Both Ghrelin and Its Inactive Form Des-Acyl Ghrelin Protect Heart and Blood Vessel Cells From Death

Both acylated ghrelin and its des-acyl form (which doesn't activate the classical GHS receptor) protected cardiomyocytes and endothelial cells from apoptosis through ERK1/2 and PI3K/Akt survival pathways — a GHS-R independent mechanism.

Baldanzi, Gianluca et al.·The Journal of cell biology·2002·Moderate Evidencein-vitro
RPEP-00712In VitroModerate Evidence2002RETHINKTHC RESEARCH DATABASErethinkthc.com/research

Quick Facts

Study Type
in-vitro
Evidence
Moderate Evidence
Sample
Not reported

What This Study Found

Both acylated ghrelin and des-acyl ghrelin inhibited apoptosis in cardiomyocytes and endothelial cells via ERK1/2 and PI3K/Akt pathways, with des-acyl ghrelin's activity demonstrating GHS-R-independent cardiovascular protection.

Key Numbers

How They Did This

In-vitro study. Cultured cardiomyocytes and endothelial cells exposed to serum starvation or doxorubicin to induce apoptosis. Both ghrelin forms tested for survival signaling (ERK1/2, PI3K/Akt) and apoptosis inhibition.

Why This Research Matters

Des-acyl ghrelin is the most abundant form in blood. If it protects the heart independently of the GHS receptor, it represents a major, previously unrecognized cardiovascular protective system with its own unknown receptor.

The Bigger Picture

Des-acyl ghrelin was considered an inactive waste product. This study reveals it's actually a cardiovascular protective molecule working through its own receptor — a major paradigm shift in ghrelin biology.

What This Study Doesn't Tell Us

In-vitro cell culture study. The des-acyl ghrelin receptor has not been identified. In-vivo cardioprotective significance not established.

Questions This Raises

  • ?What is the receptor for des-acyl ghrelin's cardiovascular effects?
  • ?Does circulating des-acyl ghrelin protect the heart in vivo?
  • ?Could des-acyl ghrelin be developed as a cardioprotective drug without GH/appetite side effects?

Trust & Context

Key Stat:
Inactive form active! Des-acyl ghrelin — previously considered inactive — protects heart cells through its own receptor, separate from the classical ghrelin receptor
Evidence Grade:
Moderate in-vitro evidence with clear mechanistic pathway identification and the novel finding of GHS-R-independent activity.
Study Age:
Published in 2002. Des-acyl ghrelin's biological activities have been further confirmed, with ongoing search for its specific receptor.
Original Title:
Ghrelin and des-acyl ghrelin inhibit cell death in cardiomyocytes and endothelial cells through ERK1/2 and PI 3-kinase/AKT.
Published In:
The Journal of cell biology, 159(6), 1029-37 (2002)
Database ID:
RPEP-00712

Evidence Hierarchy

Meta-Analysis / Systematic Review
Randomized Controlled Trial
Cohort / Case-Control
Cross-Sectional / ObservationalSnapshot without intervening
This study
Case Report / Animal Study
What do these levels mean? →

Frequently Asked Questions

What is des-acyl ghrelin?

Most ghrelin in your blood lacks the fatty acid tag needed to activate the hunger/GH receptor. This 'des-acyl' form was thought to be inactive, but this study shows it protects heart cells through its own separate pathway.

Could this become a heart drug?

Potentially. Since des-acyl ghrelin doesn't activate the hunger receptor, it could protect the heart without causing increased appetite or GH release — a 'clean' cardioprotective agent.

Read More on RethinkPeptides

Cite This Study

RPEP-00712·https://rethinkpeptides.com/research/RPEP-00712

APA

Baldanzi, Gianluca; Filigheddu, Nicoletta; Cutrupi, Santina; Catapano, Filomena; Bonissoni, Sara; Fubini, Alberto; Malan, Daniela; Baj, Germano; Granata, Riccarda; Broglio, Fabio; Papotti, Mauro; Surico, Nicola; Bussolino, Federico; Isgaard, Jorgen; Deghenghi, Romano; Sinigaglia, Fabiola; Prat, Maria; Muccioli, Giampiero; Ghigo, Ezio; Graziani, Andrea. (2002). Ghrelin and des-acyl ghrelin inhibit cell death in cardiomyocytes and endothelial cells through ERK1/2 and PI 3-kinase/AKT.. The Journal of cell biology, 159(6), 1029-37.

MLA

Baldanzi, Gianluca, et al. "Ghrelin and des-acyl ghrelin inhibit cell death in cardiomyocytes and endothelial cells through ERK1/2 and PI 3-kinase/AKT.." The Journal of cell biology, 2002.

RethinkPeptides

RethinkPeptides Research Database. "Ghrelin and des-acyl ghrelin inhibit cell death in cardiomyo..." RPEP-00712. Retrieved from https://rethinkpeptides.com/research/baldanzi-2002-ghrelin-and-desacyl-ghrelin

Access the Original Study

Study data sourced from PubMed, a service of the U.S. National Library of Medicine, National Institutes of Health.

This study breakdown was produced by the RethinkPeptides research team. We analyze and report published research findings without making health recommendations. All interpretations are based solely on the published abstract and study data.