Orexins are hypothalamic peptides that regulate food intake, wakefulness, the reward system and energy metabolism. Recent studies have demonstrated the ability of orexins to promote a robust apoptosis and subsequent inhibition of cell growth in various types of cancer cells. The present study was conducted to investigate the effects of orexin A on the survival of human gastric cancer cells, SGC-7901, and the possible mechanisms. SGC-7901 cells were exposed to various concentrations of orexin A in vitro in the presence or absence of the orexin receptor 1 (OX1R) antagonist (SB334867), extracellular signal-regulated kinases 1 and 2 (ERK1/2) antagonist (U0126) or a combination of the two antagonists. The amount of cell proliferation, viability and apoptosis, caspase-8 and caspases-9 activities, OX1R protein expression and ERK1/2 protein levels were determined. The expression of OX1R in SGC-7901 cells was observed. Orexin A (10(-10) to 10(-6) M) stimulated SGC-7901 cell proliferation and viability, reduced the pro-apoptotic activity of caspase-9 and protected the cells from apoptosis in a dose-dependent manner: Additionally, ERK1/2 phosphorylation was stimulated by orexin A (1040 to 10(-6) M). However, the OX1R antagonist SB334867 (10(-6) M), ERK1/2 antagonist U0126 (30 mu M) or the combination of antagonists blocked the effects of orexin A to a certain extent. These results suggest that stimulation of OX1R induces the growth of SGC-7901 gastric cancer cells through activation of ERK1/2 signaling pathway. These findings add a new dimension to the biological activities of orexin, which may have important implications in health and disease, in particular gastric cancer.