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Max Planck Institute of Psychiatry, Department of Psychiatry, 80804 Munich, Germany
Ghrelin, an endogenous
ligand of the growth hormone (GH) secretagogue (GHS) receptor,
stimulates GH release, appetite, and weight gain in humans and rodents.
Synthetic GHSs modulate sleep electroencephalogram (EEG) and nocturnal
hormone secretion. We studied the effect of 4 × 50 µg of
ghrelin administered hourly as intravenous boluses between 2200 and
0100 on sleep EEG and the secretion of plasma GH, ACTH, cortisol,
prolactin, and leptin in humans (n = 7). After ghrelin
administration, slow-wave sleep was increased during the total night
and accumulated
-wave activity was enhanced during the second half
of the night. Rapid-eye-movement (REM) sleep was reduced during the
second third of the night, whereas all other sleep EEG variables
remained unchanged. Furthermore, GH and prolactin plasma levels were
enhanced throughout the night, and cortisol levels increased during the
first part of the night (2200-0300). The response of GH to ghrelin
was most distinct after the first injection and lowest after the fourth
injection. In contrast, cortisol showed an inverse pattern of response.
Leptin levels did not differ between groups. Our data show a distinct action of exogenous ghrelin on sleep EEG and nocturnal hormone secretion. We suggest that ghrelin is an endogenous sleep-promoting factor. This role appears to be complementary to the already described effects of the peptide in the regulation of energy balance.
Furthermore, ghrelin appears to be a common stimulus of the
somatotropic and hypothalamo-pituitary-adrenocortical systems. It
appears that ghrelin is a sleep-promoting factor in humans.
growth hormone; adrenocorticotropic hormone; cortisol; prolactin; leptin; sleep endocrinology
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