Targeted treatment with somatostatin analogues: widening horizons of clinical practice
Targeted treatment with somatostatin analogues (SA) in acromegaly and neuroendocrine neoplasms may have some benefits compared to curative treatments, because these agents decrease excessive hormone secretion and exert a tumor-suppressive effect. Monotherapy and combination therapy with SA is well t...
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| Format: | Article |
| Language: | Russian |
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MONIKI
2022-10-01
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| Series: | Alʹmanah Kliničeskoj Mediciny |
| Subjects: | |
| Online Access: | https://almclinmed.ru/jour/article/viewFile/1496/1462 |
| _version_ | 1828164999655194624 |
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| author | Vyacheslav S. Pronin Mikhail B. Antsiferov Tatiana M. Alexeeva Evgeny V. Pronin |
| author_facet | Vyacheslav S. Pronin Mikhail B. Antsiferov Tatiana M. Alexeeva Evgeny V. Pronin |
| author_sort | Vyacheslav S. Pronin |
| collection | DOAJ |
| description | Targeted treatment with somatostatin analogues (SA) in acromegaly and neuroendocrine neoplasms may have some benefits compared to curative treatments, because these agents decrease excessive hormone secretion and exert a tumor-suppressive effect. Monotherapy and combination therapy with SA is well tolerated and bears no risk of debilitating iatrogenic complications. In acromegaly caused by somatotropin producing pituitary tumor, first generation SA are treatment of choice after non-radical adenomectomy, as well as in the cases when patients reject surgery. Treatment efficacy depends on the pathomorphological types of somatotropic tumors, which are different in their receptor phenotype, clinical scenario and proliferative activity. The first generation SA are successfully used for medical treatment of other pituitary tumors (thyrotropic, corticotropic, gonadotropic, lactotropic with resistance to dopamine agonists), as well as for adjuvant therapy of neuroendocrine and non-endocrine neoplasms and elimination of various gastrointestinal disorders. The anti-secretory and anti-tumor effects of SA have been proven for gastroenteropancreatic tumors (carcinoid syndrome, vipomas, gastrinomas, insulinomas, glucagonomas, somatostatinomas). Targeted selection of patients for treatment with first generation SA based on the receptor phenotypes of malignant cells would facilitate more rapid achievement of biochemical remission, improvement of quality of life and survival. |
| first_indexed | 2024-04-12T01:36:13Z |
| format | Article |
| id | doaj.art-6af1e5f8eb8048d189e231ddfeeb6e63 |
| institution | Directory Open Access Journal |
| issn | 2072-0505 2587-9294 |
| language | Russian |
| last_indexed | 2024-04-12T01:36:13Z |
| publishDate | 2022-10-01 |
| publisher | MONIKI |
| record_format | Article |
| series | Alʹmanah Kliničeskoj Mediciny |
| spelling | doaj.art-6af1e5f8eb8048d189e231ddfeeb6e632022-12-22T03:53:18ZrusMONIKIAlʹmanah Kliničeskoj Mediciny2072-05052587-92942022-10-0150319620410.18786/2072-0505-2022-50-019867Targeted treatment with somatostatin analogues: widening horizons of clinical practiceVyacheslav S. Pronin0https://orcid.org/0000-0001-5045-798XMikhail B. Antsiferov1https://orcid.org/0000-0002-9944-2997Tatiana M. Alexeeva2https://orcid.org/0000-0003-0066-845XEvgeny V. Pronin3https://orcid.org/0000-0001-6094-3623Russian Medical Academy of Continuous Professional EducationEndocrinological dispensary of Moscow Healthсare DepartmentEndocrinological dispensary of Moscow Healthсare DepartmentEndocrinological dispensary of Moscow Healthсare DepartmentTargeted treatment with somatostatin analogues (SA) in acromegaly and neuroendocrine neoplasms may have some benefits compared to curative treatments, because these agents decrease excessive hormone secretion and exert a tumor-suppressive effect. Monotherapy and combination therapy with SA is well tolerated and bears no risk of debilitating iatrogenic complications. In acromegaly caused by somatotropin producing pituitary tumor, first generation SA are treatment of choice after non-radical adenomectomy, as well as in the cases when patients reject surgery. Treatment efficacy depends on the pathomorphological types of somatotropic tumors, which are different in their receptor phenotype, clinical scenario and proliferative activity. The first generation SA are successfully used for medical treatment of other pituitary tumors (thyrotropic, corticotropic, gonadotropic, lactotropic with resistance to dopamine agonists), as well as for adjuvant therapy of neuroendocrine and non-endocrine neoplasms and elimination of various gastrointestinal disorders. The anti-secretory and anti-tumor effects of SA have been proven for gastroenteropancreatic tumors (carcinoid syndrome, vipomas, gastrinomas, insulinomas, glucagonomas, somatostatinomas). Targeted selection of patients for treatment with first generation SA based on the receptor phenotypes of malignant cells would facilitate more rapid achievement of biochemical remission, improvement of quality of life and survival.https://almclinmed.ru/jour/article/viewFile/1496/1462somatostatin analoguesdrug treatmentacromegalyneuroendocrine tumors |
| spellingShingle | Vyacheslav S. Pronin Mikhail B. Antsiferov Tatiana M. Alexeeva Evgeny V. Pronin Targeted treatment with somatostatin analogues: widening horizons of clinical practice Alʹmanah Kliničeskoj Mediciny somatostatin analogues drug treatment acromegaly neuroendocrine tumors |
| title | Targeted treatment with somatostatin analogues: widening horizons of clinical practice |
| title_full | Targeted treatment with somatostatin analogues: widening horizons of clinical practice |
| title_fullStr | Targeted treatment with somatostatin analogues: widening horizons of clinical practice |
| title_full_unstemmed | Targeted treatment with somatostatin analogues: widening horizons of clinical practice |
| title_short | Targeted treatment with somatostatin analogues: widening horizons of clinical practice |
| title_sort | targeted treatment with somatostatin analogues widening horizons of clinical practice |
| topic | somatostatin analogues drug treatment acromegaly neuroendocrine tumors |
| url | https://almclinmed.ru/jour/article/viewFile/1496/1462 |
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