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Prolactin inhibitors are mainly used to treat hyperprolactinemia (high prolactin levels). [1] Agonists of the dopamine D 2 receptor such as bromocriptine and cabergoline are able to strongly suppress pituitary prolactin secretion and thereby decrease circulating prolactin levels, and so are most commonly used as prolactin inhibitors. [1]
Pituitary prolactin secretion is regulated by endocrine neurons in the hypothalamus. The most important of these are the neurosecretory tuberoinfundibulum (TIDA) neurons of the arcuate nucleus that secrete dopamine (a.k.a. Prolactin Inhibitory Hormone) to act on the D 2 receptors of lactotrophs, causing inhibition of prolactin secretion.
Dopamine released at this site inhibits the secretion of prolactin from anterior pituitary gland lactotrophs by binding to dopamine receptor D2. Some antipsychotic drugs block dopamine in the tuberoinfundibular pathway, which can cause an increase in the amount of prolactin in the blood (hyperprolactinemia).
Dopamine is the primary neuroendocrine inhibitor of the secretion of prolactin from the anterior pituitary gland. [50] Dopamine produced by neurons in the arcuate nucleus is secreted into the hypophyseal portal system of the median eminence, which supplies the pituitary gland. [50]
Dopamine inhibits prolactin secretion, so when the TIDA neurons are inhibited, there is increased secretion of prolactin, which stimulates lactogenesis (milk production). Prolactin acts in a short-loop negative feedback manner to decrease its levels by stimulating the release of dopamine.
· Somatostatin: inhibits GH (and other hormone) secretion · Gonadotropin releasing hormone (GnRH): stimulates FSH and LH secretion · Prolactin releasing hormone (PRH): stimulates PRL secretion · Prolactin inhibiting hormone (dopamine): inhibits PRL secretion These hypothalamic hormones are secreted in pulse.
Pages in category "Prolactin inhibitors" The following 9 pages are in this category, out of 9 total. This list may not reflect recent changes. B. Bromocriptine; C.
Dopamine released by many groups of neurons in the brain inhibits the secretion of prolactin by activating D2 Dopamine receptors on lactotrophs in the pituitary gland. [31] Prolactin directly stimulates hypothalamic dopamine neurons, which in turn inhibit the secretion of prolactin, creating a succinct negative feedback mechanism for regulation ...