Enhanced gastric ghrelin production and secretion in rats with gastric outlet obstruction

Eisuke Iwasaki, Hidekazu Suzuki, Tatsuhiro Masaoka, Toshihiro Nishizawa, Hiroshi Hosoda, Kenji Kangawa, Toshifumi Hibi

Research output: Contribution to journalArticlepeer-review

14 Citations (Scopus)


Background and Aim Ghrelin has distinct effects on gastrointestinal motility through the vagus nerve and gastric excitatory neural plexus. The objectives of this study were to investigate the dynamics of ghrelin and expression of neuromuscular markers in a newly established surgically manipulated rat model of gastric outlet obstruction (GOO), akin to the pyloric stricture associated with duodenal ulcer, advanced gastric cancer, and other conditions, in the clinical setting. Material and Methods The rats were divided into two groups, a control group (sham operation) and the GOO group (proximal duodenal stricture). The animals were sacrificed 2 weeks after the operation. Plasma and gastric ghrelin were measured by radioimmunoassay. mRNA expression in the stomach of neural choline acetyltransferase (ChAT), c-kit, and membrane-bound stem cell factor (SCF) were analyzed by quantitative RT-PCR. In addition, gastric mRNA expression of the aforementioned were also evaluated 60 min after intraperitoneal administration of a synthetic GHS-R1a antagonist ([D-Lys3] GHRP-6 6.0 mg/kg). Results Mechanical GOO induced increases of fasting plasma ghrelin levels and hyperplasia of the gastric muscle layers, with enhanced expression of the gastric neuromuscular markers. Administration of [D-Lys3] GHRP-6 normalized the enhanced expression of c-kit and SCF. Conclusion GOO stimulates ghrelin dynamics and then enhances the mechanistic expression of gastric cellular communication network molecules between nerves and smooth muscle cells.

Original languageEnglish
Pages (from-to)858-864
Number of pages7
JournalDigestive Diseases and Sciences
Issue number4
Publication statusPublished - 2012 Apr


  • Gastric emptying
  • Gastric outlet obstruction
  • Ghrelin
  • Motility

ASJC Scopus subject areas

  • Physiology
  • Gastroenterology


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