Antagonists of growth hormone-releasing hormone (GH-RH) inhibit in vivo proliferation of experimental pancreatic
K Szepeshazi1, A V Schally, K Groot
1Endocrine, Polypeptide and Cancer Institute, Veterans Affairs Medical Center, New Orleans, LA 70146, USA.
Abstract:
Insulin-like growth factors (IGF-I and IGF-II) are implicated in the pathogenesis of pancreatic carcinoma. Antagonists of growth hormone-releasing hormone (GH-RH) suppress the GH-RH-GH-IGF-I axis and also act directly on tumours to reduce production of IGF-I or II. The aim of this study was to investigate the effects of two potent GH-RH antagonists in two experimental models of pancreatic cancer. Syrian golden hamsters with nitrosamine-induced pancreatic tumours were treated with 10 micrograms/day of GH-RH antagonist MZ-4-71 for 60 days. The therapy reduced the number of tumorous animals, decreased the weight of tumorous pancreata by 55%, and lowered AgNOR numbers in tumour cells. In two other experiments, GH-RH antagonists MZ-4-71 and MZ-5-156 significantly inhibited growth of SW-1990 human pancreatic cancers xenografted into nude mice, as shown by a reduction in tumour volume and tumour weights, and a decrease in AgNORs in cancer cells. IGF-I levels in serum and in pancreatic cancer tissue remained unchanged after therapy, suggesting that an effect on IGF-I is not involved in tumour inhibition. In contrast, IGF-II concentrations in tumours were significantly reduced by 50-60% after treatment with the GH-RH antagonists as compared with controls. In vitro studies showed that the concentration of IGF-II in the culture medium was increased after seeding of SW-1990 cells, indicating that this pancreatic cancer cell line produced and released IGF-II. This finding was also supported by the expression of IGF-II mRNA in the SW-1990 cells. Addition of 3 x 10(-6) M of GH-RH antagonist MZ-5-156 to the reduced-serum medium decreased cell proliferation, IGF-II mRNA expression in the cells and IGF-II concentration in the medium. Our findings indicate that inhibitory effects of GH-RH antagonists on the growth of experimental pancreatic cancers, may result from a decrease in the production and concentration of IGF-II in the tumours.
Insights
Growth hormone-releasing hormone (GH-RH) antagonists effectively inhibit pancreatic cancer growth by reducing insulin-like growth factor-II (IGF-II) production. This study demonstrates a novel therapeutic strategy targeting the IGF-II pathway in pancreatic tumors.
Area of Science:
- Endocrinology and Cancer Biology
- Molecular Oncology
- Pharmacology
Background:
- Insulin-like growth factors (IGF-I and IGF-II) are implicated in pancreatic cancer development.
- Growth hormone-releasing hormone (GH-RH) antagonists modulate the GH-RH-GH-IGF-I axis and may directly impact tumor growth.
- The specific role of IGF-II in GH-RH antagonist-mediated pancreatic cancer inhibition requires elucidation.
Purpose of the Study:
- To investigate the efficacy of two GH-RH antagonists (MZ-4-71 and MZ-5-156) in experimental pancreatic cancer models.
- To determine the involvement of IGF-I and IGF-II in the anti-tumor effects of GH-RH antagonists.
Main Methods:
- Nitrosamine-induced pancreatic tumors in Syrian golden hamsters treated with GH-RH antagonist MZ-4-71.
- Human pancreatic cancer SW-1990 xenografts in nude mice treated with GH-RH antagonists MZ-4-71 and MZ-5-156.
- In vitro studies assessing cell proliferation, IGF-II mRNA expression, and IGF-II concentration in culture medium.
Main Results:
- GH-RH antagonists significantly reduced tumor incidence, pancreatic weight, tumor volume, and tumor cell AgNOR counts in both models.
- Therapy did not alter serum or tumor IGF-I levels, suggesting IGF-I is not involved in tumor inhibition.
- Tumor IGF-II concentrations were significantly reduced (50-60%) by GH-RH antagonists; in vitro studies confirmed SW-1990 cells produce IGF-II, and the antagonist decreased its production and release.
Conclusions:
- GH-RH antagonists exhibit potent inhibitory effects on experimental pancreatic cancer growth.
- The anti-tumor activity of GH-RH antagonists in pancreatic cancer is likely mediated by a reduction in tumor IGF-II production and concentration.
- These findings suggest GH-RH antagonists targeting the IGF-II pathway represent a promising therapeutic strategy for pancreatic cancer.
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