Review
Impact of prolactin receptor isoforms on reproduction

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Prolactin is a hormone involved in growth, development, reproduction, metabolism, water and electrolyte balance, brain and behavior, and immunoregulation. Its actions on reproductive processes represent the largest group of functions identified for this hormone. Besides the classic long form of the prolactin receptor, many short form receptors have been identified in rodents and human tissues. Mouse mutagenesis studies have offered insight into the biology of the prolactin family, providing compelling evidence that different isoforms have independent biological activity. The possibility that short forms mediate cell proliferation is important for a variety of tissues including mammary glands and ovarian follicles. This review summarizes the current knowledge about prolactin signaling and its role in reproduction through either long or short isoform receptors.

Section snippets

Actions of prolactin

Prolactin (PRL) is a polypeptide hormone originally identified by its ability to stimulate mammary gland development and lactation. More than 300 separate actions have been reported in various vertebrates, including effects on water and salt balance, growth and development, endocrinology and metabolism, brain and behavior, reproduction, and immune regulation and protection [1]. Although there is evidence indicating that PRL acts as an autocrine, paracrine and endocrine progression factor for

Sites of synthesis and control of prolactin secretion

PRL is produced predominantly by the lactotropic cells of the anterior pituitary gland. However, it is also generated in extrapituitary sites such as immune, decidual, mammary, epithelial and fat cells 7, 8, 9. Its secretion is under dual regulation by hypothalamic hormones via the pituitary portal circulation 4, 10. The predominant regulatory signal is the inhibition of prolactin secretion by the neurotransmitter, dopamine. Evidence suggests that prolactin secretion is regulated by three

Signaling pathways activated by PRL through long and short forms

The biological effects of prolactin are mediated by its interaction with PRL receptor (PRLR), a member of the cytokine receptor superfamily 1, 2. The hormone in its tertiary structure is composed of a bundle of four antiparallel α-helices [13] and uses a conserved, single-pass transmembrane receptor classified as a cytokine type 1 receptor. The receptor is devoid of intrinsic tyrosine kinase activity but can be phosphorylated by associated proteins.

PRLRs are present in nearly all organs and

Expression of different PRLR isoforms

Expression of the various receptor isoforms varies during development and as a function of the stage of the estrous cycle, pregnancy and lactation in rodents. The long-R is strongly expressed in the ovary, adrenal, kidney, mammary gland, small intestine, choroid plexus and pancreas, but other organs (e.g. liver), also express high levels of the short-R. However, because of the broad distribution of PRLR, it is difficult to propose a general overview of its expression regulation [1]. The various

Phenotypic characterization of mouse models

A large body of literature attests that lactogenic hormones [40] including placental lactogens and prolactin (Box 1) play roles in rodent reproductive function. One of the best established functions of PRL in reproductive function in rodents is its key role in maintaining the ovarian corpus luteum (CL) and progesterone production through the long-R, because this form is predominantly expressed 41, 42. Several key functions for PRL have been clarified from studies of transgenic and knockout

Phenotype of PRLR−/− mice

PRL−/−[43] and PRLR−/−[44] female mice on a mixed 129Sv/C57Bl6 background were first described as completely infertile, and the same observation was confirmed later on a pure background [45]. After mating with males of established fertility, no litters were produced even though each female mated repeatedly at regular intervals. PRLR−/− ovaries in both backgrounds are normal and there are no differences in either follicular development or ovulation and fertilization rate compared with wild-type

Phenotype of mice with over-expression of one short isoform of the PRLR (PRLR−/− short-R mice)

Whereas PRL regulation of CL is thought to be through activation of the long-R, the effect of short-R activation on ovarian development is not known. To examine the putative role of the short-R in vivo, we generated PRLR−/− female mice that express only the PR-1 short isoform [61].

PRLR−/− short-R mice treated with hCG produce a significantly greater number of oocytes during ovulation than do either PRLR−/− or wild-type mice. The number of secondary, pre-antral and antral follicles is markedly

Signaling molecules regulated through the short PRLR isoform

PRL signals through the short-R in the ovary and actively regulates expression of several genes identified by microarray analysis [61]. Interestingly, Galt, whose mutation induces galactosemia [65], is downregulated in PRLR−/− short-R ovaries. In fact, Galt expression is completely abolished in ovaries of PRLR−/− short-R females, in contrast to their PRLR−/− littermates (Figure 2).

The mouse Galt promoter sequence contains 16 putative forkhead transcription factor sites, five of them being FOXO3

Prolactin and reproductive medicine in women

In normal individuals, circulating serum prolactin is thought to reflect almost entirely pituitary PRL secretion [10]; however, it is possible that other, extrapituitary sources also contribute to local tissue PRL levels.

Unlike in rodents, the role of PRL in human ovarian function is unclear, in large part because no disruptive mutations of human PRL or the human PRLR have been identified. Moreover, the increase in prolactin levels observed in pathological hyperprolactinaemia results in

Concluding remarks

The studies described in this review confirm and extend the data of Das and Vonderhaar [78], who demonstrated a mitogenic response in vitro to the PRL short-R. Whether these results are a result of different intrinsic activities of the various short forms of the PRLR or to different model systems used, they are clearly worthy of further investigation. Although it is not yet clear how PRL signals in the human ovary, signalling pathways induced by prolactin through its short-R should be an

Acknowledgements

We thank M. Freemark for helpful comments and would like to acknowledge current and former members of our laboratory for their valuable contributions and discussions. This work was supported by the Institut National de la Santé et de la Recherche Médicale and Fondation pour la Recherche Médicale.

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