Impaired ghrelin signaling is associated with gastrointestinal dysmotility in rats with gastroesophageal reflux disease | Zendy

Miwa Nahata | Zendy; Shuichi Muto | Zendy; Nobuhiko Oridate | Zendy; Shunsuke Ohnishi | Zendy; Koji Nakagawa | Zendy; Chiharu Sadakane | Zendy; Yayoi Saegusa | Zendy; Tomohisa Hattori | Zendy; Masahiro Asaka | Zendy; Hiroshi Takeda | Zendy

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Impaired ghrelin signaling is associated with gastrointestinal dysmotility in rats with gastroesophageal reflux disease

Author(s) -

Miwa Nahata,

Shuichi Muto,

Nobuhiko Oridate,

Shunsuke Ohnishi,

Koji Nakagawa,

Chiharu Sadakane,

Yayoi Saegusa,

Tomohisa Hattori,

Masahiro Asaka,

Hiroshi Takeda

Publication year - 2012

Publication title -

ajp gastrointestinal and liver physiology

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 1.644

H-Index - 169

eISSN - 1522-1547

pISSN - 0193-1857

DOI - 10.1152/ajpgi.00462.2011

Subject(s) - ghrelin , medicine , endocrinology , gerd , gastric emptying , motility , stomach , antrum , hormone , biology , reflux , disease , genetics

Gastroesophageal reflux disease (GERD) is often associated with decreased upper gastrointestinal motility, and ghrelin is an appetite-stimulating hormone known to increase gastrointestinal motility. We investigated whether ghrelin signaling is impaired in rats with GERD and studied its involvement in upper gastrointestinal motility. GERD was induced surgically in Wistar rats. Rats were injected intravenously with ghrelin (3 nmol/rat), after which gastric emptying, food intake, gastroduodenal motility, and growth hormone (GH) release were investigated. Furthermore, plasma ghrelin levels and the expression of ghrelin-related genes in the stomach and hypothalamus were examined. In addition, we administered ghrelin to GERD rats treated with rikkunshito, a Kampo medicine, and examined its effects on gastroduodenal motility. GERD rats showed a considerable decrease in gastric emptying, food intake, and antral motility. Ghrelin administration significantly increased gastric emptying, food intake, and antral and duodenal motility in sham-operated rats, but not in GERD rats. The effect of ghrelin on GH release was also attenuated in GERD rats, which had significantly increased plasma ghrelin levels and expression of orexigenic neuropeptide Y/agouti-related peptide mRNA in the hypothalamus. The number of ghrelin-positive cells in the gastric body decreased in GERD rats, but the expression of gastric preproghrelin and GH secretagogue receptor mRNA was not affected. However, when ghrelin was exogenously administered to GERD rats treated with rikkunshito, a significant increase in antral motility was observed. These results suggest that gastrointestinal dysmotility is associated with impaired ghrelin signaling in GERD rats and that rikkunshito restores gastrointestinal motility by improving the ghrelin response.

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