PMID- 23102680 OWN - NLM STAT- MEDLINE DCOM- 20130122 LR - 20211021 IS - 1532-7361 (Electronic) IS - 0039-6060 (Print) IS - 0039-6060 (Linking) VI - 152 IP - 6 DP - 2012 Dec TI - Pasireotide (SOM230) is effective for the treatment of pancreatic neuroendocrine tumors (PNETs) in a multiple endocrine neoplasia type 1 (MEN1) conditional knockout mouse model. PG - 1068-77 LID - S0039-6060(12)00474-6 [pii] LID - 10.1016/j.surg.2012.08.021 [doi] AB - BACKGROUND: Pasireotide (SOM230), a long-acting somatostatin analogue (LAR), has improved agonist activity at somatostatin receptors. We tested the effect of SOM230 on insulin secretion, serum glucose concentrations, tumor growth, and survival using an MEN1 transgenic mouse model. METHODS: Eight 12-month-old conditional Men1 knockout mice with insulinoma were assessed. The treatment (n = 4) and control groups (n = 4) received monthly subcutaneous injections of SOM230 or PBS. Serum insulin and glucose levels were determined by enzyme-linked immunosorbent assay and enzymatic colorimetric assay, respectively. Tumor activity, growth, and apoptosis were determined by microPET/CT scan and histologic analysis. RESULTS: On day 7, there was a decrease in serum insulin levels from 1.06 +/- 0.28 mug/L to 0.37 +/- 0.17 mug/L (P = .0128) and a significant increase in serum glucose from 4.2 +/- 0.45 mmol/L to 7.12 +/- 1.06 mmol/L (P = .0075) in the treatment group but no change in the control group. Tumor size was less in the treatment group (2,098 +/- 388 mum(2)) compared with the control group (7,067 +/- 955 mum(2); P = .0024). Furthermore, apoptosis was increased in the treatment group (6.9 +/- 1.23%) compared with the control group (0.29 +/- 0.103%; P = .002). CONCLUSION: SOM230 demonstrates antisecretory, antiproliferative, and proapoptotic activity in our MEN1 model of insulinoma. Further studies of the effects of SOM230 in PNET patients with MEN1 mutations are warranted. CI - Copyright (c) 2012 Mosby, Inc. All rights reserved. FAU - Quinn, Thomas J AU - Quinn TJ AD - Department of Surgery, Albert Einstein College of Medicine, New York, NY 10467, USA. FAU - Yuan, Ziqiang AU - Yuan Z FAU - Adem, Asha AU - Adem A FAU - Geha, Rula AU - Geha R FAU - Vrikshajanani, Chakravarthy AU - Vrikshajanani C FAU - Koba, Wade AU - Koba W FAU - Fine, Eugene AU - Fine E FAU - Hughes, David T AU - Hughes DT FAU - Schmid, Herbert A AU - Schmid HA FAU - Libutti, Steven K AU - Libutti SK LA - eng GR - R01 CA103830/CA/NCI NIH HHS/United States GR - U54 CA151668/CA/NCI NIH HHS/United States PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20121024 PL - United States TA - Surgery JT - Surgery JID - 0417347 RN - 0 (Blood Glucose) RN - 0 (Insulin) RN - 51110-01-1 (Somatostatin) RN - 98H1T17066 (pasireotide) SB - IM MH - Animals MH - Apoptosis MH - Blood Glucose/analysis MH - Insulin/blood MH - Mice MH - Mice, Knockout MH - Multimodal Imaging MH - Multiple Endocrine Neoplasia Type 1/*drug therapy/genetics MH - Neuroendocrine Tumors/blood/diagnostic imaging/*drug therapy/pathology MH - Pancreatic Neoplasms/blood/diagnostic imaging/*drug therapy/pathology MH - Positron-Emission Tomography MH - Somatostatin/*analogs & derivatives/therapeutic use MH - Tomography, X-Ray Computed PMC - PMC3732168 MID - NIHMS484957 EDAT- 2012/10/30 06:00 MHDA- 2013/01/23 06:00 PMCR- 2013/08/02 CRDT- 2012/10/30 06:00 PHST- 2012/03/01 00:00 [received] PHST- 2012/08/16 00:00 [accepted] PHST- 2012/10/30 06:00 [entrez] PHST- 2012/10/30 06:00 [pubmed] PHST- 2013/01/23 06:00 [medline] PHST- 2013/08/02 00:00 [pmc-release] AID - S0039-6060(12)00474-6 [pii] AID - 10.1016/j.surg.2012.08.021 [doi] PST - ppublish SO - Surgery. 2012 Dec;152(6):1068-77. doi: 10.1016/j.surg.2012.08.021. Epub 2012 Oct 24.