A long-lasting prolactin stimulates galactopoiesis in mice

Prolactin is the main hormonal driver of mammalian lactation. To sustain milk production, basal prolactin levels must remain elevated compared to nonpregnant states. However, prolactin (23 kDa) is short-lived in circulation due to rapid renal excretion. Here, we design and test the galactopoietic effects of an engineered long-lasting prolactin in mice. The engineered variant, prolactin-extra long-acting (Prolactin-XL), is comprised of endogenously active human prolactin fused to an engineered human immunoglobulin G1 (IgG1) Fc domain. Prolactin-XL has a serum half-life of 70.9 h in mice, 2,625-fold longer than endogenously active human prolactin alone (70.9 h vs. 0.02 h). Prolactin-XL is engineered to be more susceptible to gastrointestinal proteases to reduce its uptake by nursing neonates. We demonstrate that Prolactin-XL increases lactation and restores growth of pups fed by dams with pharmacologically ablated lactation. We propose that Prolactin-XL is a potential tool for the study and pharmacologic stimulation of galactopoiesis.