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Ghrelin and Neurodegenerative Disorders—a Review

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Abstract

Ghrelin, the endogenous ligand of the growth hormone secretagogue receptor 1a (GHS-R1a), is a gut-derived, orexigenic peptide hormone that primarily regulates growth hormone secretion, food intake, and energy homeostasis. With the wide expression of GHS-R1a in extra-hypothalamic regions, the physiological role of ghrelin is more extensive than solely its involvement in metabolic function. Ghrelin has been shown to be involved in numerous higher brain functions, such as memory, reward, mood, and sleep. Some of these functions are disrupted in neurodegenerative disorders, including Parkinson’s disease (PD), Alzheimer’s disease (AD), and Huntington’s disease (HD). This link between ghrelin and these neurodegenerative diseases is supported by numerous studies. This review aims to provide a comprehensive overview of the most recent evidence of the novel neuromodulatory role of ghrelin in PD, AD, and HD. Moreover, the changes in circulating and/or central ghrelin levels that are associated with disease progression are also postulated to be a biomarker for clinical diagnosis and therapy.

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References

  1. Kojima M, Hosoda H, Date Y, Nakazato M, Matsuo H, Kangawa K (1999) Ghrelin is a growth-hormone-releasing acylated peptide from stomach. Nature 402(6762):656–660. doi:10.1038/45230

    Article  CAS  PubMed  Google Scholar 

  2. Ferrini F, Salio C, Lossi L, Merighi A (2009) Ghrelin in central neurons. Curr Neuropharmacol 7(1):37–49. doi:10.2174/157015909787602779

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  3. Sato T, Fukue Y, Teranishi H, Yoshida Y, Kojima M (2005) Molecular forms of hypothalamic ghrelin and its regulation by fasting and 2-deoxy-d-glucose administration. Endocrinology 146(6):2510–2516. doi:10.1210/en.2005-0174

    Article  CAS  PubMed  Google Scholar 

  4. Cowley MA, Smith RG, Diano S, Tschop M, Pronchuk N, Grove KL, Strasburger CJ, Bidlingmaier M, Esterman M, Heiman ML, Garcia-Segura LM, Nillni EA, Mendez P, Low MJ, Sotonyi P, Friedman JM, Liu H, Pinto S, Colmers WF, Cone RD, Horvath TL (2003) The distribution and mechanism of action of ghrelin in the CNS demonstrates a novel hypothalamic circuit regulating energy homeostasis. Neuron 37(4):649–661

    Article  CAS  PubMed  Google Scholar 

  5. Hou Z, Miao Y, Gao L, Pan H, Zhu S (2006) Ghrelin-containing neuron in cerebral cortex and hypothalamus linked with the DVC of brainstem in rat. Regul Pept 134(2-3):126–131. doi:10.1016/j.regpep.2006.02.005

    Article  CAS  PubMed  Google Scholar 

  6. Korbonits M, Bustin SA, Kojima M, Jordan S, Adams EF, Lowe DG, Kangawa K, Grossman AB (2001) The expression of the growth hormone secretagogue receptor ligand ghrelin in normal and abnormal human pituitary and other neuroendocrine tumors. J Clin Endocrinol Metab 86(2):881–887. doi:10.1210/jcem.86.2.7190

    CAS  PubMed  Google Scholar 

  7. Kojima M, Kangawa K (2005) Ghrelin: structure and function. Physiol Rev 85(2):495–522. doi:10.1152/physrev.00012.2004

    Article  CAS  PubMed  Google Scholar 

  8. Zigman JM, Jones JE, Lee CE, Saper CB, Elmquist JK (2006) Expression of ghrelin receptor mRNA in the rat and the mouse brain. J Comp Neurol 494(3):528–548. doi:10.1002/cne.20823

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  9. Andrews ZB (2011) The extra-hypothalamic actions of ghrelin on neuronal function. Trends Neurosci 34(1):31–40. doi:10.1016/j.tins.2010.10.001

    Article  CAS  PubMed  Google Scholar 

  10. Bali A, Jaggi AS (2015) An integrative review on role and mechanisms of ghrelin in stress, anxiety and depression. Curr Drug Targets.

  11. Beck B, Pourie G (2013) Ghrelin, neuropeptide Y, and other feeding-regulatory peptides active in the hippocampus: role in learning and memory. Nutr Rev 71(8):541–561. doi:10.1111/nure.12045

    Article  PubMed  Google Scholar 

  12. Dickson SL, Egecioglu E, Landgren S, Skibicka KP, Engel JA, Jerlhag E (2011) The role of the central ghrelin system in reward from food and chemical drugs. Mol Cell Endocrinol 340(1):80–87. doi:10.1016/j.mce.2011.02.017

    Article  CAS  PubMed  Google Scholar 

  13. Andrews ZB, Erion D, Beiler R, Liu ZW, Abizaid A, Zigman J, Elsworth JD, Savitt JM, DiMarchi R, Tschoep M, Roth RH, Gao XB, Horvath TL (2009) Ghrelin promotes and protects nigrostriatal dopamine function via a UCP2-dependent mitochondrial mechanism. J Neurosci 29(45):14057–14065. doi:10.1523/JNEUROSCI.3890-09.2009

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  14. Gahete MD, Cordoba-Chacon J, Kineman RD, Luque RM, Castano JP (2011) Role of ghrelin system in neuroprotection and cognitive functions: implications in Alzheimer’s disease. Peptides 32(11):2225–2228. doi:10.1016/j.peptides.2011.09.019

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  15. Jiang H, Li LJ, Wang J, Xie JX (2008) Ghrelin antagonizes MPTP-induced neurotoxicity to the dopaminergic neurons in mouse substantia nigra. Exp Neurol 212(2):532–537. doi:10.1016/j.expneurol.2008.05.006

