Stimulation of the
ghrelin receptor (GhrR) by
ghrelin results in a variety of metabolic changes including increased food intake, fat storage and
insulin resistance. Loss of
ghrelin signaling is protective against diet-induced
obesity, suggesting that
ghrelin plays a significant homeostatic role in conditions of metabolic stress. We examined
glycemic control in GhrR -/- mice fed a high-fat diet, and used indirect calorimetry to assess fuel substrate usage and energy expenditure. GhrR -/- mice fed a high-fat diet had several measures of greater
insulin sensitivity, including: lower fasted
blood glucose and plasma
insulin, lower %
Hb(A1c), lower
insulin levels during
glucose tolerance tests, and improved performance in hyperinsulinemic-euglycemic and hyperglycemic clamp studies. GhrR -/- mice fed a high-fat diet did not develop hepatic steatosis and had lower total
cholesterol, relative to controls. Furthermore, GhrR -/- mice demonstrated a lower intestinal
triglyceride secretion rate of dietary
lipid. GhrR -/- mice have higher respiratory quotients (RQ), indicating a preference for
carbohydrate as fuel. The range of RQ values was wider in GhrR -/- mice, indicating greater metabolic flexibility and
insulin sensitivity in these animals. We therefore propose that loss of
ghrelin signaling promotes
insulin sensitivity and metabolic flexibility, and protects against several fatty diet-induced features of
metabolic syndrome due to convergent changes in the intake, absorption and utilization of energy.