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In the name of god
Ghrelin hormone
Navab Ahmadi
History of ghrelin
 The discovery of ghrelin followed after the discovery of the growth
hormone secretagogue type 1A receptor in 1996 and was reported
by Masayasu Kojima and colleagues(Matsuyama) in 1999
 The name is based on its role as a growth hormone-releasing
peptide, with reference to the Proto-Indo-European root ghre,
meaning to grow.(Growth Hormone Release Inducing = Ghrelin)
Introduction1
 Ghrelin has emerged as the first identified circulating hunger
hormone
 Ghrelin is both a hormone in the endocrine system and a
neurotransmitter in the nervous system
 28 amino-acid polypeptide
 Secreted by oxyntic cell in gastric fundus
 Can be found in pancrease, intestine, hypothalamus, pituitary gland
Introduction2
 Ghrelin is produced mainly by P/D1 cells, lining the fundus of the human stomach,
that contain granules filled with ghrelin
 Also by epsilon cells of the pancreas that stimulates hunger
 In rodents, X/A-like cells produce ghrelin.
 Aside from the stomach and pancreas in adults, ghrelin cells are also found in the
duodenum, jejunum, i leum, and colon, with ghrelin concentration decreasing
from the duodenum to the colon.
Structure of ghrelin
 28 amino acids
 n-octanoyl contacts to third serine from N-terminal (important for
hormone activity)
 Bind to GH-secretgogue-receptor 1a (GHS-R1a)
 G-protein coupled receptor
Factors influencing ghrelin secretion
 Most important
 Food intake
 Ghrelin level increases 1-2 hr prior to meal, max just before eating
and decreases dramatically within 1 hr after meal
 Degree of ghrelin level decrease is in proportion with calories and
composition of food (CHO can decrease ghrelin > fat)
 Glucose, lipid, amino acid
 Ghrelin ↓ in postprandial hypoglycemia or after administration of IV
glucose/fat diet
 High protein diet, essential amino acid →↑ ghrelin →↑ GH
(controversial)
Factors influencing ghrelin secretion
 ↑ ghrelin
 leptin
 Fasting
 GHRH, thyroid hormone
 Testosterone
 Sleep
 Lean people/ low BMI
 Anorexia nervosa
 ↓ ghrelin
 Food intake
 Glucose/lipid
 Insulin
 Somatostatin
 PYY/PP
 Obese people/high BMI
Physiological roles of ghrelin
 Hormonal effect
 Stimulation of GH secretion
 Synergistic of GHRH
 ↓ somatostatin secretion from hypothalamus
 ↑ ACTH, PRL, cortisol
 Appetite
 Acting at arcuate nucleus by stimulation of NPY/AGRP neurons
(neuropeptide Y/ Agouti-related peptide) →↑ appetite (orexigenic effect)
 Gastric effects
 ↑ gastric acid secretion and motility (acting through vagus nerve which also
has GHS-R1a receptor)
Ghrelin hormone
Ghrelin hormone
Ghrelin hormone
Effects of ghrelin
Other effects of ghrelin
 Inhibit proinflammatory cytokin (IL-1, IL-6, TNF)
 Increase bone mineral density
 Decrease MAP by decreasing peripheral vascular resistance
Possible clinical application of ghrelin
Thank you
Navab Ahmadi

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Ghrelin hormone

  • 1. In the name of god Ghrelin hormone Navab Ahmadi
  • 2. History of ghrelin  The discovery of ghrelin followed after the discovery of the growth hormone secretagogue type 1A receptor in 1996 and was reported by Masayasu Kojima and colleagues(Matsuyama) in 1999  The name is based on its role as a growth hormone-releasing peptide, with reference to the Proto-Indo-European root ghre, meaning to grow.(Growth Hormone Release Inducing = Ghrelin)
  • 3. Introduction1  Ghrelin has emerged as the first identified circulating hunger hormone  Ghrelin is both a hormone in the endocrine system and a neurotransmitter in the nervous system  28 amino-acid polypeptide  Secreted by oxyntic cell in gastric fundus  Can be found in pancrease, intestine, hypothalamus, pituitary gland
  • 4. Introduction2  Ghrelin is produced mainly by P/D1 cells, lining the fundus of the human stomach, that contain granules filled with ghrelin  Also by epsilon cells of the pancreas that stimulates hunger  In rodents, X/A-like cells produce ghrelin.  Aside from the stomach and pancreas in adults, ghrelin cells are also found in the duodenum, jejunum, i leum, and colon, with ghrelin concentration decreasing from the duodenum to the colon.
  • 5. Structure of ghrelin  28 amino acids  n-octanoyl contacts to third serine from N-terminal (important for hormone activity)  Bind to GH-secretgogue-receptor 1a (GHS-R1a)  G-protein coupled receptor
  • 6. Factors influencing ghrelin secretion  Most important  Food intake  Ghrelin level increases 1-2 hr prior to meal, max just before eating and decreases dramatically within 1 hr after meal  Degree of ghrelin level decrease is in proportion with calories and composition of food (CHO can decrease ghrelin > fat)  Glucose, lipid, amino acid  Ghrelin ↓ in postprandial hypoglycemia or after administration of IV glucose/fat diet  High protein diet, essential amino acid →↑ ghrelin →↑ GH (controversial)
  • 7. Factors influencing ghrelin secretion  ↑ ghrelin  leptin  Fasting  GHRH, thyroid hormone  Testosterone  Sleep  Lean people/ low BMI  Anorexia nervosa  ↓ ghrelin  Food intake  Glucose/lipid  Insulin  Somatostatin  PYY/PP  Obese people/high BMI
  • 8. Physiological roles of ghrelin  Hormonal effect  Stimulation of GH secretion  Synergistic of GHRH  ↓ somatostatin secretion from hypothalamus  ↑ ACTH, PRL, cortisol  Appetite  Acting at arcuate nucleus by stimulation of NPY/AGRP neurons (neuropeptide Y/ Agouti-related peptide) →↑ appetite (orexigenic effect)  Gastric effects  ↑ gastric acid secretion and motility (acting through vagus nerve which also has GHS-R1a receptor)
  • 13. Other effects of ghrelin  Inhibit proinflammatory cytokin (IL-1, IL-6, TNF)  Increase bone mineral density  Decrease MAP by decreasing peripheral vascular resistance