Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • Original Article
  • Published:

Neutralizing circulating ghrelin by expressing a growth hormone secretagogue receptor-based protein protects against high-fat diet-induced obesity in mice

Abstract

Ghrelin is a stomach-derived peptide hormone that stimulates appetite and promotes adiposity through binding to the growth hormone secretagogue receptor (GHS-R1a). Administration of ghrelin in rodents increases weight gain due to stimulating food intake and reducing fat utilization. Therefore, reducing circulating ghrelin levels holds the potential to reduce weight gain. We developed a GHS-R1a-fusion constructs of a decoy protein containing the ligand-binding domains of the ghrelin receptor. Intramuscular injection of the GHSR/Fc plasmid decreased circulating levels of acylated-ghrelin. When challenged with the high fat diet, treated mice displayed reduced weight gain compared with controls, which was associated with reduced fat accumulation in the peritoneum but not lean mass. Quantitative PCR with reverse transcription showed increased PPARĪ³ and hormone sensitive lipase transcripts levels in adipose tissue of treated animals, illustrating a preference for increased fat utilization. Intra-peritoneal glucose tolerance and insulin tolerance tests showed improved glucose clearance and insulin sensitivity in GHSR/Fc treated animals. We suggest that in vivo expression of the GHSR-based fusion protein prevents diet-induced weight gain, altering adipose gene expression and improving glucose tolerance. These findings, while confirming the role of ghrelin in peripheral energy metabolism, suggest that a strategy involving neutralization of the circulation ghrelin by intramuscular injection of the GHSR1/Fc fusion construct may find clinical application in the treatment of obesity.

This is a preview of subscription content, access via your institution

Access options

Buy this article

Prices may be subject to local taxes which are calculated during checkout

Figure 1
Figure 2
Figure 3
Figure 4
Figure 5

Similar content being viewed by others

References

  1. Wang YC, McPherson K, Marsh T, Gortmaker SL, Brown M . Health and economic burden of the projected obesity trends in the USA and the UK. Lancet 2011; 378: 815ā€“825.

    ArticleĀ  Google ScholarĀ 

  2. Blackburn G . Effect of degree of weight loss on health benefits. Obes Res 1995; 3: 211sā€“216s..

    ArticleĀ  Google ScholarĀ 

  3. Pi-Sunyer FX . A review of long-term studies evaluating the efficacy of weight loss in ameliorating disorders associated with obesity. Clin Ther 1996; 18: 1006ā€“1035.

    ArticleĀ  CASĀ  Google ScholarĀ 

  4. Bosello O, Armellini F, Zamboni M, Fitchet M . The benefits of modest weight loss in type II diabetes. Int J Obes Relat Metab Disord 1997; 21: S10ā€“S13.

    PubMedĀ  Google ScholarĀ 

  5. Gray LJ, Cooper N, Dunkley A, Warren FC, Ara R, Abrams K et al. A systematic review and mixed treatment comparison of pharmacological interventions for the treatment of obesity. Obes Rev 2012; 13: 483ā€“498.

    ArticleĀ  CASĀ  Google ScholarĀ 

  6. Neary MT, Batterham RL . Gut hormones: implications for the treatment of obesity. Pharmacol Ther 2009; 124: 44ā€“56.

    ArticleĀ  CASĀ  Google ScholarĀ 

  7. De Silva A, Salem V, Long CJ, Makwana A, Newbould RD, Rabiner EA et al. The gut hormones PYY 3-36 and GLP-1 7-36 amide reduce food intake and modulate brain activity in appetite centers in humans. Cell Metab 2011; 14: 700ā€“706.

    ArticleĀ  CASĀ  Google ScholarĀ 

  8. Nakazato M, Murakami N, Date Y, Kojima M, Matsuo H, Kangawa K et al. A role for ghrelin in the central regulation of feeding. Nature 2001; 409: 194ā€“198.

    ArticleĀ  CASĀ  Google ScholarĀ 

  9. Kamegai J, Tamura H, Shimizu T, Ishii S, Sugihara H, Wakabayashi I . Central effect of ghrelin, an endogenous growth hormone secretagogue, on hypothalamic peptide gene expression. Endocrinology 2000; 141: 4797ā€“4800.

    ArticleĀ  CASĀ  Google ScholarĀ 

  10. Tschop M, Smiley DL, Heiman ML . Ghrelin induces adiposity in rodents. Nature 2000; 407: 908ā€“913.

    ArticleĀ  CASĀ  Google ScholarĀ 

  11. Rodriguez A, Gomez-Ambrosi J, Catalan V, Gil MJ, Becerril S, Sainz N et al. Acylated and desacyl ghrelin stimulate lipid accumulation in human visceral adipocytes. Int J Obes (Lond) 2009; 33: 541ā€“552.

