DurgicalDurgical
EN
Open the app

Hormone classes and mechanisms !

Its chemistry decides whether a hormone travels free or protein-bound and whether it acts on membrane receptors or inside the cell.

Updated 2026-11-01

Key facts

  • Peptides and proteins (insulin, glucagon, GH, ACTH): water-soluble, stored in granules, short half-life, membrane receptors.
  • Steroids (cortisol, aldosterone, oestrogens, testosterone) and vitamin D: made from cholesterol, not stored, carried by proteins, act on nuclear receptors.
  • Amines: catecholamines behave like peptides; thyroid hormones behave like steroids.
  • Most hypothalamic–pituitary–gland axes are controlled by negative feedback.

In detail

  • Membrane receptors: G protein-coupled (cAMP or IP₃/Ca²⁺), tyrosine kinase (insulin, IGF-1), JAK-associated (GH, prolactin, leptin) and guanylyl cyclase (atrial natriuretic peptide → cGMP).
  • Intracellular receptors: nuclear, for fat-soluble hormones that cross the membrane.
  • Negative feedback: cortisol holds back CRH and ACTH; T3 and T4 hold back TRH and TSH. Positive: the oestradiol peak triggers the LH surge before ovulation.
  • Only free hormone acts; that is why free T4, not only total T4, is measured when binding proteins change (pregnancy, oral contraceptives, cirrhosis).
  • Nitric oxide activates a soluble guanylyl cyclase; sildenafil inhibits phosphodiesterase 5 and prolongs cGMP.

Clinical notes

  • High TSH with low free T4 means thyroid failure (primary hypothyroidism); low TSH with low free T4 points to the pituitary.
  • In Cushing syndrome from a pituitary tumour, cortisol does not hold ACTH back properly.
  • Pituitary adenomas can overproduce one hormone or compress the neighbouring cells.

Test yourself

Think of the answer, then tap the question to see it.

Why do steroid hormones travel bound to proteins in blood?

Because they are fat-soluble and poorly soluble in water; binding also prolongs their half-life.

Which second messenger does atrial natriuretic peptide use?

cGMP, made by its receptor's guanylyl cyclase activity.

Why is free T4 measured in a pregnant woman?

Because oestrogens raise the binding globulin: total T4 rises even when the active (free) hormone is normal.

Which class does thyroid hormone resemble in its mechanism?

Steroids: it enters the cell and acts on a nuclear receptor.

Add to my cards (4)

Educational information, not medical advice. For any symptom, see a health professional.

Sources: Hormones | Hormone Function | MedlinePlus (MedlinePlus, US National Library of Medicine, 2026); Free T4 test: MedlinePlus Medical Encyclopedia (MedlinePlus, US National Library of Medicine, 2026); Textbook of Biochemistry for Medical Students, 6th ed. (Jaypee Brothers Medical Publishers (Vasudevan DM, Sreekumari S, Vaidyanathan K), 2011).

← All of biochemistry

Spotted a mistake?We are always improving for the community. Tell us what is wrong and our team will review it.Report a mistake

Representative model, for educational purposes only.