A novel somatostatin receptor ligand for human ACTH - and GH -secreting pituitary adenomas

© The Author(s) 2023. Published by Oxford University Press on behalf of European Society of Endocrinology..

OBJECTIVE: Somatostatin receptor ligands have come to play a pivotal role in the treatment of both ACTH- and GH-secreting pituitary adenomas. Clinical efficacy averages 30-50%, thus a considerable number of patients with Cushing's disease or acromegaly remain unresponsive to this therapeutic approach. HTL0030310 is a new somatostatin receptor ligand selective for subtype 5 over subtype 2, thus with a different receptor profile compared to clinical somatostatin receptor ligands.

DESIGN: Assessment of the effect of HTL0030310 on hormone secretion in human ACTH- and GH-secreting pituitary adenomas in vitro.

METHODS: Primary cultures from 3 ACTH-secreting and 5 GH-secreting pituitary adenomas were treated with 1, 10 and 100 nM HTL0030310 alone or with 10 nM CRH or GHRH, respectively. Parallel incubations with 10 nM pasireotide were also carried out. ACTH and GH secretion were assessed after 4 and 24 hour incubation; SSTR2, SSTR3, SSTR5, GH and POMC expression were evaluated after 24 hours.

RESULTS: HTL0030310 reduced unchallenged ACTH and POMC levels up to 50% in 2 ACTH-secreting adenomas and blunted CRH-stimulated ACTH/POMC by 20-70% in all 3 specimens. A reduction in spontaneous GH secretion was observed in 4 GH-secreting adenomas and in 2 specimens during GHRH co-incubation. SSTRs expression was detected in all specimens.

CONCLUSIONS: This first study on a novel somatostatin receptor 5-preferring ligand indicates that HTL0030310 can inhibit hormonal secretion in human ACTH- and GH-secreting pituitary adenomas. These findings suggest a potential new avenue for somatostatin ligands in the treatment of Cushing's disease and acromegaly.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:190

Enthalten in:

European journal of endocrinology - 190(2024), 1 vom: 03. Jan., Seite K8-K16

Sprache:

Englisch

Beteiligte Personen:

Regazzo, Daniela [VerfasserIn]
Avallone, Serena [VerfasserIn]
MacSweeney, Cliona P [VerfasserIn]
Sergeev, Eugenia [VerfasserIn]
Howe, David [VerfasserIn]
Godwood, Alex [VerfasserIn]
Bennett, Kirstie A [VerfasserIn]
Brown, Alastair J H [VerfasserIn]
Barnes, Matt [VerfasserIn]
Occhi, Gianluca [VerfasserIn]
Barbot, Mattia [VerfasserIn]
Faggian, Diego [VerfasserIn]
Tropeano, Maria Pia [VerfasserIn]
Losa, Marco [VerfasserIn]
Lasio, Giovanni [VerfasserIn]
Scaroni, Carla [VerfasserIn]
Pecori Giraldi, Francesca [VerfasserIn]

Links:

Volltext

Themen:

66796-54-1
9002-60-2
Acromegaly
Adrenocorticotropic Hormone
Cushing's disease
Journal Article
Ligands
Pituitary adenoma
Pro-Opiomelanocortin
Receptors, Somatostatin
Somatostatin
Target therapy

Anmerkungen:

Date Completed 12.01.2024

Date Revised 25.01.2024

published: Print

Citation Status MEDLINE

doi:

10.1093/ejendo/lvad171

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM366141511