During pregnancy, the decidua and placenta synthesise and secrete several protein hormones that have identical or nearly identical chemical and biological properties to protein hormones synthesised and secreted by the pituitary gland and other tissues. For example, human decidual tissue synthesises and releases protein hormones that are identical to pituitary prolactin 1 and ovarian relaxin. 2 The placenta synthesises and releases hCG and hPL which have striking chemical and biological similarities to LH and to growth hormone and prolactin, respectively.3 Nevertheless, despite the striking similarities between these hormones, the regulation of the synthesis and secretion of the protein hormones from the decidua and placenta is different from that of the pituitary protein hormones. Pituitary prolactin, growth hormone and most protein hormones are stored in large secretory granules, but ultrastructural and biochemical studies indicate that decidual prolactin 4 and hPL5 are localised in the postmicrosomal supernatants of decidual and placental tissue homogenates.We report here studies from our laboratory on the regulation of the synthesis and release of decidual prolactin and placental prolactin and present new evidence indicating novel regulatory pathways involved in the release of these hormones. Particular attention will be given to the role of autocrine and paracrine factors in the regulation of decidual prolactin.
DECIDUAL PROLACTINOur initial studies of the synthesis and release of decidual prolactin indicated that TRH, dopamine, and bromocriptine had no effect on the synthesis or release of decidual prolactin, even at concentrations 1000 times the half-maximal concentrations that affect the synthesis and release of pituitary prolactin. 6 In addition, oestrogen7 and vasoactive intestinal polypeptide (unpublished observation), both of which stimulate pituitary prolactin release, had no effect on the release of decidual prolactin.Several studies subsequently demonstrated that exposure of endometrial tissue from the follicular phase of the menstrual cycle to progesterone resulted in decidualisation of the endometrium and in a striking increase in both the synthesis and release of prolactin. 8 Several investigators also observed that progesterone stimulated prolactin release from decidualised