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Somatostatin receptor type 2 (SSTR2)

Target
SSTR2
Molecular classification
G-protein coupled receptor
01

Overview

Somatostatin receptor type 2 (SSTR2), encoded by the SSTR2 gene on chromosome 17q25.1, is a G-protein coupled receptor for somatostatin-14 and somatostatin-28 peptides. It is highly expressed in the pancreas, cerebrum, and kidney and is a 369 amino acid protein. SSTR2 primarily exists as the SSTR2A variant in humans. It mediates diverse physiological functions including inhibition of hormone secretion, neurological effects, anti-proliferative actions, anti-angiogenesis, and regulation of intracellular signaling pathways like adenylyl cyclase, PTP, PLC, and calcium channels. SSTR2 is a significant therapeutic target, particularly due to its overexpression in various tumors, especially neuroendocrine tumors, where its expression is linked to improved prognosis. It is exploited for diagnostic imaging and therapy (PRRT) and is a target for somatostatin analogs used in conditions like acromegaly and neuroendocrine tumors. The receptor is also being investigated for potential applications in diabetic complications, inflammatory conditions, pain, and meningiomas. It can form homo- and heterodimers with other somatostatin receptor subtypes, influencing its function.

02

Mechanism of action

SSTR2 is a G-protein coupled receptor that mediates its effects primarily by inhibiting adenylyl cyclase via pertussis toxin-sensitive G proteins. It also stimulates phosphotyrosine phosphatase and PLC through both pertussis toxin-sensitive and -insensitive G proteins, inhibits voltage-dependent calcium channels, and negatively regulates insulin receptor signaling via PTPN6. Activation leads to inhibition of hormone secretion, antiproliferative effects (via MAPK/CDKN1B), anti-angiogenesis, and stimulation of apoptosis.

03

Biological functions

Inhibition of hormone secretion (insulin, glucagon, thyroid-stimulating hormone, growth hormone)Regulation of neuronal migration and axon outgrowthRegulation of neuronal excitabilityNeuroprotection (especially in retina)Inhibition of cell growth (via MAPK1/2 and CDKN1B)Anti-angiogenic effectsInhibition of adenylyl cyclase (via pertussis toxin-sensitive G proteins)Stimulation of phosphotyrosine phosphatase (via G proteins)Stimulation of PLC (via G proteins)Inhibition of calcium entry (via voltage-dependent calcium channels)Negative regulation of insulin receptor signaling (via PTPN6)Stimulation of apoptosis
04

Disease associations

Neuroendocrine tumors (often overexpressed)Pituitary adenomasBreast cancerMelanomaThyroid cancerMeningiomaRectal neuroendocrine tumors (associated with favorable prognosis)AcromegalyNeuroendocrine Gastroenteropancreatic Tumors (GEP-NET)Growth Hormone DeficiencyHypoglycemiaNocturnal HypoglycemiaLiver DiseasesZollinger-Ellison Syndrome (Gastrinoma)Diabetic complications (retinopathy, nephropathy)Obesity
05

Interacting drugs

Somatostatin analogs

2 more in the full profile.

06

Biomarkers

SSTR2 expression (detected by RT-PCR or immunohistochemistry) for guiding imaging and treatment choices in neuroendocrine tumors

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