The presence of cellular
somatostatin receptors, particularly of subtype 2, has been reported in a large number of human primary non-neuroendocrine tumours, such as breast and
colon cancer. Our aim was to evaluate whether subtype 2 expression may represent a prognostic factor in these tumours, and if the exact determination of its expression might help to identify patients eligible for a new treatment modality based on
somatostatin analogues. Large groups of
neuroblastomas as well as breast and
colon cancers were studied for subtype 2 expression. In the two latter groups the expression of subtype 2 was evaluated both in tumour and in the corresponding normal tissue from the same patient, to correctly evaluate any modification of subtype 2
mRNA expression in
cancer. Subtype 2
mRNA expression was measured with accurate quantitative retro transcription-polymerase chain reaction procedures (first, by competitive polymerase chain reaction and then, by real-time assays). When possible, results of
mRNA measurement were compared with in vitro (in situ hybridisation and immunohistochemistry) and in vivo (
octreoscan) demonstration of subtype 2 expression in the same patients. Our results seem to suggest the hypothesis that subtype 2 may represent a marker of cell differentiation in certain tumours, such as
neuroblastoma, and another instance may be represented by breast and
colon cancer. Beside this, the question whether subtype 2 may have an active role in inhibiting
cancer cell proliferation, stays open.