胃饥饿素维持代谢及能量稳态作用的研究进展

张莉, 李冬

中国儿童保健杂志 ›› 2022, Vol. 30 ›› Issue (9) : 994-999.

PDF(656 KB)
PDF(656 KB)
中国儿童保健杂志 ›› 2022, Vol. 30 ›› Issue (9) : 994-999. DOI: 10.11852/zgetbjzz2022-0327
综述

胃饥饿素维持代谢及能量稳态作用的研究进展

  • 张莉, 李冬
作者信息 +

Research progress of ghrelin in maintaining metabolism and energy homeostasis

  • ZHANG Li, LI Dong
Author information +
文章历史 +

摘要

胃饥饿素是1999年被发现的具有28个氨基酸的多肽,由胃X/A样细胞分泌,促进生长激素的释放,同时也是一种促食欲肽。胃饥饿素通过Ghrelin-GHS-R轴发挥作用,维持机体代谢及能量稳态。本篇综述回顾了有关胃饥饿素生理、病理生理、动物实验及临床相关的系列研究及进展,介绍了胃饥饿素在维持机体代谢及能量稳态方面的作用,分析了导致具有争议的研究结果的可能原因,强调了检测方法在测定循环中酰基胃饥饿素和去酰基胃饥饿素水平和比例的重要性,提示胃饥饿素对多种疾病的预防及治疗具有积极作用。

Abstract

Ghrelin is a 28-amino acid polypeptide discovered in 1999. It is secreted by X/ A-like cells in the stomach and promotes the release of growth hormone. It is also an appetite stimulating peptide. Ghrelin acts on the Ghrelin-GHS-R axis to maintain metabolism and energy homeostasis. In this review, a series of studies and advances related to ghrelin physiology, pathophysiology, animal experiments and clinical practice are combed. The role of ghrelin in maintaining metabolism and energy homeostasis in the body is introduced, and the possible reasons for the controversial results are analyzed. The importance of detecting method in determining the level and ratio of acyl ghrelin anddes-acylated ghrelin in circulation is emphasized, suggesting that ghrelin has a positive effect on the prevention and treatment of various diseases.

关键词

酰基胃饥饿素 / 去酰基胃饥饿素 / 能量稳态

Key words

acyl ghrelin / des-acylated ghrelin / energy homeostasis

引用本文

导出引用
张莉, 李冬. 胃饥饿素维持代谢及能量稳态作用的研究进展[J]. 中国儿童保健杂志. 2022, 30(9): 994-999 https://doi.org/10.11852/zgetbjzz2022-0327
ZHANG Li, LI Dong. Research progress of ghrelin in maintaining metabolism and energy homeostasis[J]. Chinese Journal of Child Health Care. 2022, 30(9): 994-999 https://doi.org/10.11852/zgetbjzz2022-0327
中图分类号: R333.2   

