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8/3/2019 What is the Function of Prolactin in the Male1
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Topic: What is the function of prolactin in the male?
Prolactin is a hormone primarily produced by the anterior pituitary whose
secretion is regulated by neurons in the hypothalamus. Its documented function in
females is to act upon the breast, a nonendocrine target, and stimulate the development of
the mamillary glands, synthesize milk production, and regulate milk secretion3. Even
though the main function of prolactin has been associated with lactation (hence the name),
recent research has begun to shine light on its various properties and functions that
suggest the hormone is involved in a myriad number of biological processes ranging from
reproduction to physiological homeostasis. Prolactin, for example, has been found to be
secreted by tissues other than the anterior pituitary gland such as the uterus and the
epithelial cells of the mammary gland 3. Similarly, prolactin receptors have been found
to be located on a myriad of organs and tissues (such as the ovaries, heart, liver, and
skeletal muscle tissue) other than the mamillary glands, with which it is commonly
associated 3.
The role of prolactin in males is of particular research interest since little is known
about its function. The available research on humans and model organism suggests,
however, that it may play a role in the function of the testis and reproductive organs,
seasonal breeding cycles, and sexual satiation. A study conducted on hypophysectomized
(the surgical removal of the pituitary gland) male mice for instance linked administered
prolactin with an increase in spermatogenesis yield5
while a study conducted on
hamsters with induced gonadal atrophy found that those treated with prolactin had higher
levels of plasma testosterone and higher testes weight compared to the controls7
. It is
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thought that prolactins interaction with neurotransmitters in the hypothalamus and its
influence on androgen receptors in the pituitary results in a decreased sensitivity of
gonadotropin release to testosterones negative feedback, and can thus play a role in the
regulation of seasonal breeding in male species4.
In human males, studies have shown that prolactin may have some role as a
feedback regulator of the refractory period following an orgasm. A study published in
2002, for example, found increased levels of plasma prolactin following orgasm in
healthy male subjects (whose refractory periods were on average 19 minutes) while no
prolactin response was detected in the case subject (whose refractory period was on
average 3 minutes)2. Moreover in a similar study of male subjects where prolactin levels
were pharmacologically increased, small reductions in sexual parameters (such as drive,
arousal, orgasm and refractory period) were noticed while a decrease in prolactin resulted
in an increase in sexual parameters5. This suggests that prolactin may also play a role in
modulating the CNS, thereby affecting sexual behavior and libido5.
Lastly, it is interesting to note that high levels of prolactin in men inhibit the
release of gonadotropin-releasing hormone and thus FSH and LH, resulting in
hypogonadism. This illness is characterized by low blood testosterone levels, a decrease
in sex drive, and a decrease in other sexual functions.
In conclusion, though there is still much to learn concerning prolactin and its
function in the male, it does act as a progonadal hormone that promotes testicular and
reproductive function in addition to having a role in sexual satiation.
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References
1.http://www.medical.siemens.com/siemens/en_GLOBAL/gg_diag_FBAs/files/referenz
werte_pdf/IMMULITE_Systeme/prolaktin.pdf
2. http://www.nature.com/ijir/journal/v14/n2/full/3900823a.html
3. http://www.med.umich.edu/1libr/aha/umneuro_prolactinoma.htm
4. http://www.andrologyjournal.org/cgi/content/full/25/5/661
5. http://joe.endocrinology-journals.org/cgi/content/abstract/49/2/311?ijkey=7644f13407162ae0323a45d4f0c449c4e
1983ce8&keytype2=tf_ipsecsha
6. http://molehr.oxfordjournals.org/content/8/7/606.full#ref-2
7. http://www.ncbi.nlm.nih.gov/pubmed/1204580