Ghrelin regulation of glucose metabolism
Open accessAbstract
The a 28-amino acid peptide ghrelin was discovered in 1999 as a growth hormone (GH) releasing peptide. Soon after its discovery, ghrelin was found to increase body weight and adiposity by acting on the hypothalamic melanocortinergic system. Subsequently, ghrelin was found to exert a series of metabolic effects, overall testifying ghrelin a pleiotropic nature of broad pharmacological interest. Ghrelin acts through the growth hormone secretagogue-receptor (GHS-R), a seven transmembrane G protein-coupled receptor with high expression in the anterior pituitary, pancreatic islets, thyroid gland, heart and various regions of the brain. Among ghrelins numerous metabolic effects are the most prominent the stimulation of appetite via activation of orexigenic hypothalamic neurocircuits and the food-intake independent stimulation of lipogenesis, which both together lead to an increase in body weight and adiposity. Ghrelin effects beyond the regulation of appetite and GH secretion include the regulation of gut motility, sleep-wake rhythm, taste sensation, reward seeking behaviour, and the regulation of glucose metabolism. The latter received recently increasing recognition because pharmacological inhibition of ghrelin signaling might be of therapeutic value to improve insuin resistance and type 2 diabetes. In this review we highlight the multifaceted nature of ghrelin and summarize its glucoregulatory action and discuss the pharmacological value of ghrelin pathway inhibition for the treatment of glucose intolerance and type 2 diabetes.
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The beneficial role of ghrelin in the central nervous system has been widely discussed, including enhanced cognition.
“Moreover, the beneficial role of ghrelin in the central nervous system has been widely discussed, including enhanced cognition [48, 59–61].”
From Protective PLCG2 variants associate with a delayed onset of Alzheimer’s disease among heterozygous APOE ε4 carriers (2026) · cites this paper as [59]
The section “Ghrelin’s effects beyond the stimulation of food intake” (page unavailable) discusses ghrelin’s effects on hypothalamic circuits and reports possible anxiolytic and antidepressant-like effects in mice. It does not report enhanced cognition; searches for cognition, memory, and learning found no supporting passage. (LLM, conf=0.84)
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AgRP/NPY and POMC neurons in the arcuate nucleus and their potential role in treatment of obesity
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Physiological Effect of Ghrelin on Body Systems
Akalu, Y., Molla, M. D., Dessie, G., & Ayelign, B. (2020) · International Journal of Endocrinology · doi:10.1155/2020/1385138 · Cited by 126 · see citing works
“Ghrelin receptor antagonism might be of therapeutic value to improve blood glucose level in type 2 diabetes [285].”
BackgroundAngiotensin-(1-7), Adipokines and Inflammation.
Lelis, D. D. F., de Freitas, D. F., Machado, A. S., Crespo, T. S., & Santos, S. (2019) · Metabolism: Clinical and Experimental · doi:10.1016/j.metabol.2019.03.006 · Cited by 113 · see citing works
Diet-induced alteration of intestinal stem cell function underlies obesity and prediabetes in mice
Aliluev, A., Tritschler, S., Sterr, M., Oppenländer, L., Hinterdobler, J., Greisle, T., Irmler, M., Beckers, J., Sun, N., Walch, A. K., et al. (2021) · Nature Metabolism · doi:10.1038/s42255-021-00458-9 · Cited by 134 · see citing works
Self-citationGhrelin’s Relationship to Blood Glucose
Mani, B. K., Shankar, K., & Zigman, J. M. (2019) · Endocrinology · doi:10.1210/en.2019-00074 · Cited by 101 · see citing works
Jensen, E. A., Young, J. A., Mathes, S., List, E., Carroll, R. K., Kuhn, J., Onusko, M., Kopchick, J., Murphy, E. R., & Berryman, D. (2020) · Growth Hormone & IGF Research · doi:10.1016/j.ghir.2020.101333 · Cited by 64 · see citing works
Khan, M. T., Zohair, M., Khan, A., Kashif, A., Mumtaz, S., & Muskan, F. (2025) · Molecular and Cellular Endocrinology · doi:10.1016/j.mce.2025.112599 · Cited by 59 · see citing works
Potential role of ghrelin in the regulation of inflammation
Ma, Y.-X., Zhang, H., Guo, W., & Yu, L. (2022) · The FASEB Journal · doi:10.1096/fj.202200634r · Cited by 51 · see citing works
Multiple organs involved in the pathogenesis of non-alcoholic fatty liver disease
Li, X., & Wang, H. (2020) · Cell & Bioscience · doi:10.1186/s13578-020-00507-y · Cited by 46 · see citing works
Ghrelin Regulation of Glucose Metabolism
Gray, S., Page, L. C., & Tong, J. (2019) · Journal of neuroendocrinology · doi:10.1111/jne.12705 · Cited by 45 · see citing works
Intestinal Enteroendocrine Cells: Present and Future Druggable Targets
Atanga, R., Singh, V., & In, J. (2023) · International Journal of Molecular Sciences · doi:10.3390/ijms24108836 · Cited by 62 · see citing works
Sitar-Tăuț, A., Cozma, A., Fodor, A., Coste, S., Orășan, O., Negrean, V., Pop, D., & Sitar-Tǎut, D.-A. (2021) · Biomedicines · doi:10.3390/biomedicines9111657 · Cited by 42 · see citing works
Modulation of Feeding and Associated Behaviors by Lateral Hypothalamic Circuits
Qualls‐Creekmore, E., & Münzberg, H. (2018) · Endocrinology · doi:10.1210/en.2018-00449 · Cited by 44 · see citing works
Effects of microbiome changes on endocrine ghrelin signaling - a systematic review.
