Somatostatin acts as an inhibitory peptide of various secretory and prolife
rative responses. Its effects are mediated by a family of G-protein-coupled
receptors (sst1-5) that can couple to diverse signal transduction pathways
such as inhibition of adenylate cyclase and guanylate cyclase, modulation
of ionic conductance channels, and protein dephosphorylation. The five rece
ptors bind the natural peptide with high affinity but only sst2, sst5 and s
st3 bind the short synthetic analogues. Somatostatin negatively regulates t
he growth of various normal and tumour cells. This effect is mediated indir
ectly through inhibition of secretion of growth-promoting factors, angiogen
esis and modulation of the immune system. Somatostatin can also act directl
y through sst receptors present on target cells. The five receptors are exp
ressed in various normal and tumour cells, the expression of each receptor
being receptor subtype and cell type specific. According to the receptor su
btypes, distinct signal transduction pathways are involved in the antiproli
ferative action of somatostatin. Sst1, 4 and 5 modulate the MAP kinase path
way and induce GI cell cycle arrest. Sst3 and sst2 promote apoptosis by p53
-dependent and -independent mechanisms, respectively. (C) 2000 Elsevier Sci
ence Ltd. Published by Editions scientifiques et medicales Elsevier SAS.