AIM:To examine the influence of ghrelin on the regenerative potential of gastrointestinal(GI)epithelium.METHODS:Damage to GI epithelium was induced in mice by two intravenous injections of doxorubicin(10 and 6 mg/kg).Some of the doxorubicin-treated mice received a continuous subcutaneous infusion of ghrelin(1.25μg/h)for 10 d via implanted mini-osmotic pumps.To label dividing stem cells in the S-phase of the cell cycle,all mice received a single intraperitoneal injection of 5’-bromo-2’-deoxyuridine(BrdU)one hour before sacrifice.The stomach along with the duodenum were then removed and processed for histological examination and immunohistochemistry using anti-BrdU antibody.RESULTS:The results showed dramatic damage to the GI epithelium 3 d after administration of chemotherapy which began to recover by day 10.In ghrelintreated mice,attenuation of GI mucosal damage was evident in the tissues examined postchemotherapy.Immunohistochemical analysis showed an increase in the number of BrdUlabeled cells and an alteration in their distribution along the epithelial lining in response to damage by doxorubicin.In mice treated with both doxorubicin and ghrelin,the number of BrdUlabeled cells was reduced when compared with mice treated with doxorubicin alone.CONCLUSION:The present study suggests that ghrelin enhances the regenerative potential of the GI epithelium in doxorubicintreated mice,at least in part,by modulating cell proliferation. AIM: To examine the influence of ghrelin on the regenerative potential of gastrointestinal (GI) epithelium. METHODS: Damage to GI epithelium was induced in mice by two intravenous injections of doxorubicin (10 and 6 mg / kg). Home of the doxorubicin-treated mice received a continuous subcutaneous infusion of ghrelin (1.25 μg / h) for 10 d via implanted mini-osmotic pumps .To label dividing stem cells in the S-phase of the cell cycle, all mice received a single intraperitoneal injection of 5’- bromo-2’-deoxyuridine (BrdU) one hour before sacrifice.The stomach along with the duodenum were then removed and processed for histological examination and immunohistochemistry using anti-BrdU antibody .RESULTS: The results showed dramatic damage to the GI epithelium after 3 d after administration of chemotherapy which began to recover by day 10. In ghrelintreated mice, attenuation of GI mucosal damage was evident in the tissues examined postchemotherapy. Immunohistochemical analysis showed an increase in the number of BrdUla beled cells and an alteration in their distribution along the epithelial lining in response to damage by doxorubicin.In mice treated with both doxorubicin and ghrelin, the number of BrdUlabeled cells was reduced when compared with mice treated with doxorubicin alone. that ghrelin enhances the regenerative potential of the GI epithelium in doxorubicintreated mice, at least in part, by modulating cell proliferation.