Des-acyl ghrelin, although devoid of binding to ghrelin receptor (GRLN), exerts many biological effects, including regulation of glucose and lipid metabolism. Indeed, des-acyl ghrelin promotes pancreatic β-cell and human islet cell survival and prevents diabetes in streptozotocin (STZ) treated rats. We investigated whether des-acyl ghrelin fragments excluding serine 3 , which is essential for binding to GRLN, would display similar actions. Among the different compounds tested, des-acyl ghrelin (6)(7)(8)(9)(10)(11)(12)(13) and des-acyl ghrelin (6)(7)(8)(9)(10)(11)(12)(13) with alanine substitutions or cyclization, but not with d-amino acid substitutions, showed the best survival effect, similar to des-acyl ghrelin. Des-acyl ghrelin (6)(7)(8)(9)(10)(11)(12)(13) even prevented diabetes in STZ-treated rats and protected human circulating angiogenic cells from oxidative stress and senescence, similar to des-acyl ghrelin. These results suggest that not only fulllength des-acyl ghrelin but also short des-acyl ghrelin fragments have clear beneficial effects on several tissues in vitro and in vivo. Ghrelin is a 28 amino acid peptide mainly produced by the stomach but also in other tissues such as the gastrointestinal tract and the pancreas.(1, 2) Ghrelin potently stimulates growth hormone (GH) release from the pituitary and exerts orexigenic activities at the central level. (3) These neuroendocrine actions require acylation on the third serine residue by ghrelin O-acyl transferase (GOAT), and ghrelin acylaton is essential for binding to its receptor, the GH secretagogue receptor type 1a (GHS-R1a), lately designated GRLN.(1, 4-8) Besides the hypothalamus-pituitary and other central areas, GRLN is distributed in peripheral tissues, including the endocrine pancreas and adipose tissue.(2, 3) Consistently, ghrelin elicits many peripheral actions, including regulation of pancreatic β-cell function and influence on glucose and lipid metabolism.(9-12) Mice deleted for both ghrelin and GRLN genes show improved glucose tolerance and insulin secretion and sensitivity under high-fat diet treatment. In obese, leptindeficient (ob/ob) mice, ablation of ghrelin was found to increase insulin release and to reduce hyperglycemia, suggesting negative effects of ghrelin on insulin secretion and glucose metabolism.(13, 14) Notably, ghrelin infusion in humans induces acute insulin resistance and lipolysis, and ghrelin levels are strongly increased in insulin-resistant obese individuals, suggesting that ghrelin may contribute to insulin resistance in obesity.(15, 16) At variance with ghrelin, des-acyl ghrelin is devoid of endocrine activities and GRLN binding. However, des-acyl ghrelin is the most abundant circulating form of ghrelin, exerting a variety of effects, including positive actions on glucose and lipid metabolism.(3, 9, 17) Indeed, des-acyl ghrelin has been shown to modulate the expression of metabolic genes in GRLN-deleted mice tissues, to inhibit lipolysis in adipocytes, and to counteract the ghrelin diabetogenic actions in ...