Peptide receptor targeting in cancer: the somatostatin paradigm

Federica Barbieri1, Adriana Bajetto, Alessandra Pattarozzi

  • 1Section of Pharmacology, Department of Internal Medicine and Center of Excellence for Biomedical Research (CEBR), University of Genova, Viale Benedetto XV, 2 16132 Genova, Italy.

Insights

Somatostatin (SST) and its receptors show potential in cancer therapy by inhibiting tumor growth and angiogenesis. Further research into SST receptor functions in various cancers may expand therapeutic applications.

Area of Science:

  • Endocrinology and Oncology
  • Molecular Biology and Pharmacology

Background:

  • Somatostatin (SST) is a peptide hormone with diverse physiological roles, acting as an inhibitor of secretion and a neurotransmitter.
  • SST exerts its effects through five G-protein-coupled receptors (sst1-5), influencing endocrine, exocrine, and central nervous system functions.
  • While SST's antiproliferative and antiangiogenic effects in cancer are known, its precise roles and receptor functions in various tumor types require further elucidation.

Purpose of the Study:

  • To review recent findings on the expression and functional roles of somatostatin (SST) and its receptors in tumor cells.
  • To explore the potential of SST receptors as therapeutic targets in a broader range of cancer types beyond current applications.

Main Methods:

  • Review of recent scientific literature focusing on somatostatin (SST) and somatostatin receptor (SSTR) expression and function in cancer.
  • Analysis of signaling pathways, receptor dimerization, trafficking, and cross-talk with growth factor receptors.
  • Evaluation of in vitro and in vivo studies on SST's effects on cancer cells and experimental tumors.

Main Results:

  • Somatostatin (SST) demonstrates significant antiproliferative and antiangiogenic effects on cancer cells in vitro and in vivo.
  • SST agonists are clinically validated for treating pituitary adenomas and gastro-pancreatic neuroendocrine tumors.
  • Expression of SST receptors in diverse tumor histotypes suggests potential for broader pharmacological applications, though clinical success is not yet widespread.

Conclusions:

  • Somatostatin (SST) and its receptors are critical players in pathophysiological processes and represent promising therapeutic targets in oncology.
  • The established efficacy of SST agonists in specific tumors warrants further investigation into their expression and functional roles across various cancer types.
  • Expanding the therapeutic use of SST receptor-targeting agents to other histotypes holds significant potential for novel cancer treatments.

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