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The Journal of Clinical Endocrinology & Metabolism Vol. 86, No. 12 5992
Copyright © 2001 by The Endocrine Society


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Ghrelin Enhances Appetite and Increases Food Intake in Humans

A. M. Wren, L. J. Seal, M. A. Cohen, A. E. Brynes, G. S. Frost, K. G. Murphy, W. S. Dhillo, M. A. Ghatei and S. R. Bloom

Endocrine Unit (A.M.W., L.J.S., M.A.C., K.G.M., W.S.D., M.A.G., S.R.B.) and Department of Dietetics (A.E.B., G.F.S.), Imperial College School of Medicine, Hammersmith Hospital, London W12 ONN, United Kingdom

Abstract

Ghrelin is a recently identified endogenous ligand for the growth hormone secretagogue receptor. It is synthesized predominantly in the stomach and found in the circulation of healthy humans. Ghrelin has been shown to promote increased food intake, weight gain and adiposity in rodents. The effect of ghrelin on appetite and food intake in man has not been determined. We investigated the effects of intravenous ghrelin (5.0 pmol/kg/min) or saline infusion on appetite and food intake in a randomised double-blind cross-over study in nine healthy volunteers. There was a clear-cut increase in energy consumed by every individual from a free-choice buffet (mean increase 28 ± 3.9%, p<0.001) during ghrelin compared with saline infusion. Visual analogue scores for appetite were greater during ghrelin compared to saline infusion. Ghrelin had no effect on gastric emptying as assessed by the paracetamol absorption test. Ghrelin is the first circulating hormone demonstrated to stimulate food intake in man. Endogenous ghrelin is a potentially important new regulator of the complex systems controlling food intake and body weight.




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M. R. Hayes, C. K. Miller, J. S. Ulbrecht, J. L. Mauger, L. Parker-Klees, M. D. Gutschall, D. C. Mitchell, H. Smiciklas-Wright, and M. Covasa
A Carbohydrate-Restricted Diet Alters Gut Peptides and Adiposity Signals in Men and Women with Metabolic Syndrome
J. Nutr., August 1, 2007; 137(8): 1944 - 1950.
[Abstract] [Full Text] [PDF]


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Mol. Pharmacol.Home page
J.-N. Ma, H. H. Schiffer, A. E. Knapp, J. Wang, K. K. Wong, E. A. Currier, M. Owens, N. R. Nash, L. R. Gardell, M. R. Brann, et al.
Identification of the Atypical L-Type Ca2+ Channel Blocker Diltiazem and Its Metabolites As Ghrelin Receptor Agonists
Mol. Pharmacol., August 1, 2007; 72(2): 380 - 386.
[Abstract] [Full Text] [PDF]


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Am. J. Clin. Nutr.Home page
T. Ando, Y. Ichimaru, F. Konjiki, M. Shoji, and G. Komaki
Variations in the preproghrelin gene correlate with higher body mass index, fat mass, and body dissatisfaction in young Japanese women
Am. J. Clinical Nutrition, July 1, 2007; 86(1): 25 - 32.
[Abstract] [Full Text] [PDF]


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J. Appl. Physiol.Home page
D. R. Broom, D. J. Stensel, N. C. Bishop, S. F. Burns, and M. Miyashita
Exercise-induced suppression of acylated ghrelin in humans
J Appl Physiol, June 1, 2007; 102(6): 2165 - 2171.
[Abstract] [Full Text] [PDF]


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EndocrinologyHome page
M. D. DeBoer, X. X. Zhu, P. Levasseur, M. M. Meguid, S. Suzuki, A. Inui, J. E. Taylor, H. A. Halem, J. Z. Dong, R. Datta, et al.
Ghrelin Treatment Causes Increased Food Intake and Retention of Lean Body Mass in a Rat Model of Cancer Cachexia
Endocrinology, June 1, 2007; 148(6): 3004 - 3012.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Endocrinol. Metab.Home page
E. T. Vestergaard, T. K. Hansen, L. C. Gormsen, P. Jakobsen, N. Moller, J. S. Christiansen, and J. O. L. Jorgensen
Constant intravenous ghrelin infusion in healthy young men: clinical pharmacokinetics and metabolic effects
Am J Physiol Endocrinol Metab, June 1, 2007; 292(6): E1829 - E1836.
[Abstract] [Full Text] [PDF]


