Pasireotide in Acromegaly: An Overview of Current Mechanistic and Clinical Data
Author(s) -
Susan L. Samson
Publication year - 2015
Publication title -
neuroendocrinology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.493
H-Index - 101
eISSN - 1423-0194
pISSN - 0028-3835
DOI - 10.1159/000381460
Subject(s) - acromegaly , pasireotide , medicine , somatostatin , somatostatin receptor 2 , octreotide , lanreotide , endocrinology , somatostatin receptor , pegvisomant , neuroendocrine tumors , somatotropic cell , oncology , hormone , growth hormone
Acromegaly is an insidious neuroendocrine disorder caused by hypersecretion of growth hormone (GH) by a somatotroph adenoma. Somatostatin receptor ligands (SRLs) are recommended as first-line medical therapy in patients for whom surgery has failed or is contraindicated. There are 5 known somatostatin receptor subtypes (SSTRs), 2 of which, i.e. SSTR2 and SSTR5, are expressed by a majority of somatotroph adenomas. The currently available SRLs, i.e. octreotide and lanreotide, primarily bind to SSTR2. Pasireotide (SOM230) is a new multireceptor-targeted SRL which has a broader binding profile and an increased affinity for SSTR1, 2, 3, and 5.
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