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Hyperprolactinemia and autoimmune diseases.

Hedi Orbach1, Yehuda Shoenfeld

  • 1Department of Medicine B, Wolfson Medical Center, Holon, Israel.

Autoimmunity Reviews
|September 15, 2007
PubMed
Summary
This summary is machine-generated.

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Prolactin (PRL) significantly influences autoimmune diseases, which are more prevalent in women. This hormone promotes autoimmunity by affecting B lymphocyte selection and survival, contributing to conditions like lupus and rheumatoid arthritis.

Area of Science:

  • Immunology
  • Endocrinology
  • Genetics

Background:

  • Autoimmune diseases exhibit a notable gender bias, predominantly affecting females.
  • Sex hormones, particularly estrogen and prolactin (PRL), play a crucial role in modulating immune responses and contributing to this bias.
  • Prolactin, secreted by the pituitary gland and lymphocytes, possesses immunostimulatory properties that can promote autoimmunity.

Purpose of the Study:

  • To investigate the role of prolactin (PRL) in the pathogenesis of autoimmune diseases.
  • To explore the mechanisms by which PRL influences immune cells and contributes to autoantibody production.
  • To examine the association between hyperprolactinemia (HPRL) and various organ-specific and multi-organ autoimmune conditions.

Main Methods:

  • Review of existing literature on PRL, sex hormones, and autoimmune diseases.

Related Experiment Videos

  • Analysis of studies investigating PRL's effects on B lymphocyte maturation, apoptosis, and proliferation.
  • Examination of clinical data correlating hyperprolactinemia with autoimmune disease activity.
  • Main Results:

    • PRL impairs negative selection of autoreactive B lymphocytes, enhances proliferative responses, and increases autoantibody production.
    • Hyperprolactinemia (HPRL) is frequently observed in autoimmune diseases such as systemic lupus erythematosus (SLE), rheumatoid arthritis (RA), Sjogren's syndrome (SS), Hashimoto's thyroiditis (HT), and multiple sclerosis (MS).
    • No consistent correlation was found between PRL levels and the activity of these autoimmune diseases.

    Conclusions:

    • Prolactin (PRL) is implicated in promoting autoimmunity through various mechanisms affecting immune cell function.
    • Hyperprolactinemia (HPRL) is a common finding in numerous autoimmune diseases, suggesting its potential role in their development or progression.
    • While dopamine agonists show promise in preliminary studies for SLE, further research into genetic factors and PRL isoforms is warranted to fully understand and potentially target PRL's role in autoimmunity.