Lifestyle
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Prolactin · PRL · Luteotrophin
Prolactin test quantifies the level of prolactin hormone in the blood, which is involved in lactation and reproductive functions.
Levels vary by sex and age; higher in females, especially during pregnancy and lactation.
Prolactin (PRL), also known as luteotrophin, is a polypeptide hormone primarily synthesized and secreted by lactotroph cells in the anterior pituitary gland. It plays a crucial role in lactation and reproductive functions, but also has diverse effects on metabolism, immune regulation, and behavior. Researchers have found that PRL exists in multiple isoforms, including the full-length 23-kDa PRL and smaller fragments called vasoinhibins, which have distinct biological activities. Clinically, prolactin levels are significant in diagnosing and managing conditions such as hyperprolactinemia, prolactinomas, and metabolic syndrome. Elevated prolactin levels can indicate pituitary disorders, hypothyroidism, or medication effects, while low levels may be associated with hypopituitarism or certain medications. In the context of athletic performance and biohacking, prolactin's role in metabolism and mood regulation is of interest. Researchers have observed that prolactin can influence body composition and energy balance, making it a potential target for optimizing metabolic health and longevity. However, prolactin levels can be influenced by various factors, including stress, sleep, and time of day, with levels typically peaking during sleep. Therefore, consistent timing and conditions for testing are essential for accurate assessment.
Klinische Bedeutung
Elevated prolactin levels can indicate pituitary tumors, hypothyroidism, or medication effects. Reduced levels may suggest hypopituitarism or be a side effect of certain medications.
Progressively rising prolactin levels may suggest pituitary adenoma or hypothyroidism; re-test in 4 weeks if elevated.
Progressively falling levels may indicate effective treatment or pituitary dysfunction.
Re-test Interval
4 weeks if outside optimal range
Note:
Consult a healthcare provider before starting any supplementation, especially if on medication.
Prolactin levels peak during sleep; morning testing is recommended for consistency.
Testing Frequency
Annually for healthy adults, more frequently if symptomatic or under treatment.
May affect
Current research suggests that the relationship between prolactin levels and metabolic syndrome remains debated, particularly regarding reference ranges and the impact of confounding factors such as sex steroids during pregnancy. Researchers have not yet established optimal prolactin targets for different patient subgroups, including those with hyperprolactinemia and metabolic disorders. Additionally, clinical questions regarding the physiological role of low prolactin levels in men and the implications of endometrial prolactin in pregnancy complications remain unanswered.
328
Total Citations
3
Human/RCT
1.8
Avg. Influence
2026
Latest
This study explored the diverse physiological functions of prolactin, particularly its secretion in response to stress. Researchers found that stress is a significant physiological cause of hyperprolactinemia, indicating its complex role in human health.
Researchers focused on the role of prolactin in uterine pathophysiology, particularly in relation to cancers. The study found that elevated prolactin levels are associated with various uterine diseases, suggesting its potential as a biomarker for diagnosis and treatment.
Researchers examined the clinical significance of macroprolactinemia in women with hyperprolactinemia, noting that it can lead to misleading diagnoses. The study found that macroprolactinemia is often benign but can sometimes be associated with true hyperprolactinemic symptoms.
This study highlighted that prolactin is produced by the endometrium and has significant roles during pregnancy. Researchers found that endometrial prolactin may influence amniotic fluid levels and labor processes, suggesting its importance in reproductive health.
Researchers found that hyperprolactinemia is linked to metabolic syndrome, particularly during pregnancy. The study observed that dopamine-D2-agonist therapy can improve metabolic syndrome in patients with prolactinomas. Additionally, prolactin levels may inversely correlate with metabolic risk markers in healthy populations.
This study examined various forms of pituitary hyperplasia, highlighting that prolactin cells are most prone to non-neoplastic proliferation, especially during pregnancy and lactation. Researchers found that hyperprolactinemia often accompanies severe thyrotroph hyperplasia, which can mimic adenomas. The study also noted that idiopathic lactotroph hyperplasia is rare.
Researchers examined the role of prolactin in polycystic ovary syndrome (PCOS), noting its influence on metabolic health. The study highlighted the need for further research on the relationship between prolactin levels and metabolic outcomes in PCOS patients.
Researchers examined the presence of polymeric forms of prolactin in women with sustained hyperprolactinemia. The study found that these polymeric forms, while immunoreactive, have lower biological activity compared to monomeric prolactin.
This study observed that chronic alcohol consumption is associated with elevated prolactin levels. Researchers found that alcohol-induced hyperprolactinemia may result from interactions with hormonal signaling pathways in the pituitary.
This study examined the role of prolactin and its fragments, vasoinhibins, in cardiovascular diseases. Researchers found that these molecules can have different effects on vascular function and may play a significant role in the pathology of cardiovascular conditions.
Research publications about Prolaktin over time
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