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Ghrelin- and Serotonin-Producing Gastric Carcinoid

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Abstract

We report the case of a 57-year-old woman with gastric carcinoid. The tumor was surgically removed and immunohistochemical investigation demonstrated a rare combination: ghrelin and serotonin in the cytoplasm of the tumor cells. The functional significance of simultaneous production of ghrelin and serotonin is not clear. It may be that an autocrine/paracrine interaction exists between these two different hormones.

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References

  1. Kojima M, Hosoda H, Date Y, Nakazato M, Matsuo H, Kangawa K. Ghrelin is a growth hormone-releasing acylated peptide from stomach. Nature. 1999;402:656–60.

    Article  PubMed  CAS  Google Scholar 

  2. Date Y, Kojima M, Hosoda H, Sawaguchi A, Mondal MS, Suganuma T, et al. Ghrelin, a novel growth hormone cell type in the gastrointestinal tracts of rats and humans. Endocrinology. 2000;141:4255–61.

    Article  PubMed  CAS  Google Scholar 

  3. Gnanopauan S, Kola B, Bustin SA, Morris DG, McGee P, Fairclough P, et al. The tissue distribution of the mRNA of ghrelin and subtypes of its receptor; GHS-R in humans. J Clin Endocrinol Metab. 2002;87:2988.

    Article  Google Scholar 

  4. Gualillo O, Caminos J, Blanco M, Garcia-Caballero T, Kojima M, Kangawa K, et al. Ghrelin, a novel placental-derived hormone. Endocrinology. 2001;142:788–94.

    Article  PubMed  CAS  Google Scholar 

  5. Hattori N, Saito T, Yagyu T, Jiang BH, Kitagawa K, Inagaki C. GH, GH receptor, GH secretagogue receptor, and ghrelin expression in human T cells, B cells and neurophils. J Clin Endocrinol Metab. 2001;86:4284–91.

    Article  PubMed  CAS  Google Scholar 

  6. Howard AD, Feighber SD, Cully DF, et al. A receptor in pituitary and hypothalamus that functions in growth hormone release. Science. 1996;273:974–7.

    Article  PubMed  CAS  Google Scholar 

  7. Mori K, Yoshimoto A, Takaya K, et al. Kidney produces a novel acylated peptide, ghrelin. FEBS Lett. 2000;486:213–6.

    Article  PubMed  CAS  Google Scholar 

  8. Tena-sempere M, Barreiro ML, Gonzalez LC, et al. Novel expression and functional role in rat testis. Endocrinology. 2002;143:717–25.

    Article  PubMed  CAS  Google Scholar 

  9. Rindi G, Torsello A, Locatelli V, et al. Ghrelin expression and actions: a novel peptide for an old cell type of the diffuse endocrine system. Exp Biol Med. 2004;229:1007–16.

    CAS  Google Scholar 

  10. Kojima M, Hosoda H, Matsuo H, et al. Ghrelin: discovery of the natural endogenous ligand for the growth hormone secretagogue receptor. Trends Endocrinol Metab. 2001;12:118–22.

    Article  PubMed  CAS  Google Scholar 

  11. Papotti M, Cassoni P, Volante M, et al. Ghrelin-producing endocrine tumors of the stomach and intestine. J Clin Endocrinol Metab. 2001;86:5052–9.

    Article  PubMed  CAS  Google Scholar 

  12. Volante M, Alla E, Gugliotta P, et al. Expression of ghrelin and of the secretagogue receptor by pancreatic islet cells and related endocrine tumors. J Clin Endocrinol Metabol. 2002;87:1300–8.

    Article  CAS  Google Scholar 

  13. Korbonits M, Kojima M, Kangawa K, et al. Presence of ghrelin in normal and adenomatous human pituitary. Endocr. 2001;14:101–4.

    Article  CAS  Google Scholar 

  14. Iwakura H, Hosada K, Doi R, et al. Ghrelin expression in islet cell tumors: augmented expression of ghrelin in a case of glucagonoma with multiple endocrine neoplasm type I. J Clin Endocrinol Metab. 2002;87:4885–8.

