integrity and functional health. Control of this rate is fundamentally influenced by key endocrine signals, including growth hormone, thyroid hormones, and sex steroids. Optimal control ensures a net positive balance of tissue repair and renewal, supporting longevity and physical resilience.
Origin
This term is rooted in the fundamental concepts of cell biology and metabolism, describing the dynamic equilibrium between synthesis and breakdown. Clinical focus on “control” reflects the therapeutic goal of favoring anabolism to counteract age-related sarcopenia and tissue atrophy.
Mechanism
Endocrine hormones act as master regulators of tissue turnover by modulating gene expression for structural proteins and stimulating the proliferation and differentiation of progenitor cells. For example, growth hormone and IGF-1 promote protein synthesis in muscle and collagen production in the skin. Clinical strategies aim to optimize these hormonal signals to tilt the balance toward renewal, thereby maintaining functional tissue mass and structural integrity over time.
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