PMID- 36038743 OWN - NLM STAT- MEDLINE DCOM- 20230124 LR - 20230202 IS - 1720-8386 (Electronic) IS - 0391-4097 (Linking) VI - 46 IP - 2 DP - 2023 Feb TI - Neuroendocrine neoplasms in the context of inherited tumor syndromes: a reappraisal focused on targeted therapies. PG - 213-234 LID - 10.1007/s40618-022-01905-4 [doi] AB - PURPOSE: Neuroendocrine neoplasms can occur as part of inherited disorders, usually in the form of well-differentiated, slow-growing tumors (NET). The main predisposing syndromes include: multiple endocrine neoplasias type 1 (MEN1), associated with a large spectrum of gastroenteropancreatic and thoracic NETs, and type 4 (MEN4), associated with a wide tumour spectrum similar to that of MEN1; von Hippel-Lindau syndrome (VHL), tuberous sclerosis (TSC), and neurofibromatosis 1 (NF-1), associated with pancreatic NETs. In the present review, we propose a reappraisal of the genetic basis and clinical features of gastroenteropancreatic and thoracic NETs in the setting of inherited syndromes with a special focus on molecularly targeted therapies for these lesions. METHODS: Literature search was systematically performed through online databases, including MEDLINE (via PubMed), and Scopus using multiple keywords' combinations up to June 2022. RESULTS: Somatostatin analogues (SSAs) remain the mainstay of systemic treatment for NETs, and radiolabelled SSAs can be used for peptide-receptor radionuclide therapy for somatostatin receptor (SSTR)-positive NETs. Apart of these SSTR-targeted therapies, other targeted agents have been approved for NETs: the mTOR inhibitor everolimus for lung, gastroenteropatic and unknown origin NET, and sunitinib, an antiangiogenic tyrosine kinase inhibitor, for pancreatic NET. Novel targeted therapies with other antiangiogenic agents and immunotherapies have been also under evaluation. CONCLUSIONS: Major advances in the understanding of genetic and epigenetic mechanisms of NET development in the context of inherited endocrine disorders have led to the recognition of molecular targetable alterations, providing a rationale for the implementation of treatments and development of novel targeted therapies. CI - (c) 2022. The Author(s), under exclusive licence to Italian Society of Endocrinology (SIE). FAU - Ruggeri, R M AU - Ruggeri RM AUID- ORCID: 0000-0001-8899-684X AD - Unit of Endocrinology, Department of Clinical and Experimental Medicine, University of Messina, AOU Policlinico "Gaetano Martino" University Hospital, 98125, Messina, Italy. rmruggeri@unime.it. FAU - Benevento, E AU - Benevento E AD - Department of Clinical Medicine and Surgery, Endocrinology Unit, University Federico II, Naples, Italy. FAU - De Cicco, F AU - De Cicco F AD - SSD Endocrine Disease and Diabetology, ASL TO3, Pinerolo, TO, Italy. FAU - Fazzalari, B AU - Fazzalari B AD - Endocrinology Unit, Department of Clinical and Molecular Medicine, Sant'Andrea Hospital, ENETS Center of Excellence, Sapienza University of Rome, Rome, Italy. FAU - Guadagno, E AU - Guadagno E AD - Department of Clinical Medicine and Surgery, Endocrinology Unit, University Federico II, Naples, Italy. FAU - Hasballa, I AU - Hasballa I AD - Endocrinology Unit, IRCCS Ospedale Policlinico San Martino, Genoa, Italy. FAU - Tarsitano, M G AU - Tarsitano MG AD - Department of Medical and Surgical Sciences, Magna Graecia