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Initially identified for its lactogenic role, the impact of prolactin on glucose and lipid metabolism became evident in the 1970s, leading to a paradigm shift in our understanding. Deviations in prolactin levels, including hyperprolactinaemia and hypoprolactinaemia, have been associated with adverse effects on glucose and lipid metabolism. Mechanistically, prolactin regulates metabolic homoeostasis by maintaining islet abundance, regulating the hypothalamic energy regulatory centre, balancing adipose tissue expansion, and regulating hepatic metabolism. Given the widespread use of pharmaceutical agents that affect prolactin levels, it is important to examine prolactin\u2010related metabolic effects. Recently, a profound exploration of the intricate metabolic role of prolactin has been conducted, encompassing its rhythm\u2010dependent regulatory influence on metabolism and its correlation with cognitive impairment associated with metabolic diseases. In this review, we highlight the role of prolactin as a metabolic regulator, summarise its metabolic effects, and discuss topics related to the association between prolactin and metabolic comorbidities.<\/jats:p>","DOI":"10.1002\/dmrr.3836","type":"journal-article","created":{"date-parts":[[2024,8,3]],"date-time":"2024-08-03T09:08:13Z","timestamp":1722676093000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":22,"title":["A Century of Prolactin: Emerging Perspectives as a Metabolic Regulator"],"prefix":"10.1002","volume":"40","author":[{"given":"Tianyu","family":"Wu","sequence":"first","affiliation":[{"name":"Department of Endocrinology Endocrine and Metabolic Disease Medical Center Nanjing Drum Tower Hospital Affiliated Hospital of Medical School Nanjing University  Nanjing China"},{"name":"Branch of National Clinical Research Centre for Metabolic Diseases  Nanjing 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