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. 2021 Mar 11;12:636403. doi: 10.3389/fendo.2021.636403

Figure 1.

Figure 1

Ghrelin production by the stomach and effects of ghrelin on pituitary GH synthesis and secretion. (1)In fasting situations, an empty stomach increases ghrelin production in specific P/DI cells (2) in humans located in oxyntic cells. Then, ghrelin is released into the circulation (3, 4) from where it reaches (5) the pituitary gland, inducing the synthesis and secretion of GH (6). Circulating ghrelin also reaches the hypothalamus (7), where it induces stimulation (8) of the appetite neurons, GHRH, and inhibits the release of SS. (9)Furthermore, circulating ghrelin inhibits the inhibitory effects of IGF-I on the synthesis and pituitary secretion of GH (10). In turn, IGF-I inhibits the increase in circulating ghrelin (11) produced in response to fasting. Blue arrows: stimulation; Red arrows: Inhibition; Yellow arrow: synthesis and secretion of GH; Black arrow: Hypothalamic effects of ghrelin; +, stimulation; −, inhibition.