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  4. Ghrelin-Mediated Regeneration and Plasticity After Nervous System Injury

Ghrelin-Mediated Regeneration and Plasticity After Nervous System Injury

Frontiers in Cell and Developmental Biology, 2021 · DOI: 10.3389/fcell.2021.595914 · Published: March 25, 2021

EndocrinologyNeurologyGenetics

Simple Explanation

The nervous system can be damaged by various factors, leading to neurodegeneration. Ghrelin, a hormone, has shown potential in stimulating neurorepair and neuroactivity. This review discusses how ghrelin could help in attenuating neurodegeneration. Ghrelin regulates physiological processes beyond its role in activating appetite-related neurons. It has been found in various organs and brain areas, suggesting multiple functions. The hormone's ability to cross the blood-brain barrier is essential for its effects on the nervous system. Ghrelin's effects on nerve regeneration are complex and involve multiple signaling pathways. It can promote neurogenesis, protect against cell death, and modulate inflammation. Depending on the conditions, ghrelin can either stimulate or suppress autophagy, acting as an "on-demand" modulator.

Study Duration
Not specified
Participants
Animal models (rats, mice) and human studies
Evidence Level
Review

Key Findings

  • 1
    Ghrelin can modulate downstream signaling cascades in both the developing and adult nervous systems, influencing neurogenesis and neuronal plasticity.
  • 2
    Ghrelin shows neuroprotective and repair effects upon acute and chronic degeneration, including reducing microglial activity and suppressing apoptosis.
  • 3
    The therapeutic potential of ghrelin depends on the type and complexity of the injury, with local administration potentially being more effective than systemic administration in some cases.

Research Summary

This review explores the potential of ghrelin as a therapeutic molecule for nervous system injuries. Ghrelin's ability to cross the blood-brain barrier and influence multiple physiological processes makes it a promising candidate for neuroregeneration. Ghrelin modulates various signaling pathways, promoting neurogenesis, protecting against cell death, and regulating inflammation. Its effects on autophagy are context-dependent, acting as an "on-demand" modulator to maintain cellular homeostasis. Ghrelin's therapeutic application requires careful consideration of the type and complexity of the injury, the route of administration, and the effective dose. Further research is needed to fully understand its mechanisms and optimize its use in treating nervous system disorders.

Practical Implications

Therapeutic Potential

Ghrelin shows promise as a therapeutic agent for treating nervous system injuries and neurodegenerative diseases.

Drug Development

Understanding ghrelin's mechanisms of action can aid in developing targeted therapies for neuroprotection and regeneration.

Clinical Applications

Ghrelin-based interventions could be developed to improve functional recovery after stroke, spinal cord injury, and other neurological disorders.

Study Limitations

  • 1
    Ghrelin expression does not always correlate with GHSR1a expression.
  • 2
    Systemic administration of ghrelin might not provide the desired therapeutic concentration at the site of injury.
  • 3
    Careful analyses of the interspecies differences are needed in order to evaluate to what extent we could extrapolate our results from animal models to humans.

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