Is there an effect of ghrelin/ghrelin analogs on cancer? A systematic review
Identifieur interne : 000472 ( Ncbi/Merge ); précédent : 000471; suivant : 000473Is there an effect of ghrelin/ghrelin analogs on cancer? A systematic review
Auteurs : Sakine Sever [États-Unis] ; Donna L. White [États-Unis] ; José M. Garcia [États-Unis]Source :
- Endocrine-Related Cancer [ 1351-0088 ] ; 2016.
Abstract
Ghrelin is a hormone with multiple physiologic functions, including promotion of growth hormone release, stimulation of appetite and regulation of energy homeostasis. Treatment with ghrelin/ghrelin-receptor agonists is a prospective therapy for disease-related cachexia and malnutrition.
Url:
DOI: 10.1530/ERC-16-0130
PubMed: 27552970
PubMed Central: 5064755
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<series><title level="j">Endocrine-Related Cancer</title>
<idno type="ISSN">1351-0088</idno>
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<front><div type="abstract" xml:lang="en"><p>Ghrelin is a hormone with multiple physiologic functions, including promotion of growth hormone release, stimulation of appetite and regulation of energy homeostasis. Treatment with ghrelin/ghrelin-receptor agonists is a prospective therapy for disease-related cachexia and malnutrition. <italic>In vitro</italic>
studies have shown high expression of ghrelin in cancer tissue, although its role including its impact in cancer risk and progression has not been established. We performed a systematic literature review to identify peer-reviewed human or animal <italic>in vivo</italic>
original research studies of ghrelin, ghrelin-receptor agonists, or ghrelin genetic variants and the risk, presence, or growth of cancer using structured searches in PubMed database as well as secondary searches of article reference lists, additional reviews and meta-analyses. Overall, 45 (73.8%) of the 61 studies reviewed, including all 11 involving exogenous ghrelin/ghrelin-receptor agonist treatment, reported either a null (no statistically significant difference) or inverse association of ghrelin/ghrelin-receptor agonists or ghrelin genetic variants with cancer risk, presence or growth; 10 (16.7%) studies reported positive associations; and 6 (10.0%) reported both negative or null and positive associations. Differences in serum ghrelin levels in cancer cases vs controls (typically lower) were reported for some but not all cancers. The majority of <italic>in vivo</italic>
studies showed a null or inverse association of ghrelin with risk and progression of most cancers, suggesting that ghrelin/ghrelin-receptor agonist treatment may have a favorable safety profile to use for cancer cachexia. Additional large-scale prospective clinical trials as well as basic bioscientific research are warranted to further evaluate the safety and benefits of ghrelin treatment in patients with cancer.</p>
</div>
</front>
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<author><name sortKey="Liu, H" uniqKey="Liu H">H Liu</name>
</author>
<author><name sortKey="Li, H" uniqKey="Li H">H Li</name>
</author>
<author><name sortKey="Wang, M" uniqKey="Wang M">M Wang</name>
</author>
<author><name sortKey="Wang, K" uniqKey="Wang K">K Wang</name>
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</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Zub Pokrowiecka, A" uniqKey="Zub Pokrowiecka A">A Zub-Pokrowiecka</name>
</author>
<author><name sortKey="Rembiasz, K" uniqKey="Rembiasz K">K Rembiasz</name>
</author>
<author><name sortKey="Konturek, Sj" uniqKey="Konturek S">SJ Konturek</name>
</author>
<author><name sortKey="Budzynski, A" uniqKey="Budzynski A">A Budzynski</name>
</author>
<author><name sortKey="Konturek, Pc" uniqKey="Konturek P">PC Konturek</name>
</author>
<author><name sortKey="Budzynski, P" uniqKey="Budzynski P">P Budzynski</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Zub Pokrowiecka, A" uniqKey="Zub Pokrowiecka A">A Zub-Pokrowiecka</name>
</author>
<author><name sortKey="Rembiasz, K" uniqKey="Rembiasz K">K Rembiasz</name>
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</author>
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<author><name sortKey="Winiarski, M" uniqKey="Winiarski M">M Winiarski</name>
</author>
<author><name sortKey="Biela Ski, W" uniqKey="Biela Ski W">W Bielański</name>
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</analytic>
</biblStruct>
</listBibl>
</div1>
</back>
</TEI>
