The Interplay between Ghrelin and Microglia in Neuroinflammation: Implications for Obesity and Neurodegenerative Diseases
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Numerous studies have shown that microglia are capable of producing a wide range of chemokines to promote inflammatory processes within the central nervous system (CNS). These cells share many phenotypical and functional characteristics with macrophages, suggesting that microglia participate in innate immune responses in the brain. Neuroinflammation induces neurometabolic alterations and increases in energy consumption. Microglia may constitute an important therapeutic target in neuroinflammation. Recent research has attempted to clarify the role of Ghre signaling in microglia on the regulation of energy balance, obesity, neuroinflammation and the occurrence of neurodegenerative diseases. These studies strongly suggest that Ghre modulates microglia activity and thus affects the pathophysiology of neurodegenerative diseases. This review aims to summarize what is known from the current literature on the way in which Ghre modulates microglial activity during neuroinflammation and their impact on neurometabolic alterations in neurodegenerative diseases. Understanding the role of Ghre in microglial activation/inhibition regulation could provide promising strategies for downregulating neuroinflammation and consequently for diminishing negative neurological outcomes.
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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 [48]
Ghrelin can pass through the blood-brain barrier, directly affecting brain cells.
“It has been shown that ghrelin can pass through the blood–brain barrier, directly affecting brain cells [46, 48–50].”
From Protective PLCG2 variants associate with a delayed onset of Alzheimer’s disease among heterozygous APOE ε4 carriers (2026) · cites this paper as [48]
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“Moreover, injured neurons promote the phagocytosis of apoptotic cells through the release of milk fat globule–epidermal growth factor 8 (MFG-E8) and the activation of CD47 [58].”
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“As previously speculated, given the absence of the receptor at the level of the microglial cell membrane, it is possible to deduce that this mechanism could act indirectly or through a GHSR-A1-independent pathway [117].”
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Cited by
Sorted by citations
Jeskanen, H., Heikkinen, S., Kervinen, I., Lehtisalo, J., Ngandu, T., Willman, R.-M., Rosa, J., Hoffmann, D., FinnGen, Leinonen, V., et al. (2026) · Alzheimer's Research & Therapy · doi:10.1186/s13195-026-01957-1 · Cited by 1 · see citing works
“Moreover, the beneficial role of ghrelin in the central nervous system has been widely discussed, including enhanced cognition [48, 59–61].”
- Authors
- Russo, C., Valle, M. S., Russo, A., & Malaguarnera, L.
- Affiliations
- University of Catania (IT)
- Corresponding author
- Malaguarnera, Lucia
- Venue
- International Journal of Molecular Sciences
- Publisher
- MDPI AG
- Published
- 2022-11-03
- Volume
- 23
- Issue
- 21
- Pages
- 13432
- ISSN
- 1422-0067 (ISSN-L)
- PMC
- PMC9654207
- OpenAlex
- W4309090970
- Cited by
- 40
- References
- 13
- Citations by year
- 2026: 8 · 2025: 10 · 2024: 13 · 2023: 9
- FWCI
- 0.82
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- International Journal of Molecular Sciences (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Università di Catania
- Topics
- Life Sciences › Neuroscience › Neurology › Neuroinflammation and Neurodegeneration Mechanisms
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Regulation of Appetite and Obesity
- Health Sciences › Medicine › Epidemiology › Adipokines, Inflammation, and Metabolic Diseases
- Keywords
- ghrelin, microglia, neuroinflammation, obesity, neurodegenerative diseases, energy balance, neurometabolism, microglial activation, chemokines
- MeSH terms
- Neuroinflammatory Diseases, Humans, Inflammation, Obesity, Microglia, Neurodegenerative Diseases, Ghrelin
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