The level of which one of the following hormones is likely to increase after hypothalamic ablation ?
## **Core Concept**
The question tests the understanding of the hypothalamic-pituitary axis, specifically the relationship between the hypothalamus and the regulation of pituitary hormone secretion. The hypothalamus controls the pituitary gland through releasing and inhibiting hormones. Ablation of the hypothalamus disrupts this regulatory control.
## **Why the Correct Answer is Right**
After hypothalamic ablation, the production of hypothalamic releasing and inhibiting hormones is disrupted. This disruption leads to a decrease in the stimulation of the pituitary gland to release certain hormones. However, ** prolactin** is unique because its secretion is primarily inhibited by dopamine (a prolactin-inhibiting hormone) from the hypothalamus. Without the hypothalamic inhibition (due to ablation), the level of prolactin is likely to increase because the pituitary gland's lactotroph cells are no longer adequately inhibited from secreting prolactin.
## **Why Each Wrong Option is Incorrect**
- **Option A:** This option is incorrect because the ablation would disrupt the normal stimulatory effect of the hypothalamus on the pituitary gland, potentially decreasing the levels of hormones that are primarily stimulated by hypothalamic releasing hormones.
- **Option B:** This option might seem plausible because some hormones are indeed regulated by the hypothalamus, but the direct effect of hypothalamic ablation leading to an increase is most clearly related to prolactin due to the loss of inhibitory control.
- **Option C:** Similar to Option A, this would likely decrease with hypothalamic ablation due to loss of stimulatory signals.
- **Option D:** This option is incorrect for similar reasons as Options A and C; the relationship between hypothalamic ablation and an increase in these hormones is not as direct or clear-cut as with prolactin.
## **Clinical Pearl / High-Yield Fact**
A key clinical point to remember is that **hyperprolactinemia** can result from disruption of the hypothalamic-pituitary axis, including hypothalamic ablation or lesions, due to the loss of dopamine's inhibitory effect on prolactin secretion. This condition can lead to various clinical manifestations, including galactorrhea and amenorrhea.
## **Correct Answer:** D. Prolactin