    Article  CAS  PubMed  Google Scholar 

  16. Dos Santos VV, Rodrigues AL, De Lima TC, de Barioglio SR, Raisman-Vozari R, Prediger RD (2013) Ghrelin as a neuroprotective and palliative agent in Alzheimer’s and Parkinson’s disease. Curr Pharm Des 19(38):6773–6790

    Article  PubMed  CAS  Google Scholar 

  17. Martins I, Gomes S, Costa RO, Otvos L, Oliveira CR, Resende R, Pereira CM (2013) Leptin and ghrelin prevent hippocampal dysfunction induced by Abeta oligomers. Neuroscience 241:41–51. doi:10.1016/j.neuroscience.2013.02.062

    Article  CAS  PubMed  Google Scholar 

  18. Moon M, Kim HG, Hwang L, Seo JH, Kim S, Hwang S, Lee D, Chung H, Oh MS, Lee KT, Park S (2009) Neuroprotective effect of ghrelin in the 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine mouse model of Parkinson’s disease by blocking microglial activation. Neurotox Res 15(4):332–347. doi:10.1007/s12640-009-9037-x

    Article  CAS  PubMed  Google Scholar 

  19. Moon M, Choi JG, Nam DW, Hong HS, Choi YJ, Oh MS, Mook-Jung I (2011) Ghrelin ameliorates cognitive dysfunction and neurodegeneration in intrahippocampal amyloid-beta1-42 oligomer-injected mice. J Alzheimers Dis 23(1):147–159. doi:10.3233/JAD-2010-101263

    CAS  PubMed  Google Scholar 

  20. Fiszer U, Michalowska M, Baranowska B, Wolinska-Witort E, Jeske W, Jethon M, Piascik-Gromada M, Marcinowska-Suchowierska E (2010) Leptin and ghrelin concentrations and weight loss in Parkinson’s disease. Acta Neurol Scand 121(4):230–236. doi:10.1111/j.1600-0404.2009.01185.x

    Article  CAS  PubMed  Google Scholar 

  21. Unger MM, Moller JC, Mankel K, Eggert KM, Bohne K, Bodden M, Stiasny-Kolster K, Kann PH, Mayer G, Tebbe JJ, Oertel WH (2011) Postprandial ghrelin response is reduced in patients with Parkinson’s disease and idiopathic REM sleep behaviour disorder: a peripheral biomarker for early Parkinson’s disease? J Neurol 258(6):982–990. doi:10.1007/s00415-010-5864-1

    Article  CAS  PubMed  Google Scholar 

  22. Lee HM, Koh SB (2015) Many faces of Parkinson’s disease: non-motor symptoms of Parkinson’s disease. J Mov Disord 8(2):92–97. doi:10.14802/jmd.15003

    Article  PubMed  PubMed Central  Google Scholar 

  23. Gaig C, Tolosa E (2009) When does Parkinson’s disease begin? Mov Disord 24(Suppl 2):S656–S664. doi:10.1002/mds.22672

    Article  PubMed  Google Scholar 

  24. Jerlhag E, Egecioglu E, Dickson SL, Andersson M, Svensson L, Engel JA (2006) Ghrelin stimulates locomotor activity and accumbal dopamine-overflow via central cholinergic systems in mice: implications for its involvement in brain reward. Addict Biol 11(1):45–54. doi:10.1111/j.1369-1600.2006.00002.x

    Article  CAS  PubMed  Google Scholar 

  25. Jerlhag E, Engel JA (2011) Ghrelin receptor antagonism attenuates nicotine-induced locomotor stimulation, accumbal dopamine release and conditioned place preference in mice. Drug Alcohol Depend 117(2-3):126–131. doi:10.1016/j.drugalcdep.2011.01.010

    Article  CAS  PubMed  Google Scholar 

  26. Abizaid A, Liu ZW, Andrews ZB, Shanabrough M, Borok E, Elsworth JD, Roth RH, Sleeman MW, Picciotto MR, Tschop MH, Gao XB, Horvath TL (2006) Ghrelin modulates the activity and synaptic input organization of midbrain dopamine neurons while promoting appetite. J Clin Invest 116(12):3229–3239. doi:10.1172/JCI29867

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  27. Jerlhag E, Egecioglu E, Dickson SL, Douhan A, Svensson L, Engel JA (2007) Ghrelin administration into tegmental areas stimulates locomotor activity and increases extracellular concentration of dopamine in the nucleus accumbens. Addict Biol 12(1):6–16. doi:10.1111/j.1369-1600.2006.00041.x

    Article  CAS  PubMed  Google Scholar 

  28. Jerlhag E (2008) Systemic administration of ghrelin induces conditioned place preference and stimulates accumbal dopamine. Addict Biol 13(3-4):358–363. doi:10.1111/j.1369-1600.2008.00125.x

    Article  CAS  PubMed  Google Scholar 

  29. Quarta D, Di Francesco C, Melotto S, Mangiarini L, Heidbreder C, Hedou G (2009) Systemic administration of ghrelin increases extracellular dopamine in the shell but not the core subdivision of the nucleus accumbens. Neurochem Int 54(2):89–94. doi:10.1016/j.neuint.2008.12.006

    Article  CAS  PubMed  Google Scholar 

  30. Jiang H, Betancourt L, Smith RG (2006) Ghrelin amplifies dopamine signaling by cross talk involving formation of growth hormone secretagogue receptor/dopamine receptor subtype 1 heterodimers. Mol Endocrinol 20(8):1772–1785. doi:10.1210/me.2005-0084

    Article  CAS  PubMed  Google Scholar 

  31. Dong J, Song N, Xie J, Jiang H (2009) Ghrelin antagonized 1-methyl-4-phenylpyridinium (MPP(+))-induced apoptosis in MES23.5 cells. J Mol Neurosci 37(2):182–189. doi:10.1007/s12031-008-9162-7