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pdiHome page
R. H. Mak and W. Cheung
ADIPOKINES AND GUT HORMONES IN END-STAGE RENAL DISEASE
Perit. Dial. Int., June 1, 2007; 27(Supplement_2): S298 - S302.
[Abstract] [Full Text] [PDF]


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Nephrol Dial TransplantHome page
O. Alvarez-Garcia, E. Garcia-Lopez, J. Rodriguez, H. Gil-Pena, I. Molinos, E. Carbajo-Perez, and F. Santos
Administration of ghrelin to young uraemic rats increases food intake transiently, stimulates growth hormone secretion and does not improve longitudinal growth
Nephrol. Dial. Transplant., May 1, 2007; 22(5): 1309 - 1313.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Gastrointest. Liver Physiol.Home page
A. J. Page, J. A. Slattery, C. Milte, R. Laker, T. O'Donnell, C. Dorian, S. M. Brierley, and L. A. Blackshaw
Ghrelin selectively reduces mechanosensitivity of upper gastrointestinal vagal afferents
Am J Physiol Gastrointest Liver Physiol, May 1, 2007; 292(5): G1376 - G1384.
[Abstract] [Full Text] [PDF]


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The OncologistHome page
J. M. Garcia and W. J. Polvino
Effect on Body Weight and Safety of RC-1291, a Novel, Orally Available Ghrelin Mimetic and Growth Hormone Secretagogue: Results of a Phase I, Randomized, Placebo-Controlled, Multiple-Dose Study in Healthy Volunteers
Oncologist, May 1, 2007; 12(5): 594 - 600.
[Abstract] [Full Text] [PDF]


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J. Clin. Pathol.Home page
M. Mottershead, E. Karteris, J. Y Barclay, S. Suortamo, M. Newbold, H. Randeva, and C. U Nwokolo
Immunohistochemical and quantitative mRNA assessment of ghrelin expression in gastric and oesophageal adenocarcinoma
J. Clin. Pathol., April 1, 2007; 60(4): 405 - 409.
[Abstract] [Full Text] [PDF]


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DiabetesHome page
D. J. Clegg, L. M. Brown, J. M. Zigman, C. J. Kemp, A. D. Strader, S. C. Benoit, S. C. Woods, M. Mangiaracina, and N. Geary
Estradiol-Dependent Decrease in the Orexigenic Potency of Ghrelin in Female Rats
Diabetes, April 1, 2007; 56(4): 1051 - 1058.
[Abstract] [Full Text] [PDF]


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J DAIRY SCIHome page
J. R. Roche, A. J. Sheahan, L. M. Chagas, and D. P. Berry
Concentrate Supplementation Reduces Postprandial Plasma Ghrelin in Grazing Dairy Cows: A Possible Neuroendocrine Basis for Reduced Pasture Intake in Supplemented Cows
J Dairy Sci, March 1, 2007; 90(3): 1354 - 1363.
[Abstract] [Full Text] [PDF]


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EndocrinologyHome page
Y. Sun, J. M. Garcia, and R. G. Smith
Ghrelin and Growth Hormone Secretagogue Receptor Expression in Mice during Aging
Endocrinology, March 1, 2007; 148(3): 1323 - 1329.
[Abstract] [Full Text] [PDF]


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Eur J EndocrinolHome page
C. Maffeis, R. Franceschi, P. Moghetti, M. Camilot, S. Lauriola, and L. Tato
Circulating ghrelin levels in girls with central precocious puberty are reduced during treatment with LHRH analog
Eur. J. Endocrinol., January 1, 2007; 156(1): 99 - 103.
[Abstract] [Full Text] [PDF]


