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Somatostatin receptors in malignant tissues
J C Reubi1, E Krenning, S W Lamberts
1Sandoz Research Institute, Berne, Switzerland.
Abstract:
High affinity somatostatin receptors (SS-R) have been identified in membrane homogenates or tissue sections from several hundred human tumors. SS-R were found in most tumors originating from SS target tissues, i.e. GH- and TSH-producing pituitary tumors, endocrine gastroenteropancreatic (GEP) tumors (including metastases) and brain tumors, including gliomas and neuroblastomas. SS-R were also expressed in several tumors originating from various other tissues, i.e. breast and small cell lung carcinomas, some colorectal cancers, and medullary thyroid carcinomas. In general, most of the SS-R+ tumors are well-differentiated and/or have neuroendocrine features. They often have low or absent epidermal growth factor receptor (EGF-R) expression. In some tumors (i.e. breast tumors) SS-R are not homogeneously distributed, making SS-R autoradiography a particularly useful tool for assessing SS-R status. SS-R are functional in pituitary and GEP tumors where they mediate hormone secretion inhibition. In these and in the other SS-R+ tumors, SS-R may also mediate antiproliferative effects of SS, as evidenced in animals where growth of SS-R+ tumor xenografts is inhibited by SS analogs. For diagnosis, SS-R+ tumors and metastases can be localized in vivo by scanning techniques after 123I-labelled SS analog injection.
Insights
High affinity somatostatin receptors (SS-R) are present in many human tumors, including pituitary, brain, and breast cancers. These SS-R+ tumors may respond to somatostatin analogs for therapeutic and diagnostic applications.
Area of Science:
- Oncology
- Endocrinology
- Molecular Biology
Background:
- High-affinity somatostatin receptors (SS-R) are expressed in various human tissues.
- Understanding SS-R expression in tumors is crucial for targeted therapies.
Purpose of the Study:
- To investigate the presence and distribution of SS-R in a wide range of human tumors.
- To explore the functional implications of SS-R in tumor growth and hormone secretion.
Main Methods:
- Analysis of SS-R expression in human tumor samples using membrane homogenates and tissue sections.
- Autoradiography for assessing SS-R distribution in specific tumor types.
- In vivo imaging techniques using radiolabeled SS analogs.
Main Results:
- SS-R were identified in numerous human tumors, including pituitary, gastroenteropancreatic (GEP), brain, breast, lung, colorectal, and thyroid carcinomas.
- SS-R expression was often associated with well-differentiated tumors, neuroendocrine features, and low epidermal growth factor receptor (EGF-R) expression.
- SS-R mediate hormone secretion inhibition and antiproliferative effects in preclinical models, suggesting therapeutic potential.
Conclusions:
- High-affinity SS-R are widely expressed in human tumors, offering potential targets for diagnosis and therapy.
- SS-R status in tumors can be assessed using autoradiography and in vivo imaging.
- Somatostatin analogs show promise in inhibiting the growth of SS-R-expressing tumors.
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