Somatostatin analogs regulate tumor corticotrophs growth by reducing ERK1/2 activity

Donatella Treppiedi1, Elena Giardino1, Rosa Catalano2

  • 1Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Endocrine Unit, Department of Clinical Sciences and Community Health, University of Milan, Milan, Italy.

Insights

Pasireotide inhibits ACTH-secreting tumor cell proliferation and induces apoptosis, primarily through somatostatin receptor type 5 (SST5) and phospho-ERK1/2 pathway inhibition. This study elucidates molecular mechanisms behind pasireotide

Area of Science:

  • Endocrinology and Molecular Oncology
  • Investigating the molecular mechanisms of endocrine tumors

Background:

  • Pasireotide demonstrates tumor shrinkage in Cushing's disease patients.
  • The precise molecular mechanisms underlying pasireotide's efficacy remain poorly understood.
  • ACTH-secreting tumors, including corticotroph tumors, are the focus of this investigation.

Purpose of the Study:

  • To investigate the cytostatic and cytotoxic effects of pasireotide on ACTH-secreting tumor cells.
  • To elucidate the molecular pathways, particularly somatostatin receptor (SST) involvement, mediating pasireotide's action.
  • To explore the impact of pasireotide on cell proliferation, signaling pathways (phospho-ERK1/2), and apoptosis in corticotroph tumor models.

Main Methods:

  • Assessed somatostatin receptor type 5 (SST5) and SST2 expression in primary ACTH-secreting tumor tissues.
  • Evaluated in vitro effects of pasireotide, BIM23206, BIM23120, and octreotide on cell growth and proliferation in primary cultures and AtT-20 cells.
  • Measured phospho-ERK1/2 levels and caspase 3/7 activity following treatment with pasireotide and other somatostatin analogs.

Main Results:

  • SST5 was detected in 17/17 ACTH-secreting tumors, and SST2 in 15/17.
  • Pasireotide significantly inhibited cell growth and proliferation in primary cultures and AtT-20 cells, with notable reduction in phospho-ERK1/2 levels.
  • Pasireotide induced apoptosis in AtT-20 cells at lower concentrations than octreotide, suggesting a distinct pro-apoptotic effect.

Conclusions:

  • Pasireotide's anti-proliferative effect on ACTH-secreting tumor cells is mediated by SST5-dependent inhibition of phospho-ERK1/2 signaling.
  • Pasireotide exhibits a pro-apoptotic effect in corticotroph tumor cells, a novel finding for this agent.
  • These findings provide crucial insights into the molecular mechanisms of pasireotide, supporting its therapeutic potential in ACTH-secreting pituitary tumors.

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