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Exp. Biol. Med.Home page
M. Fry, T. D. Hoyda, and A. V. Ferguson
Making Sense of It: Roles of the Sensory Circumventricular Organs in Feeding and Regulation of Energy Homeostasis
Experimental Biology and Medicine, January 1, 2007; 232(1): 14 - 26.
[Abstract] [Full Text] [PDF]


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J. Clin. Endocrinol. Metab.Home page
E. T. Vestergaard, R. Dall, K. H. W. Lange, M. Kjaer, J. S. Christiansen, and J. O. L. Jorgensen
The Ghrelin Response to Exercise before and after Growth Hormone Administration
J. Clin. Endocrinol. Metab., January 1, 2007; 92(1): 297 - 303.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Regul. Integr. Comp. Physiol.Home page
E. Szentirmai, L. Kapas, and J. M. Krueger
Ghrelin microinjection into forebrain sites induces wakefulness and feeding in rats
Am J Physiol Regulatory Integrative Comp Physiol, January 1, 2007; 292(1): R575 - R585.
[Abstract] [Full Text] [PDF]


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Endocr. Rev.Home page
K. G. Murphy, W. S. Dhillo, and S. R. Bloom
Gut Peptides in the Regulation of Food Intake and Energy Homeostasis
Endocr. Rev., December 1, 2006; 27(7): 719 - 727.
[Abstract] [Full Text] [PDF]


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J ANIM SCIHome page
A. E. Wertz-Lutz, T. J. Knight, R. H. Pritchard, J. A. Daniel, J. A. Clapper, A. J. Smart, A. Trenkle, and D. C. Beitz
Circulating ghrelin concentrations fluctuate relative to nutritional status and influence feeding behavior in cattle
J Anim Sci, December 1, 2006; 84(12): 3285 - 3300.
[Abstract] [Full Text] [PDF]


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DiabetesHome page
E. Naslund and J. G. Kral
Impact of Gastric Bypass Surgery on Gut Hormones and Glucose Homeostasis in Type 2 Diabetes
Diabetes, December 1, 2006; 55(Supplement_2): S92 - S97.
[Abstract] [Full Text] [PDF]


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EndocrinologyHome page
M. Goto, H. Arima, M. Watanabe, M. Hayashi, R. Banno, I. Sato, H. Nagasaki, and Y. Oiso
Ghrelin Increases Neuropeptide Y and Agouti-Related Peptide Gene Expression in the Arcuate Nucleus in Rat Hypothalamic Organotypic Cultures
Endocrinology, November 1, 2006; 147(11): 5102 - 5109.
[Abstract] [Full Text] [PDF]


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J. Neurosci.Home page
M. Arnold, A. Mura, W. Langhans, and N. Geary
Gut Vagal Afferents Are Not Necessary for the Eating-Stimulatory Effect of Intraperitoneally Injected Ghrelin in the Rat
J. Neurosci., October 25, 2006; 26(43): 11052 - 11060.
[Abstract] [Full Text] [PDF]


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J EndocrinolHome page
T. Ito, H. ThidarMyint, T. Murata, H. Inoue, R. M. Neyra, and H. Kuwayama
Effects of peripheral administration of PYY3-36 on feed intake and plasma acyl-ghrelin levels in pigs.
J. Endocrinol., October 1, 2006; 191(1): 113 - 119.
[Abstract] [Full Text] [PDF]


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Mol. Interv.Home page
M. J. Carlson and D. E. Cummings
Prospects for an anti-ghrelin vaccine to treat obesity.
Mol. Interv., October 1, 2006; 6(5): 249 - 252.
[Abstract] [Full Text] [PDF]


