Evaluation and diagnostic potential of serum ghrelin in feline hypersomatotropism and diabetes mellitus.

Abstract

BACKGROUND: Ghrelin is a growth hormone secretagogue. It is a potent regulator of energy homeostasis. Ghrelin concentration is down-regulated in humans with hypersomatotropism (HS) and increases after successful treatment. Additionally, ghrelin secretion seems impaired in human diabetes mellitus (DM). HYPOTHESIS: Serum ghrelin concentration is down-regulated in cats with HS-induced DM (HSDM) compared to healthy control cats or cats with DM unrelated to HS and increases after radiotherapy. ANIMALS: Cats with DM (n = 20) and with HSDM (n = 32), 13 of which underwent radiotherapy (RT-group); age-matched controls (n = 20). METHODS: Retrospective cross-sectional study. Analytical performance of a serum total ghrelin ELISA was assessed and validated for use in cats. Differences in serum ghrelin, fructosamine, IGF-1 and insulin were evaluated. RESULTS: Ghrelin was significantly higher (P < .001) in control cats (mean &#xb1; SD: 12.9 &#xb1; 6.8 ng/mL) compared to HSDM- (7.9 &#xb1; 3.3 ng/mL) and DM-cats (6.7 &#xb1; 2.3 ng/mL), although not different between the HSDM- and DM-cats. After RT ghrelin increased significantly (P = .003) in HSDM-cats undergoing RT (from 6.6 &#xb1; 1.9 ng/mL to 9.0 &#xb1; 2.2 ng/mL) and the after RT ghrelin concentrations of HSDM cats were no longer significantly different from the serum ghrelin concentration of control cats. Serum IGF-1 did not significantly change in HSDM-cats after RT, despite significant decreases in fructosamine and insulin dose. CONCLUSION AND CLINICAL IMPORTANCE: Ghrelin appears suppressed in cats with DM and HSDM, although increases after RT in HSDM, suggesting possible presence of a direct or indirect negative feedback system between growth hormone and ghrelin. Serum ghrelin might therefore represent a marker of treatment effect.