Just seeing this now. For some reason I don't receive notifications for some (many? most?) mentions, so I just happened upon this.
Proviron has never been demonstrated to upregulate AR that I've seen (since it's never been tested). DHT (in C2C12 myotubes) has; and more importantly, testosterone has been shown to upregulate AR in human skeletal muscle at 200 mg weekly. It's
probably a class effect of androgens - indeed this may be viewed as a myotrophic mechanism - but I do not believe mesterolone would be likely to have any particularly potency in this effect.
There's no question that upregulating AR increases translational capacity: i.e., the absolute and relative quantity of mRNA destined for muscle protein synthesis. Still, androgen dose-response (dose vs. ΔLBM) is subject to a logarithmic dose/response relationship, despite this discrete mechanism.
What Proviron
is associated with is data that it tightly binds SHBG. Whether that meaningfully increases free T has not been demonstrated insofar as I am aware (but we can look at the logic of why we expect that it should).
I'll just mention briefly the tangential matter of whether free T reflects the active hormone: it mostly does; though the free hormone hypothesis has been partly contravened by the existence of megalin (SHBG promoter gene), and evidence of both extracellular & intracellular mechanisms for still not extensively characterized pathways.
For example, SHBG-T complexes can be taken up into (e.g., Sertoli & human skeletal muscle) cells by endocytosis: yet there is no apparent effect on muscle function (e.g., strength) or size (i.e., hypertrophy) by these complexes. The very fact that high SHBG with low-normal TT in men causes hypogonadal symptoms (i.e., a low FAI [free androgen index]) supports the primacy of free hormone in biological activity, as a practical matter. Though certainly, 0 SHBG would cause significant complications - this is a false dilemma - given that AAS-induced SHBG reductions do not absolutely remove SHBG from circulation.
For many decades, SHBG was viewed simply as a high-affinity transport protein in the blood circulation, one molecule binding 2 sex hormones (i.e., DHT > T >> E2). It has been shown that Proviron binds SHBG with 4x the affinity of DHT: thus, it may be inferred that high blood concentrations of Proviron might bind SHBG, freeing up more bioavailable or free androgen.
We now understand this is a bit more complex: SHBG circulates as a homodimer that can bind 2 sex hormone monomers. Upon binding the first, there is conformational change in the protein complex that alters the stereochemical properties of the second (unoccupied) binding site that affect its binding properties (i.e., implicating the validity of calculated free/bound/total T & SHBG values on bloodwork with supraphysiological dosing). SHBG can bind to a cell surface receptor (e.g., megalin) either bound or unbound with a ligand (e.g., T, Proviron), and either activate a pathway inside the cell or be taken up by endocytosis. The intracellular interaction of AR-SHBG complexes with the cell surface receptor increases PKA activity and this could influence AR-mediated transcription by altering AR phosphorylation and that of its coactivators. Or, by uptake into the cell of T-SHBG, T may be freed from SHBG during vesicle acidification and then become localized to intracellular protein targets (e.g., AR) or metabolizing enzymes (e.g., Aromatase).
We know that megalin (SHBG transporter gene) expression is related to secondary sex characteristics, prostate cancer risk, and that it
exists in human skeletal muscle - but the SHBG-T complexes, while uptaken, do not apparently influence muscle size nor strength. Thus, the biological relevance of megalin & SHBG-bound androgen, while having some activity, would still be best characterized as limited (but still interesting & relevant; certainly worthy of further exploration) in the face of the FAI having comparatively marked significance in its association with symptoms of hypogonadism with elevated SHBG (i.e., when low) given endogenous T concentrations; and the data as yet shows no association between hypertrophy nor strength and megalin (SHBG transporter gene) expression (unlike AR).
Anyhow, Proviron is used clinically for the treatment of idiopathic male infertility (moderate oligospermia), and to improve sexual function. It is non-erthytopoieitic, does not significantly suppress HPG axis functioning (LH, FSH), and can logically be used as a mild hardening compound (it is a weak androgen), promoting well-being/sexual vitality (increase of mental alertness, mood elevation, improvement of memory and concentration, and reduction of sensations of fatigue, all of which can partly be attribued to CNS ‘stimulatory’ effects of mesterolone; electroencephalographic profiles of varying dosages of mesterolone were found to be very similar to those seen with psychostimulants such as dextroamphetamine and the tricyclic antidepressants; Single oral doses as low as 1 mg were shown to affect brain function).
But its efficacy in increasing free androgen in supraphysiological AAS users by tightly binding SHBG is doubtful: AAS dose is negatively related to serum SHBG levels (AAS dose-dependently lower SHBG anyway), and analysis by Aakvaag & Stromme (1974) revealed that during treatment with mesterolone the binding of testosterone by plasma proteins was significantly reduced, whereas the plasma level of free testosterone appeared to remain unchanged.