参考文献

[1] Kojima M, Hosoda H, Date Y,et al.Ghrelin is a growth-hormone-releasing acylated peptide from stomach[J].Nature,1999,40(6762):656-660.
[2] Engevik AC, Kaji I, Goldenring JR.The physiology of the gastric parietal cell[J].Physiol Rev,2020,100(2):573-602.
[3] Wang Y, Guo S, Zhuang Y,et al.Molecular recognition of an acyl-peptide hormone and activation of ghrelin receptor[J].Nat Commun,2021,12(1):1-9.
[4] Yanagi S, Sato T, Kangawa K,et al.The homeostatic force of ghrelin[J].Cell Metab, 2018, 27(4):786-804.
[5] Hopkins AL, Nelson TA.Unacylated ghrelin promotes adipogenesis in rodent bone marrow via ghrelin O-acyl transferase and GHS-R1a activity:Evidence for target cell-induced acylation[J].Sci Rep,2017,31(7):1-11.
[6] Kojima M, Kangawa K.Ghrelin:more than endogenous growth hormone secretagogue[J].Ann NY Acad,2010,1200(1):140-148.
[7] Abizaid A, Hougland JL.Ghrelin signaling:GOAT and GHS-R1a take a LEAP in complexity[J].Trends Endocrinol Metab,2020,31(2):107-117.
[8] Schaeffer M,Langlet F, Lafont C, et al.Rapid sensing of circulating ghrelin by hypothalamic appetite-modifying neurons[J].Proc Natl Acad,2013,110(4):1512-1517.
[9] Aguiar-Oliveira MH, Souza AHO, Oliveira CRP, et al.Mechanisms in endocrinology:The multiple facets of GHRH/GH/IGF-I axis:lessons from lifetime, untreated, isolated GH deficiency due to a GHRH receptor gene mutation[J].Eur J Endocrinol,2017,177(2):85-97.
[10] Gupta D, Patterson AM, Osborne-LawrenceS,et al.Disrupting the ghrelin-growth hormone axis limits ghrelin's orexigenic but not glucoregulatory actions[J].Mol Metab,2021,11(53):1-16.
[11] Hayashi T, Kubota T, Mariko I,et al.Lack of brain insulin receptor Substrate-1 causes growth retardation,with decreased expression of growth hormone-releasing hormone in the hypothalamus[J].Diabetes,2021,70(8):1640-1653.
[12] Ogawa S, Liu X, Shepherd BS,et al.Ghrelin stimulates growth hormone release from the pituitary via hypothalamic growth hormone-releasing hormone neurons in the cichlid, Oreochromis niloticus[J].Cell Tissue Res,2018,374(2):2870-2876.
[13] Stawerska R, Kolasa-Kicińska M, Ŀupińska A,et al.Comparison of nocturnal and morning ghrelin concentration in children with growth hormone deficiency and with idiopathic short stature[J].Chronobiol Int,2020,37(11):1629-1635.
[14] González-Domínguez MI, Lazo-de-la-Vega-Monroy ML, Zaina S,et al.Association of cord blood des-acyl ghrelin with birth weight, and placental GHS-R1 receptor expression in SGA, AGA, and LGA newborns[J].Endocrine,2016,53(1):182-191.
[15] Sahin H, Erener T, Erginoz E.The relationship of active ghrelin levels and intrauterine growth in preterm infants[J].Eur J Endocrinol,2012,166(3):399-405.
[16] Yang L, Qi Y, Yang Y.Astrocytes control food intake by inhibiting AGRP neuron activity via adenosine A1 receptors[J].Cell Rep,2015,11(5):798-807.
[17] Gavan Y, Michal, Yablonski G, et al.Growth hormone therapy in children with idiopathic short stature-the effect on appetite and appetite-regulating hormones:A pilot study[J].Endocr Res,2019,44(1-2):16-26.
[18] Wang W, Andersson M, Iresjö BM,et al.Effects of ghrelin on anorexia in tumorbearing mice with eicosanoid-related cachexia[J].Int J Oncol,2006,28(6):1393-1400.
[19] Berner LA, Brown TA, Lavender JM,et al.Neuroendocrinology of reward in anorexia nervosa and bulimia nervosa:Beyond leptin and ghrelin[J].Mol Cell Endocrinol,2019,11(1):497.
[20] Poher AL,Tschöp MH, Müller TD. Ghrelin regulation of glucose metabolism[J].Peptides,2018,2(100):236-242.
[21] Page LC, Gastaldelli A, Gray SM, et al.Interaction of GLP-1 and ghrelin on glucose tolerance in healthy humans[J].Diabetes,2018,67(10):1976-1985.
[22] Castorina S, Barresi V, Luca T,et al.Gastric ghrelin cells in obese patients are hyperactive[J]. Int J Obes(Lond),2021,45(1):184-194.
[23] Barazzoni R, Cappellari G, Zanetti M,et al.Higher unacylated ghrelin and insulin sensitivity following dietary restriction and weight loss in obese humans[J].Clin Nutr, 2021,40(2):638-644.
[24] Lauritzen ES, Jorgensen JOL, Moller N,et al.Increased lipolysis after infusion of acylated ghrelin:A randomized, double-blinded placebo-controlled trial in hypopituitary patients[J].Clin Endocrinol,2020,93(6):672-677.