    ArticleĀ  CASĀ  Google ScholarĀ 

  12. Zhu X, Cao Y, Voogd K, Steiner DF . On the processing of proghrelin to ghrelin. J Biol Chem 2006; 281: 38867ā€“38870.

    ArticleĀ  CASĀ  Google ScholarĀ 

  13. Zhang JV, Ren PG, Avsian-Kretchmer O, Luo CW, Rauch R, Klein C et al. Obestatin, a peptide encoded by the ghrelin gene, opposes ghrelin's effects on food intake. Science (New York, NY) 2005; 310: 996ā€“999.

    ArticleĀ  CASĀ  Google ScholarĀ 

  14. 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: 656ā€“660.

    ArticleĀ  CASĀ  Google ScholarĀ 

  15. Howard AD, Feighner SD, Cully DF, Arena JP, Liberator PA, Rosenblum CI et al. A receptor in pituitary and hypothalamus that functions in growth hormone release. Science (New York, NY) 1996; 273: 974ā€“977.

    ArticleĀ  CASĀ  Google ScholarĀ 

  16. Pedretti A, Villa M, Pallavicini M, Valoti E, Vistoli G . Construction of human ghrelin receptor (hGHS-R1a) model using a fragmental prediction approach and validation through docking analysis. J Med Chem 2006; 49: 3077ā€“3085.

    ArticleĀ  CASĀ  Google ScholarĀ 

  17. Broglio F, Arvat E, Benso A, Gottero C, Muccioli G, Papotti M et al. Ghrelin, a natural GH secretagogue produced by the stomach, induces hyperglycemia and reduces insulin secretion in humans. J Clin Endocrinol Metab 2001; 86: 5083ā€“5086.

    ArticleĀ  CASĀ  Google ScholarĀ 

  18. Soltani N, Kumar M, Glinka Y, Prud'homme GJ, Wang Q . In vivo expression of GLP-1/IgG-Fc fusion protein enhances beta-cell mass and protects against streptozotocin-induced diabetes. Gene Therapy 2007; 14: 981ā€“988.

    ArticleĀ  CASĀ  Google ScholarĀ 

  19. Ariyasu H, Takaya K, Tagami T, Ogawa Y, Hosoda K, Akamizu T et al. Stomach is a major source of circulating ghrelin, and feeding state determines plasma ghrelin-like immunoreactivity levels in humans. J Clin Endocrinol Metab 2001; 86: 4753ā€“4758.

    ArticleĀ  CASĀ  Google ScholarĀ 

  20. Zorrilla EP, Iwasaki S, Moss JA, Chang J, Otsuji J, Inoue K et al. Vaccination against weight gain. Proc Natl Acad Sci USA 2006; 103: 13226ā€“13231.

    ArticleĀ  CASĀ  Google ScholarĀ 

  21. Cowley MA, Smith RG, Diano S, Tschop M, Pronchuk N, Grove KL et al. The distribution and mechanism of action of ghrelin in the CNS demonstrates a novel hypothalamic circuit regulating energy homeostasis. Neuron 2003; 37: 649ā€“661.

    ArticleĀ  CASĀ  Google ScholarĀ 

  22. Banks WA, Tschop M, Robinson SM, Heiman ML . Extent and direction of ghrelin transport across the blood-brain barrier is determined by its unique primary structure. J Pharmacol Exp Ther 2002; 302: 822ā€“827.

    ArticleĀ  CASĀ  Google ScholarĀ 

  23. Kageyama H, Kitamura Y, Hosono T, Kintaka Y, Seki M, Takenoya F et al. Visualization of ghrelin-producing neurons in the hypothalamic arcuate nucleus using ghrelin-EGFP transgenic mice. Regul Pept 2008; 145: 116ā€“121.

    ArticleĀ  CASĀ  Google ScholarĀ 

  24. Wortley KE, Anderson KD, Garcia K, Murray JD, Malinova L, Liu R et al. Genetic deletion of ghrelin does not decrease food intake but influences metabolic fuel preference. Proc Natl Acad Sci USA 2004; 101: 8227ā€“8232.

    ArticleĀ  CASĀ  Google ScholarĀ 

  25. Zigman JM, Nakano Y, Coppari R, Balthasar N, Marcus JN, Lee CE et al. Mice lacking ghrelin receptors resist the development of diet-induced obesity. J Clin Invest 2005; 115: 3564ā€“3572.