Schalla, M., & Stengel, A. (2020) · Peptides · doi:10.1016/j.peptides.2020.170388 · Cited by 41 · see citing works
Evidence for a Coupled Oscillator Model of Endocrine Ultradian Rhythms
Grant, A. D., Wilsterman, K., Smarr, B. L., & Kriegsfeld, L. (2018) · Journal of Biological Rhythms · doi:10.1177/0748730418791423 · Cited by 41 · see citing works
“, 2010), ghrelin and leptin to ~3-h URs in glucose and insulin in the fed state (Brandenberger et al., 1987; Lefcourt et al., 1999; Otukonyong et al., 2005; Poher et al., 2018; Polonsky et al., 1988; Sinha et al., 1996; Thaela et al., 1998; Tolle et al., 2002).”
BackgroundThe regulation of gastric ghrelin secretion
Nunez‐Salces, M., Li, H., Feinle‐Bisset, C., Young, R. L., & Page, A. J. (2020) · Acta Physiologica · doi:10.1111/apha.13588 · Cited by 47 · see citing works
The Correlation Between Circulating Ghrelin and Insulin Resistance in Obesity: A Meta-Analysis
Zhang, C.-S., Wang, L., Wang, R., Liu, Y., Song, L.-M., Yuan, J.-H., Wang, B., & Dong, J. (2018) · Frontiers in Physiology · doi:10.3389/fphys.2018.01308 · Cited by 38 · see citing works
Novel insights into the pathogenic impact of diabetes on the gastrointestinal tract
Portincasa, P., Bonfrate, L., Wang, D. Q., Frühbeck, G., Garruti, G., & Ciaula, A. D. (2022) · European Journal of Clinical Investigation · doi:10.1111/eci.13846 · Cited by 37 · see citing works
Vijayashankar, U., Ramashetty, R., Rajeshekara, M., Vishwanath, N., Yadav, A. K., Prashant, A., & Lokeshwaraiah, R. (2024) · Journal of Diabetes and Metabolic Disorders · doi:10.1007/s40200-024-01418-2 · Cited by 35 · see citing works
“Additionally, acylated ghrelin when injected into mature rats or mice reduces feed efficiency, obesity, and body weight gain via an immunological response generated against acylated ghrelin [84, 104].”
Circulating LEAP-2 is associated with puberty in girls
Barja-Fernández, S., Lugilde, J., Castelao, C., Vázquez-Cobela, R., Seoane, L., Diéguez, C., Leis, R., & Tovar, S. (2020) · International Journal of Obesity · doi:10.1038/s41366-020-00703-3 · Cited by 35 · see citing works
Diabetes Remission After LRYGBP With and Without Fundus Resection: a Randomized Clinical Trial
Kehagias, D., Lampropoulos, C., Georgopoulos, N., Habeos, I., Kalavrizioti, D., Vamvakas, S., Davoulou, P., & Kehagias, I. (2023) · Obesity Surgery · doi:10.1007/s11695-023-06857-z · Cited by 32 · see citing works
“Glycemic control in both types of surgery was attributed to successful weight loss and to Ghrelin, the hormone of the gastric fundus, is an attractive target for obesity and T2DM, since it promotes insulin resistance and hyperglycemia [5, 15].”
BackgroundThe role of the gastric fundus in glycemic control
Kehagias, D., Georgopoulos, N., Habeos, I., Lampropoulos, C., Mulita, F., & Kehagias, I. (2023) · HORMONES · doi:10.1007/s42000-023-00429-7 · Cited by 32 · see citing works
Alliances of the gut and bone axis.
