Is prolactin involved in the evolution of atherothrombotic disease?

Anne Q Reuwer1,2, Menno Hoekstra3, Philippe Touraine4,5,6

  • 1a Department of Vascular Medicine, Academic Medical Center, 1105 AZ Amsterdam, The Netherlands.

Insights

Elevated prolactin levels may contribute to cardiovascular diseases (CVDs) by promoting atherothrombosis. Prolactin-lowering treatments could be a future therapy for patients with high prolactin and vascular disease.

Area of Science:

  • Endocrinology
  • Cardiovascular Medicine
  • Pathophysiology

Background:

  • Cardiovascular diseases (CVDs) are a leading cause of global mortality, with atherothrombosis being a primary driver.
  • Endocrine disorders are increasingly linked to cardiovascular pathology.
  • Prolactin, a pituitary hormone, is emerging as a potential factor in CVD development.

Purpose of the Study:

  • To explore the potential role of prolactin in the development of atherothrombosis and cardiovascular diseases.
  • To investigate whether reducing prolactin levels could be a therapeutic strategy for CVD.

Main Methods:

  • Review of recent clinical and experimental studies linking prolactin to cardiovascular health.
  • Speculative analysis of prolactin's mechanisms in atherothrombosis.
  • Consideration of therapeutic implications for patients with hyperprolactinemia.

Main Results:

  • Prolactin may influence CVD through direct effects on atherosclerotic plaques and systemic metabolic risk factors.
  • The exact role of prolactin in CVD pathogenesis requires further elucidation.
  • Elevated prolactin levels are associated with increased risk of atherothrombotic vascular disease.

Conclusions:

  • Prolactin-lowering therapy is a potential future treatment for patients with elevated prolactin and existing or high risk of vascular disease.
  • These findings may influence clinical management strategies for conditions like prolactinomas.

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