    ArticleĀ  CASĀ  Google ScholarĀ 

  26. Davies JS, Kotokorpi P, Eccles SR, Barnes SK, Tokarczuk PF, Allen SK et al. Ghrelin induces abdominal obesity via GHS-R-dependent lipid retention. Mol Endocrinol 2009; 23: 914ā€“924.

    ArticleĀ  CASĀ  Google ScholarĀ 

  27. Houseknecht KL, Baile CA, Matteri RL, Spurlock ME . The biology of leptin: a review. J Animal Sci 1998; 76: 1405ā€“1420.

    ArticleĀ  CASĀ  Google ScholarĀ 

  28. Yeaman SJ . Hormone-sensitive lipaseā€“new roles for an old enzyme. Biochem J 2004; 379: 11ā€“22.

    ArticleĀ  CASĀ  Google ScholarĀ 

  29. Laplante M, Sell H, MacNaul KL, Richard D, Berger JP, Deshaies Y . PPAR-gamma activation mediates adipose depot-specific effects on gene expression and lipoprotein lipase activity: mechanisms for modulation of postprandial lipemia and differential adipose accretion. Diabetes 2003; 52: 291ā€“299.

    ArticleĀ  CASĀ  Google ScholarĀ 

  30. Tsubone T, Masaki T, Katsuragi I, Tanaka K, Kakuma T, Yoshimatsu H . Ghrelin regulates adiposity in white adipose tissue and UCP1 mRNA expression in brown adipose tissue in mice. Regulatory Peptides 2005; 130: 97ā€“103.

    ArticleĀ  CASĀ  Google ScholarĀ 

  31. Dezaki K, Sone H, Koizumi M, Nakata M, Kakei M, Nagai H et al. Blockade of pancreatic islet-derived ghrelin enhances insulin secretion to prevent high-fat diet-induced glucose intolerance. Diabetes 2006; 55: 3486ā€“3493.

    ArticleĀ  CASĀ  Google ScholarĀ 

  32. Dezaki K, Sone H, Yada T . Ghrelin is a physiological regulator of insulin release in pancreatic islets and glucose homeostasis. Pharmacol Ther 2008; 118: 239ā€“249.

    ArticleĀ  CASĀ  Google ScholarĀ 

  33. Gauna C, Delhanty PJ, Hofland LJ, Janssen JA, Broglio F, Ross RJ et al. Ghrelin stimulates, whereas des-octanoyl ghrelin inhibits, glucose output by primary hepatocytes. J Clin Endocrinol Metab 2005; 90: 1055ā€“1060.

    ArticleĀ  CASĀ  Google ScholarĀ 

  34. Oliver E, McGillicuddy F, Phillips C, Toomey S, Roche HM . The role of inflammation and macrophage accumulation in the development of obesity-induced type 2 diabetes mellitus and the possible therapeutic effects of long-chain n-3 PUFA. Proc Nutr Soc 2010; 69: 232ā€“243.

    ArticleĀ  CASĀ  Google ScholarĀ 

  35. Moller N, Jorgensen JO . Effects of growth hormone on glucose, lipid, and protein metabolism in human subjects. Endocr Rev 2009; 30: 152ā€“177.

    ArticleĀ  Google ScholarĀ 

Download references

Acknowledgements

We thank Dr Kui Chen for his contribution in the plasmid construction and assistance with the animal work. Dr Younes Aniniā€™s laboratory was supported by grants from the Canadian Institutes of Health Research (MOP-82795), Canada foundation for innovation, The Dalhousie Medical research Foundation and the IWK Research Foundation. Jeff Gagnon was supported by studentships from the Natural Sciences and Engineering Research Council, the Canadian Heart and Stroke foundation and the IWK Research Foundation. Dr Qinghua Wangā€™s laboratory was supported by grants from the Canadian Institute for Health Research (CIHR), Juvenile Diabetes Research Foundation (JDRF) and Canadian Diabetes Association (CDA). Qinghua Wang was supported by CIHR New Investigator Program.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Y Anini.

Ethics declarations

Competing interests

The authors declare no conflict of interest.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Gagnon, J., Zhu, L., Anini, Y. et al. Neutralizing circulating ghrelin by expressing a growth hormone secretagogue receptor-based protein protects against high-fat diet-induced obesity in mice. Gene Ther 22, 750ā€“757 (2015). https://doi.org/10.1038/gt.2015.38

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/gt.2015.38

This article is cited by

Search

Quick links