Hansen, M. S., & Frost, M. (2021) · Seminars in Cell and Developmental Biology · doi:10.1016/j.semcdb.2021.06.024 · Cited by 31 · see citing works
Carbohydrate and sleep: An evaluation of putative mechanisms
Benton, D., Bloxham, A., Gaylor, C., Brennan, A., & Young, H. (2022) · Frontiers in Nutrition · doi:10.3389/fnut.2022.933898 · Cited by 30 · see citing works
Mohan, S., Moffett, R., Thomas, K. G., Irwin, N., & Flatt, P. (2019) · Biochimie · doi:10.1016/j.biochi.2019.01.008 · Cited by 30 · see citing works
Ghrelin as a Biomarker of “Immunometabolic Depression” and Its Connection with Dysbiosis
Gajewska, A., Strzelecki, D., & Gawlik-Kotelnicka, O. (2023) · Nutrients · doi:10.3390/nu15183960 · Cited by 27 · see citing works
“Organ Physiological Effects [29] Glucose metabolism [30] Heart ↑ Cardiac output [31,32 Adipose tissue ↑ Lipogenesis [38] [39] ACTH—adrenocorticotropic hormone; IGF-1—insulin-like growth factor 1; ↑ —increasing level of; ↓ —decreasing level of.”
BackgroundEndocrine rhythms and sport: it is time to take time into account
Bellastella, G., Bellis, A. D., Maiorino, M., Paglionico, V. A., Esposito, K., & Bellastella, A. (2019) · Journal of Endocrinological Investigation · doi:10.1007/s40618-019-01038-1 · Cited by 27 · see citing works
Gastric ghrelin cells in obese patients are hyperactive
Castorina, S., Barresi, V., Luca, T., Privitera, G., Geronimo, V. D., Lezoche, G., Cosentini, I., Vincenzo, A. D., Barbatelli, G., Giordano, A., et al. (2020) · International Journal of Obesity · doi:10.1038/s41366-020-00711-3 · Cited by 28 · see citing works
“Gastric ghrelin plays a pivotal role in glucose metabolism [6, 10] and the wellknown recovery from type 2 diabetes in post-bariatric obese patients has multi-faced aspects, most of which are deserving of further studies.”
BackgroundNili-Ahmadabadi, A., Akbari, Z., Ahmadimoghaddam, D., & Larki-Harchegani, A. (2019) · Pesticide Biochemistry and Physiology · doi:10.1016/j.pestbp.2019.03.013 · Cited by 25
Inter-organ metabolic interaction networks in non-alcoholic fatty liver disease
Fan, Y., Zhang, S., Wang, Y., Wang, H., Li, H., & Bai, L. (2025) · Frontiers in Endocrinology · doi:10.3389/fendo.2024.1494560 · Cited by 25 · see citing works
“AG promotes abnormal intrahepatic lipid storage in NAFLD through several mechanisms: it stimulates appetite via the growth hormone secretagogue receptor and activates hypothalamic centers involved in feeding, which boosts caloric intake and induces adipogenesis while decreasing b -oxidation in WAT (82).”
InfluentialRinguet, M., Furness, J., & Furness, S. (2021) · Journal of neuroendocrinology · doi:10.1111/jne.13077 · Cited by 23 · see citing works
Neuropeptides Modulate Feeding via the Dopamine Reward Pathway
Jin, R., Sun, S., Hu, Y., Zhang, H., & Sun, X.-R. (2023) · Neurochemical Research · doi:10.1007/s11064-023-03954-4 · Cited by 22 · see citing works
Role of enteroendocrine hormones in appetite and glycemia
Ricardo-Silgado, M. L., MCRAE, A. N., & Acosta, A. J. (2021) · Obesity Medicine · doi:10.1016/j.obmed.2021.100332 · Cited by 28 · see citing works
Transformation of peptides to small molecules in medicinal chemistry: Challenges and opportunities
Han, Z.-Y., Shen, Z., Pei, J., You, Q.-D., Zhang, Q.-Y., & Wang, L. (2024) · Acta Pharmaceutica Sinica B · doi:10.1016/j.apsb.2024.06.019 · Cited by 21 · see citing works
“7B) 153 e 155 .”
Bhargava, R., Luur, S., Flores, M. R., Emini, M., Prechtl, C., & Goldstone, A. (2023) · Journal of the Endocrine Society · doi:10.1210/jendso/bvad061 · Cited by 20 · see citing works
“Ghrelin reduces insulin sensitivity and insulin secretion, and increases GH release and plasma glucose (including via GH action to increase gluconeogenesis) [94].”
BackgroundMöller-Levet, C., Laing, E., Archer, S., & Dijk, D. (2022) · BMC Biology · doi:10.1186/s12915-022-01258-7 · Cited by 20 · see citing works
Obesity as a Neuroendocrine Reprogramming
Ghanemi, A., Yoshioka, M., & St-Amand, J. (2021) · Medicina · doi:10.3390/medicina57010066 · Cited by 20 · see citing works
“These signals include ghrelin [8], glucagon-like peptide 1 [9], and peptide YY [10], which act on centers including the hypothalamic melanocortinergic system [11].”
