Aims/hypothesis. Prolactin secretion is often reduced in insulin dependent diabetes mellitus, but little is known about the mechanism involved. Since changes in the hormonal environment modulate cell proliferation, death and cellular makeup of the anterior pituitary, we have analysed whether the number of lactotrophs is reduced in diabetic rats. Methods. Streptozotocin induced diabetic rats were maintained hyperglycaemic for 2 months. Pituitary prolactin, growth hormone, Bcl-2, Bax and PCNA concentrations were analysed by western blot analysis. In situ hybridisation was used for quantification of prolactin and growth hormone mRNA containing cells. Cell death was detected by TUNEL labelling, alone and in combination with immunocytochemistry for prolactin or growth hormone.Results. Diabetic rats had fewer lactotrophs (p<0.01). This was coincident with a decrease in overall protein and prolactin content. An increase in pituitary cell death was found and some of the TUNEL labelling colocalised with prolactin immunostaining. No change in the concentration of Bcl-2 or Bax, proteins implicated in apoptosis, was detected. PCNA content was higher in the pituitaries of diabetic rats, suggesting increased proliferation. Conclusion/interpretation. Anterior pituitary cell turnover is affected in poorly controlled diabetes mellitus. A decrease in the number of lactotrophs, as a result of increased cell death, could underlie, at least in part, the reduction in prolactin secretion observed in diabetic animals. [Diabetologia (2003) 46:634-638] Keywords Lactotroph, prolactin, somatotroph, growth hormone, pituitary, cell turnover, apoptosis, Bcl-2, Bax, proliferation. but not pulse frequency [1]. Furthermore, the secretory activity of individual lactotrophs is not impaired in diabetic rats [3], suggesting diminished stimulatory input to these cells. However, a decrease in the number of lactotrophs could also explain a reduction in PRL output, with no loss in synthetic capacity of individual lactotrophs. The anterior pituitary undergoes cellular turnover during adulthood and this is affected by changes in the hormonal environment [4]. Hence, the cellular makeup of the anterior pituitary could be affected in diabetes mellitus. We have analysed whether the number of lactotrophs is modulated in poorly controlled diabetic rats and the possible mechanisms involved in this process.In poorly controlled diabetic patients or laboratory animals, circulating prolactin (PRL) concentrations and PRL responses to secretory stimuli are often suppressed [1,2,3]. This results from a decrease in pulse amplitude, peak area and interpulse concentrations,