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Ghrelin (/ ˈ ɡ r ɛ l ɪ n /; or lenomorelin, INN) is a hormone primarily produced by enteroendocrine cells of the gastrointestinal tract, especially the stomach, [5] [6] and is often called a "hunger hormone" because it increases the drive to eat. [6]
GH also stimulates, through the JAK-STAT signaling pathway, [39] the production of insulin-like growth factor 1 (IGF-1, formerly known as somatomedin C), a hormone homologous to proinsulin. [40] The liver is a major target organ of GH for this process and is the principal site of IGF-1 production.
After puberty, when entering the third decade of life, there is a rapid decrease in IGF-1 levels due to the actions of GH. Between the third and eight decade of life, the IGF-1 levels decrease gradually, but unrelated to functional decline. [18] However, protein intake is proven to increase IGF-1 levels. [20] 3-d model of IGF-1
Capromorelin functions to stimulate the secretion of growth hormone and as a ghrelin mimetic which causes the body to secrete human growth hormone in a way usually seen at puberty and in young adulthood. Studies have shown the drug to directly raise insulin growth factor 1 and growth hormone levels. [10]
Ghrelin, on the other hand, acts as a signal of energy insufficiency, with persistently elevated levels potentially delaying the normal timing of puberty. Evolutionarily speaking, this makes sense as it is unwise for the body to spend excess energy that it does not have to grow the body larger.
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Growth hormone secretagogue receptor(GHS-R), also known as ghrelin receptor, is a G protein-coupled receptor that binds growth hormone secretagogues (GHSs), such as ghrelin, the "hunger hormone". [ 5 ] [ 6 ] The role of GHS-R is thought to be in regulating energy homeostasis and body weight. [ 7 ]
It stimulates the synthesis and release of endogenous GH, with an increase in level of insulin-like growth factor . The released GH then binds with the receptors present on various body organs and regulates the body composition. This regulation is mainly because of the combination of anabolic and lipolytic mechanisms.