BackgroundAcyl-ghrelin Is Permissive for the Normal Counterregulatory Response to Insulin-Induced Hypoglycemia
Shankar, K., Gupta, D., Mani, B. K., Findley, B. G., Lord, C., Osborne-Lawrence, S., Metzger, N. P., Pietra, C., Liu, C., Berglund, E., et al. (2019) · Diabetes · doi:10.2337/db19-0438 · Cited by 20 · see citing works
“This role for acyl-ghrelin during the CRR to insulininduced hypoglycemia aligns with its other well-described glucoregulatory actions, which include effects of administered acyl-ghrelin and endogenous plasma acyl-ghrelin elevations to increase blood glucose (6,7), and which are emphasized by the blood glucose–lowering…”
BackgroundInfluentialGhrelin in Serum and Urine of Post-Partum Women with Gestational Diabetes Mellitus
Kimber-Trojnar, Ż., Patro-Małysza, J., Skórzyńska-Dziduszko, K. E., Oleszczuk, J., Trojnar, M., Mierzyński, R., & Leszczyńska-Gorzelak, B. (2018) · International Journal of Molecular Sciences · doi:10.3390/ijms19103001 · Cited by 20
“Gómez-Díaz et al. [8] observed that pregnant women with GDM and T2DM had significantly lower serum ghrelin levels compared with non-diabetic patients.”
BackgroundInfluentialHormonal Determinants of Growth and Weight Gain in the Human Fetus and Preterm Infant
PAGE, L. C., Younge, N. E., & Freemark, M. (2023) · Nutrients · doi:10.3390/nu15184041 · Cited by 24 · see citing works
Weight Loss and Sleep, Current Evidence in Animal Models and Humans
Gangitano, E., Martínez-Sánchez, N., Bellini, M. I., Urciuoli, I., Monterisi, S., Mariani, S., Ray, D. W., & Gnessi, L. (2023) · Nutrients · doi:10.3390/nu15153431 · Cited by 19 · see citing works
“Besides its ability to stimulate food intake, ghrelin activates gastric emptying and motility, as well as gastric acid secretion; moreover, it modulates taste sensation and increases motivation towards food reward [109].”
BackgroundInfluentialVCE-004.8, A Multitarget Cannabinoquinone, Attenuates Adipogenesis and Prevents Diet-Induced Obesity
Palomares, B., Ruiz-Pino, F., Navarrete, C., Velasco, I., Sánchez-Garrido, M., Jiménez-Jiménez, C., Pavicic, C., Vazquez, M. J., Appendino, G., Bellido, M., et al. (2018) · Scientific Reports · doi:10.1038/s41598-018-34259-0 · Cited by 19 · see citing works
Luca, T., Pezzino, S., Puleo, S., & Castorina, S. (2024) · Journal of Translational Medicine · doi:10.1186/s12967-024-05547-3 · Cited by 18 · see citing works
Gap junction coupling and islet delta-cell function in health and disease.
Miranda, C., Begum, M., Vergari, E., & Briant, L. (2021) · Peptides · doi:10.1016/j.peptides.2021.170704 · Cited by 18 · see citing works
Farokhnia, M., Lee, M. R., Farinelli, L., Ramchandani, V., Akhlaghi, F., & Leggio, L. (2018) · Pharmacology, Biochemistry and Behavior · doi:10.1016/j.pbb.2018.07.004 · Cited by 18 · see citing works
“Numerous preclinical and clinical studies demonstrate that ghrelin, in contrast to alcohol, increases blood glucose levels, mainly by inhibiting insulin secretion, impairing insulin sensitivity, and stimulating glucose output from hepatocytes (Alamri et al., 2016; Gauna et al., 2005; Poher et al., 2018; Verhulst and D…”
Do patients with Prader–Willi syndrome have favorable glucose metabolism?
Qian, Y., Xia, F.-L., Zuo, Y.-M., Zhong, M.-L., Yang, L., Jiang, Y.-H., & Zou, C. (2022) · Orphanet Journal of Rare Diseases · doi:10.1186/s13023-022-02344-3 · Cited by 16 · see citing works
“DAG can even rescue β-cells from streptozotocin-induced β-cell damage [85].”
BackgroundA review on ghrelin and fish reproduction
Zhong, H., Hu, Y., & Yu, F. (2021) · Reproduction and Breeding · doi:10.1016/j.repbre.2021.07.004 · Cited by 16 · see citing works
Zhang, Y., Liu, J.-Y., Liu, X.-Y., Zhou, Y., Geng, J., Shi, Z., & Ma, L. (2023) · Molecular Neurobiology · doi:10.1007/s12035-023-03595-2 · Cited by 14 · see citing works
“Ghrelin is derived from preproghrelin, a 117 amino-acid precursor secreted by X/A-like cells, mainly in the stomach [41].”