    Article  CAS  PubMed  Google Scholar 

  32. Liu L, Xu H, Jiang H, Wang J, Song N, Xie J (2010) Ghrelin prevents 1-methyl-4-phenylpyridinium ion-induced cytotoxicity through antioxidation and NF-kappaB modulation in MES23.5 cells. Exp Neurol 222(1):25–29. doi:10.1016/j.expneurol.2009.11.009

    Article  CAS  PubMed  Google Scholar 

  33. Chung H, Kim E, Lee DH, Seo S, Ju S, Lee D, Kim H, Park S (2007) Ghrelin inhibits apoptosis in hypothalamic neuronal cells during oxygen-glucose deprivation. Endocrinology 148(1):148–159. doi:10.1210/en.2006-0991

    Article  CAS  PubMed  Google Scholar 

  34. Miao Y, Xia Q, Hou Z, Zheng Y, Pan H, Zhu S (2007) Ghrelin protects cortical neuron against focal ischemia/reperfusion in rats. Biochem Biophys Res Commun 359(3):795–800. doi:10.1016/j.bbrc.2007.05.192

    Article  CAS  PubMed  Google Scholar 

  35. Andrews ZB, Liu ZW, Walllingford N, Erion DM, Borok E, Friedman JM, Tschop MH, Shanabrough M, Cline G, Shulman GI, Coppola A, Gao XB, Horvath TL, Diano S (2008) UCP2 mediates ghrelin’s action on NPY/AgRP neurons by lowering free radicals. Nature 454(7206):846–851. doi:10.1038/nature07181

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  36. Diano S, Matthews RT, Patrylo P, Yang L, Beal MF, Barnstable CJ, Horvath TL (2003) Uncoupling protein 2 prevents neuronal death including that occurring during seizures: a mechanism for preconditioning. Endocrinology 144(11):5014–5021. doi:10.1210/en.2003-0667

    Article  CAS  PubMed  Google Scholar 

  37. Bayliss JA, Andrews ZB (2013) Ghrelin is neuroprotective in Parkinson’s disease: molecular mechanisms of metabolic neuroprotection. Ther Adv Endocrinol Metab 4(1):25–36. doi:10.1177/2042018813479645

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  38. Fry M, Ferguson AV (2009) Ghrelin modulates electrical activity of area postrema neurons. Am J Physiol Regul Integr Comp Physiol 296(3):R485–R492. doi:10.1152/ajpregu.90555.2008

    Article  CAS  PubMed  Google Scholar 

  39. Pulman KJ, Fry WM, Cottrell GT, Ferguson AV (2006) The subfornical organ: a central target for circulating feeding signals. J Neurosci 26(7):2022–2030. doi:10.1523/JNEUROSCI.3218-05.2006

    Article  CAS  PubMed  Google Scholar 

  40. Kim J, Nakajima K, Oomura Y, Wayner MJ, Sasaki K (2009) Electrophysiological effects of ghrelin on pedunculopontine tegmental neurons in rats: an in vitro study. Peptides 30(4):745–757. doi:10.1016/j.peptides.2008.12.004

    Article  CAS  PubMed  Google Scholar 

  41. Marinelli M, Rudick CN, Hu XT, White FJ (2006) Excitability of dopamine neurons: modulation and physiological consequences. CNS Neurol Disord: Drug Targets 5(1):79–97

    Article  CAS  Google Scholar 

  42. Prisco S, Natoli S, Bernardi G, Mercuri NB (2002) Group I metabotropic glutamate receptors activate burst firing in rat midbrain dopaminergic neurons. Neuropharmacology 42(3):289–296

    Article  CAS  PubMed  Google Scholar 

  43. Shi L, Bian X, Qu Z, Ma Z, Zhou Y, Wang K, Jiang H, Xie J (2013) Peptide hormone ghrelin enhances neuronal excitability by inhibition of Kv7/KCNQ channels. Nat Commun 4:1435. doi:10.1038/ncomms2439

    Article  PubMed  CAS  Google Scholar 

  44. Braak H, Del Tredici K, Rub U, de Vos RA, Jansen Steur EN, Braak E (2003) Staging of brain pathology related to sporadic Parkinson’s disease. Neurobiol Aging 24(2):197–211

    Article  PubMed  Google Scholar 

  45. Braak H, Bohl JR, Muller CM, Rub U, de Vos RA, Del Tredici K (2006) Stanley Fahn Lecture 2005: the staging procedure for the inclusion body pathology associated with sporadic Parkinson’s disease reconsidered. Mov Disord 21(12):2042–2051. doi:10.1002/mds.21065

    Article  PubMed  Google Scholar 

  46. Braak H, Sastre M, Bohl JR, de Vos RA, Del Tredici K (2007) Parkinson’s disease: lesions in dorsal horn layer I, involvement of parasympathetic and sympathetic pre- and postganglionic neurons. Acta Neuropathol 113(4):421–429. doi:10.1007/s00401-007-0193-x

    Article  PubMed  Google Scholar 

  47. Burke RE, Dauer WT, Vonsattel JP (2008) A critical evaluation of the Braak staging scheme for Parkinson’s disease. Ann Neurol 64(5):485–491. doi:10.1002/ana.21541

    Article  PubMed  PubMed Central  Google Scholar 

  48. Hawkes CH, Del Tredici K, Braak H (2007) Parkinson’s disease: a dual-hit hypothesis. Neuropathol Appl Neurobiol 33(6):599–614. doi:10.1111/j.1365-2990.2007.00874.x

    Article  CAS  PubMed  Google Scholar 

  49. Fernandez HH (2012) Nonmotor complications of Parkinson disease. Cleve Clin J Med 79(Suppl 2):S14–S18. doi:10.3949/ccjm.79.s2a.03

