Target intelligence / Profile preview

Somatostatin receptor subtypes 3 and 5 (SSTR3, SSTR5)

Target
SSTR3, SSTR5
Molecular classification
G protein-coupled receptor, Receptor, Seven-transmembrane domain receptor, Class A GPCR (rhodopsin-like)
01

Overview

Somatostatin receptor type 3 (SSTR3) and somatostatin receptor type 5 (SSTR5) are members of the G protein-coupled receptor (GPCR) superfamily, encoded by separate genes and characterized by seven transmembrane domains. They are primarily responsible for mediating the inhibitory effects of the peptide hormone somatostatin on hormone secretion and cell proliferation. SSTR3 is highly expressed in the brain and pancreatic islets, is functionally coupled to adenylyl cyclase via inhibitory G proteins, and is strongly linked to apoptosis and cell cycle arrest. SSTR5, widely expressed in endocrine and neuroendocrine tissues, also plays major roles in hormone regulation, especially in pituitary tumors. Both receptors are validated therapeutic targets in neuroendocrine tumors and pituitary adenomas. Their activity is the target of several clinically used drugs, including somatostatin analogues such as pasireotide, octreotide, and lanreotide. Therapeutic use can be limited by safety concerns such as hyperglycemia and general suppression of physiological hormone secretion

Other names
Somatostatin receptor 3Somatostatin receptor 5SSTR3SSTR5SST3sst3SST5sst5
02

Mechanism of action

Activation by agonists leads to coupling with inhibitory G proteins (mainly G\(_i\)), resulting in:\n- Inhibition of adenylyl cyclase, decreasing cAMP\n- Modulation of ion channels (Ca\(^2+\), K\(^+\)), leading to decreased hormone/neurotransmitter release\n- Induction of apoptosis and cell cycle arrest mainly via SSTR3 and SSTR5\n- Regulation of downstream pathways such as the MAPK cascade and tyrosine phosphatase activation

03

Biological functions

Inhibition of hormone secretionNegative regulation of cell proliferationInhibition of neurotransmitter releaseInduction of apoptosis (mainly SSTR3, also SSTR5)Cell cycle arrestSignal transduction
04

Disease associations

Neuroendocrine tumorsPituitary tumorsCancer (general, especially hormone-producing tumors)Acromegaly (growth hormone-secreting pituitary adenomas)Cushing’s disease (ACTH-secreting tumors)
05

Safety considerations

Off-target endocrine effects: hyperglycemia (notably with SSTR5-selective ligands)Gastrointestinal disturbances (nausea, diarrhea)Hormonal imbalance (e.g., suppression of insulin, growth hormone)Receptor internalization and resistance with prolonged agonist useBroad expression may cause unintended suppression of normal hormone secretion
06

Interacting drugs

Pasireotide

5 more in the full profile.

07

Biomarkers

Expression of SSTR3 or SSTR5 in tumor tissue is used as a biomarker to select patients for targeted therapy with somatostatin analogues in neuroendocrine tumors and pituitary adenomas

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