The possibility that angiogenesis induced by PRL antibodies is caused
by blockage of the antiangiogenic effect of endogenous PRL-like
molecules, raises various intriguing issues. This novel proposal
requires that PRL-like molecules, specifically PRL fragments and/or
other antiangiogenic PRL forms, be present in the cornea. Although
these PRLs must be determined and identified, their presence in the
cornea is likely. We have recently detected immunoreactive PRL in the
aqueous fluid of humans,
40 and rat retinal endothelial
cells have been found to express the PRL gene.
36 Moreover,
PRL receptors have been identified in the retina,
41 and
PRL has been proposed to play a role in the metamorphosis of visual
pigments in amphibians.
42 In addition, PRL has been shown
to be synthesized by acinar cells of lacrimal glands.
43 These cells express the PRL mRNA and locate PRL-like immunoreactivity
in secretory vesicles.
43 Consistent with this, PRL has
been detected in human tears,
23 and evidence has been
provided to suggest that its presence in tears is under systemic
hormonal control.
44 Actually, it has been proposed that
this hormone may have a role in the physiology of the cornea, the
conjunctiva, or the conjunctiva-associated lymphoid
tissue.
43 In this regard, it can be hypothesized that
antiangiogenic PRLs present in the cornea could originate from lacrimal
PRL and thus could have an extraocular origin. Consistent with this
proposal, immunocytochemistry with four well-characterized PRL receptor
monoclonal antibodies, showed that receptors for prolactin seemed to be
located throughout the corneal epithelium. Because PRL is known to be
taken up by receptor-mediated endocytosis in several cell
types,
45 46 it is possible to hypothesize that epithelial
cells in the cornea may bind and internalize the PRL present in tears,
and thus provide an avenue for the incorporation of lacrimal PRL into
this organ. Therefore, these results add support to the presence of PRL
in the cornea and provide an insight into the possible extraocular
origin of this hormone.