Somatostatin and Somatostatin Receptor Subtype Gene Expression in Medullary Thyroid Carcinoma1
Eugenia Mato,
Xavier Matías-Guiu,
Ana Chico,
Susan M. Webb,
Rosa Cabezas,
Lluis Berná and
Alberto de Leiva
Departments of Endocrinology (A.C., E.M., S.M.W., R.C., A.d.L.),
Pathology (X.M.-G.), and Nuclear Medicine (L.B.), Hospital de la Santa
Creu i Sant Pau, Universitat Autònoma de Barcelona 08025,
Spain
Address all correspondence and requests for reprints to: Eugenia Mato, Ph.D., Department of Endocrinology, Hospital de Sant Pau, Av.S.Antoni MaClaret n°167, Barcelona 08025, Spain. E-mail:
emato{at}santpau.es
The possible existence of an autocrine/paracrine role for SRIFin
normal and neoplastic thyroid parafollicular C cells hassupported the
use of SRIF analogues in the treatment of patientswith medullary
thyroid carcinoma (MTC). In this study, we haveinvestigated the
expression of SRIF by immunohistochemistryand RT-PCR, and the
expression of SRIF receptor (SSTR) subtypesby RT-PCR, in a series of
14 MTCs. SRIF messenger RNA was detectedin all cases, although
immunoreactive cells were only identifiedin 8. SSTR messenger RNA was
present in 12 out of the 14 tumors.Expression of more than 1 SSTR
subtype was detected in 10 tumors.SSTR2, the subtype that
preferentially binds to the SRIF analogueoctreotide, was the subtype
most frequently detected, whereasSSTR4 was not detected in any case.
These results confirm thefrequent expression of both SRIF and its
receptors in MTC. Thepresence of different combinations of SSTR
subtypes in a givenpatient may explain the variable clinical response
to SRIF analoguesand may promote the search for more selective drugs
with differentaffinities to the various receptor subtypes.
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