<pmc article-type="review-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Endocr Relat Cancer</journal-id>
<journal-id journal-id-type="iso-abbrev">Endocr. Relat. Cancer</journal-id>
<journal-id journal-id-type="hwp">ERC</journal-id>
<journal-title-group><journal-title>Endocrine-Related Cancer</journal-title>
</journal-title-group>
<issn pub-type="ppub">1351-0088</issn>
<issn pub-type="epub">1479-6821</issn>
<publisher><publisher-name>Bioscientifica Ltd</publisher-name>
<publisher-loc>Bristol</publisher-loc>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">27552970</article-id>
<article-id pub-id-type="pmc">5064755</article-id>
<article-id pub-id-type="doi">10.1530/ERC-16-0130</article-id>
<article-id pub-id-type="publisher-id">ERC160130</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Review</subject>
</subj-group>
</article-categories>
<title-group><article-title>Is there an effect of ghrelin/ghrelin analogs on cancer? A systematic review</article-title>
<alt-title alt-title-type="lrh">S Sever et al.</alt-title>
<alt-title alt-title-type="short">Review of ghrelin/ghrelin analogs in cancer</alt-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Sever</surname>
<given-names>Sakine</given-names>
</name>
<xref ref-type="aff" rid="aff1">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>White</surname>
<given-names>Donna L</given-names>
</name>
<xref ref-type="aff" rid="aff2">2</xref>
<xref ref-type="aff" rid="aff3">3</xref>
<xref ref-type="aff" rid="aff4">4</xref>
<xref ref-type="aff" rid="aff5">5</xref>
<xref ref-type="aff" rid="aff6">6</xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Garcia</surname>
<given-names>José M</given-names>
</name>
<xref ref-type="aff" rid="aff1">1</xref>
<xref ref-type="aff" rid="aff6">6</xref>
<xref ref-type="aff" rid="aff7">7</xref>
<xref ref-type="aff" rid="aff8">8</xref>
<xref ref-type="aff" rid="aff9">9</xref>
<xref ref-type="corresp" rid="cor1"></xref>
</contrib>
<aff id="aff1"><label>1</label>
<institution>Division of Endocrinology</institution>
<addr-line>Diabetes, and Metabolism, Baylor College of Medicine, Alkek Building for Biomedical Research, Houston, Texas, USA</addr-line>
</aff>
<aff id="aff2"><label>2</label>
<institution>Section of Gastroenterology and Hepatology</institution>
<addr-line>Baylor College of Medicine Medical Center, Houston, Texas, USA</addr-line>
</aff>
<aff id="aff3"><label>3</label>
<institution>Clinical Epidemiology and Comparative Effectiveness Program</institution>
<addr-line>Section of Health Services Research (IQuESt), Michael E. DeBakey Veterans Affairs Medical Center, HSR&D Center of Innovation (152), Houston, Texas, USA</addr-line>
</aff>
<aff id="aff4"><label>4</label>
<institution>Texas Medical Center Digestive Disease Center</institution>
<addr-line>Baylor College of Medicine, Houston, Texas, USA</addr-line>
</aff>
<aff id="aff5"><label>5</label>
<institution>Dan L. Duncan Comprehensive Cancer Center</institution>
<addr-line>Baylor College of Medicine, Houston, Texas, USA</addr-line>
</aff>
<aff id="aff6"><label>6</label>
<institution>Center for Translational Research on Inflammatory Diseases (CTRID)</institution>
<addr-line>Michael E. DeBakey Veterans Affairs Medical Center, Houston, Texas, USA</addr-line>
</aff>
<aff id="aff7"><label>7</label>
<institution>Department of Molecular and Cellular Biology</institution>
<addr-line>Baylor College of Medicine, Houston, Texas, USA</addr-line>
</aff>
<aff id="aff8"><label>8</label>
<institution>Huffington Center on Aging</institution>
<addr-line>Baylor College of Medicine, Houston, Texas, USA</addr-line>
</aff>
<aff id="aff9"><label>9</label>
<institution>Geriatrics Research Education and Clinical Center</institution>
<addr-line>Veterans Affairs Puget Sound Health Care System and University of Washington, Seattle, Washington, USA</addr-line>
</aff>
</contrib-group>
<author-notes><corresp id="cor1">Correspondence should be addressed to J M Garcia; Email: <email>jose.garcia@va.gov</email>
</corresp>
</author-notes>
<pub-date pub-type="collection"><month>9</month>
<year>2016</year>
</pub-date>
<pub-date pub-type="epub"><day>01</day>
<month>9</month>
<year>2016</year>
</pub-date>
<volume>23</volume>
<issue>9</issue>
<fpage>R393</fpage>
<lpage>R409</lpage>
<history><date date-type="received"><day>11</day>
<month>7</month>
<year>2016</year>
</date>
<date date-type="accepted"><day>14</day>
<month>7</month>
<year>2016</year>
</date>
</history>
