EndocrinologyTier 2Topic

Secretion, transport, and feedback control of hormones

Hormone classes determine everything downstream

ClassExamplesReceptorTransportHalf-life
Peptide/proteinInsulin, GH, PTH, ACTH, LH/FSH, TSHCell surface (GPCR, RTK)Free in plasmaMinutes
SteroidCortisol, aldosterone, sex steroids, vitamin DNuclearCarrier protein boundHours
Amine - thyroidT4, T3NuclearTBG, albumin, transthyretinDays (T4 ~7d)
Amine - catecholamineAdrenaline, noradrenalineCell surfaceFreeSeconds
  • Peptide hormones are stored in granules and released on demand; steroid hormones are synthesised on demand and cannot be stored
  • Only the free fraction is biologically active - anything that changes binding protein changes the total but not the free level

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