Ren, K., Sun, J., Liu, L., Yang, Y.-P., Li, H., Wang, Z., Deng, J., Hou, M., Qiu, J., & Zhao, W. (2021) · Frontiers in Oncology · doi:10.3389/fonc.2021.676202 · Cited by 14 · see citing works
Effects of oral macimorelin on copeptin and anterior pituitary hormones in healthy volunteers
Urwyler, S., Lustenberger, S., Drummond, J., Soares, B., Vogt, D., Ammer, N., Yuen, K. C. J., Ribeiro-Oliveira, A., & Christ-Crain, M. (2021) · Pituitary · doi:10.1007/s11102-021-01132-9 · Cited by 14
“GHS-receptors are also found in the thyroid gland [22].”
BackgroundRivera-León, E., Llamas-Covarrubias, M., Sánchez-Enríquez, S., Martínez-López, E., González-Hita, M., & Llamas-Covarrubias, I. (2020) · BMC Endocrine Disorders · doi:10.1186/s12902-020-00596-3 · Cited by 14
“Additional functions have also been reported for ghrelin such as: modulation of food reward, olfactory sensitivity, myocardial contraction, sleep, stress and depression regulation [11, 12].”
BackgroundResultNutrient‐sensing components of the mouse stomach and the gastric ghrelin cell
Nunez‐Salces, M., Li, H., Feinle‐Bisset, C., Young, R. L., & Page, A. J. (2020) · Neurogastroenterology & Motility · doi:10.1111/nmo.13944 · Cited by 15 · see citing works
Nandeshwar, Rout, J., Panda, S. M., & Tripathy, U. (2023) · Journal of Biomolecular Structure and Dynamics · doi:10.1080/07391102.2023.2259491 · Cited by 13 · see citing works
“Hormones such as glucagon, insulin, amylin, somatostatin, pancreatic polypeptide and ghrelin are released by a , b , d , c and e cells, respectively (Kiriyama & Nochi, 2018; Poher et al., 2018; Poudel et al., 2016).”
Ghrelin Affects Gastric Cancer Progression by Activating AMPK Signaling Pathway
Hu, X.-L., Zhu, Y., Hu, C.-H., You, L., Wu, J., He, X., Huang, W., & Wu, Z.-H. (2021) · Biochemical Genetics · doi:10.1007/s10528-020-10022-x · Cited by 13 · see citing works
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“It may also have pro-inflammatory and anti-inflammatory properties [49] and protective effects on the heart [3].”
BackgroundNeuroprotective effect of ghrelin in methamphetamine-treated male rats.
Fallahi, S., Babri, S., Farajdokht, F., Ghiasi, R., Zangbar, H. S., Karimi, P., & Mohaddes, G. (2019) · Neuroscience Letters · doi:10.1016/j.neulet.2019.134304 · Cited by 12 · see citing works
The Role of Adipokines and Gene Polymorphisms in the Development of Obesity- Induced Depression
Ercan, S., & Sanli̇er, N. (2025) · Current Obesity Reports · doi:10.1007/s13679-025-00652-w · Cited by 11 · see citing works
“Additionally, it affects heart rate, blood pressure, gastrointestinal motility, neurogenesis, and lipid metabolism [45, 46].”
Role and molecular mechanism of ghrelin in degenerative musculoskeletal disorders
Sun, J.-F., Tan, Y., Su, J.-Y., Mikhail, H., Pavel, V., Deng, Z., & Li, Y.-S. (2023) · Journal of Cellular and Molecular Medicine · doi:10.1111/jcmm.17944 · Cited by 11 · see citing works
“90,91 The protective effect of ghrelin can be attributed to two aspects: It stimulates feeding to increase the intake of protein and other nutrients, 92 and it has a direct protective effect on muscles by preventing muscle breakdown through the regulation of metabolic factors.”
BackgroundThe Bidirectional Relationship of NPY and Mitochondria in Energy Balance Regulation
Sousa, D., Lopes, E., Rosendo-Silva, D., & Matafome, P. (2023) · Biomedicines · doi:10.3390/biomedicines11020446 · Cited by 11 · see citing works
“The pre-proghrelin mRNA, produced by P/D1 cells in humans, is converted into mature ghrelin in its two forms: acyl-ghrelin which can bind to GHS-R1α [50,51]; and des-acyl ghrelin which is the most common form found in circulation, who’s receptor has not yet been identified [50].”
BackgroundInfluentialMolecular methods to study protein trafficking between organs
Kreissl, F. K., Banki, M. A., & Droujinine, I. A. (2022) · Proteomics · doi:10.1002/pmic.202100331 · Cited by 11 · see citing works
Prevalence and predictors of laxatives use in clozapine-related constipation: an observational study
Nakamura, M., & Nagamine, T. (2021) · International Clinical Psychopharmacology · doi:10.1097/yic.0000000000000354 · Cited by 11 · see citing works
“Moreover, acylated ghrelin activates gastric/intestinal emptying and motility, as well as gastric acid secretion (Poher et al., 2018).”
