Summary:
Prolactin (PRL) is a polypeptide hormone with a molecular weight of 32 kDa formed by 199 amino
acids. It is produced by lactotropes, acidophil cells of the anterior lobe of the pituitary. PRL synthesis
occurs also in other parts of the brain and in some peripheral blood elements. This explains partly
the controversial and divergent conclusions of hitherto published work. PRL was included also
among immunomodulating factors and the hypothesis of its possible participation in the pathogenesis of autoimmune diseases was assumed. Different functions of PRL are known but little is known
about the mechanism of action of this hormone, induction and action in target cells. There are many
reports on the more frequent occurrence of higher PRL levels e.g. in patients with systemic lupus
erythematosus (SLE) but little is known on possible associations of hyper-PRL and the activity of
the disease, type of treatment of SLE, duration of the disease and in particular specific organ
affections. Another equally important issue is the lack of uniformity as regards sampling of PRL
and assessment of its level. Very frequently the influence of external factors which may considerably
modify the PRL levels is neglected. Standardization of conditions for PRL assessment and attention
paid to external factors during sampling could hasten research of this problem and partly unify
some hitherto published studies.
Key words:
hyperprolactinaemia, methods of saturation analysis, radioimmunoanalysis, systemic lupus erythematosus
|