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Updated: May 31, 2026

Isolation, Fixation, and Immunofluorescence Imaging of Mouse Adrenal Glands
Published on: October 2, 2018
Differential expression of somatostatin receptor subtype-related genes and proteins in non-functioning and
Hanna Pisarek1, Roman Krupiński, Robert Kubiak
1Department of Neuroendocrinology, Medical University of Łódź, Łódź 91-425, Poland. hanna.pisarek@umed.lodz.pl
Abstract:
Adrenocortical adenomas display highly variable expressions of somatostatin receptor (SSTR) subtypes, whose expression is mandatory (although not always sufficient) to achieve the positive effects of somatostatin (SST) analog therapy. Immunohistochemistry (IHC) is the main method used to investigate receptor protein expression. The molecular biology method - polymerase chain reaction (PCR) - is also often used to investigate receptor expression. Nevertheless, the expression of receptor mRNA and the respective receptor protein is not always synchronized. The aim of this study was to investigate SSTR expression by IHC in adrenal adenomas, to compare the results to data obtained by real-time PCR and to determine whether hormonally functioning and non-functioning adenomas differ in this respect. Adrenocortical adenomas were removed surgically from 13 females and 2 males. The tissues were obtained from 9 non-functioning and 6 functioning adenomas. The intensity of IHC reaction was scored semiquantitatively by two independent observers. Real-time PCR was performed using pairs of primers in a reaction amplified along a gradient of temperatures. Amplified DNA was measured by monitoring SYBR-Green fluorescence. In non-functioning tumors, compatibility between IHC and PCR results was observed for SSTR 1 and 2 in 62.5% of the samples. Fifty percent of patients demonstrated compatibility for SSTR 4 and 5 and 37.5% for SSTR 3. In hormonally active adenomas, total compatibility of both methods was noted for SSTR 2 (100%). The compatibility obtained for SSTR 5 was 66.6%. We conclude that receptor gene and respective receptor protein expression are not always synchronized. Messenger RNA detection alone is not sufficient to predict the presence of the receptor protein acting as a target for SST and its analogs.
Insights
Investigating somatostatin receptor (SSTR) expression in adrenal adenomas using immunohistochemistry (IHC) and PCR revealed discrepancies between mRNA and protein levels. This highlights that mRNA detection alone cannot predict SSTR protein presence for therapy.
Area of Science:
- Endocrinology
- Oncology
- Molecular Biology
Background:
- Adrenocortical adenomas exhibit variable somatostatin receptor (SSTR) subtype expression, crucial for somatostatin (SST) analog therapy efficacy.
- Immunohistochemistry (IHC) and polymerase chain reaction (PCR) are common methods to assess SSTR expression, but mRNA and protein levels may not always correlate.
Purpose of the Study:
- To investigate SSTR expression in adrenal adenomas using IHC.
- To compare IHC findings with real-time PCR data for SSTR expression.
- To determine if functioning and non-functioning adenomas differ in SSTR expression patterns.
Main Methods:
- Surgical removal of 15 adrenocortical adenomas (9 non-functioning, 6 functioning).
- Semiquantitative scoring of IHC reaction intensity by two independent observers.
- Real-time PCR with SYBR-Green fluorescence monitoring to assess SSTR mRNA expression.
Main Results:
- In non-functioning adenomas, IHC and PCR compatibility for SSTR 1 and 2 was 62.5%, for SSTR 4 and 5 was 50%, and for SSTR 3 was 37.5%.
- In functioning adenomas, 100% compatibility was observed for SSTR 2 and 66.6% for SSTR 5.
- Significant variability in concordance between mRNA and protein expression was noted across different SSTR subtypes and adenoma function.
Conclusions:
- Adrenocortical adenoma receptor gene and protein expression are not always synchronized.
- Messenger RNA detection alone is insufficient to predict the presence of SSTR protein, a key target for SST analog therapy.
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