BackgroundSalah, K. B. H., Maingot, M., Blayo, A., M'kadmi, C., Damian, M., Mary, S., Cantel, S., Neasta, J., Oiry, C., Péraldi-Roux, S., et al. (2020) · Journal of Medicinal Chemistry · doi:10.1021/acs.jmedchem.9b02122 · Cited by 11 · see citing works
Ghrelin and vascular protection
Pearson, J., Shirai, M., Sukumaran, V., Du, C.-K., Tsuchimochi, H., Sonobe, T., Waddingham, M., Katare, R., & Schwenke, D. O. (2019) · Vascular Biology · doi:10.1530/vb-19-0024 · Cited by 11 · see citing works
Fan, X., Wang, L., Wei, X.-F., Zhang, J., Su, X.-Y., Cui, L., & Wang, Z.-Z. (2021) · doi:10.1016/j.aquaculture.2021.737053 · Cited by 11
Mazurkiewicz, M., Bodnar, P., Blachut, D., Chwalba, T., Wagner, W., Barczyk, E., Romuk, E., Jacheć, W., & Wojciechowska, C. (2025) · Biomedicines · doi:10.3390/biomedicines13051098 · Cited by 10 · see citing works
“Its most known function is stimulation of the appetite, due to activation of hypothalamic neurocircuits [48].”
Sousa, D., Rocha, M., Amaro, A., Ferreira-Junior, M. D., Cavalcante, K. V. N., Monteiro-Alfredo, T., Barra, C., Rosendo-Silva, D., Saavedra, L., Magalhães, J., et al. (2023) · Nutrients · doi:10.3390/nu15051281 · Cited by 10 · see citing works
“In WAT, the direct activation of GHS-R1α on adipocytes decreases insulin sensitivity and stimulates adiposity [12,34,35].”
BackgroundBukhari, S. N. I. (2022) · European journal of medicinal chemistry · doi:10.1016/j.ejmech.2022.114308 · Cited by 10 · see citing works
Duan, X.-H., Lv, J.-L., Jiang, H.-C., Zheng, K., & Chen, Y. (2022) · Genetics Research · doi:10.1155/2022/8560831 · Cited by 10 · see citing works
Dexamethasone and insulin stimulate ghrelin secretion of broilers in a different way.
Song, X., Jiao, H.-C., Zhao, J.-P., Wang, X.-J., & Lin, H. (2018) · General and Comparative Endocrinology · doi:10.1016/j.ygcen.2018.07.009 · Cited by 10
“Moreover, the glucoregulatory action of ghrelin receives recently increasing recognition (Poher et al., 2018).”
BackgroundFowkes, M. M., Lalonde, T., Yu, L.-H., Dhanvantari, S., Kovacs, M., & Luyt, L. (2018) · European journal of medicinal chemistry · doi:10.1016/j.ejmech.2018.08.062 · Cited by 10 · see citing works
Zhang, Y.-H., Zhang, R.-H., Wang, X., Shi, L., Zhu, H.-Z., & Liu, J.-P. (2025) · PeerJ · doi:10.7717/peerj.18898 · Cited by 9 · see citing works
“Ghrelin is a brain-gut peptide that regulates insulin sensitivity and is produced by X/A-like cells in rats and P/D1 cells in humans ( Barazzoni et al., 2008 ; Poher, Tschöp & Müller, 2018 ).”
Gameli, P. S., Taoussi, O., Basile, G., Carlier, J., & Busardò, F. (2023) · Metabolites · doi:10.3390/metabo13080949 · Cited by 9 · see citing works
“A major fraction of ghrelin binds to GHSR1a receptor with well-characterized neuropeptides that stimulate food intake resulting in its biologic activity, as opposed to the condensed GHSR1b [8].”
BackgroundLi, R., Yao, G., Zhou, L., Zhang, M., & Yan, J. (2022) · Eye and Vision · doi:10.1186/s40662-022-00291-5 · Cited by 9 · see citing works
“Ghrelin is a growth hormone-releasing peptide that regulates physiological processes associated with energy homeostasis such as appetite, insulin signaling, glucose metabolism, and adiposity [9].”
