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[Ghrelin Physiology and Pathophysiology: Focus on the Cardiovascular System]
O V Gruzdeva1, D A Borodkina2, E V Belik3
1Research Institute for Complex Issues of Cardiovascular Diseases Kemerovo State Medical University.
Ghrelin, a stomach hormone, plays a key role in cardiovascular health by protecting heart cells and improving function in heart failure. It also shows potential in preventing cardiovascular diseases.
Area of Science:
- Cardiovascular Physiology
- Endocrinology
- Molecular Biology
Background:
- Ghrelin is a peptide hormone primarily synthesized in the stomach.
- It acts via the growth hormone secretagogue receptor 1 alpha (GHS-R1α).
- Ghrelin influences appetite, metabolism, and various organ systems, including the cardiovascular system.
Purpose of the Study:
- To explore the role of ghrelin in cardiovascular system functioning.
- To investigate ghrelin's effects on cardiomyocytes and endothelial cells.
- To assess ghrelin's potential in cardiovascular disease (CVD) prevention and treatment.
Main Methods:
- Review of existing literature on ghrelin and cardiovascular function.
- Analysis of studies investigating ghrelin's effects on cardiac cells and in animal models of heart failure.
- Examination of clinical data on ghrelin's impact on human cardiovascular parameters.
Main Results:
- Cardiomyocytes synthesize ghrelin, and GHS-R1α is present in the heart and major blood vessels.
- Ghrelin inhibits apoptosis in cardiomyocytes and endothelial cells, improving left ventricular function post-ischemia-reperfusion.
- Ghrelin improves cardiac function, attenuates cachexia in heart failure models, and exerts vasodilatory effects in humans.
Conclusions:
- Ghrelin has significant cardioprotective effects, including anti-apoptotic and functional improvements.
- Ghrelin demonstrates therapeutic potential for heart failure and cardiovascular diseases.
- Ghrelin holds predictive value for the development and prevention of cardiovascular diseases.
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