    Article  PubMed  Google Scholar 

  50. Khoo TK, Yarnall AJ, Duncan GW, Coleman S, O’Brien JT, Brooks DJ, Barker RA, Burn DJ (2013) The spectrum of nonmotor symptoms in early Parkinson disease. Neurology 80(3):276–281. doi:10.1212/WNL.0b013e31827deb74

    Article  PubMed  PubMed Central  Google Scholar 

  51. Siderowf A, Lang AE (2012) Premotor Parkinson’s disease: concepts and definitions. Mov Disord 27(5):608–616. doi:10.1002/mds.24954

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  52. Barone P, Antonini A, Colosimo C, Marconi R, Morgante L, Avarello TP, Bottacchi E, Cannas A, Ceravolo G, Ceravolo R, Cicarelli G, Gaglio RM, Giglia RM, Iemolo F, Manfredi M, Meco G, Nicoletti A, Pederzoli M, Petrone A, Pisani A, Pontieri FE, Quatrale R, Ramat S, Scala R, Volpe G, Zappulla S, Bentivoglio AR, Stocchi F, Trianni G, Dotto PD (2009) The PRIAMO study: a multicenter assessment of nonmotor symptoms and their impact on quality of life in Parkinson’s disease. Mov Disord 24(11):1641–1649. doi:10.1002/mds.22643

    Article  PubMed  Google Scholar 

  53. Hwynn N, Haq IU, Malaty IA, Resnick AS, Okun MS, Carew DS, Oyama G, Dai Y, Wu SS, Rodriguez RL, Jacobson CE, Fernandez HH (2011) The frequency of nonmotor symptoms among advanced Parkinson patients may depend on instrument used for assessment. Parkinsons Dis 2011:290195. doi:10.4061/2011/290195

    PubMed  PubMed Central  Google Scholar 

  54. Pfeiffer RF (2003) Gastrointestinal dysfunction in Parkinson’s disease. Lancet Neurol 2(2):107–116

    Article  PubMed  Google Scholar 

  55. Heetun ZS, Quigley EM (2012) Gastroparesis and Parkinson’s disease: a systematic review. Parkinsonism Relat Disord 18(5):433–440. doi:10.1016/j.parkreldis.2011.12.004

    Article  PubMed  Google Scholar 

  56. Marrinan S, Emmanuel AV, Burn DJ (2014) Delayed gastric emptying in Parkinson’s disease. Mov Disord 29(1):23–32. doi:10.1002/mds.25708

    Article  CAS  PubMed  Google Scholar 

  57. Cersosimo MG, Benarroch EE (2012) Pathological correlates of gastrointestinal dysfunction in Parkinson’s disease. Neurobiol Dis 46(3):559–564. doi:10.1016/j.nbd.2011.10.014

    Article  PubMed  Google Scholar 

  58. Grathwohl SA, Steiner JA, Britschgi M, Brundin P (2013) Mind the gut: secretion of alpha-synuclein by enteric neurons. J Neurochem 125(4):487–490. doi:10.1111/jnc.12191

    Article  CAS  PubMed  Google Scholar 

  59. Cloud LJ, Greene JG (2011) Gastrointestinal features of Parkinson’s disease. Curr Neurol Neurosci Rep 11(4):379–384. doi:10.1007/s11910-011-0204-0

    Article  PubMed  Google Scholar 

  60. Sanger GJ, Lee K (2008) Hormones of the gut-brain axis as targets for the treatment of upper gastrointestinal disorders. Nat Rev Drug Discov 7(3):241–254. doi:10.1038/nrd2444

    Article  CAS  PubMed  Google Scholar 

  61. Cummings DE, Weigle DS, Frayo RS, Breen PA, Ma MK, Dellinger EP, Purnell JQ (2002) Plasma ghrelin levels after diet-induced weight loss or gastric bypass surgery. N Engl J Med 346(21):1623–1630. doi:10.1056/NEJMoa012908

    Article  PubMed  Google Scholar 

  62. Nakazato M, Murakami N, Date Y, Kojima M, Matsuo H, Kangawa K, Matsukura S (2001) A role for ghrelin in the central regulation of feeding. Nature 409(6817):194–198. doi:10.1038/35051587

    Article  CAS  PubMed  Google Scholar 

  63. Tschop M, Smiley DL, Heiman ML (2000) Ghrelin induces adiposity in rodents. Nature 407(6806):908–913. doi:10.1038/35038090

    Article  CAS  PubMed  Google Scholar 

  64. Wren AM, Small CJ, Ward HL, Murphy KG, Dakin CL, Taheri S, Kennedy AR, Roberts GH, Morgan DG, Ghatei MA, Bloom SR (2000) The novel hypothalamic peptide ghrelin stimulates food intake and growth hormone secretion. Endocrinology 141(11):4325–4328. doi:10.1210/endo.141.11.7873

    Article  CAS  PubMed  Google Scholar 

  65. Kitazawa T, De Smet B, Verbeke K, Depoortere I, Peeters TL (2005) Gastric motor effects of peptide and non-peptide ghrelin agonists in mice in vivo and in vitro. Gut 54(8):1078–1084. doi:10.1136/gut.2005.065896

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  66. Masuda Y, Tanaka T, Inomata N, Ohnuma N, Tanaka S, Itoh Z, Hosoda H, Kojima M, Kangawa K (2000) Ghrelin stimulates gastric acid secretion and motility in rats. Biochem Biophys Res Commun 276(3):905–908. doi:10.1006/bbrc.2000.3568

    Article  CAS  PubMed  Google Scholar 

  67. Trudel L, Tomasetto C, Rio MC, Bouin M, Plourde V, Eberling P, Poitras P (2002) Ghrelin/motilin-related peptide is a potent prokinetic to reverse gastric postoperative ileus in rat. Am J Physiol Gastrointest Liver Physiol 282(6):G948–G952. doi:10.1152/ajpgi.00339.2001