<permissions><copyright-statement>© 2016 Society for Endocrinology</copyright-statement>
<copyright-year>2016</copyright-year>
<copyright-holder>Society for Endocrinology</copyright-holder>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/3.0/"><license-p><inline-graphic xlink:href="88x31.jpg"></inline-graphic>
This work is licensed under a <ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/3.0/">Creative Commons Attribution 3.0 Unported License</ext-link>
</license-p>
</license>
</permissions>
<self-uri content-type="pdf" xlink:type="simple" xlink:href="erc-23-R393.pdf"></self-uri>
<abstract><p>Ghrelin is a hormone with multiple physiologic functions, including promotion of growth hormone release, stimulation of appetite and regulation of energy homeostasis. Treatment with ghrelin/ghrelin-receptor agonists is a prospective therapy for disease-related cachexia and malnutrition. <italic>In vitro</italic>
studies have shown high expression of ghrelin in cancer tissue, although its role including its impact in cancer risk and progression has not been established. We performed a systematic literature review to identify peer-reviewed human or animal <italic>in vivo</italic>
original research studies of ghrelin, ghrelin-receptor agonists, or ghrelin genetic variants and the risk, presence, or growth of cancer using structured searches in PubMed database as well as secondary searches of article reference lists, additional reviews and meta-analyses. Overall, 45 (73.8%) of the 61 studies reviewed, including all 11 involving exogenous ghrelin/ghrelin-receptor agonist treatment, reported either a null (no statistically significant difference) or inverse association of ghrelin/ghrelin-receptor agonists or ghrelin genetic variants with cancer risk, presence or growth; 10 (16.7%) studies reported positive associations; and 6 (10.0%) reported both negative or null and positive associations. Differences in serum ghrelin levels in cancer cases vs controls (typically lower) were reported for some but not all cancers. The majority of <italic>in vivo</italic>
studies showed a null or inverse association of ghrelin with risk and progression of most cancers, suggesting that ghrelin/ghrelin-receptor agonist treatment may have a favorable safety profile to use for cancer cachexia. Additional large-scale prospective clinical trials as well as basic bioscientific research are warranted to further evaluate the safety and benefits of ghrelin treatment in patients with cancer.</p>
</abstract>
<kwd-group><title>Keywords</title>
<kwd>ghrelin</kwd>
<kwd>cancer</kwd>
<kwd>tumor growth</kwd>
<kwd>metastasis</kwd>
<kwd><italic>in vivo</italic>
</kwd>
<kwd>cachexia</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
<affiliations><list><country><li>États-Unis</li>
</country>
<region><li>Texas</li>
<li>Washington (État)</li>
</region>
<settlement><li>Seattle</li>
</settlement>
<orgName><li>Université de Washington</li>
</orgName>
</list>
<tree><country name="États-Unis"><region name="Texas"><name sortKey="Sever, Sakine" sort="Sever, Sakine" uniqKey="Sever S" first="Sakine" last="Sever">Sakine Sever</name>
</region>
<name sortKey="Garcia, Jose M" sort="Garcia, Jose M" uniqKey="Garcia J" first="José M" last="Garcia">José M. Garcia</name>
<name sortKey="Garcia, Jose M" sort="Garcia, Jose M" uniqKey="Garcia J" first="José M" last="Garcia">José M. Garcia</name>
<name sortKey="Garcia, Jose M" sort="Garcia, Jose M" uniqKey="Garcia J" first="José M" last="Garcia">José M. Garcia</name>
<name sortKey="Garcia, Jose M" sort="Garcia, Jose M" uniqKey="Garcia J" first="José M" last="Garcia">José M. Garcia</name>
<name sortKey="Garcia, Jose M" sort="Garcia, Jose M" uniqKey="Garcia J" first="José M" last="Garcia">José M. Garcia</name>
<name sortKey="White, Donna L" sort="White, Donna L" uniqKey="White D" first="Donna L" last="White">Donna L. White</name>
<name sortKey="White, Donna L" sort="White, Donna L" uniqKey="White D" first="Donna L" last="White">Donna L. White</name>
<name sortKey="White, Donna L" sort="White, Donna L" uniqKey="White D" first="Donna L" last="White">Donna L. White</name>
<name sortKey="White, Donna L" sort="White, Donna L" uniqKey="White D" first="Donna L" last="White">Donna L. White</name>
<name sortKey="White, Donna L" sort="White, Donna L" uniqKey="White D" first="Donna L" last="White">Donna L. White</name>
</country>
</tree>
</affiliations>
</record>
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