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Center for Gastroenterological Research, Catholic University of Leuven (J.D., T.L.P., B.D.S., P.V.B., I.D.), 3000 Leuven, Belgium; Medical College of Qingdao University (J.D.), Qingdao, China; Johnson & Johnson Pharmaceutical Research and Development, Division of Janssen Pharmaceutica (D.M., B.C.), 2340 Beerse, Belgium; and Laboratory of Biological Chemistry and Nutrition, Université Libre de Bruxelles (C.D.), 1070 Brussels, Belgium
Address all correspondence and requests for reprints to: Dr. Inge Depoortere, Center for Gastroenterological Research, Gasthuisberg O&N, Bus 701, 3000 Leuven, Belgium. E-mail: inge.depoortere{at}med.kuleuven.be.
Ghrelin is an orexigenic peptide involved in the regulation of energy homeostasis. To investigate the role of ghrelin in the hyperphagia associated with uncontrolled streptozotocin-induced diabetes, food intake was followed in diabetic ghrelin knockout (ghrelin/) and control wild-type (ghrelin+/+) mice and diabetic Naval Medical Research Institute noninbred Swiss mice treated with either saline or the ghrelin receptor antagonist, D-Lys3-GH-releasing peptide-6 (D-Lys3-GHRP-6) for 5 d. In diabetic ghrelin/ mice, hyperphagia was attenuated, and the maximal increase in food intake was 50% lower in mutant than in wild-type mice. The increased food intake observed during the light period (10001200 h) in ghrelin+/+ mice was abolished in mutant mice. Diabetic ghrelin/ mice lost 12.4% more body weight than ghrelin+/+ mice. In diabetic ghrelin+/+ mice, but not in ghrelin/ mice, the number of neuropeptide Y (NPY)-immunoreactive neurons was significantly increased. Diabetic Naval Medical Research Institute noninbred Swiss mice were hyperphagic and had increased plasma ghrelin levels. Treatment with D-Lys3-GHRP-6 reduced daily food intake by 23% and reversed the increased food intake observed during the light period. The change in the number of NPY- (2.4-fold increase) and
-MSH (1.7-fold decrease)-immunoreactive hypothalamic neurons induced by diabetes was normalized by D-Lys3-GHRP-6 treatment. Our results suggest that enhanced NPY and reduced
-MSH expression are secondary to the release of ghrelin, which should be considered the underlying trigger of hyperphagia associated with uncontrolled diabetes.
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