The results demonstrate that in females, prolactin plays no
essential role in the development or maintenance of the morphology or
function of the lacrimal glands, but that prolactin in excess can alter
lacrimal gland morphology. Application of these findings to the
previous investigation of the endocrine control of the lacrimal gland
revealed unseen difficulties in the interpretation of results. In
experiments using hypophysectomy in females or female pituitary dwarf
mice, it is now clear that loss of prolactin was not the cause of the
alterations in lacrimal gland morphology and function. Prolactin is not
the pituitary factor lost in these models that influences the lacrimal
gland, nor is it the pituitary factor that modulates androgen action in
these experimental paradigms. These experiments also show that the
effects in females of pituitary transplant or prolactin injection were
due to the hyperprolactinemic result of these manipulations and did not
reveal an effect of normal prolactin levels on the lacrimal glands.
Thus, when prolactin treatment or pituitary transplant are combined
with hypophysectomy, the effects of hyperprolactinemia are overlaid on
the independent effects of hypophysectomy. Effects previously
attributed to a physiological role of prolactin are in fact due to
superphysiological levels of the hormone, which causes female lacrimal
glands to assume a hyperfemale morphology. Translating this result to
humans suggests hyperprolactinemia may predispose to dry eye, and
support for this conclusion has been published.
A correlative study
7 of serum hormone levels and
parameters of lacrimal gland activity, such as tear osmolarity, volume
flow, and turnover, found that patients in menopause not using hormone
replacement therapy had a positive correlation between tear volume and
testosterone, but in women using hormone replacement therapy a strong
negative correlation was found between serum prolactin level and
multiple parameters of lacrimal function.
In males, a small but significant requirement for prolactin in the
establishment of sexual dimorphism was found, with both acinar area and
cell number affected. This effect was very small, however, and may not
affect the physiology of the gland. After castration, the difference
between genotypes on acinar cell number was lost, indicating an
interaction between prolactin and androgen to control acinar cell
density. A similar situation occurs in the androgen-regulated ventral
prostate and seminal vesicle. Both glands are lighter in prolactin
knockout animals.
32
The external adnexa of the eyes of mice (and all other species with a
third eyelid) also includes the Harderian gland, located within the
orbit behind the eye and almost encircling the optic nerve. It is found
in humans in vestigial form during embryonic development and
occasionally as a developmental abnormality.
33 This gland
adds lipids to the tear film through a duct that opens onto the surface
of the nictitating membrane. The gland also contains porphyrins, which
are thought to be involved in sensing day length.
34 Neonatal rat pups with undeveloped eyes or blind moles with vestigial
eyes continue to respond to changed photoperiod when their eyes are
removed, but not when their eyes and Harderian glands are
removed.
33 35 A number of these photoperiod responses
involve the pineal gland, and the Harderian gland synthesizes melatonin
and contains melatonin receptors, suggesting that it may have endocrine
activity.
33 The Harderian gland is sexually dimorphic and
sensitive to steroid and pituitary hormones including
prolactin.
36 Our results indicate that the Harderian gland
responds to prolactin in the same way as the lacrimal gland but that it
is less sensitive, resulting in effects at the level of detection of
our techniques. An essential role for prolactin was found in the
formation of porphyrin accretions by the Harderian glands of male and
female mice. Because testosterone levels in male
PRLR −/− animals are normal
25 this observation establishes prolactin as a major and essential hormone
controlling porphyrin accumulation in mice, as hypothesized from
hypophysectomy and prolactin-bromocriptine treatment studies in
rodents.
36 Why prolactin should control accumulation of
porphyrins in the Harderian gland remains an open question, but given
prolactin’s diverse reproductive actions
23 24 and the
photo period sensing and signaling ability of the Harderian gland, it
is tempting to speculate that it may have a role in the control of
seasonal breeding.
It is important to distinguish between the endocrine state produced by
an absence of prolactin action and that produced by hyperprolactinemia.
These conditions can be considered to be separate endocrine states and
demonstrate that the failure to show an essential role for a hormone in
a process does not indicate that an excess of that hormone will
similarly be without effect. This is the case with prolactin in the
female lacrimal gland. Although not essential for normal development,
hyperprolactinemia produces a hyperfemale morphology that may
predispose to dry eye.