Your new experience awaits. Try the new design now and help us make it even better

ORIGINAL RESEARCH article

Front. Endocrinol.

Sec. Reproduction

Volume 16 - 2025 | doi: 10.3389/fendo.2025.1587490

This article is part of the Research TopicThe Uterus Immune Microenvironment Features in Physiological and Pathological ConditionsView all articles

Ghrelin's Potential as a Therapeutic Target for Chronic Inflammatory Diseases: Evidence from Human Endometrial Stromal Cells

Provisionally accepted
WenHui  DongWenHui Dong1HongKai  MuHongKai Mu1Fan  JiaFan Jia2YingYing  WeiYingYing Wei3JingJing  LvJingJing Lv4ShiZhao  ZhouShiZhao Zhou1ShiPing  YuShiPing Yu3*Tingting  LiangTingting Liang5*
  • 1Shanxi Medical University, Taiyuan, China
  • 2First Hospital of Shanxi Medical University, Taiyuan, Shaanxi, China
  • 3Shanxi Provincial Cancer Hospital, Taiyuan, Shanxi Province, China
  • 4Lvliang City People's Hospital, Lvliang, Shaanxi Province, China
  • 5Second Hospital of Shanxi Medical University, Taiyuan, Shanxi Province, China

The final, formatted version of the article will be published soon.

Background: Ghrelin, a peptide composed of 28 amino acids, is recognized for its role in regulating appetite and energy balance. Recently, it has also been identified as an immunomodulator that could significantly influence immune responses in chronic inflammatory conditions. The role of ghrelin on cell viability and cytokine expression is presented here for human endometrial stromal (hEM15A) cells, with attention to the way this peptide could modulate inflammation.In this study, the hEM15A cells were cultured and treated with Ghrelin at concentrations ranging from 1 μM to 1000 μM. Cell viability was assessed using the Cell Counting Kit-8 (CCK-8) assay. Levels of the cytokines TNF-α, IL-6, and IL-10 were measured by ELISA, and the expression of the Ghrelin receptor was confirmed through Western blot (WB) analysis.The results demonstrated successful expression of the Ghrelin receptor (GHSR) in hEM15A cells. Analysis of cell viability indicated that Ghrelin positively affected cell proliferation, particularly at higher concentrations. ELISA results showed a significant decrease in pro-inflammatory cytokines TNF-α and IL-6, coupled with a notable increase in the anti-inflammatory cytokine IL-10, in a dose-dependent manner.Ghrelin can exert its effects through its receptor GHSR. Meanwhile, Ghrelin stimulates cell growth without causing decrease in viability; it has cell protective effect by regulating inflammation at the molecular level by balancing the release of some key pro-inflammatory cytokines. This study discovered and validated the anti-inflammatory effect of Ghrelin in patients with endometriosis. Thus, the data presented open a potential use of Ghrelin as therapy for chronic inflammation-related disorders as endometriosis.

Keywords: Ghrelin, Inflammation, Cytokines, Endometrial Stromal Cells, anti-inflammatory, Chronic inflammatory diseases

Received: 04 Mar 2025; Accepted: 18 Aug 2025.

Copyright: © 2025 Dong, Mu, Jia, Wei, Lv, Zhou, Yu and Liang. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence:
ShiPing Yu, Shanxi Provincial Cancer Hospital, Taiyuan, Shanxi Province, China
Tingting Liang, Second Hospital of Shanxi Medical University, Taiyuan, Shanxi Province, China

Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.