    Article  CAS  PubMed  Google Scholar 

  68. Tack J, Depoortere I, Bisschops R, Delporte C, Coulie B, Meulemans A, Janssens J, Peeters T (2006) Influence of ghrelin on interdigestive gastrointestinal motility in humans. Gut 55(3):327–333. doi:10.1136/gut.2004.060426

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  69. Zheng J, Ariga H, Taniguchi H, Ludwig K, Takahashi T (2009) Ghrelin regulates gastric phase III-like contractions in freely moving conscious mice. Neurogastroenterol Motil 21(1):78–84. doi:10.1111/j.1365-2982.2008.01179.x

    Article  CAS  PubMed  Google Scholar 

  70. Ejskjaer N, Vestergaard ET, Hellstrom PM, Gormsen LC, Madsbad S, Madsen JL, Jensen TA, Pezzullo JC, Christiansen JS, Shaughnessy L, Kosutic G (2009) Ghrelin receptor agonist (TZP-101) accelerates gastric emptying in adults with diabetes and symptomatic gastroparesis. Aliment Pharmacol Ther 29(11):1179–1187. doi:10.1111/j.1365-2036.2009.03986.x

    Article  CAS  PubMed  Google Scholar 

  71. Ejskjaer N, Wo JM, Esfandyari T, Mazen Jamal M, Dimcevski G, Tarnow L, Malik RA, Hellstrom PM, Mondou E, Quinn J, Rousseau F, McCallum RW (2013) A phase 2a, randomized, double-blind 28-day study of TZP-102 a ghrelin receptor agonist for diabetic gastroparesis. Neurogastroenterol Motil 25(2):e140–e150. doi:10.1111/nmo.12064

    Article  CAS  PubMed  Google Scholar 

  72. Murray CD, Martin NM, Patterson M, Taylor SA, Ghatei MA, Kamm MA, Johnston C, Bloom SR, Emmanuel AV (2005) Ghrelin enhances gastric emptying in diabetic gastroparesis: a double blind, placebo controlled, crossover study. Gut 54(12):1693–1698. doi:10.1136/gut.2005.069088

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  73. Wang L, Murphy NP, Stengel A, Goebel-Stengel M, St Pierre DH, Maidment NT, Tache Y (2012) Ghrelin prevents levodopa-induced inhibition of gastric emptying and increases circulating levodopa in fasted rats. Neurogastroenterol Motil 24(5):e235–e245. doi:10.1111/j.1365-2982.2012.01904.x

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  74. Karasawa H, Pietra C, Giuliano C, Garcia-Rubio S, Xu X, Yakabi S, Tache Y, Wang L (2014) New ghrelin agonist, HM01 alleviates constipation and L-dopa-delayed gastric emptying in 6-hydroxydopamine rat model of Parkinson’s disease. Neurogastroenterol Motil 26(12):1771–1782. doi:10.1111/nmo.12459

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  75. Comella CL (2007) Sleep disorders in Parkinson’s disease: an overview. Mov Disord 22(Suppl 17):S367–S373. doi:10.1002/mds.21682

    Article  PubMed  Google Scholar 

  76. Oerlemans WG, de Weerd AW (2002) The prevalence of sleep disorders in patients with Parkinson’s disease. A self-reported, community-based survey. Sleep Med 3(2):147–149

    Article  PubMed  Google Scholar 

  77. Tholfsen LK, Larsen JP, Schulz J, Tysnes OB, Gjerstad MD (2015) Development of excessive daytime sleepiness in early Parkinson disease. Neurology. doi:10.1212/WNL.0000000000001737

  78. Tolosa E, Compta Y, Gaig C (2007) The premotor phase of Parkinson’s disease. Parkinsonism Relat Disord 13(Suppl):S2–S7. doi:10.1016/j.parkreldis.2007.06.007

    Article  PubMed  Google Scholar 

  79. Poewe W (2008) Non-motor symptoms in Parkinson’s disease. Eur J Neurol 15(Suppl 1):14–20. doi:10.1111/j.1468-1331.2008.02056.x

    Article  PubMed  Google Scholar 

  80. Iranzo A, Molinuevo JL, Santamaria J, Serradell M, Marti MJ, Valldeoriola F, Tolosa E (2006) Rapid-eye-movement sleep behaviour disorder as an early marker for a neurodegenerative disorder: a descriptive study. Lancet Neurol 5(7):572–577. doi:10.1016/S1474-4422(06)70476-8

    Article  PubMed  Google Scholar 

  81. Wu P, Yu H, Peng S, Dauvilliers Y, Wang J, Ge J, Zhang H, Eidelberg D, Ma Y, Zuo C (2014) Consistent abnormalities in metabolic network activity in idiopathic rapid eye movement sleep behaviour disorder. Brain 137(Pt 12):3122–3128. doi:10.1093/brain/awu290

    Article  PubMed  PubMed Central  Google Scholar 

  82. Schenck CH, Boeve BF, Mahowald MW (2013) Delayed emergence of a parkinsonian disorder or dementia in 81% of older men initially diagnosed with idiopathic rapid eye movement sleep behavior disorder: a 16-year update on a previously reported series. Sleep Med 14(8):744–748. doi:10.1016/j.sleep.2012.10.009

    Article  PubMed  Google Scholar 

  83. Sixel-Doring F, Trautmann E, Mollenhauer B, Trenkwalder C (2011) Associated factors for REM sleep behavior disorder in Parkinson disease. Neurology 77(11):1048–1054. doi:10.1212/WNL.0b013e31822e560e

    Article  PubMed  CAS  Google Scholar 

  84. Cummings DE, Purnell JQ, Frayo RS, Schmidova K, Wisse BE, Weigle DS (2001) A preprandial rise in plasma ghrelin levels suggests a role in meal initiation in humans. Diabetes 50(8):1714–1719

