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Annals of Oncology Advance Access published online on June 26, 2006

Annals of Oncology, doi:10.1093/annonc/mdl105
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© 2006 European Society for Medical Oncology
Received July 20, 2005
Revised March 31, 2006
Accepted April 4, 2006

review

Rationale for the use of somatostatin analogs as antitumor agents

C. Susini 1 * and L. Buscail 1

1 INSERM U151, Institut Louis Bugnard, Toulouse, France

* To whom correspondence should be addressed.
C. Susini, E-mail: Christiane.Susini{at}toulouse.inserm.fr


   Abstract

Background: There is a need for novel antitumor agents that demonstrate efficacy in currently refractory tumors without adding to the toxicity of therapy. The somatostatin analogs, which have demonstrated antineoplastic activities in experimental tumor models, and good tolerability and safety profiles are attractive candidates.

Materials and Methods: Data from preclinical studies provide evidence for direct and indirect mechanisms by which somatostatin analogs exert antitumor effects.

Results: Direct antitumor activities, mediated through somatostatin receptors (sst1-sst5) expressed in tumor cells, include blockade of autocrine/paracrine growth-promoting hormone and growth factor production, inhibition of growth factor-mediated mitogenic signals and induction of apoptosis. Indirect antitumor effects include inhibition of growth-promoting hormone and growth factor secretion, and antiangiogenic actions. Many human tumors express more than one somatostatin receptor subtype, with sst2 being predominant. Somatostatin analogs such as octreotide and lanreotide, which present a high affinity for sst2, are in current clinical use to alleviate symptoms in patients with endocrine tumors, and radiolabeled somatostatin analogs have been developed for diagnosis and radiotherapy.

Conclusions: While the rationale exists for the use of somatostatin analogs as antitumor agents, studies are ongoing to identify analogs with activity across the range of receptor subtypes to maximize the potential of such treatment.

Keywords: angiogenesis; apoptosis; antitumor; receptor; refractory tumor; somatostatin analog.
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