The pituitary intermediate lobe (IL) in mammals is an area of uniform endoc
rine cells which synthesize and release specific peptide products of the pr
oopiomelanocortin gene. The lobe receives direct synaptic connections onto
the endocrine cells from hypothalamic dopaminergic neurons. This review upd
ates information on the dopaminergic as well as the gamma -aminobutyric aci
d inhibitory neuroregulation for the IL. It also provides a discussion of s
timulatory molecules which are likely to affect peptide release, particular
ly the neurotransmitter serotonin, which may be present via uptake into the
dopaminergic nerve terminals. Other stimulatory molecules discussed which
are likely to significantly affect peptide secretion are norepinephrine, co
rticotropin-releasing factor, and several opiate peptides. A new direction
of study involves the potential interaction of neurotrophic factors, which
are present in all areas of the pituitary, and may be suggested to have a s
upportive role for the neural elements of the IL. The endocrine cells of th
e It and their direct hypothalamic innervation are considered to be an easi
ly accessed peripheral model for study of both neural-endocrine and neurotr
ophic-target cell interactions, (C) 2001 Elsevier Science Inc.