A prolactin cell (also known as a lactotroph, mammotroph, or lactotrope) is a specialized endocrine cell located in the anterior pituitary gland in most vertebrates. Its primary role is to secrete the peptide hormone prolactin. In mammals, prolactin serves multiple reproductive and homeostatic roles within an organism, including stimulation of lactation, mammary tissue development, regulation of the immune response, and activity of the central nervous system. Prolactin cells constitute approximately 20-55% of the population of cells within the anterior pituitary gland, depending on the sex, physiological status, and species of the animal. Women characteristically exhibit higher levels of prolactin activity as compared to men. Males and non-pregnant, non-lactating females typically have low levels of prolactin. The number for prolactin cells in a pregnant female will increase to allow for breast tissue development.
Prolactin cells are regulated by dopamine, estrogen, and thyrotropin-releasing hormone. The monitoring of the activity and secretion of prolactin cells provides clinical significance for reproductive and endocrine disorders within the body.
Location and characteristics
The location of prolactin cells within the pituitary gland is regulated largely by the hypothalamus. The pituitary gland is divided into posterior and anterior regions. Prolactin regulates both bone and calcium homeostasis, acts to suppress ovulation, and stimulates secretion of oxytocin.
In addition to the pituitary gland, prolactin is produced by T cells, B cells (lymphocytes of the immune system), and macrophages. Within the immune system, prolactin acts to promote lymphocyte differentiation, proliferation, and function through the activation of protein kinase C signaling pathway. Prolactin has immunomodulatory and anti-inflammatory effects within the immune system, contributing to immune system maintenance.
Stress also acutely stimulates prolactin production, as dopamine (a prolactin inhibitor) levels are reduced under stress, the pituitary gland is in turn expressed more leading to higher prolactin levels.
Regulation
Prolactin cell regulation mainly involves dopamine, a prolactin production suppressor, estrogen, a prolactin production stimulator, and thyrotropin-releasing hormone (TRH), a prolactin release stimulator.
Dopamine, the main inhibitor, keeps prolactin levels low. Dopamine is secreted by the hypothalamus during times of high prolactin levels, which in response lowers prolactin levels, a negative feedback mechanism. Hyperprolactinemia (elevated prolactin levels) can be caused by excessive thyrotropin-releasing hormone production or decreased dopamine levels. This may cause symptoms in both males and females such as infertility, erectile dysfunction, and irregular periods.
Excessive release of prolactin can be due to a prolactinoma, a tumor of the pituitary gland. The tumor itself may not cause symptoms, but may cause an increased production of prolactin and decreased levels of estrogen and testosterone. Symptoms due to a prolactinoma may include infertility, a decrease in sexual desire, and osteoporosis. In men, symptoms may include erectile dysfunction, enlarged breast tissue, and decreased body hair. In women, symptoms may include breast discharge, irregular menstrual cycles, acne, and increased body hair.
Prolactin tests measure the amount of prolactin within the blood. This test can also be used to assess the function of the pituitary gland. Dysregulation of the pituitary gland, such as due to hypopituitarism, can cause low levels of prolactin.
Normal levels of prolactin are typically lower for males in comparison to females, at 20ng/mL, compared to 25ng/mL. This level rises in women during pregnancy or breastfeeding to be between 80 and 400ng/mL.
The expansion of prolactin cell function over evolutionary history is responsible for the wide distribution of prolactin receptors (PRLRs) within the body, and the diverse physiological effects prolactin hormone has on multiple body systems.
See also
- Hypothalamic–pituitary–prolactin axis
- List of distinct cell types in the adult human body