Prolactin (PRL) and growth hormone (GPI) qualify as lymphoid growth an
d differentiation factors. Yet, long-standing hyper- or hyposecretion
of PRL or GH does not induce any significant alteration of the immune
system. Subclinical changes in laboratory parameters (such as chemotax
is or phagocytosis by granulocytes or macrophages or natural killer ce
ll activity have been reported in some of these conditions. The GH-ins
ulin-like growth factor (IGF)-I axis is dysregulated in ageing, in cat
abolic states and in critical illness. Immune parameters, such as infe
ction rate. are being monitored during clinical trials with GH or IGF-
I, Hyperprolactinaemia may play an aggravating role in systemic lupus
erythematosus, in autoimmune thyroiditis and in other autoimmune disea
ses. The patient may benefit from increased alertness about interactio
ns between the endocrine and immune systems.