    Article  CAS  PubMed  Google Scholar 

  85. Dzaja A, Dalal MA, Himmerich H, Uhr M, Pollmacher T, Schuld A (2004) Sleep enhances nocturnal plasma ghrelin levels in healthy subjects. Am J Physiol Endocrinol Metab 286(6):E963–E967. doi:10.1152/ajpendo.00527.2003

    Article  CAS  PubMed  Google Scholar 

  86. Blonder LX, Slevin JT (2011) Emotional dysfunction in Parkinson’s disease. Behav Neurol 24(3):201–217. doi:10.3233/BEN-2011-0329

    Article  PubMed  PubMed Central  Google Scholar 

  87. Chaudhuri KR, Martinez-Martin P, Schapira AH, Stocchi F, Sethi K, Odin P, Brown RG, Koller W, Barone P, MacPhee G, Kelly L, Rabey M, MacMahon D, Thomas S, Ondo W, Rye D, Forbes A, Tluk S, Dhawan V, Bowron A, Williams AJ, Olanow CW (2006) International multicenter pilot study of the first comprehensive self-completed nonmotor symptoms questionnaire for Parkinson’s disease: the NMSQuest study. Mov Disord 21(7):916–923. doi:10.1002/mds.20844

    Article  PubMed  Google Scholar 

  88. Frisina PG, Borod JC, Foldi NS, Tenenbaum HR (2008) Depression in Parkinson’s disease: health risks, etiology, and treatment options. Neuropsychiatr Dis Treat 4(1):81–91

    PubMed  PubMed Central  Google Scholar 

  89. Kajbaf F, Ahmadi R, Fatemi Tabatabaie R, Safarpoor E (2012) Effect of intrahippocampal ghrelin agonist administration on passive avoidance learning and anxiety in rats. Pak J Biol Sci 15(22):1063–1068

    Article  CAS  PubMed  Google Scholar 

  90. Lutter M, Sakata I, Osborne-Lawrence S, Rovinsky SA, Anderson JG, Jung S, Birnbaum S, Yanagisawa M, Elmquist JK, Nestler EJ, Zigman JM (2008) The orexigenic hormone ghrelin defends against depressive symptoms of chronic stress. Nat Neurosci 11(7):752–753. doi:10.1038/nn.2139

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  91. Spencer SJ, Xu L, Clarke MA, Lemus M, Reichenbach A, Geenen B, Kozicz T, Andrews ZB (2012) Ghrelin regulates the hypothalamic-pituitary-adrenal axis and restricts anxiety after acute stress. Biol Psychiatry 72(6):457–465. doi:10.1016/j.biopsych.2012.03.010

    Article  CAS  PubMed  Google Scholar 

  92. Carlini VP, Monzon ME, Varas MM, Cragnolini AB, Schioth HB, Scimonelli TN, de Barioglio SR (2002) Ghrelin increases anxiety-like behavior and memory retention in rats. Biochem Biophys Res Commun 299(5):739–743

    Article  CAS  PubMed  Google Scholar 

  93. Carvajal P, Carlini VP, Schioth HB, de Barioglio SR, Salvatierra NA (2009) Central ghrelin increases anxiety in the open field test and impairs retention memory in a passive avoidance task in neonatal chicks. Neurobiol Learn Mem 91(4):402–407. doi:10.1016/j.nlm.2008.12.008

    Article  CAS  PubMed  Google Scholar 

  94. Currie PJ, Khelemsky R, Rigsbee EM, Dono LM, Coiro CD, Chapman CD, Hinchcliff K (2012) Ghrelin is an orexigenic peptide and elicits anxiety-like behaviors following administration into discrete regions of the hypothalamus. Behav Brain Res 226(1):96–105. doi:10.1016/j.bbr.2011.08.037

    Article  CAS  PubMed  Google Scholar 

  95. Mundinger TO, Cummings DE, Taborsky GJ Jr (2006) Direct stimulation of ghrelin secretion by sympathetic nerves. Endocrinology 147(6):2893–2901. doi:10.1210/en.2005-1182

    Article  CAS  PubMed  Google Scholar 

  96. Carlini VP, Varas MM, Cragnolini AB, Schioth HB, Scimonelli TN, de Barioglio SR (2004) Differential role of the hippocampus, amygdala, and dorsal raphe nucleus in regulating feeding, memory, and anxiety-like behavioral responses to ghrelin. Biochem Biophys Res Commun 313(3):635–641

    Article  CAS  PubMed  Google Scholar 

  97. Barim AO, Aydin S, Colak R, Dag E, Deniz O, Sahin I (2009) Ghrelin, paraoxonase and arylesterase levels in depressive patients before and after citalopram treatment. Clin Biochem 42(10-11):1076–1081. doi:10.1016/j.clinbiochem.2009.02.020

    Article  CAS  PubMed  Google Scholar 

  98. Corcuff JB, Krim E, Tison F, Foubert-Sanier A, Guehl D, Burbaud P, Cuny E, Baillet L, Gin H, Rigalleau V, Perlemoine C (2006) Subthalamic nucleus stimulation in patients with Parkinson’s disease does not increase serum ghrelin levels. Br J Nutr 95(5):1028–1029

    Article  CAS  PubMed  Google Scholar 

  99. Novakova L, Haluzik M, Jech R, Urgosik D, Ruzicka F, Ruzicka E (2011) Hormonal regulators of food intake and weight gain in Parkinson’s disease after subthalamic nucleus stimulation. Neuro Endocrinol Lett 32(4):437–441

    CAS  PubMed  Google Scholar 

  100. Markaki E, Ellul J, Kefalopoulou Z, Trachani E, Theodoropoulou A, Kyriazopoulou V, Constantoyannis C (2012) The role of ghrelin, neuropeptide Y and leptin peptides in weight gain after deep brain stimulation for Parkinson’s disease. Stereotact Funct Neurosurg 90(2):104–112. doi:10.1159/000335045