    Article  PubMed  CAS  Google Scholar 

  15. Rotondo F, Scheithauer BW, Kovacs K, et al. Rab3B immunoexpression in human pituitary adenomas. Appl Immunohistochem Mol Morphol. 2009;17:185–8.

    Article  PubMed  CAS  Google Scholar 

  16. Lewin KJ, Appelman HD. Atlas of tumor pathology. Tumors of the esophagus and stomach. Washington: Armed Forces Institute of Pathology Publications; 1996. p. 331–52.

    Google Scholar 

  17. Wang YC, Callego-Arteche E, Lezza G, et al. Homeodomain transcription factor NKX2.2 functions in immature cells to control enteroendocrine differentiation and is expressed in gastrointestinal neuroendocrine tumors. Endocr Relat Cancer. 2009;16:267–79.

    Article  PubMed  Google Scholar 

  18. Tsolakis AV, Stridsberg M, Grimelius L, et al. Ghrelin immunoreactive cells in gastric endocrine tumors and their relation to plasma ghrelin concentration. J Clin Gastroenterol. 2008;42:381–8.

    Article  PubMed  CAS  Google Scholar 

  19. Srivastava A, Kamath A, Barry SA, et al. Ghrelin expression in hyperplastic and neoplastic proliferations of the enterochromaffin like (ECL) cells. Endocr Pathol. 2004;15:47–54.

    Article  PubMed  CAS  Google Scholar 

  20. Scheithauer BW, Horvath E, Kovacs K, et al. Plurihormonal pituitary adenoma. Semin Diagn Pathol. 1986;3:69–82.

    PubMed  CAS  Google Scholar 

  21. Hetmann MF, Hamy A, Triau S, et al. Endocrine tumors of the duodenum. A study of 55 cases relative to clinicopathological features and hormone content. Hepatogastroenterology. 2004;51:1367–71.

    Google Scholar 

  22. Le Bodic MF, Hetmann MF, Le Comte M, et al. Immunohistochemical study of 100 pancreatic tumors in 28 patients with multiple endocrine neoplasia, type 1. Am J Surg Pathol. 1996;20:1378–84.

    Article  PubMed  Google Scholar 

  23. Roth KA, Wilson DM, Eberwine J, et al. Acromegaly and pheochromocytoma: a multiple endocrine syndrome caused by a plurihormonal adrenal medullary tumor. J Clin Endocrinol Metab. 1986;63:1421–6.

    Article  PubMed  CAS  Google Scholar 

  24. Nikolopoulos D, Theocharis S, Kouraklis G. Ghrelin’s role on gastrointestinal tract cancer. Surg Oncol. 2010;19:e2–10.

    Article  PubMed  Google Scholar 

  25. Nikolopoulos D, Theocharis S, Kouraklis G. Ghrelin: a potential therapeutic target for cancer. Regul Pept. 2010;163:7–17.

    Article  PubMed  CAS  Google Scholar 

  26. Hosoda H, Kojima M, Kangawa K. Biological, physiological and pharmacological aspects of ghrelin. J Pharmacol Sci. 2006;100:398–410.

    Article  PubMed  CAS  Google Scholar 

  27. Shintani M, Ogawa Y, Ebilhara K, et al. Ghrelin, an endogenous growth hormone secretagogue, is a novel orexigenic peptide that antagonizes leptin action through the activation of hypothalamic neuropeptide Y/Y1 receptor pathway. Diabetes. 2001;50:227–32.

    Article  PubMed  CAS  Google Scholar 

  28. Inui A. Ghrelin: an orexigenic and somatotrophic signal from the stomach. Nat Rev Neurosci. 2001;2:551–60.

    Article  PubMed  CAS  Google Scholar 

  29. Asakawa A, Inui A, Kaga T, et al. Ghrelin is an appetite-stimulatory signal from the stomach with structural resemblance to motilin. Gastroenterology. 2001;20:337–45.

