
Subcutaneous administration of ghrelin stimulates energy intake in healthy lean human volunteers
- Select a language for the TTS:
- UK English Female
- UK English Male
- US English Female
- US English Male
- Australian Female
- Australian Male
- Language selected: (auto detect) - EN
Play all audios:

ABSTRACT BACKGROUND: The gastric hormone ghrelin appears a useful agent to stimulate food intake in people with anorexia of illness. The loss of ghrelin's acyl group renders it
inactive, thus it has been thought that subcutaneous administration may be problematic. OBJECTIVE: To investigate whether human subjects are sensitive to the effects of ghrelin administered
by single subcutaneous injection. STUDY DESIGN: Randomized, double-blind, placebo-controlled trial. SUBJECTS: Sixteen healthy lean volunteers (eight men and eight women). PROTOCOL: Fasted
subjects received subcutaneous injections of ghrelin (3.6 nmol/kg) or saline. After 30 min, a buffet breakfast was served. RESULTS: Ghrelin injection increased energy intake by 27% (ghrelin
5076±691 kJ versus saline 4230±607 kJ, _P_=0.04). Ghrelin appeared to enhance the perceived palatability of the food offered (palatability score: ghrelin 81.1±3.6 versus saline 70.0±4.4;
_P_=0.03). CONCLUSIONS: These results suggest that subcutaneous ghrelin is effective at stimulating energy intake and improving palatability and may be of direct use in the treatment of
appetite loss. Access through your institution Buy or subscribe This is a preview of subscription content, access via your institution ACCESS OPTIONS Access through your institution
Subscribe to this journal Receive 12 print issues and online access $259.00 per year only $21.58 per issue Learn more Buy this article * Purchase on SpringerLink * Instant access to full
article PDF Buy now Prices may be subject to local taxes which are calculated during checkout ADDITIONAL ACCESS OPTIONS: * Log in * Learn about institutional subscriptions * Read our FAQs *
Contact customer support SIMILAR CONTENT BEING VIEWED BY OTHERS FASTING APPETITE-RELATED GUT HORMONE RESPONSES AFTER WEIGHT LOSS INDUCED BY CALORIE RESTRICTION, EXERCISE, OR BOTH IN PEOPLE
WITH OVERWEIGHT OR OBESITY: A META‐ANALYSIS Article Open access 10 February 2025 PLASMA CONCENTRATION OF GASTROINTESTINAL HORMONES AND SUBJECTIVE APPETITE RATINGS AFTER DIET OR BARIATRIC
SURGERY: 1-YEAR RESULTS FROM THE DISGAP STUDY Article 21 November 2024 INVESTIGATING RELATIONSHIPS BETWEEN POST-PRANDIAL GUT HORMONE RESPONSES AND TASTE LIKING RATINGS PRIOR TO AND FOLLOWING
BARIATRIC SURGERY: A PILOT STUDY Article 31 August 2022 REFERENCES * Plata-Salaman CR . Strategies for potential manipulation of anorexia during acute and chronic disease. _Nutrition_ 1995;
11 (5 Suppl): 702–704. CAS PubMed Google Scholar * Neary NM, Small CJ, Wren AM, Lee JL, Druce MR, Palmieri C et al. Ghrelin increases energy intake in cancer patients with impaired
appetite: acute, randomized, placebo-controlled trial. _J Clin Endocrinol Metab_ 2004; 89: 2832–2836. Article CAS Google Scholar * Kojima M, Hosoda H, Date Y, Nakazato M, Matsuo H,
Kangawa K . Ghrelin is a growth-hormone-releasing acylated peptide from stomach. _Nature_ 1999; 402: 656–660. Article CAS Google Scholar * Cummings DE, Purnell JQ, Frayo RS, Schmidova K,
Wisse BE, Weigle DS . A preprandial rise in plasma ghrelin levels suggests a role in meal initiation in humans. _Diabetes_ 2001; 50: 1714–1719. Article CAS Google Scholar * Wren AM, Small
CJ, Ward HL, Murphy KG, Dakin CL, Taheri S et al. The novel hypothalamic peptide ghrelin stimulates food intake and growth hormone secretion. _Endocrinology_ 2000; 141: 4325–4328. Article
CAS Google Scholar * Tschop M, Smiley DL, Heiman ML . Ghrelin induces adiposity in rodents. _Nature_ 2000; 407: 908–913. Article CAS Google Scholar * Wren AM, Seal LJ, Cohen MA, Brynes
AE, Frost GS, Murphy KG et al. Ghrelin enhances appetite and increases food intake in humans. _J Clin Endocrinol Metab_ 2001; 86: 5992. Article CAS Google Scholar * Enomoto M, Nagaya N,
Uematsu M, Okumura H, Nakagawa E, Ono F et al. Cardiovascular and hormonal effects of subcutaneous administration of ghrelin, a novel growth hormone-releasing peptide, in healthy humans.
