II.

How Hormones Work

Most hormones are released directly into the bloodstream, where they circulate throughout the body in very low concentrations. Some hormones travel intact in the bloodstream. Others require a carrier substance, such as a protein molecule, to keep them dissolved in the blood. These carriers also serve as a hormone reservoir, keeping hormone concentrations constant and protecting the bound hormone from chemical breakdown over time.

Hormones travel in the bloodstream until they reach their target tissue, where they activate a series of chemical changes. To achieve its intended result, a hormone must be recognized by a specialized protein in the cells of the target tissue called a receptor. Typically, hormones that are water-soluble use a receptor located on the cell membrane surface of the target tissues. A series of special molecules within the cell, known as second messengers, transport the hormone’s information into the cell. Fat-soluble hormones, such as steroid hormones, pass through the cell membrane and bind to receptors found in the cytoplasm. When a receptor and a hormone bind together, both the receptor and hormone molecules undergo structural changes that activate mechanisms within the cell. These mechanisms produce the special effects induced by the hormone.

Receptors on the cell membrane surface are in constant turnover. New receptors are produced by the cell and inserted into the cell wall, and receptors that have reacted with hormones are broken down or recycled. The cell can respond, if necessary, to irregular hormone concentrations in the blood by decreasing or increasing the number of receptors on its surface. If the concentration of a hormone in the blood increases, the number of receptors in the cell wall may go down to maintain the same level of hormonal interaction in the cell. This is known as downregulation. If concentrations of hormones in the blood decrease, upregulation increases the number of receptors in the cell wall.

Some hormones are delivered directly to the target tissues instead of circulating throughout the entire bloodstream. For example, hormones from the hypothalamus, a portion of the brain that controls the endocrine system, are delivered directly to the adjacent pituitary gland, where their concentrations are several hundred times higher than in the circulatory system.