BackgroundSang, Y.-M., Wang, L.-J., Mao, H.-X., Lou, X., Zhu, Y.-J., & Zhu, Y.-H. (2020) · BMC Psychiatry · doi:10.1186/s12888-020-02901-9 · Cited by 9 · see citing works
da Silva, E. S., Ferreira, P. M., Castro, C., Pacheco, L. F., Graziani, D., Pontes, C., de Bessa, A. D. S. M., Fernandes, E., Naves, L. M., Ribeiro, L. C. D. S., et al. (2020) · Molecular and Cellular Endocrinology · doi:10.1016/j.mce.2020.110984 · Cited by 9
Su, M., Yan, M., & Gong, Y.-L. (2019) · Neuropeptides · doi:10.1016/j.npep.2019.101972 · Cited by 9 · see citing works
Mendias, C., & Awan, T. (2026) · Sports Medicine · doi:10.1007/s40279-026-02437-0 · Cited by 8
Food intake enhances hippocampal sharp wave-ripples
Kaya, E., Wegienka, E., Akhtarzandi-Das, A. M., Do, H., Eban-Rothschild, A., & Rothschild, G. (2025) · eLife · doi:10.7554/elife.105059 · Cited by 8
“To encourage eating during the Meal session even under”
Chrono-Endocrinology in Clinical Practice: A Journey from Pathophysiological to Therapeutic Aspects
Mercadante, S., & Bellastella, A. (2024) · Life · doi:10.3390/life14050546 · Cited by 8 · see citing works
“The concomitant food-intake-independent stimulation of lipogenesis, associated with the ghrelin action on glucose metabolism [124], favors an increase in body weight and obesity.”
BackgroundEmerging Relevance of Ghrelin in Programmed Cell Death and Its Application in Diseases
Zhang, X., Zeng, Z.-H., Liu, Y., & Liu, D. (2023) · International Journal of Molecular Sciences · doi:10.3390/ijms242417254 · Cited by 8 · see citing works
“According to current studies, ghrelin performs a significant function in glucose and lipid metabolism [3].”
BackgroundHunger & satiety signals: another key mechanism involved in the NAFLD pathway
López-Méndez, I., Maldonado-Rojas, A. D. C., Uribe, M., & Juárez-Hernández, E. (2023) · Frontiers in Endocrinology · doi:10.3389/fendo.2023.1213372 · Cited by 8 · see citing works
“The most prominent effect of Ghr is its ability to stimulate food intake through an increase in the activity of neurons expressing neuropeptide and agouti-related protein (AgRP) (15).”
BackgroundAssociation Between Ghrelin and Body Weight Trajectory in Individuals With Anorexia Nervosa
Kim, Y., Lauze, M., Slattery, M., Perlis, R., Holsen, L., Breithaupt, L., Stern, C. M., Fava, M., Thomas, J., Lawson, E. A., et al. (2023) · JAMA Network Open · doi:10.1001/jamanetworkopen.2023.4625 · Cited by 8 · see citing works
Lubawy, M., Blacha, A., Nowicki, M., Deja, T., Wałkowski, K., & Formanowicz, D. (2023) · Biomedicines · doi:10.3390/biomedicines11020285 · Cited by 8 · see citing works
“Mention is also made of the pharmacological potential of therapy to inhibit ghrelin signaling in treating insulin resistance and type 2 diabetes [28].”
BackgroundStark, R., Feehan, J., Mousa, A., Andrews, Z., & de Courten, B. (2023) · Diabetes, obesity and metabolism · doi:10.1111/dom.14968 · Cited by 8 · see citing works
“Both ghrelin and LEAP2 are known to act on GHS-R1a, which is also found in mouse and human pancreatic islets, providing a potential mechanism for their effect.(23,24) Given that F IGURE 1 Associations between liver-expressed antimicrobial peptide 2 (LEAP2) concentrations and fasting insulin (A); total insulin area und…”
BackgroundEnteroendocrine Cell Formation Is an Early Event in Pancreatic Tumorigenesis
Caplan, L. R., Vavinskaya, V., Gelikman, D., Jyotsana, N., Trinh, V., Olive, K., Tan, M., & DelGiorno, K. E. (2022) · Frontiers in Physiology · doi:10.3389/fphys.2022.865452 · Cited by 8
Ghrelin and Leptin and Their Relations with Insulin Resistance in Diabetes Mellitus Type 2 Patients
Sadiq, C., Hussein, R. H., & Maulood, I. (2021) · Baghdad Science Journal · doi:10.21123/bsj.2022.19.1.0033 · Cited by 8 · see citing works
A Case Control Study on Serum Levels of Potential Biomarkers in Male Breast Cancer Patients
Abdelsalam, K. E. A., Asad, M., Ahmed, M. A. I., Asdaq, S., Mohzari, Y., Alrashed, A., AlGhamdi, N., Alrami, K. N., & Alharbi, W. A. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph18094852 · Cited by 8 · see citing works
“It is involved mainly in the regulation of glucose metabolism [10].”
BackgroundGhrelin receptor signalling is not required for glucocorticoid induced obesity in male mice.
Hay, R., Edwards, A., Klein, M., Hyland, L., MacDonald, D., Karatsoreos, I., Hill, M., & Abizaid, A. (2019) · Endocrinology · doi:10.1210/endocr/bqz023 · Cited by 8 · see citing works
Alic, N., & Ayaz, A. (2025) · Medicina · doi:10.3390/medicina61081452 · Cited by 7 · see citing works
“One view suggests that DAG exerts important physiological actions through an unknown non-GHS-R1a receptor [57,59,60].”
