Cited by 1,187Regulation of Appetite and ObesityGrowth Hormone and Insulin-like Growth FactorsHypothalamic control of reproductive hormones

Biological, Physiological, Pathophysiological, and Pharmacological Aspects of Ghrelin

van der Lely, Aart J., Tschöp, Matthias, Heiman, Mark L., Ghigo, Ezio·2004·Endocrine Reviews

Abstract

Ghrelin is a peptide predominantly produced by the stomach. Ghrelin displays strong GH-releasing activity. This activity is mediated by the activation of the so-called GH secretagogue receptor type 1a. This receptor had been shown to be specific for a family of synthetic, peptidyl and nonpeptidyl GH secretagogues. Apart from a potent GH-releasing action, ghrelin has other activities including stimulation of lactotroph and corticotroph function, influence on the pituitary gonadal axis, stimulation of appetite, control of energy balance, influence on sleep and behavior, control of gastric motility and acid secretion, and influence on pancreatic exocrine and endocrine function as well as on glucose metabolism. Cardiovascular actions and modulation of proliferation of neoplastic cells, as well as of the immune system, are other actions of ghrelin. Therefore, we consider ghrelin a gastrointestinal peptide contributing to the regulation of diverse functions of the gut-brain axis. So, there is indeed a possibility that ghrelin analogs, acting as either agonists or antagonists, might have clinical impact.

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Crossref · 10.1210/er.2002-0029

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502 of 502 references verified0 citation errors · 0 not checkable

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  • A large body of evidence supports the hypothesis that ghrelin acts on growth hormone secretion, at least in part, via stimulation of GHRH.

    “A large body of evidence supports the hypothesis that ghrelin acts on GH secretion, at least in part, via a stimulation of GHRH [39, 50, 192]”

    From Sleep and metabolic function (2012) · cites this paper as [192]

  • Leptin secretion is inhibited by sympathetic activity and ghrelin secretion is inhibited by parasympathetic activity.

    “Since leptin secretion is inhibited by sympathetic activity [65] and ghrelin secretion is inhibited by parasympathetic activity [66], the changes in the activity of autonomic nervous system observed with sleep loss may be involved in the simultaneous reduction of leptin and increase of ghrelin.”

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Authors
van der Lely, A. J., Tschöp, M., Heiman, M. L., & Ghigo, E.
Affiliations
  • Division of Endocrinology and Metabolism (A.J.v.d.L.), Department of Internal Medicine, Erasmus Medical Center, 3015 GD Rotterdam, The Netherlands;
  • Department of Psychiatry (M.T.), University of Cincinnati, Cincinnati, Ohio 45237;
  • Eli Lilly (United States) (US)
  • University of Turin (IT)
Venue
Endocrine Reviews
Published
2004-06-01
Volume
25
Issue
3
Pages
426-457
ISSN
  • 0163-769X (ISSN-L)
  • 1945-7189
OpenAlex
W2109993485
Cited by
1,187
References
502
Citations by year
2026: 6 · 2025: 18 · 2024: 16 · 2023: 14 · 2022: 24 · 2021: 29 · 2020: 31 · 2019: 21 · 2018: 34 · 2017: 39 · 2016: 37 · 2015: 42 · 2014: 69 · 2013: 85 · 2012: 87
FWCI
8.99
Type
journal article
Language
en
Open access
closed
Locations
  • Endocrine Reviews (publishedVersion)
  • PubMed (publishedVersion)
  • EUR Research Repository (Erasmus University Rotterdam) (publishedVersion)
  • EUR Research Repository (Erasmus University Rotterdam) (submittedVersion)
Topics
  • Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Regulation of Appetite and Obesity
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Growth Hormone and Insulin-like Growth Factors
  • Health Sciences › Medicine › Reproductive Medicine › Hypothalamic control of reproductive hormones
Keywords
ghrelin, growth hormone secretagogue receptor 1a, growth hormone secretion, appetite regulation, energy balance, gastric motility, gastric acid secretion, glucose metabolism, pituitary-gonadal axis, cardiovascular effects, immunomodulation, gut-brain axis
MeSH terms
Amino Acid Sequence, Animals, Appetite Regulation, Cardiovascular System, Clinical Trials as Topic, Digestive System, Energy Metabolism, Gastric Mucosa, Humans, Immune System, Neurosecretory Systems, Peptide Hormones, Receptors, G-Protein-Coupled, Ghrelin, Receptors, Ghrelin

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