RT journal article T1 Ghrelin mitigates β-cell mass loss during insulitis in an animal model of autoimmune diabetes mellitus, the BioBreeding/Worcester rat A1 Baena Nieto, Gloria A1 Lomas Romero, Isabel M. A1 Mateos Bernal, Rosa María A1 Leal Cosme, Noelia A1 Pérez Arana, Gonzalo Martín A1 Aguilar Diosdado, Manuel A1 Segundo Iglesias, María del Carmen A1 Lechuga Sancho, Alfonso María A2 Anatomía PatológicaBiología Celular, Histología, Historia de la Ciencia, Medicina Legal y Forense y Toxicología A2 Anatomía y Embriología Humana A2 BiomedicinaBiotecnología y Salud Pública A2 Cirugía A2 Materno-Infantil y Radiología A2 Medicina K1 ghrelin K1 autoimmne K1 prevention K1 β-cell viability K1 cytokines K1 type 1 diabetes AB Background: Ghrelin is a peptide hormone with pleiotropic effects. It stimulates cell proliferation and inhibits apoptosis-mediated cell death. It prevents diabetes mellitus in several models of chemical, surgical and biological toxic insults to pancreas in both in vivo and in vitro models and promotes glucose-stimulated insulin secretion under cytotoxic conditions. It has not yet been tested in vivo in an autoimmune model of diabetes with a persistent insult to the β-cell. Given the immunomodulating effects of ghrelin and its trophic effects on β-cells, we hypothesized that ghrelin treatment during the early stages of insulitis would delay diabetes onset. Methods: BioBreeding/Worcester male rats received ghrelin (10 ng/kg/day) before insulitis development. Glucose metabolism was characterized by glucose and insulin tolerance tests. β-cell mass, islet area, islet number, β-cell clusters, proliferation and apoptosis and degree of insulitis were analysed by histomorphometry. A Kaplan–Meier survival curve was plotted and analysed applying the log-rank (Mantel–Cox) test. Results: Ghrelin treatment significantly reduced the probability of developing diabetes in our model (p < 0.0001). It decreased islet infiltration and partially prevented β-cell mass loss, enabling the maintenance of β-cell neogenesis and proliferation rates. Furthermore, ghrelin treatment did not induce any metabolic perturbations. Conclusions: These findings support the hypothesis that ghrelin delays the development of autoimmune diabetes by attenuating insulitis and supporting β-cell mass. General Significance: Ghrelin promotes β-cell viability and function through diverse mechanisms that may have significant implications for diabetes prevention, therapy and also transplant success of both islets and complete pancreas. PB John Wiley and Sons Ltd SN 1520-7560 YR 2017 FD 2017 LK http://hdl.handle.net/10498/36629 UL http://hdl.handle.net/10498/36629 LA eng DS Repositorio Institucional de la Universidad de Cádiz RD 21-sep-2026