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. Within the anterior pituitary gland are the prolactin cells, where they secrete the hormone prolactin. Prolactin cells vary in number, size, and appearance depending on female reproductive status. Prolactin cells specifically increase in response to the physiological state of pregnancy, in particular, the need for the development of breast tissues and milk production. During pregnancy, prolactin cells will undergo hypertrophy (enlarging to support increased prolactin production) as well as hyperplasia (an increase in cell number). The pituitary gland increases in size due to the amount of prolactin cells. The secretory granules of prolactin cells fluctuate from sparsely granulated (during periods of low prolactin production) to densely granulated (during periods of high prolactin production). Prolactin cells contain a large amount of rough endoplasmic reticulum, where prolactin synthesis occurs. The trans-Golgi layer is responsible for storing the prolactin hormone into secretory granules, which are dissolved upon secretion out of the cell. Lysosomal enzymes are involved in the degradation of the secretory granules. The prolactin hormone is a single polypeptide chain protein composed of 199 amino acids in humans. It consists of “three intramolecular disulfide bonds located between six cysteine residues (Cys4-Cys11, Cys58-Cys174, and Cys191-Cys199”.
Function Prolactin cells are best known for their role in female reproduction, particularly in stimulating the growth of mammary tissue and promoting lactation (milk production). Beyond female reproduction and common to both sexes, the prolactin hormone released by prolactin cells contribute to other physiological processes such as the regulation of the immune system, the stress response, and mood. Prolactin binds to receptors located on alveolar epithelial cells, stimulating the synthesis of the milk components including lactose, casein, and lipids. Lactose is the carbohydrate of milk, and casein is the protein of milk. While a mother is nursing and receiving nipple stimulation, prolactin levels spike and milk production occurs. “Prolactin levels fall to non-pregnant levels after 1 to 2 weeks” when the mother is no longer nursing the child. Prolactin, therefore, can be considered a short-term positive feedback mechanism, as high levels of prolactin stimulate more prolactin secretion from the prolactin cells of the pituitary gland. During pregnancy, prolactin influences the body metabolically, increasing appetite, fat storage, and the transfer of glucose to the fetus. 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. Estrogen, a stimulator, enhances the production of prolactin. During times of elevated estrogen levels, such as during pregnancy, prolactin production is increased. TRH stimulates the release of prolactin from the pituitary gland. TRH, also released by the hypothalamus, binds to receptors on prolactin cells, activating cellular signaling pathways that promote prolactin secretion.
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