Cardiac Model Systems (Cell Survival, Remodeling Markers, and Functional Readouts)
Rodent studies and cardiomyocyte model experiments have evaluated hexarelin in ischemia/reperfusion paradigms and related stress models, measuring apoptosis-associated markers, oxidative stress endpoints, inflammatory mediators, and function-related readouts within controlled experimental designs[1], [2], [4], [5], [8].

Preclinical myocardial injury model readouts comparing experimental groups.
Source: PubMed
Additional animal-model work has examined myocardial fibrosis-associated endpoints and remodeling-associated molecular markers in infarction and hypertension-associated paradigms[4], [5]. Studies have also investigated intracellular calcium regulation in in vitro ischemia/reperfusion models as a candidate mechanistic contributor to observed pathway readouts in cardiomyocytes[7], [8].

Mechanistic schematic illustrating pathway nodes evaluated in preclinical myocardial injury models.
Source: PubMed
Metabolic Model Context (Lipid and Insulin-Resistance Endpoints)
In defined preclinical metabolic models, investigators have reported lipid-related measurements and insulin-resistance endpoints following hexarelin exposure, supporting continued mechanistic study of ghrelin-analogue signaling in metabolic pathway research[9].
Skeletal Muscle and Cachexia-Associated Model Systems
Growth hormone secretagogue peptides, including hexarelin, have been studied in rat cachexia-associated paradigms to evaluate mitochondrial integrity markers, skeletal muscle calcium homeostasis, and related molecular endpoints under chemotherapy-associated stress conditions[10], [11].

A. Mitochondrial DNA content relative to control
B. Content of MCH1 and MHC2A mRNA
C. Protein content of muscle cells relative to control
Source: PubMed
Receptor Pharmacology and Ligand Development Context
Additional literature has described the development and characterization of ghrelin receptor ligands, including potency and selectivity assessments and endocrine/extraendocrine signaling observations in preclinical research contexts[12].