Literature DB >> 18771565

Characterization of macroprolactin and assessment of markers of autoimmunity in macroprolactinaemic patients.

Lucille Kavanagh-Wright1, Thomas P Smith, James Gibney, T Joseph McKenna.   

Abstract

OBJECTIVE: It has been reported that macroprolactin is a complex of PRL and an immunoglobulin G (IgG). This study further characterizes macroprolactin and evaluates for other markers of autoimmunity using a cohort of macroprolactinaemic sera. PATIENTS AND NORMAL
SUBJECTS: Following treatment of hyperprolactinaemic sera (n = 58) with polyethylene glycol (PEG), PRL values fell from 524-13 546 mU/l (Range) to 452-8455 mU/l, while in macroprolactinaemic sera (n = 41), PRL concentration fell from 525-5747 to 98-378 mU/l (PEG treated normoprolactinaemic reference range, 68-230 mU/l in males, 70-390 mU/l in females).
DESIGN: PRL was measured in sera prior to and following gel filtration chromatography, ultrafiltration, treatment with protein A-sepharose, protein G-sepharose, antihuman IgG-agarose and sodium thiocyanate (NaSCN). The binding of radio-labelled PRL in macroprolactinaemic sera was also measured. Sera were assayed for antithyroid and antinuclear antibodies. C-reactive protein (CRP) and CD5 positive B cells were also measured. Comparisons were made between values obtained in normal, hyperprolactinaemic and macroprolactinaemic sera. Results Macroprolactinaemic sera indicated the presence of an IgG molecule and/or IgG fragments with one or more molecules of PRL. In 97% of the sera macroprolactin had a molecular weight of 204 kDa. Treatment of macroprolactinaemic sera with NaSCN caused dissociation of macroprolactin, releasing monomeric PRL. Macroprolactinaemic sera did not yield evidence of an increase in markers of autoimmunity when compared with hyperprolactinaemic or normal sera.
CONCLUSIONS: Comprehensive analysis of macroprolactin confirmed its composition as an IgG molecule or fragment with a PRL molecule. The occurrence of macroprolactin does not appear to be associated with autoimmunity.

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Year:  2008        PMID: 18771565     DOI: 10.1111/j.1365-2265.2008.03402.x

Source DB:  PubMed          Journal:  Clin Endocrinol (Oxf)        ISSN: 0300-0664            Impact factor:   3.478


  7 in total

Review 1.  Global Prevalence of Macroprolactinemia among Patients with Hyperprolactinemia: A Systematic Review and Meta-Analysis.

Authors:  Noor Azlin Azraini Che Soh; Najib Majdi Yaacob; Julia Omar; Aniza Mohammed Jelani; Noorazliyana Shafii; Tuan Salwani Tuan Ismail; Wan Norlina Wan Azman; Anis Kausar Ghazali
Journal:  Int J Environ Res Public Health       Date:  2020-11-06       Impact factor: 3.390

2.  Prevalence of Macroprolactinemia in People Detected to Have Hyperprolactinemia.

Authors:  Lokesh Kumar Sharma; Deep Dutta; Neera Sharma; Bindu Kulshreshtha; Sandhya Lal; Ritika Sethi
Journal:  J Lab Physicians       Date:  2021-07-12

3.  Prevalence of macroprolactinaemia in regularly menstruating women with non-toxic goitre or autoimmune thyroid disease.

Authors:  Krzysztof C Lewandowski; Danuta Gąsior-Perczak; Aldona Kowalska; Andrzej Lewiński
Journal:  Thyroid Res       Date:  2012-12-17

Review 4.  Macroprolactinemia: diagnostic, clinical, and pathogenic significance.

Authors:  Akira Shimatsu; Naoki Hattori
Journal:  Clin Dev Immunol       Date:  2012-12-04

5.  Serum macroprolactin levels in pregnancy and association with thyroid autoimmunity.

Authors:  Metin Guclu; Soner Cander; Sinem Kiyici; Ebru Vatansever; Arif Bayram Hacihasanoğlu; Gurcan Kisakol
Journal:  BMC Endocr Disord       Date:  2015-06-20       Impact factor: 2.763

6.  Ultrafiltration - an alternative method to polyethylene glycol precipitation for macroprolactin detection.

Authors:  Karolina Beda-Maluga; Hanna Pisarek; Irena Romanowska; Jan Komorowski; Jacek Świętosławski; Katarzyna Winczyk
Journal:  Arch Med Sci       Date:  2015-10-12       Impact factor: 3.318

7.  Macroprolactin; a frequent cause of misdiagnosed hyperprolactinemia in clinical practice.

Authors:  Vaishya Richa; Gupta Rahul; Arora Sarika
Journal:  J Reprod Infertil       Date:  2010-10
  7 in total

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