Prolactin and dopamine receptor in the lactotroph cell. After dopamine binding to dopamine receptor type 2, K+ channels are activated and adenylyl cyclase activity is inactivated, resulting in the suppression of PRL gene expression, lactotroph proliferation and a decrease in the size of hypertrophied lactotrophs. D2 via G0 also activates phosphatidylinositol 3-kinase (PI3K), and mitogen-activated protein kinase (MAPK) pathways to prevent lactotroph proliferation. The autocrine released prolactin binds to the prolactin receptor and, via the Janus kinase-2-signal transducer and activator of transcription-5 (JAK2-STAT5), (PI3K-Akt-mTOR) or the MAPK pathways, mediates changes in transcription, differentiation and proliferation.