[25] López M, Nogueiras R, Tena-Sempere M,et al.Hypothalamic AMPK:A canonical regulator of whole-body energy balance[J].Nat Rev Endocrinol,2016,12(7):421-432.
[26] Tan Q, Orsso CE, Deehan EC,et al.Current and emerging therapies for managing hyperphagia and obesity in Prader-Willi syndrome:A narrative review[J].Obes Rev,2020,21(5):12992.
[27] Lindqvist A, Shcherbina L, Prasad RB,et al.Ghrelin suppresses insulin secretion in human islets and type 2 diabetes patients have diminished islet ghrelin cell number and lower plasma ghrelin levels[J].Mol Cell Endocrinol,2020,1(511):110835.
[28] Fujimura K, Wakino S, Minakuchi H,et al.Ghrelin protects against renal damages induced by angiotensin-Ⅱ via an antioxidative stress mechanism in mice[J].PLoS One,2014,18(9):94373.
[29] Agosti E, De Feudis M, Angelino E,et al.Both ghrelin deletion and unacylated ghrelin overexpression preserve muscles in aging mice[J].Albany NY,2020,12(14):13939-13957.
[30] 王莉芳,冯正平,李晓春,等.胃饥饿素对HK-2细胞缺氧/复氧损伤后的保护作用及机制[J].中国药业,2020,29(15):11-14.
[31] Zhao Y, Sun Q, Xu Z,et al.Effect of ghrelin intervention on the Ras/ERK pathway in the regulation of heart failure by PTEN[J].Comput Math Methods,2022,2022:1045681.
[32] Khowailed A, Younan SM, Ashour H,et al.Effects of ghrelin on sepsis-induced acute kidney injury:One step forward[J].Clin Exp Nephrol,2015,19(3):419-426.
[33] Mathur N, Mehdi SF, Anipindi M,et al.Ghrelin as an anti-sepsis peptide:Review[J].Front Immunol,2020,21(11):610363.
[34] 雷莲莲,李力,毕婧,等.胃饥饿素对小鼠急性肺损伤的保护作用及其机制研究[J].中华细胞与肝细胞杂志,2021,11(2):83-89.
[35] Morsy MD, Alsaleem MA, Aboonq MS,et al.Acylated ghrelin administration inhibits sleeve gastrectomy-induced hippocampal oxidative stress, apoptosis and Tau-Hyperphosphorylation by activating the PI3K/Akt pathway[J].Folia Biol(Praha),2021,67(2):49-61.
[36] Stone LA, Harmatz ES,Goosens KA.Ghrelin as a stress hormone:Implications for psychiatric illness[J].Biol Psychiatry,2020,88(7):531-540.
[37] Landrigan J, Shawaf F, Dwyer Z,et al.Interactive effects of ghrelin and ketamine on forced swim performance:Implications for novel antidepressant strategies[J].Neurosci Lett,2018,16(669):55-58.
[38] Mashaqi S, Badr MS.The impact of obstructive sleep apnea and positive airway pressure therapy on metabolic peptides regulating appetite, food intake, energy homeostasis, and systemic inflammation:A literature review[J].J Clin Sleep Med,2019,15(7):1037-1050.
[39] 凡利敏,周春美,段海宇,等.老年代谢综合征患者血清胃饥饿素、抵抗素水平与轻度认知功能障碍的相关性[J].国际检验医学杂志,2020,41(3):339-345.
[40] Su M, Yan M, Yao J,et al.Unacylated ghrelin regulates glucose-sensitive neurons activity and glycolipid metabolism via orexin-A neurons in the lateral hypothalamic area[J].Horm Metab Res,2020,52(10):747-754.
[41] Agosti E, De Feudis M, Angelino E,et al.Both ghrelin deletion and unacylated ghrelin overexpression preserve muscles in aging mice[J].Aging(Albany NY),2020,12(14):13939-13957.
[42] Alsaif M, Pakseresht M, Mackenzie ML,et al.Dietary macronutrient regulation of acyl and desacyl ghrelin concentrations in children with Prader-Willi syndrome(PWS)[J].Clin Endocrinol,2020,93(5):579-589.
[43] Luyan H, Bo L, Xiaojing X,et al.Umbilical cord blood adiponectin, leptin, unsulin, and ghrelin in premature infants and their association with birth outcomes[J].Front Endocrinol,2021,30(12):1-8.
[44] Yalinbas E, Binay C, Aksit M,et al.The role of umbilical cord blood concentration of IGF-Ⅰ, IGF-Ⅱ, leptin, adiponectin, ghrelin, resistin, and visfatin in fetal growth[J].Am J Perinatol,2019,36(6):600-608.
[45] Bellone S, Prodam F, Savastio S,et al.Acylated/unacylated ghrelin ratio in cord blood:correlation with anthropometric and metabolic parameters and pediatric lifespan comparison[J].Eur J Endocrinol,2012,166(1):115-120.
[46] Blatnik M, Soderstrom CI, Dysinger M,et al.Prandial ghrelin attenuation provides evidence that des-acyl ghrelin may be an artifact of sample handling in human plasma[J]. Bioanalysis,2012,4(20):2447-2455.

PDF(656 KB)

Accesses

Citation

Detail

段落导航
相关文章

/