Granado M, Martín AI, López-Menduiñ a M, López-Calderón A, Villanú a MA. GH-releasing peptide-2 administration prevents liver inflammatory response in endotoxemia. Am J Physiol Endocrinol Metab 294: E131-E141, 2008. First published November 6, 2007 doi:10.1152/ajpendo.00308.2007.-It has been reported that growth hormone (GH)-releasing peptide-2 (GHRP-2), a ghrelin receptor agonist, has an anti-inflammatory effect. We investigated whether this GH secretagogue attenuates liver injury in LPS-treated rats. Wistar rats were simultaneously injected (ip) with LPS (1 mg/kg) and/or GHRP-2 (100 g/kg). Serum levels of aspartate and alanine transaminases were measured as an index of liver damage. Circulating nitrites/ nitrates and hepatic IGF-I and TNF-␣ were evaluated as possible mediators of GHRP-2 actions. LPS increased serum levels of transaminases and nitrites/nitrates. Moreover, LPS increased hepatic TNF-␣ and decreased hepatic IGF-I mRNAs. GHRP-2 administration attenuated the effects of LPS on transaminases, nitrites/nitrates, TNF-␣, and IGF-I in vivo. This GHRP-2 effect does not seem to be due to modifications in food intake, since fasting did not modify serum levels of transaminases, serum nitrites/nitrates, and hepatic TNF-␣ mRNA both in vehicle rats and in LPS-injected rats. To elucidate whether GHRP-2 is acting directly on the liver, cocultures of hepatocytes and nonparenchymal cells and monocultures of isolated hepatocytes were incubated with LPS and GHRP-2. The ghrelin receptor agonist prevented an endotoxin-induced increase in transaminases and nitrite/nitrate release as well as in TNF-␣ mRNA and increased IGF-I mRNA from cocultures of hepatocytes and nonparenchymal cells, but not from monocultures. In summary, these data indicate that GHRP-2 has a protective effect on the liver in LPSinjected rats that seems to be mediated by IGF-I, TNF-␣, and nitric oxide. Our data also suggest that the anti-inflammatory effect of GHRP-2 in the liver is exerted on nonparenchymal cells. transaminases; insulin-like growth factor I; nitrites/nitrates; tumor necrosis factor-␣; growth hormone-releasing peptide-2 CATABOLISM AND GROWTH IMPAIRMENT are complications of several situations such as sepsis and inflammatory diseases. Inflammatory response can be induced experimentally by administering lipopolysaccharide (LPS), a component of the wall of gram-negative bacteria. The liver plays a central role in the inflammatory response to LPS, since it clears LPS and also responds to LPS with production of cytokines (38) and reactive oxygen intermediates (1). Most of the toxicities of LPS, both in liver and in systemic circulation, have been related to the release of these inflammatory cytokines and mediators (24, 61). Nitric oxide (NO) and tumor necrosis factor (TNF) are believed to be involved in hepatic dysfunction in sepsis (5, 57). As potent producers of inflammatory cytokines such as TNF-␣, Kupffer cells have been implicated in the pathway leading to liver injury (60). In many models of liver injury, elevated TNF-␣ levels are pres...