INTRODUCTION Ghrelin is a 28-amino-acid peptide hormone initially identified in the rat stomach that acts as an endogenous ligand for the growth hormone secretagogue receptor 1. Ghrelin circulates in the blood as two main isoforms: octanoylated ghrelin and des-acyl ghrelin 2. Octanoylated ghrelin, the active form, stimulates appetite and induces body weight gain, whereas des-acyl ghrelin, which has no acyl modification, does not have these activities 3. Furthermore, octanoylated ghrelin decreases energy expenditure by decreasing oxygen consumption and suppressing thermogenesis in brown adipose tissue 4 6. Therefore, lowering plasma octanoylated ghrelin levels may be an important strategy for the prevention and treatment of obesity. The conversion of the proghrelin precursor to octanoylated ghrelin involves two steps, i.e., octanoylation at the serine-3 residue, which is catalyzed by ghrelin O-acyl transferase GOAT 7 9 , and cleavage by prohormone convertases PC , such as furin, PC1/3, or PC2 10, 11. In ghrelin octanoylation, octanoyl-CoA is a substrate for GOAT. Oc