Abstract. Ghrelin is a stomach-derived orexigenic hormone with a wide range of physiological functions. Elucidation of the regulation of the circulating ghrelin level would lead to a better understanding of appetite control in body energy homeostasis. Earlier studies revealed that circulating ghrelin levels are under the control of both acute and chronic energy status: at the acute scale, ghrelin levels are increased by fasting and decreased by feeding, whereas at the chronic scale, they are high in obese subjects and low in lean subjects. Subsequent studies revealed that nutrients, hormones, or neural activities can influence circulating ghrelin levels in vivo. Recently developed in vitro assay systems for ghrelin secretion can assess whether and how individual factors affect ghrelin secretion from cells. In this review, on the basis of numerous human, animal, and cell-based studies, we summarize current knowledge on the regulation of circulating ghrelin levels and enumerate the factors that influence ghrelin levels.
Key words: GhrelinGHRELIN is a 28-amino-acid peptide hormone [1], originally identified from the rat stomach as a natural ligand for growth hormone secretagogue receptor (GHS-R) [2]. On its third Ser residue, ghrelin has a unique n-octanoylation modification that is necessary for binding to . This acyl modification is mediated by a membrane-bound O-acyltransferase, ghrelin O-acyltransferase (GOAT) [3, 4]. Ghrelin exerts a wide range of effects including stimulation of growth hormone secretion [5][6][7][8][9][10], food intake [11][12][13][14][15][16], gastric acid secretion [17, 18], and gastric emptying [19, 20], and suppression of fat utilization [21, 22] and insulin secretion [23][24][25][26][27][28].The regulation of circulating ghrelin levels is the subject of active research. In early studies, plasma ghrelin levels were measured under various conditions, providing a basic profile of circulating ghrelin levels and their changes in response to specific stimuli. In addition, in vivo studies using human subjects or animals were conducted to determine the effects of various compounds on ghrelin secretion. The generation of ghrelin-producing cell lines [29, 30] and FACS-based isolation of fluorescently tagged ghrelin-producing cells [30][31][32] have recently enabled development of in vitro assay systems for assessing the effects of individual compounds on ghrelin secretion and determining the gene-expression profiles (e.g., of genes encoding receptors or signal molecules) of ghrelin-producing cells.In this review, we summarize current knowledge regarding the regulation of circulating ghrelin levels and ghrelin secretion, with recent updates obtained from cell-based assay systems.
The source of circulating ghrelin: ghrelin-producing (X/A-like) cellsThe majority of circulating ghrelin is derived from the stomach [1, 33]. The predominant ghrelin-producing cell is the X/A-like cell, a type of gastric endocrine cell whose physiological role had been previously unknown [34, 35]. X/A-like cells account ...