Vnitr Lek 2007, 53(12):1265-1268

Prolactine response to stress in patients with systemic lupus erythematodes (SLE), rheumatoid arthritis (RA) and in healthy controls

C. Dostál1,*, M. Fojtíková1, Z. Lacinová2, M. Černá3, L. Moszkorzová1, J. Zvárová4, J. Marek2
1 Revmatologický ústav Praha, ředitel prof. MUDr. Karel Pavelka, DrSc.
2 III. interní klinika 1. lékařské fakulty UK a VFN Praha, přednosta prof. MUDr. Štěpán Svačina, DrSc., MBA
3 Oddělení buněčné a molekulární biologie 3. lékařské fakulty UK Praha, přednosta doc. RNDr. Jan Kovář, DrSc.
4 EuroMISE Centrum Praha, ředitelka prof. RNDr. Jana Zvárová, DrSc.

Prolactin is a one of the stress hormones, like the growth hormone, ACTH, cortisol and catecholamins. Among its wide range of functions is the important role of controlling the immune response which is, unlike in the case of cortisol, of stimulatory nature. For this activity, it is monitored as a factor influencing the progress and course of autoimmune diseases. The authors of the paper monitored prolactin response to stress in a normal stress situation, i.e. blood collection. A significant difference was detected between the levels of prolactin in 3 successive blood collections in 30 minute intervals (P < 0.001). Prolactin responded by a prompt increase in the serum level, followed by a relatively fast linear decrease. There was no difference in the response between the SLE and RA patient groups and the healthy population. Therefore we conclude that this is a normal reaction of the organism because acute response to stress in patients with autoimmune diseases is the same as in healthy persons.

Keywords: prolactin; stress; systemic lupus erythematodes; rheumatoid arthritis

Received: January 29, 2007; Accepted: February 6, 2007; Published: December 1, 2007  Show citation

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
Dostál C, Fojtíková M, Lacinová Z, Černá M, Moszkorzová L, Zvárová J, Marek J. Prolactine response to stress in patients with systemic lupus erythematodes (SLE), rheumatoid arthritis (RA) and in healthy controls. Vnitr Lek. 2007;53(12):1265-1268.
Download citation

