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Identification of a Novel SSTR3 Full Agonist for the Treatment of Nonfunctioning Pituitary Adenomas

Title: Identification of a Novel SSTR3 Full Agonist for the Treatment of Nonfunctioning Pituitary Adenomas
Authors: Daniela Modena; Maria Luisa Moras; Giovanni Sandrone; Andrea Stevenazzi; Barbara Vergani; Pooja Dasgupta; Andrea Kliever; Sebastian Gulde; Alessandro Marangelo; Mathias Schillmaier; Raul M. Luque; Stephen Bäuerle; Natalia S. Pellegata; Stefan Schulz; Christian Steinkühler
Source: Cancers, Vol 15, Iss 13, p 3453 (2023)
Publisher Information: MDPI AG
Publication Year: 2023
Collection: Directory of Open Access Journals: DOAJ Articles
Subject Terms: nonfunctioning pituitary adenomas (NFPAs); somatostatin agonists (SSAs); somatostatin receptor 3 (SSTR3); ITF2984; Neoplasms. Tumors. Oncology. Including cancer and carcinogens; RC254-282
Description: Somatostatin receptor (SSTR) agonists have been extensively used for treating neuroendocrine tumors. Synthetic therapeutic agonists showing selectivity for SSTR2 (Octreotide) or for SSTR2 and SSTR5 (Pasireotide) have been approved for the treatment of patients with acromegaly and Cushing’s syndrome, as their pituitary tumors highly express SSTR2 or SSTR2/SSTR5, respectively. Nonfunctioning pituitary adenomas (NFPAs), which express high levels of SSTR3 and show only modest response to currently available SSTR agonists, are often invasive and cannot be completely resected, and therefore easily recur. The aim of the present study was the evaluation of ITF2984, a somatostatin analog and full SSTR3 agonist, as a new potential treatment for NFPAs. ITF2984 shows a 10-fold improved affinity for SSTR3 compared to Octreotide or Pasireotide. Molecular modeling and NMR studies indicated that the higher affinity for SSTR3 correlates with a higher stability of a distorted β-I turn in the cyclic peptide backbone. ITF2984 induces receptor internalization and phosphorylation, and triggers G-protein signaling at pharmacologically relevant concentrations. Furthermore, ITF2984 displays antitumor activity that is dependent on SSTR3 expression levels in the MENX (homozygous mutant) NFPA rat model, which closely recapitulates human disease. Therefore, ITF2984 may represent a novel therapeutic option for patients affected by NFPA.
Document Type: article in journal/newspaper
Language: English
Relation: https://www.mdpi.com/2072-6694/15/13/3453; https://doaj.org/toc/2072-6694; https://doaj.org/article/f1b65b34a3e74b9e8c978410b462ff69
DOI: 10.3390/cancers15133453
Availability: https://doi.org/10.3390/cancers15133453; https://doaj.org/article/f1b65b34a3e74b9e8c978410b462ff69
Accession Number: edsbas.EAA7D48C
Database: BASE