PROLACTIN
It contains 199 Amino acid
Molecular weight -23000 Dalton
Chemically similar to GH
It is a single chain peptide
The hormone which causes
secretion of milk from crop glands of
pigeon.
Pigeon - Bird (milk is similar in composition
to mammalian milk)
PHYSIOLOGICAL FUNCTIONS
Cause growth and development of
breast during pregnancy
Promotes proliferation of ductal and
acinar cells in the breast and induces
synthesis of milk protein and lactose.
After child birth prolactin induces milk
secretion.
Prolactin may affect immune response
through action on T-Lymphocytes.
RECEPTOR
☻Prolactin receptor present on the surface of
target cells.
☻It is a tyrosine kinase receptor
REGULATION OF SECRETION:
No specific factors identified to release the
prolactin.
Dopaminergic antagonist stimulates
prolactin secretion
PRIH from hypothalamus (Dopamine) act on
D2 receptor & blocks prolactin secretion.
Secretion is high during pregnancy and
lactation.
PHATHALOGICAL INVOLVEMENT:
Increased Prolactin secretion
(hyperprolactinaemia) may lead to
Female:
Galactorrhoea- Amenorrhea- Infertility
Galactorrhoea- spontaneous flow of milk from the
breast, unassociated with childbirth
Amenorrhea- absence of a menstrual period in a
woman of reproductive age
Infertility- inability to conceive a baby
Male:
Loss of libido (loss of sex drive), Decrease
fertility.
PROLACTIN INHIBITORS:
BROMOCRIPTINE & CABERGOLINE
BROMOCRIPTINE:
Synthetic ergot derivative.
Potent dopamine agonist, greater action on dopamine
D2 receptor
Decreased prolactin release from pituitary
Has levadopa like action,
Decrease GI motility.
ADR:
Constipation
Nasal blockage
Hypotension
USES:
Hyper prolactinemia
Acromegaly
Parkinsonism
GONADOTROPINS (FSH & LH)
Gonadotropins contains TWO different
hormones
Follicle stimulating hormone (FSH)
Luteinizing hormone (LH)
♣ Contain 207 Amino acids,
♣ Has two peptide chain
♣ MW :FSH-32000 Dalton, LH-30,000 Dalton
PHYSIOLOGICAL FUNCTIONS:
♣ Promote GAMETOGENESIS (spermatogenesis)
and SECRETION OF GONADAL HORMONES
FSH:
♥ In female
Induce Follicular growth, development of
ovum, secretion of estrogens.
♥ In male
Support spermatogenesis.
LH:
♀ Female:
It induce preovulatory swelling of the ripe
grafian follicle & triggers ovulation.
Followed by luteinization of the ruptured
follicle & sustains corpus luteum till the next
menstrual cycle.
REGULATION OF SECRETION
GnRH produced by hypothalamus
Stimulate synthesis & release of both FSH& LH
from pituitary.
Gn secretion increased at puberty, higher in
women than man.
PATHALOGICAL INVOLVEMENT
Disturbance of Gn secretion
It produce Delayed puberty.
Decreased Gn secretion
Women Amenorrhea, sterility (inability of a
living organism to effect sexual reproduction )
Man Oligozospermia (semen with a low
concentration of sperm), impotence (Erectile
dysfunction), infertility.
PREPARATIONS
1. MENOTROPINS (FSH + LH),
- Obtained from urine of menopausal women,
2. MENOTROPIN (FSH),
3 .HUMAN CHRONIC GONADOTROPIN (HCG),
- Obtained from urine of pregnant women.
ADR:
Polycystic ovary
Pain in lower abdomen
Ovarian bleeding
Allergic reactions
USES:
Amenorrhea & infertility
Hypogonadotrophic Hypogonadism in male
Cryptorchism (failure of one or both of the testes to
descend into the scrotum)
THYROID STIMULATING HORMONE (TSH)
Consist of 210 Amino acids,
Two chain glycoprotein,
MW-30,000 Dalton.
PHYSIOLOGICAL ACTION:
TSH stimulating the thyroid gland
Stimulated thyroid synthesize the following
hormones:
Thyroxine (T4)
Triiodothyronine (T3)
TSH produce,
Hyperplasia & hypertrophy (increase in the
volume of an organ or tissue due to the enlargement
of its component cells) of thyroid follicles,
increase in blood supply to the glands
Promotes trapping of iodide by thyroid
PATHOLOGICAL INVOLVEMENT:
Hypothyroidism & hyperthyroidism
USE:
Thyrotropin- No therapeutic use,
Thyroxine- Choice of drug in hypothyroidism