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Somatostatin receptor type 5 (SSTR5) (SSTR5)

Target
SSTR5
Molecular classification
G protein-coupled receptor, Rhodopsin-like receptor, Receptor
01

Overview

Somatostatin receptor type 5 (SSTR5) is a member of the G protein-coupled receptor (GPCR) superfamily, specifically the Class A rhodopsin-like family, which mediates the diverse inhibitory actions of the peptide hormone somatostatin [1, 2, 15]. It shows a high affinity for somatostatin-28 and is primarily expressed in the anterior pituitary gland, pancreatic islets, and the gastrointestinal tract [2, 7, 14]. In the pituitary, SSTR5 plays a pivotal role in regulating the secretion of growth hormone (GH), adrenocorticotropic hormone (ACTH), and prolactin, making it a key therapeutic target for endocrine disorders [3, 9, 17]. Activation of SSTR5 by synthetic agonists like pasireotide is used to treat acromegaly and Cushing's disease by suppressing hormone overproduction and inhibiting tumor cell proliferation [9, 12, 17]. However, SSTR5 activation also inhibits the secretion of insulin and glucagon-like peptide-1 (GLP-1), which can lead to hyperglycemia, a significant clinical side effect [10, 16, 17]. Conversely, SSTR5 antagonists are being investigated as potential treatments for type 2 diabetes to enhance insulin and incretin release [10, 11, 16]. The receptor's involvement in neuroendocrine tumors and its unique signaling pathways, including the inhibition of adenylyl cyclase and modulation of ion channels, continue to make it a focus of drug development and clinical research [1, 12, 17].

Other names
SST5SSTR5SS-5-RSS5-RSS5RSomatostatin receptor 5Somatostatin receptor subtype 5
02

Mechanism of action

Agonism leading to Gi-mediated inhibition of adenylyl cyclase, reduction of intracellular cAMP, activation of inward rectifier potassium channels, and inhibition of voltage-gated calcium channels [1, 2, 17].

03

Biological functions

Signal transductionInhibition of hormone secretionInhibition of cell proliferationGlucose homeostasisNegative regulation of cell population proliferation
04

Disease associations

AcromegalyCushing's diseaseNeuroendocrine tumorPituitary adenomaType 2 diabetes mellitus
05

Safety considerations

Hyperglycemia [17]Cholelithiasis (gallstones) [17]Nausea [17]Diarrhea [17]Bradycardia [17]
06

Interacting drugs

Pasireotide

5 more in the full profile.

07

Biomarkers

SSTR5 expression levels (IHC) [11]sst5TMD4 mRNA levels (truncated variant) [5]Postprandial glucose and insulin levels [16]

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