_Clin Sci (London)_ 2003; 105: 431–435. Article CAS Google Scholar * Flint A, Raben A, Blundell JE, Astrup A . Reproducibility, power and validity of visual analogue scales in assessment
of appetite sensations in single test meal studies. _Int J Obes Relat Metab Disord_ 2000; 24: 38–48. Article CAS Google Scholar * Nagaya N, Kojima M, Uematsu M, Yamagishi M, Hosoda H, Oya
H et al. Hemodynamic and hormonal effects of human ghrelin in healthy volunteers. _Am J Physiol Regul Integr Comp Physiol_ 2001; 280: R1483–R1487. Article CAS Google Scholar * Dakin CL,
Small CJ, Batterham RL, Neary NM, Cohen MA, Patterson M et al. Peripheral oxyntomodulin reduces food intake and body weight gain in rats. _Endocrinology_ 2004; 145: 2687–2695. Article CAS
Google Scholar * Marzullo P, Verti B, Savia G, Walker GE, Guzzaloni G, Tagliaferri M et al. The relationship between active ghrelin levels and human obesity involves alterations in resting
energy expenditure. _J Clin Endocrinol Metab_ 2004; 89: 936–939. Article CAS Google Scholar * Akamizu T, Shinomiya T, Irako T, Fukunaga M, Nakai Y, Nakai Y et al. Separate measurement of
plasma levels of acylated and desacyl ghrelin in healthy subjects using a new direct ELISA assay. _J Clin Endocrinol Metab_ 2005; 90: 6–9. Article CAS Google Scholar Download references
ACKNOWLEDGEMENTS We thank Professor Malcolm Allison, Dr Mandy Donaldson, the Sir John McMichael Centre and the volunteers who participated in the study. We also thank the MRC and Wellcome
Trust for support. MD and NN are funded by Wellcome Trust Clinical Research Training Fellowships, MP is funded by BBSRC and MM by a Gulbenkian Foundation Grant. AUTHOR INFORMATION Author
notes * M R Druce and N M Neary: These authors contributed equally to this work. AUTHORS AND AFFILIATIONS * Department of Metabolic Medicine, Imperial College, Hammersmith Hospital Campus,
London, UK M R Druce, N M Neary, C J Small, J Milton, M Monteiro, M Patterson, M A Ghatei & S R Bloom Authors * M R Druce View author publications You can also search for this author
inPubMed Google Scholar * N M Neary View author publications You can also search for this author inPubMed Google Scholar * C J Small View author publications You can also search for this
author inPubMed Google Scholar * J Milton View author publications You can also search for this author inPubMed Google Scholar * M Monteiro View author publications You can also search for
this author inPubMed Google Scholar * M Patterson View author publications You can also search for this author inPubMed Google Scholar * M A Ghatei View author publications You can also
search for this author inPubMed Google Scholar * S R Bloom View author publications You can also search for this author inPubMed Google Scholar CORRESPONDING AUTHOR Correspondence to S R
Bloom. RIGHTS AND PERMISSIONS Reprints and permissions ABOUT THIS ARTICLE CITE THIS ARTICLE Druce, M., Neary, N., Small, C. _et al._ Subcutaneous administration of ghrelin stimulates energy
intake in healthy lean human volunteers. _Int J Obes_ 30, 293–296 (2006). https://doi.org/10.1038/sj.ijo.0803158 Download citation * Received: 07 January 2005 * Revised: 30 August 2005 *
Accepted: 21 September 2005 * Published: 25 October 2005 * Issue Date: 01 February 2006 * DOI: https://doi.org/10.1038/sj.ijo.0803158 SHARE THIS ARTICLE Anyone you share the following link
with will be able to read this content: Get shareable link Sorry, a shareable link is not currently available for this article. Copy to clipboard Provided by the Springer Nature SharedIt
content-sharing initiative KEYWORDS * appetite * ghrelin * food intake * growth hormone secretagogues