References

  1. Gala RR. Prolactin and growth hormone in the regulation of the immune system. Proc Soc Exp Biol Med 1991; 198: 513-527. Go to original source... Go to PubMed...
  2. Peeva E, Michael D, Cleary J et al. Prolactin modulates the naive B cell repertoire. J Clin Invest 2003; 111: 275-283. Go to original source... Go to PubMed...
  3. Grimaldi CM. Sex and systemic lupus erythematosus: the role of the sex hormones estrogen and prolactin on the regulation of autoreactive B cells. Curr Opin Rheumatol 2006; 18: 456-461. Go to original source... Go to PubMed...
  4. Ben-Jonathan N, Mershon JL, Allen DL et al. Extrapituitary prolactin: distribution, regulation, functions, and clinical aspects. Endocr Rev 1996; 17: 639-669. Go to original source...
  5. Sabharwal P, Glaser R, Lafuse W et al. Prolactin synthesized and secreted by human peripheral blood mononuclear cells: an autocrine growth factor for lymphoproliferation. Proc Natl Acad Sci USA 1992; 89: 7713-7716. Go to original source... Go to PubMed...
  6. Schwartz J. Intrapituitary interactions: another level of endocrine regulation. Clin Exp Pharmacol Physiol 2001; 28: 237-238. Go to original source... Go to PubMed...
  7. Kanyicska B, Sellix MT, Freeman ME. Autocrine regulation of prolactin secretion by endothelins throughout the estrous cycle. Endocrine 2003; 20: 53-58. Go to original source... Go to PubMed...
  8. Kopecek M, Bares M, Horacek J et al. Low-dose risperidone augmentation of antidepressants or anxiolytics is associated with hyperprolactinemia. Neuro Endocrinol Lett 2006; 27: 803-806. Go to PubMed...
  9. Malý R, Masopust J, Konupcíková K. Prevention of venous thromboembolism in psychiatry. Vnitř Lék 2006; 52(Suppl 1): 73-78. Go to PubMed...
  10. Neidhart M, Gay RE, Gay S. Prolactin and prolactin-like polypeptides in rheumatoid arthritis. Biomed Pharmacother 1999; 53: 218-222. Go to original source... Go to PubMed...
  11. Leanos-Miranda A, Cardenas-Mondragon G. Serum free prolactin concentrations in patients with systemic lupus erythematosus are associated with lupus activity. Rheumatology (Oxford) 2006; 45: 97-101. Go to original source... Go to PubMed...
  12. Kozáková D, Rovenský J, Cebecauer L et al. Prolactin levels and autoantibodies in female patients with systemic lupus erythematosus. Z Rheumatol 2000; 59(Suppl 2): 80-84. Go to original source... Go to PubMed...
  13. Rovenský J, Bakosová J, Payer J et al. Increased demand for steroid therapy in hyperprolactinemic patients with rheumatoid arthritis. Int J Tissue React 2001; 23: 145-149. Go to PubMed...
  14. Imrich R, Rovensky J, Cervenakova Z et al. Hyperprolactinemia does not influence hypothalamic-pituitary-adrenocortical function during hypoglycemia in women. Int J Tissue React 2002; 24: 73-78. Go to PubMed...
  15. Imrich R, Tibenska E, Koska J et al. Pharmacological hyperprolactinemia attenuates hydrocortisone-induced expression of CD11b on human CD8+ cells in vivo. Neuroimmunomodulation 2004; 11: 133-140. Go to original source... Go to PubMed...
  16. Rovensky J, Kvetnansky R, Radikova Z et al. Hormone concentrations in synovial fluid of patients with rheumatoid arthritis. Clin Exp Rheumatol 2005; 23: 292-296. Go to PubMed...
  17. Rovensky J, Imrich R, Radikova Z et al. Peptide hormones and histamine in plasma and synovial fluid of patients with rheumatoid arthritis and osteoarthrosis. Endocr Regul 2005; 39: 1-6. Go to PubMed...
  18. Rovensky J, Simorova E, Radikova Z et al. Comparison of hormone transfer to pleural and synovial exudates. Endocr Regul 2006; 40: 29-36. Go to PubMed...
  19. Moszkorzová L, Lacinová Z, Marek J et al. Hyperprolactinaemia in patients with systemic lupus erythematosus. Clin Exp Rheumatol 2002; 20: 807-812. Go to PubMed...
  20. Dostál C, Marek J, Moszkorzová L et al. Effects of stress on serum prolactin levels in patients with systemic lupus erythematosus. Ann N Y Acad Sci 2002; 966: 247-251. Go to original source... Go to PubMed...
  21. Dostál C, Moszkorzová L, Musilová L et al. Serum prolactin stress values in patients with systemic lupus erythematosus. Ann Rheum Dis 2003; 62: 487-488. Go to original source... Go to PubMed...
  22. Pohorecky LA, Baumann MH, Benjamin D. Effects of chronic social stress on neuroendocrine responsiveness to challenge with ethanol, dexamethasone and corticotropin-releasing hormone. Neuroendocrinology 2004; 80: 332-342. Go to original source... Go to PubMed...
  23. Low D, Purvis A, Reilly T et al. The prolactin responses to active and passive heating in man. Exp Physiol 2005; 90: 909-917. Go to original source... Go to PubMed...
  24. Tomei F, Ciarrocca M, Cherubini E et al. Prolactin levels in workers exposed to chemical, physical and psycho-social urban stressors. J Occup Health 2006; 48: 253-260. Go to original source... Go to PubMed...
  25. Low D, Cable T, Purvis A. Exercise thermoregulation and hyperprolactinaemia. Ergonomics 2005; 48: 1547-1557. Go to original source... Go to PubMed...
  26. Saez Mdel C, Barriga C, Garcia JJ et al. Exercise-induced stress enhances mammary tumor growth in rats: beneficial effect of the hormone melatonin. Mol Cell Biochem 2007; 294: 19-24. Go to original source... Go to PubMed...
  27. Eijsbouts AM, van den Hoogen FH, Laan RF et al. Decreased prolactin response to hypoglycaemia in patients with rheumatoid arthritis: correlation with disease activity. Ann Rheum Dis 2005; 64: 433-437. Go to original source... Go to PubMed...
  28. Chikanza IC, Petrou P, Chrousos G et al. Excessive and dysregulated secretion of prolactin in rheumatoid arthritis: immunopathogenetic and therapeutic implications. Br J Rheumatol 1993; 32: 445-448. Go to original source... Go to PubMed...
  29. Templ E, Koeller M, Riedl M et al. Anterior pituitary function in patients with newly diagnosed rheumatoid arthritis. Br J Rheumatol 1996; 35: 350-356. Go to original source... Go to PubMed...
  30. Gutiérrez MA, Garcia ME, Rodriguez JA et al. Hypothalamic-pituitary-adrenal axis function in patients with active rheumatoid arthritis: a controlled study using insulin hypoglycaemia stress test and prolactin stimulation. J Rheumatol 1999; 26: 277-281. Go to PubMed...




Vnitřní lékařství

Madam, Sir,
please be aware that the website on which you intend to enter, not the general public because it contains technical information about medicines, including advertisements relating to medicinal products. This information and communication professionals are solely under §2 of the Act n.40/1995 Coll. Is active persons authorized to prescribe or supply (hereinafter expert).
Take note that if you are not an expert, you run the risk of danger to their health or the health of other persons, if you the obtained information improperly understood or interpreted, and especially advertising which may be part of this site, or whether you used it for self-diagnosis or medical treatment, whether in relation to each other in person or in relation to others.

I declare:

  1. that I have met the above instruction
  2. I'm an expert within the meaning of the Act n.40/1995 Coll. the regulation of advertising, as amended, and I am aware of the risks that would be a person other than the expert input to these sites exhibited


No

Yes

If your statement is not true, please be aware
that brings the risk of danger to their health or the health of others.