Somatostatin receptors (SSTR1-5) mediate antiproliferative effects. In C6 rat
glioma cells,
somatostatin is
cytostatic in vitro via
phosphotyrosine phosphatase-dependent inhibition of ERK1/2 activity mediated by
SSTR1, -2, and -5. Here we analyzed the effects of SSTR activation on C6
glioma growth in vivo and the intracellular mechanisms involved, comparing
somatostatin effects with selective agonists for
SSTR1, -2, and -5 (BIM-23745, BIM-23120, BIM-23206) or receptor biselective compounds (
SSTR1 and -2, BIM-23704; and SSTR2 and -5,
BIM-23190). Nude mice subcutaneously xenografted with C6 cells were treated with
somatostatin, SSTR agonists (50 μg, twice/day), or vehicle.
Tumor growth was evaluated every 3 days for 19 days. The intracellular pathways responsible of SSTR effects in vivo were evaluated measuring Ki-67, phospho-ERK1/2, and p27(kip1) expression by immunohistochemistry in sections from explanted
tumors.
Somatostatin and
SSTR1, -2, and -5 agonists strongly inhibited in vivo C6
tumor growth, intratumoral neovessel formation, Ki-67 expression, and ERK1/2 phosphorylation and induced upregulation of p27(Kip1), whereas only a modest activation of
caspase-3 was observed.
Somatostatin (acting on
SSTR1, -2, and -5) displayed the highest efficacy; SSTR5 selective agonist showed a stronger effect than
SSTR1 agonist, and SSTR2 agonist was less effective. On the other hand,
SSTR1 and -2 agonists maximally reduced
tumor neovascularization. The combined activation of
SSTR1 and -2 showed a synergistic activity, reaching a higher efficacy than
BIM-23206, whereas the simultaneous activation of SSTR2 and -5 resulted in a response resembling SSTR5 effects. Thus the simultaneous activation of different SSTRs inhibits
glioma cell proliferation in vivo through both direct cytotostatic and antiangiogenic effects.