Prolactin provides us with a window to the brain in our quest for unde
rstanding the psychobiology of depression, since the regulation of its
release involves some of the monamine neurotransmitter systems that h
ave been implicated in the pathophysiology of depression. Investigatio
ns examining basal prolactin plasma concentrations in depressed patien
ts, including assessments of the rhythm of prolactin release, have not
provided clear, consistent findings. Further exploration of the preci
se mechanisms involved in serotonin-stimulated prolactin release shoul
d shed light on the pathophysiology of abnormal prolactin responsivity
in depression, and by extension, the psychobiologic basis of depressi
on.