“…In fact, prolactin can be increased by exposure to lead (Govoni et al 1987;Lucchini et al 2000), organic mercury (Carta et al 2003), and manganese (Ellingsen et al 2003;Smargiassi and Mutti 1999;Takser et al 2004), but it can be decreased by exposure to inorganic mercury Lucchini et al 2003;Ramalingam et al 2003), alluminum (Alessio et al 1989), and cadmium (Calderoni et al 2005;). Subjects exposed to chemicals such as styrene (Bergamaschi et al 1996;Luderer et al 2004;Umemura et al 2005), perchloroethylene (Beliles 2002;Ferroni 1992), and anesthetic gases (Lucchini et al 1996;(Marana et al 2003) have shown an increase of serum prolactin, whereas polychlorinated biphenyls (De Krey et al 1994) Possible mechanisms, other than direct effects at the cellular level, may be related to different neurotransmitters involved in the modulation of prolactin secretion. For example, the dopaminergic and serotoninergic systems, respectively, are involved in the physiologic regulation of this hormone as a tonic inhibitor and as an excitatory modulator.…”