2006
DOI: 10.1210/jc.2006-0235
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Ghrelin Is Produced by and Directly Activates Corticotrope Cells from Adrenocorticotropin-Secreting Adenomas

Abstract: These results constitute the first demonstration that ghrelin acts directly on corticotrope tumor cells derived from patients with Cushing's disease. The presence of ghrelin and GHS-R suggests that pituitary ghrelin may play an autocrine/paracrine role in regulating ACTH release in Cushing's disease. Our findings provide a plausible cellular basis for the exaggerated ACTH response to ghrelin in Cushing's disease and suggest novel research strategies to develop medical treatments for this disease.

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Cited by 44 publications
(42 citation statements)
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“…In patients with an ACTH-secreting tumour, ghrelin may further stimulate ACTH levels, and subsequently cortisol levels, through direct action on tumoral GHS-R (Correa-Silva et al, 2006). Ghrelin has been shown to act directly on corticotrope tumour cells derived from patients with Cushing's disease and this supports the suggestion of a cellular basis for the exaggerated ACTH response to ghrelin in Cushing's disease (Martinez-Fuentes et al, 2006). In addition, ghrelin has been shown in vitro to stimulate ACTH secretion by human ACTH-secreting pituitary adenomas (Pecori et al, 2007).…”
Section: Ghrelin and Cushing's Syndromementioning
confidence: 77%
“…In patients with an ACTH-secreting tumour, ghrelin may further stimulate ACTH levels, and subsequently cortisol levels, through direct action on tumoral GHS-R (Correa-Silva et al, 2006). Ghrelin has been shown to act directly on corticotrope tumour cells derived from patients with Cushing's disease and this supports the suggestion of a cellular basis for the exaggerated ACTH response to ghrelin in Cushing's disease (Martinez-Fuentes et al, 2006). In addition, ghrelin has been shown in vitro to stimulate ACTH secretion by human ACTH-secreting pituitary adenomas (Pecori et al, 2007).…”
Section: Ghrelin and Cushing's Syndromementioning
confidence: 77%
“…In published studies, there was no direct evidence of the stimulatory effect of the GHS-R antagonist on the release of glucocorticoids. The regulatory effect of ghrelin on glucocorticoids is well documented (11,12), although the infusion of ghrelin is not able to cause hypercortisolemia (11). In the present study, it seemed that the infusion of greater dosages of the GHS-R antagonist induced a GH-deficient condition, and subsequent increase in cortisol, similar to the study by Wagner and cols.…”
Section: Resultsmentioning
confidence: 99%
“…There is evidence of direct action of GHS on corticotrophic tumors, probably mediated by active GHS receptor -GHSR-1a. However, no direct effect was observed in a study with cultures of corticotrophic adenomas evaluated by intracellular calcium flow (28), while a direct action of ghrelin on two corticotrophinoma culture cells was recently demonstrated (29). In normal tissues, GHSR-1a is expressed mainly in the hypothalamus and pituitary (30).…”
Section: Discussionmentioning
confidence: 96%
“…Recently, a study demonstrated co-localization of ACTH and ghrelin in the same granules of two densely granulated corticotrophic tumors. The authors suggested that autocrine or paracrine action of ghrelin could be involved in the modulation of ACTH secretion by tumors (29).…”
Section: Discussionmentioning
confidence: 99%