Pietraszko, W., Furgała, A., Gorecka-Mazur, A., Kwinta, B., Kaszuba-Zwoińska, J., Polak, J., Fiszer, U., Gil, K., & Krygowska-Wajs, A. (2020) · Peptides · doi:10.1016/j.peptides.2020.170299 · Cited by 7 · see citing works
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Ghrelin-induced multi-organ damage in mice fed obesogenic diet
Dagher-Hamalian, C., Stephan, J. S., Zeeni, N., Harhous, Z., Shebaby, W., Abdallah, M. S., & Faour, W. H. (2020) · Inflammation Research · doi:10.1007/s00011-020-01383-5 · Cited by 6 · see citing works
The Ghrelin-LEAP2 System in Obesity and Diabetes: Pathophysiological Roles and Therapeutic Potential
Valdés-Calero, I., Frühbeck, G., & Rodríguez, A. (2026) · Current Obesity Reports · doi:10.1007/s13679-026-00728-1 · Cited by 5 · see citing works
“In starvation (e.g. anorexia nervosa), cachexia and other negative energy balance states, ghrelin rises and central GHSR becomes essential for maintaining glycaemic control during severe energy deficit [ 205, 206].”
Al-Khalaifah, H., Mushtaq, M., Khan, A., Chand, N., Shah, S. S. A., Shah, M., Sultan, A., Khan, R., Naz, S., Abudabos, A., et al. (2025) · Poultry Science · doi:10.1016/j.psj.2025.105862 · Cited by 5 · see citing works
“Although ghrelin generally stimulates appetite in mammals, avian studies indicate a more complex role, including possible suppression of feed intake and modulation of gut development (Poher et al., 2018; Mahdavi et al., 2025).”
Systematic Review: Does Exercise Training Influence Ghrelin Levels?
Abassi, W., Ouerghi, N., Muscella, A., Marsigliante, S., Feki, M., & Bouassida, A. (2025) · International Journal of Molecular Sciences · doi:10.3390/ijms26104753 · Cited by 5 · see citing works
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“However, there is some confusion regarding ghrelin levels after bariatric surgery in the literature, and the evidence is inconsistent as they measured the hormones at different times after surgery or measured the different forms of hormones [36 – 39] .”
BackgroundUrbach, K.-H., Wunderle, C., Tribolet, P., Lutz, T. A., Köster-Hegmann, C., Stanga, Z., Mueller, B., & Schuetz, P. (2025) · Nutrition (Burbank, Los Angeles County, Calif.) · doi:10.1016/j.nut.2025.112910 · Cited by 4 · see citing works
- Authors
- Poher, A.-L., Tschöp, M. H., & Müller, T. D.
- Affiliations
- Helmholtz Munich (DE)
- Corresponding author
- Müller, Timo D.
- Venue
- Peptides
- Publisher
- Elsevier BV
- Published
- 2018-02
- Volume
- 100
- Pages
- 236-242
- ISSN
- 0196-9781 (ISSN-L)
- PMC
- PMC5805851
- OpenAlex
- W2790719843
- Cited by
- 186
- References
- 143
- Citations by year
- 2026: 12 · 2025: 22 · 2024: 27 · 2023: 31 · 2022: 18 · 2021: 24 · 2020: 24 · 2019: 16 · 2018: 11 · 2012: 1
- FWCI
- 10.55
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Peptides (publishedVersion, cc-by-nc-nd)
- Europe PMC (PubMed Central) (publishedVersion, cc-by-nc-nd)
- PubMed Central (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- mediaTUM – the media and publications repository of the Technical University Munich (Technical University Munich) (submittedVersion, other-oa)
- mediaTUM – the media and publications repository of the Technical University Munich (Technical University Munich) (submittedVersion)
- Site cant be reached (submittedVersion)
- Funders
- Alexander von Humboldt-Stiftung
- Deutsche Forschungsgemeinschaft (TS226/3-1, TS226/1-1)
- H2020 European Research Council (695054)
- Topics
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Regulation of Appetite and Obesity
- Health Sciences › Medicine › Epidemiology › Adipokines, Inflammation, and Metabolic Diseases
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Treatment and Management
- Keywords
- ghrelin, glucose metabolism, growth hormone secretagogue receptor, G protein-coupled receptors, insulin resistance, type 2 diabetes, impaired glucose tolerance, appetite regulation, lipogenesis, adiposity
- MeSH terms
- Diabetes Mellitus, Type 2, Eating, Glucose, Humans, Signal Transduction, Carbohydrate Metabolism, Ghrelin, Receptors, Ghrelin
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