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J. Clin. Endocrinol. Metab.Home page
P. Marzullo, A. Caumo, G. Savia, B. Verti, G. E. Walker, S. Maestrini, A. Tagliaferri, A. M. Di Blasio, and A. Liuzzi
Predictors of Postabsorptive Ghrelin Secretion after Intake of Different Macronutrients
J. Clin. Endocrinol. Metab., October 1, 2006; 91(10): 4124 - 4130.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Regul. Integr. Comp. Physiol.Home page
P. Kobelt, M. Goebel, A. Stengel, M. Schmidtmann, I. R. van der Voort, J. J. Tebbe, R. W. Veh, B. F. Klapp, B. Wiedenmann, L. Wang, et al.
Bombesin, but not amylin, blocks the orexigenic effect of peripheral ghrelin
Am J Physiol Regulatory Integrative Comp Physiol, October 1, 2006; 291(4): R903 - R913.
[Abstract] [Full Text] [PDF]


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J DAIRY SCIHome page
J. R. Roche, A. J Sheahan, L. M. Chagas, and D. P. Berry
Short communication: genetic selection for milk production increases plasma ghrelin in dairy cows.
J Dairy Sci, September 1, 2006; 89(9): 3471 - 3475.
[Abstract] [Full Text] [PDF]


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J Mol EndocrinolHome page
H D. Falls, B. D Dayton, D. G Fry, C. A Ogiela, V. G Schaefer, S. Brodjian, R. M Reilly, C. A Collins, and W. Kaszubska
Characterization of ghrelin receptor activity in a rat pituitary cell line RC-4B/C.
J. Mol. Endocrinol., August 1, 2006; 37(1): 51 - 62.
[Abstract] [Full Text] [PDF]


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Eur J EndocrinolHome page
S Bertoli, P Magni, V Krogh, M Ruscica, E Dozio, G Testolin, and A Battezzati
Is ghrelin a signal of decreased fat-free mass in elderly subjects?
Eur. J. Endocrinol., August 1, 2006; 155(2): 321 - 330.
[Abstract] [Full Text] [PDF]


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Phil Trans R Soc BHome page
O. Chaudhri, C. Small, and S. Bloom
Gastrointestinal hormones regulating appetite
Phil Trans R Soc B, July 29, 2006; 361(1471): 1187 - 1209.
[Abstract] [Full Text] [PDF]


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Eur J EndocrinolHome page
D.-Y. Lee, S.-Y. Kim, D.-S. Jo, P. H. Hwang, K. P. Kang, S. Lee, W. Kim, and S. K. Park
Preproghrelin Leu72Met polymorphism predicts a lower rate of developing renal dysfunction in type 2 diabetic nephropathy.
Eur. J. Endocrinol., July 1, 2006; 155(1): 187 - 190.
[Abstract] [Full Text] [PDF]


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J. Clin. Endocrinol. Metab.Home page
S. S. Damjanovic, N. M. Lalic, P. M. Pesko, M. S. Petakov, A. Jotic, D. Miljic, K. S. Lalic, L. Lukic, M. Djurovic, and V. B. Djukic
Acute Effects of Ghrelin on Insulin Secretion and Glucose Disposal Rate in Gastrectomized Patients
J. Clin. Endocrinol. Metab., July 1, 2006; 91(7): 2574 - 2581.
[Abstract] [Full Text] [PDF]


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J ANIM SCIHome page
M. E. Gordon and K. H. McKeever
Oral and intravenous carbohydrate challenges decrease active ghrelin concentrations and alter hormones related to control of energy metabolism in horses
J Anim Sci, July 1, 2006; 84(7): 1682 - 1690.
[Abstract] [Full Text] [PDF]


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GutHome page
P Kobelt, S Helmling, A Stengel, B Wlotzka, V Andresen, B F Klapp, B Wiedenmann, S Klussmann, and H Monnikes
Anti-ghrelin Spiegelmer NOX-B11 inhibits neurostimulatory and orexigenic effects of peripheral ghrelin in rats
Gut, June 1, 2006; 55(6): 788 - 792.
[Abstract] [Full Text] [PDF]




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