University, Catanzaro, Italy. FAU - Isidori, A M AU - Isidori AM AD - Gruppo NETTARE, Policlinico Umberto I, Universita Sapienza, Rome, Italy. FAU - Colao, A AU - Colao A AD - Department of Clinical Medicine and Surgery, Endocrinology Unit, University Federico II, Naples, Italy. AD - UNESCO Chair "Education for Health and Sustainable Development", Federico II University, Naples, Italy. FAU - Faggiano, A AU - Faggiano A AD - Endocrinology Unit, Department of Clinical and Molecular Medicine, Sant'Andrea Hospital, ENETS Center of Excellence, Sapienza University of Rome, Rome, Italy. CN - NIKE Group LA - eng PT - Journal Article PT - Review DEP - 20220830 PL - Italy TA - J Endocrinol Invest JT - Journal of endocrinological investigation JID - 7806594 RN - 0 (Antineoplastic Agents) RN - 9HW64Q8G6G (Everolimus) RN - 51110-01-1 (Somatostatin) SB - IM EIN - J Endocrinol Invest. 2022 Oct 7;:. PMID: 36205909 MH - Humans MH - Syndrome MH - *Neuroendocrine Tumors/drug therapy/genetics MH - *Antineoplastic Agents/therapeutic use MH - *von Hippel-Lindau Disease/genetics/therapy MH - Everolimus MH - *Multiple Endocrine Neoplasia Type 1/complications MH - Somatostatin/therapeutic use MH - *Pancreatic Neoplasms/drug therapy/genetics OTO - NOTNLM OT - MEN1 OT - MEN4 OT - Neuroendocrine neoplasms OT - Neurofibromatosis 1 (NF-1) OT - Targeted therapies OT - Tuberous sclerosis (TSC) OT - Von Hippel-Lindau (VHL) syndrome FIR - Aini, I IR - Aini I FIR - Albertelli, M IR - Albertelli M FIR - Alessi, Y IR - Alessi Y FIR - Altieri, B IR - Altieri B FIR - Antonini, S IR - Antonini S FIR - Barrea, L IR - Barrea L FIR - Birtolo, F IR - Birtolo F FIR - Campolo, F IR - Campolo F FIR - Cannavale, G IR - Cannavale G FIR - Cantone, C IR - Cantone C FIR - Carra, S IR - Carra S FIR - Centello, R IR - Centello R FIR - Cozzolino, A IR - Cozzolino A FIR - Molfetta, S IR - Molfetta S FIR - Vito, V IR - Vito V FIR - Fanciulli, G IR - Fanciulli G FIR - Feola, T IR - Feola T FIR - Ferrau, F IR - Ferrau F FIR - Gay, S IR - Gay S FIR - Giannetta, E IR - Giannetta E FIR - Grillo, F IR - Grillo F FIR - Grossrubatscher, E IR - Grossrubatscher E FIR - Guarnotta, V IR - Guarnotta V FIR - Salvia, A IR - Salvia A FIR - Laffi, A IR - Laffi A FIR - Lania, A IR - Lania A FIR - Liccardi, A IR - Liccardi A FIR - Malandrino, P IR - Malandrino P FIR - Mazzilli, R IR - Mazzilli R FIR - Messina, E IR - Messina E FIR - Mikovic, N IR - Mikovic N FIR - Minotta, R IR - Minotta R FIR - Modica, R IR - Modica R FIR - Muscogiuri, G IR - Muscogiuri G FIR - Pandozzi, C IR - Pandozzi C FIR - Pugliese, G IR - Pugliese G FIR - Puliani, G IR - Puliani G FIR - Ragni, A IR - Ragni A FIR - Rubino, M IR - Rubino M FIR - Russo, F IR - Russo F FIR - Sesti, F IR - Sesti F FIR - Verde, L IR - Verde L FIR - Veresani, A IR - Veresani A FIR - Vetrani, C IR - Vetrani C FIR - Vitale, G IR - Vitale G FIR - Zamponi, V IR - Zamponi V FIR - Zanata, I IR - Zanata I EDAT- 2022/08/30 06:00 MHDA- 2023/01/25 06:00 CRDT- 2022/08/29 23:28 PHST- 2022/07/30 00:00 [received] PHST- 2022/08/16 00:00 [accepted] PHST- 2022/08/30 06:00 [pubmed] PHST- 2023/01/25 06:00 [medline] PHST- 2022/08/29 23:28 [entrez] AID - 10.1007/s40618-022-01905-4 [pii] AID - 10.1007/s40618-022-01905-4 [doi] PST - ppublish SO - J Endocrinol Invest. 2023 Feb;46(2):213-234. doi: 10.1007/s40618-022-01905-4. Epub 2022 Aug 30.