    Article  PubMed  Google Scholar 

  101. Hardy J, Selkoe DJ (2002) The amyloid hypothesis of Alzheimer’s disease: progress and problems on the road to therapeutics. Science 297(5580):353–356. doi:10.1126/science.1072994

    Article  CAS  PubMed  Google Scholar 

  102. Maudsley S, Mattson MP (2006) Protein twists and turns in Alzheimer disease. Nat Med 12(4):392–393. doi:10.1038/nm0406-392

    Article  CAS  PubMed  Google Scholar 

  103. Cai H, Cong WN, Ji S, Rothman S, Maudsley S, Martin B (2012) Metabolic dysfunction in Alzheimer’s disease and related neurodegenerative disorders. Curr Alzheimer Res 9(1):5–17

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  104. Diano S, Farr SA, Benoit SC, McNay EC, da Silva I, Horvath B, Gaskin FS, Nonaka N, Jaeger LB, Banks WA, Morley JE, Pinto S, Sherwin RS, Xu L, Yamada KA, Sleeman MW, Tschop MH, Horvath TL (2006) Ghrelin controls hippocampal spine synapse density and memory performance. Nat Neurosci 9(3):381–388. doi:10.1038/nn1656

    Article  CAS  PubMed  Google Scholar 

  105. Moon M, Cha MY, Mook-Jung I (2014) Impaired hippocampal neurogenesis and its enhancement with ghrelin in 5XFAD mice. J Alzheimers Dis 41(1):233–241. doi:10.3233/JAD-132417

    CAS  PubMed  Google Scholar 

  106. Gomes S, Martins I, Fonseca AC, Oliveira CR, Resende R, Pereira CM (2014) Protective effect of leptin and ghrelin against toxicity induced by amyloid-beta oligomers in a hypothalamic cell line. J Neuroendocrinol 26(3):176–185. doi:10.1111/jne.12138

    Article  CAS  PubMed  Google Scholar 

  107. Cecarini V, Bonfili L, Cuccioloni M, Keller JN, Bruce-Keller AJ, Eleuteri AM (2015) Effects of ghrelin on the proteolytic pathways of Alzheimer’s disease neuronal cells. Mol Neurobiol. doi:10.1007/s12035-015-9227-x

  108. Chen Y, Cao CP, Li CR, Wang W, Zhang D, Han LL, Zhang XQ, Kim A, Kim S, Liu GL (2010) Ghrelin modulates insulin sensitivity and tau phosphorylation in high glucose-induced hippocampal neurons. Biol Pharm Bull 33(7):1165–1169

    Article  CAS  PubMed  Google Scholar 

  109. Kang S, Moon NR, da Kim S, Kim SH, Park S (2015) Central acylated ghrelin improves memory function and hippocampal AMPK activation and partly reverses the impairment of energy and glucose metabolism in rats infused with beta-amyloid. Peptides 71:84–93. doi:10.1016/j.peptides.2015.07.005

    Article  CAS  PubMed  Google Scholar 

  110. Dhurandhar EJ, Allison DB, van Groen T, Kadish I (2013) Hunger in the absence of caloric restriction improves cognition and attenuates Alzheimer’s disease pathology in a mouse model. PLoS One 8(4):e60437. doi:10.1371/journal.pone.0060437

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  111. Gahete MD, Rubio A, Cordoba-Chacon J, Gracia-Navarro F, Kineman RD, Avila J, Luque RM, Castano JP (2010) Expression of the ghrelin and neurotensin systems is altered in the temporal lobe of Alzheimer’s disease patients. J Alzheimers Dis 22(3):819–828. doi:10.3233/JAD-2010-100873

    CAS  PubMed  Google Scholar 

  112. Proto C, Romualdi D, Cento RM, Spada RS, Di Mento G, Ferri R, Lanzone A (2006) Plasma levels of neuropeptides in Alzheimer’s disease. Gynecol Endocrinol 22(4):213–218. doi:10.1080/09513590500519385

    Article  CAS  PubMed  Google Scholar 

  113. Theodoropoulou A, Metallinos IC, Psyrogiannis A, Vagenakis GA, Kyriazopoulou V (2012) Ghrelin and leptin secretion in patients with moderate Alzheimer’s disease. J Nutr Health Aging 16(5):472–477

    Article  CAS  PubMed  Google Scholar 

  114. Shibata N, Ohnuma T, Kuerban B, Komatsu M, Arai H (2011) Genetic association between ghrelin polymorphisms and Alzheimer’s disease in a Japanese population. Dement Geriatr Cogn Disord 32(3):178–181. doi:10.1159/000333075

    Article  CAS  PubMed  Google Scholar 

  115. Benedict C, Byberg L, Cedernaes J, Hogenkamp PS, Giedratis V, Kilander L, Lind L, Lannfelt L, Schioth HB (2015) Self-reported sleep disturbance is associated with Alzheimer’s disease risk in men. Alzheimers Dement 11(9):1090–1097. doi:10.1016/j.jalz.2014.08.104

    Article  PubMed  Google Scholar 

  116. Ju YE, Lucey BP, Holtzman DM (2014) Sleep and Alzheimer disease pathology—a bidirectional relationship. Nat Rev Neurol 10(2):115–119. doi:10.1038/nrneurol.2013.269

    Article  CAS  PubMed  Google Scholar 

  117. Popovic V, Svetel M, Djurovic M, Petrovic S, Doknic M, Pekic S, Miljic D, Milic N, Glodic J, Dieguez C, Casanueva FF, Kostic V (2004) Circulating and cerebrospinal fluid ghrelin and leptin: potential role in altered body weight in Huntington’s disease. Eur J Endocrinol 151(4):451–455

