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Human renal cell carcinoma expresses distinct binding sites for growth hormone-releasing hormone

G Halmos1, A V Schally, J L Varga

  • 1Endocrine, Polypeptide and Cancer Institute, Veterans Affairs Medical Center and Department of Medicine, Tulane University School of Medicine, New Orleans, LA 70112-2699, USA.

Insights

Growth hormone-releasing hormone (GHRH) antagonists significantly inhibit renal cell carcinoma (RCC) growth and metastasis. Specific GHRH antagonist binding sites on RCC tumors differ from pituitary receptors, indicating a potential targeted therapy.

Area of Science:

  • Oncology
  • Endocrinology
  • Molecular Biology

Background:

  • Growth hormone-releasing hormone (GHRH) antagonists show promise in inhibiting various human cancers.
  • These antagonists exert effects through specific binding sites on tumors, distinct from pituitary GHRH receptors.
  • Understanding these tumor-specific binding sites is crucial for developing targeted cancer therapies.

Purpose of the Study:

  • To investigate the efficacy of GHRH antagonist JV-1-38 in inhibiting renal cell carcinoma (RCC) growth and metastasis.
  • To characterize the specific binding sites for GHRH antagonists on CAKI-1 RCC tumors.
  • To determine if these tumor-specific binding sites differ from known GHRH receptors and VIP binding sites.

Main Methods:

  • Treatment of orthotopic CAKI-1 human RCC xenografts with GHRH antagonist JV-1-38.
  • Ligand competition assays using radiolabeled GHRH antagonist JV-1-42 to assess binding affinity and capacity.
  • Reverse transcription-PCR to identify GHRH receptor splice variants in CAKI-1 RCC.
  • Biodistribution studies to evaluate in vivo uptake of radiolabeled JV-1-42 by tumor tissue.

Main Results:

  • GHRH antagonist JV-1-38 inhibited CAKI-1 RCC tumor growth by 83% and reduced lung and lymph node metastases.
  • Specific high-affinity binding sites (K(d) = 0.25 nM) for GHRH antagonists were identified in CAKI-1 tumors.
  • These tumor binding sites preferentially bound GHRH antagonists over hGHRH and were distinct from VIP binding sites and pituitary GHRH receptors.
  • Expression of hGHRH receptor splice variants was detected in CAKI-1 RCC, and in vivo studies confirmed tumor uptake of the GHRH antagonist.

Conclusions:

  • GHRH antagonists effectively inhibit renal cell carcinoma growth and metastasis.
  • CAKI-1 RCC tumors express distinct GHRH antagonist binding sites with high affinity.
  • These findings support the potential of targeting these specific binding sites for novel RCC therapies.

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