Somatostatin receptor expression is a favorable prognostic factor in human
neuroblastoma. Somatostatin receptors have been demonstrated in vitro by ph
armacologic analysis of tumor tissue and in vivo by diagnostic radiorecepto
r scintigraphy. However, which receptor subtypes (sst(1), sst(2), sst(3), s
st(4), and sst(5)) are expressed in these tumors has not yet been delineate
d. We used RT-PCR to analyze expression of the five somatostatin receptor g
enes in 32 neuroblastoma tumor specimens. All 32 tumor specimens expressed
mRNA for c-abl and sst(1); sst(2) mRNA was detected in 27/32 samples and so
matostatin mRNA was detected in 30/32 tumor specimens. The remaining recept
or subtypes, sst(3), sst(4), and sst(5) were variably expressed. Receptor p
rotein for sst(1) and sst(2) was visualized in tumor neuroblasts as well as
in endothelial cells of tumor vessels using immunostaining with specific a
nti-receptor antibodies. The effect of high expression of somatostatin rece
ptors on cell proliferation was examined in SKNSH neuroblastoma cells trans
fected with sst(1) and sst(2). SS14 binding to wild-type SKNSH cells was un
detectable; but the native peptide bound with high affinity to the SKNSH/ss
t(1) and SKNSH/sst(2), neuroblastoma cell lines. Pharmacologic analysis of
binding with two long-acting analogues, CH275 and octreotide, confirmed sel
ective expression of sst(1) and sst(2) in stably transfected SKNSH cells. F
ormation of neuroblastoma xenograft tumors in nude mice was significantly d
elayed for both SKNSH/sst(1) (P < 0.001) and SKNSH/sst(2) (P < 0.05) cells
compared to wild-type SKNSH. We conclude that: (1) Somatostatin receptors,
sst(1) and sst(2), an expressed in the majority of neuroblastomas at diagno
sis; and (2) upregulation of functional sst(1) or sst(2) in neuroblastoma c
ell lines suppresses tumorigenicity in a xenograft model. These observation
s suggest that somatostatin receptors may be a useful therapeutic target in
neuroblastoma. (C) 2000 Elsevier Science B.V. All rights reserved.