Hormones are proteins produced by glands in the body that circulate through the bloodstream to act on different sites. They coordinate essential physiological processes such as metabolism, growth, reproduction, and immune system regulation. Hormones bind to specific receptors on cells, triggering chain reactions that regulate gene expression or cellular signaling.
Hormones maintain homeostasis by responding to changes in the body and correcting imbalances. For example, when blood glucose levels rise after eating, insulin is released to encourage cells to take up glucose, storing it in fat, liver, and muscle, thereby lowering glucose levels back to their set point.
The pituitary gland and hypothalamus are central to hormone regulation. The hypothalamus integrates signals from the brain and nervous system, sending releasing or inhibitory hormones to the pituitary gland. The pituitary then produces stimulating hormones that signal other glands to release their hormones, acting like a thermostat for the endocrine system.
Hormones like leptin, produced by fat tissue, and gut hormones released during meals, signal the brain about fullness and influence food intake. These hormones interact with brain circuits that also respond to environmental cues, such as food advertisements, allowing individuals to sometimes override feelings of fullness.
Protein and peptide hormones have short half-lives, lasting minutes to hours, and are broken down by the kidneys and liver. Steroid hormones, derived from cholesterol, last longer, from hours to days, and are metabolized by the liver. Modified amino acid hormones, like adrenaline, also have shorter durations.
During pregnancy, hormones like insulin, cortisol, estrogen, and progesterone rise dramatically, preparing the mother for childbirth and supporting fetal growth. The placenta acts as a gatekeeper, regulating hormone transfer to the baby to ensure proper development.
The fight-or-flight response is a survival mechanism triggered by perceived threats. Sensory signals activate the hypothalamus, which stimulates the adrenal glands to release adrenaline, increasing heart rate, blood pressure, and energy availability. Cortisol is also released to sustain this response if the stress continues.
Synthetic hormones treat conditions like diabetes (insulin), hormone deficiencies (cortisol), and menopause symptoms (hormone replacement therapy). They are also used to manage autoimmune diseases and inflammation by mimicking natural hormone actions.
Endocrine disruptors are environmental chemicals that interfere with hormone systems, causing reproductive issues, developmental problems, and other health effects. Examples include microplastics and chemicals from sewage, which can feminize fish and disrupt alligator reproduction.
Future advancements include personalized hormone treatments, AI-driven insulin delivery systems, and better understanding of hormone interactions at the cellular level. These innovations aim to improve treatment precision and prevent hormone-related diseases.
Melvyn Bragg and guests discuss some of the chemical signals coursing through our bodies throughout our lives, produced in separate areas and spreading via the bloodstream. We call these 'hormones' and we produce more than 80 of them of which the best known are arguably oestrogen, testosterone, adrenalin, insulin and cortisol. On the whole hormones operate without us being immediately conscious of them as their goal is homeostasis, maintaining the levels of everything in the body as required without us having to think about them first. Their actions are vital for our health and wellbeing and influence many different aspects of the way our bodies work.
With
Sadaf Farooqi Professor of Metabolism and Medicine at the University of Cambridge
Rebecca Reynolds Professor of Metabolic Medicine at the University of Edinburgh
And
Andrew Bicknell Associate Professor in the School of Biological Sciences at the University of Reading
Produced by Victoria Brignell
Reading list:
Rachel Carson, Silent Spring (first published 1962; Penguin Classics, 2000)
Stephen Nussey and Saffron Whitehead, Endocrinology: An Integrated Approach (BIOS Scientific Publishers; 2001)
Aylinr Y. Yilmaz, Comprehensive Introduction to Endocrinology for Novices (Independently published, 2023)