    Article  CAS  PubMed  Google Scholar 

  118. Aziz NA, Pijl H, Frolich M, Schroder-van der Elst JP, van der Bent C, Roelfsema F, Roos RA (2010) Growth hormone and ghrelin secretion are associated with clinical severity in Huntington’s disease. Eur J Neurol 17(2):280–288. doi:10.1111/j.1468-1331.2009.02798.x

    Article  CAS  PubMed  Google Scholar 

  119. Wang R, Ross CA, Cai H, Cong WN, Daimon CM, Carlson OD, Egan JM, Siddiqui S, Maudsley S, Martin B (2014) Metabolic and hormonal signatures in pre-manifest and manifest Huntington’s disease patients. Front Physiol 5:231. doi:10.3389/fphys.2014.00231

    PubMed  PubMed Central  Google Scholar 

  120. Zhang R, Yang G, Wang Q, Guo F, Wang H (2013) Acylated ghrelin protects hippocampal neurons in pilocarpine-induced seizures of immature rats by inhibiting cell apoptosis. Mol Biol Rep 40(1):51–58. doi:10.1007/s11033-012-1993-1

    Article  PubMed  CAS  Google Scholar 

  121. Lee J, Lim E, Kim Y, Li E, Park S (2010) Ghrelin attenuates kainic acid-induced neuronal cell death in the mouse hippocampus. J Endocrinol 205(3):263–270. doi:10.1677/JOE-10-0040

    Article  CAS  PubMed  Google Scholar 

  122. Lim E, Lee S, Li E, Kim Y, Park S (2011) Ghrelin protects spinal cord motoneurons against chronic glutamate-induced excitotoxicity via ERK1/2 and phosphatidylinositol-3-kinase/Akt/glycogen synthase kinase-3beta pathways. Exp Neurol 230(1):114–122. doi:10.1016/j.expneurol.2011.04.003

    Article  CAS  PubMed  Google Scholar 

  123. Portelli J, Michotte Y, Smolders I (2012) Ghrelin: an emerging new anticonvulsant neuropeptide. Epilepsia 53(4):585–595. doi:10.1111/j.1528-1167.2012.03423.x

    Article  CAS  PubMed  Google Scholar 

  124. Spencer SJ, Miller AA, Andrews ZB (2013) The role of ghrelin in neuroprotection after ischemic brain injury. Brain Sci 3(1):344–359. doi:10.3390/brainsci3010344

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  125. Ngo ST, Steyn FJ, Huang L, Mantovani S, Pfluger CM, Woodruff TM, O’Sullivan JD, Henderson RD, McCombe PA (2015) Altered expression of metabolic proteins and adipokines in patients with amyotrophic lateral sclerosis. J Neurol Sci 357(1-2):22–27. doi:10.1016/j.jns.2015.06.053

    Article  CAS  PubMed  Google Scholar 

  126. Stoyanova II (2014) Ghrelin: a link between ageing, metabolism and neurodegenerative disorders. Neurobiol Dis 72(Pt A):72–83. doi:10.1016/j.nbd.2014.08.026

    Article  CAS  PubMed  Google Scholar 

  127. Aydin S, Dag E, Ozkan Y, Erman F, Dagli AF, Kilic N, Sahin I, Karatas F, Yoldas T, Barim AO, Kendir Y (2009) Nesfatin-1 and ghrelin levels in serum and saliva of epileptic patients: hormonal changes can have a major effect on seizure disorders. Mol Cell Biochem 328(1-2):49–56. doi:10.1007/s11010-009-0073-x

    Article  CAS  PubMed  Google Scholar 

  128. Berilgen MS, Mungen B, Ustundag B, Demir C (2006) Serum ghrelin levels are enhanced in patients with epilepsy. Seizure 15(2):106–111. doi:10.1016/j.seizure.2005.11.008

    Article  PubMed  Google Scholar 

  129. Dag E, Aydin S, Ozkan Y, Erman F, Dagli AF, Gurger M (2010) Alteration in chromogranin A, obestatin and total ghrelin levels of saliva and serum in epilepsy cases. Peptides 31(5):932–937. doi:10.1016/j.peptides.2010.02.009

    Article  CAS  PubMed  Google Scholar 

  130. Greco R, Latini G, Chiarelli F, Iannetti P, Verrotti A (2005) Leptin, ghrelin, and adiponectin in epileptic patients treated with valproic acid. Neurology 65(11):1808–1809. doi:10.1212/01.wnl.0000187074.27586.d1

    Article  CAS  PubMed  Google Scholar 

  131. Xu X, Zhu Y, Chuai J (2012) Changes in serum ghrelin and small intestinal motility in rats with ischemic stroke. Anat Rec (Hoboken) 295(2):307–312. doi:10.1002/ar.21490

    Article  CAS  Google Scholar 

  132. Xu Z, Lv XA, Wang JW, Chen ZP, Qiu HS (2014) Predictive value of early decreased plasma ghrelin level for three-month cognitive deterioration in patients with mild traumatic brain injury. Peptides 54:180–185. doi:10.1016/j.peptides.2014.01.021

    Article  CAS  PubMed  Google Scholar 

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Acknowledgments

This study was funded by grants from the 973 Program (2011CB504102), National Natural Science Foundation of China (31200819, 81430024, 31471114), Ministry of Education of China (20123706120002), the Bureau of Science and Technology of Qingdao (14-2-4-72-jch), Taishan Scholars Construction Project, and Program for New Century Excellent Talents in University.

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Correspondence to Hong Jiang or Junxia Xie.

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Limin Shi and Xixun Du contributed equally to this work.

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Shi, L., Du, X., Jiang, H. et al. Ghrelin and Neurodegenerative Disorders—a Review. Mol Neurobiol 54, 1144–1155 (2017). https://doi.org/10.1007/s12035-016-9729-1

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