Ghrelin contributes to protection of hepatocellular injury induced by ischaemia/reperfusion

Background & Aims Ghrelin, a gut hormone with pleiotropic effects, may act as a protective signal in parenchymal cells. We investigated the protective effects of ghrelin on hepatocytes after ischaemia/reperfusion (I/R). Methods Hepatic injury was assessed by measurement of plasma alanine aminotransferase ( ALT ) and lactate dehydrogenase ( LDH ), histological analysis, and TUNEL assay. Effects of exogenous ghrelin and ghrelin receptor gene deletion on I/R induced injury of liver were evaluated. Results Ischaemia/reperfusion induced a profound injury to hepatocytes. This was accompanied by elevations in plasma ALT and LDH . Pretreatment with ghrelin significantly reduced elevations in plasma ALT and LDH , and attenuated tissue damage induced by hepatic I/R in mice. Hepatic injury induced by I/R was more pronounced in ghrelin receptor gene null mice. Ghrelin administration blocked the up‐regulation of AMP ‐activated protein kinase ( AMPK ) activity induced by hepatic I/R. Conclusions This study demonstrates that ghrelin contributes to the cytoprotection during hepatic I/R.