    Article  Google Scholar 

  30. Wren AM, Small CJ, Ward HL, et al. The novel hypothalamic peptide ghrelin stimulates food intake and growth hormone secretion. Endocrinology. 2000;141:4325–8.

    Article  PubMed  CAS  Google Scholar 

  31. Broglio F, Arvat E, Benso A, et al. Ghrelin, a natural GH secretagogue produced by the stomach, induces hyperglycemia and reduces insulin secretion in humans. J Clin Endocrinol Metab. 2001;86:5083–6.

    Article  PubMed  CAS  Google Scholar 

  32. Egido EM, Rodriguez-Gallardo J, Silvestre RA, et al. Inhibitory effect of ghrelin on insulin and pancreatic somatostatin secretion. Eur J Endocrinol. 2002;146:241–4.

    Article  PubMed  CAS  Google Scholar 

  33. Kluge M, Riedi S, Uhr M, et al. Ghrelin affects the hypothalamus–pituitary–thyroid axis in humans by increasing free thyroxine and decreasing TSH in plasma. Eur J Endocrinol. 2010;162:1059–65.

    Article  PubMed  CAS  Google Scholar 

  34. Monteleone P, Benecivenga R, Longobardi N, et al. Differential responses of circulating ghrelin to high-fat or high-carbohydrate meal in healthy women. J Clin Endocrinol Metab. 2003;88:5510–4.

    Article  PubMed  CAS  Google Scholar 

  35. Tsolakis AV, Portela-Gomes GM, Stridsberg M, et al. Malignant gastric ghrelinoma with hyperghrelinoma. J Clin Endocrinol Metab. 2004;89:3739–44.

    Article  PubMed  CAS  Google Scholar 

  36. Walter T, Chardon L, Hervieu V, et al. Major hyperghrelinemia in advanced well-differentiated neuroendocrine carcinomas: report of three cases. Eur J Endocrinol. 2009;161:639–45.

    Article  PubMed  CAS  Google Scholar 

  37. Romero A, Kirchner H, Heppner K, et al. GOAT: the master switch for the ghrelin system? Eur J Endocrinol. 2010;163:1–8.

    Article  PubMed  CAS  Google Scholar 

  38. Tanaka M, Naruo T, Yasuhara D, et al. Fasting ghrelin levels in subtypes of anorexia nervosa. Psychoneuroendocrinology. 2003;28:829–35.

    Article  PubMed  CAS  Google Scholar 

  39. Garcia JM, Garcia-Tonza M, Hijazi RA, et al. Active ghrelin levels and active to total ghrelin ratio in cancer-induced cachexia. J Clin Endocrinol Metab. 2005;90:2920–6.

    Article  PubMed  CAS  Google Scholar 

  40. Korbonits M, Blaines D, Elia M, et al. Metabolic and hormonal changes during the refeeding period of prolonged fasting. Eur J Endocrinol. 2007;157:157–66.

    Article  PubMed  CAS  Google Scholar 

  41. Soriano-Guillen L, Barrios V, Campos-Barros A, et al. Ghrelin levels in obesity and anorexia nervosa: effect of weight reduction or recuperation. J Pediatr. 2004;144:36–42.

    Article  PubMed  CAS  Google Scholar 

  42. Geliebter A, Gluck ME, Hashim SA. Plasma ghrelin concentration are lower in binge-eating disorder. J Nutr. 2005;135:1326–30.

    PubMed  CAS  Google Scholar 

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Acknowledgment

Authors are grateful to the Jarislowsky and Lloyd Carr-Harris Foundations for their generous support. We are also very much indebted to Ms. Corinne Holubowich for the literature search and to Mr. Mark Moreland and Ms. Vidya Beharri for their technical assistance.

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The authors declare that they have no conflict of interest.

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Correspondence to Fabio Rotondo.

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Latta, E., Rotondo, F., Leiter, L.A. et al. Ghrelin- and Serotonin-Producing Gastric Carcinoid. J Gastrointest Canc 43, 319–323 (2012). https://doi.org/10.1007/s12029-011-9275-z

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