PMID- 17201810 OWN - NLM STAT- MEDLINE DCOM- 20070723 LR - 20071115 IS - 0300-0664 (Print) IS - 0300-0664 (Linking) VI - 66 IP - 1 DP - 2007 Jan TI - Co-expression of ghrelin and its receptor in pancreatic endocrine tumours. PG - 115-22 AB - OBJECTIVE: Expression of ghrelin has been reported in pancreatic endocrine tumours, but data on ghrelin receptor protein expression are lacking. The aim of this study was to examine the ghrelin receptor, as well as ghrelin, in a selected series of these tumours, including multiple endocrine neoplasia 1 (MEN1) associated tumours, and to correlate data with clinical features including body mass index. DESIGN: Immunohistochemical detection of ghrelin and its receptor was performed on frozen tissue from 31 tumours: 9 MEN1 and 22 sporadic. Twenty tumours were analysed by quantitative PCR. Plasma ghrelin was assessed in 26 patients. RESULTS: Twenty-one (68%) of 31 tumours showed immunoreactivity for ghrelin (8/9 MEN1) and 19/20 expressed ghrelin mRNA. Ghrelin receptor protein was detected in 21/30 (70%) tumours (4/8 MEN1), and mRNA was detected in all analysed tumours. Insulinomas had significantly higher levels of receptor mRNA than other tumours. Five patients had elevated plasma ghrelin (> 2 SD above the control group mean). No significant difference in mean plasma ghrelin levels was found between patients (908 +/- 569 ng/l) and controls (952 +/- 164 ng/l). Mean BMI was 24.3 kg/m(2). There was no association between ghrelin or receptor expression and survival. CONCLUSIONS: We report the first immunohistochemical data on expression of the ghrelin receptor in pancreatic endocrine tumours: 70% of tumours in our material. Concomitant ghrelin and receptor expression was seen in 50% of tumours, indicating an autocrine loop. Ghrelin was expressed in 68% of tumours (8/9 MEN1). Despite frequent ghrelin expression, elevated circulating ghrelin is rare in these patients. FAU - Ekeblad, Sara AU - Ekeblad S AD - Department of Medical Sciences, University Hospitals, Uppsala, Sweden. FAU - Lejonklou, Margareta Halin AU - Lejonklou MH FAU - Grimfjard, Per AU - Grimfjard P FAU - Johansson, Terese AU - Johansson T FAU - Eriksson, Barbro AU - Eriksson B FAU - Grimelius, Lars AU - Grimelius L FAU - Stridsberg, Mats AU - Stridsberg M FAU - Stalberg, Peter AU - Stalberg P FAU - Skogseid, Britt AU - Skogseid B LA - eng PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - Clin Endocrinol (Oxf) JT - Clinical endocrinology JID - 0346653 RN - 0 (Ghrelin) RN - 0 (Peptide Hormones) RN - 0 (Receptors, G-Protein-Coupled) RN - 0 (Receptors, Ghrelin) SB - IM MH - Adenoma, Islet Cell/blood/chemistry/*metabolism MH - Adult MH - Aged MH - Aged, 80 and over MH - Body Mass Index MH - Chi-Square Distribution MH - Female MH - Gene Expression MH - Ghrelin MH - Humans MH - Immunohistochemistry MH - Insulinoma/chemistry/metabolism MH - Male MH - Middle Aged MH - Multiple Endocrine Neoplasia Type 1/chemistry/metabolism MH - Pancreatic Neoplasms/blood/chemistry/*metabolism MH - Peptide Hormones/analysis/blood/*genetics MH - Receptors, G-Protein-Coupled/analysis/*genetics MH - Receptors, Ghrelin MH - Survival Rate EDAT- 2007/01/05 09:00 MHDA- 2007/07/24 09:00 CRDT- 2007/01/05 09:00 PHST- 2007/01/05 09:00 [pubmed] PHST- 2007/07/24 09:00 [medline] PHST- 2007/01/05 09:00 [entrez] AID - CEN2695 [pii] AID - 10.1111/j.1365-2265.2006.02695.x [doi] PST - ppublish SO - Clin Endocrinol (Oxf). 2007 Jan;66(1):115-22. doi: 10.1111/j.1365-2265.2006.02695.x.