Skip to main content
Log in

Treatment of pituitary tumors

Somatostatin

  • Published:
Endocrine Aims and scope Submit manuscript

Abstract

Somatostatin is an important physiological regulator of neuroendocrine function across multiple biological systems, including the brain and the gastrointestinal tract. In the pituitary gland, somatostatin regulates the secretion of hormones such as growth hormone and thyroid-stimulating hormone in healthy and pathological states. The short half-life of somatostatin makes it unsuitable for clinical use in chronic diseases, which led to the development of long-acting somatostatin analogs for the treatment of acromegaly and thyroid-stimulating hormone-secreting adenomas, which were administered by intermittent injection twice or three times a day. More recently, depot versions have been developed that permit dosing once every month. This review assesses the efficacy of somatostatin analogs in the treatment of pituitary adenomas, including acromegaly, thyroid-stimulating hormone-secreting tumors, non-functioning adenomas, and Cushing’s disease.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Ezzat, S., Asa, S. L., Couldwell, W. T., et al. (2004). Cancer 101, 613–619.

    Article  PubMed  Google Scholar 

  2. Arafah, B. M. and Nasrallah, M. P. (2001). Endocr. Relat Cancer. 8, 287–305.

    Article  PubMed  CAS  Google Scholar 

  3. Scheithauer, B. W., Kurtkaya-Yapicier, O., Kovacs, K. T., Young, W. F. Jr., and Lloyd, R. V. (2005). Neurosurgery 56, 1066–1074.

    PubMed  Google Scholar 

  4. Lamberts, S. W., van der Lely, A. J., de Herder, W. W., and Hofland, L. J. (1996). N. Engl. J. Med. 334, 246–254.

    Article  PubMed  CAS  Google Scholar 

  5. Brazeau, P. and Guillemin, R. (1974). N. Engl. J. Med. 290, 963–964.

    Article  PubMed  CAS  Google Scholar 

  6. Reichlin, S. (1987). J. Lab Clin. Med. 109, 320–326.

    PubMed  CAS  Google Scholar 

  7. Krantic, S., Goddard, I., Saveanu, A., et al. (2004). Eur. J. Endocrinol. 151, 643–655.

    Article  PubMed  CAS  Google Scholar 

  8. Wynick, D. and Bloom, S. R. (1991). J. Clin. Endocrinol. Metab. 73, 1–3.

    PubMed  CAS  Google Scholar 

  9. Lahlou, H., Guillermet, J., Hortala, M., et al. (2004). Ann. NY Acad. Sci. 1014, 121–131.

    Article  PubMed  CAS  Google Scholar 

  10. Epelbaum, J., Agid, F., Agid, Y., et al. (1989). Horm. Res. 31, 45–50.

    PubMed  CAS  Google Scholar 

  11. Schally, A. V. (1988). Cancer Res. 48, 6977–6985.

    PubMed  CAS  Google Scholar 

  12. Cheung, N. W. and Boyages, S. C. (1995). Endocrinology 136, 4174–4181.

    Article  PubMed  CAS  Google Scholar 

  13. Yoshitomi, H., Fujii, Y., Miyazaki, M., Nakajima, N., Inagaki, N., and Seino, S. (1997). Am. J. Physiol. 272, E769-E774.

    PubMed  CAS  Google Scholar 

  14. Hofland, L. J. and Lamberts, S. W. (2003). Endocr. Rev. 24, 28–47.

    Article  PubMed  CAS  Google Scholar 

  15. Patel, Y. C. (1997). J. Endocrinol. Invest. 20, 348–367.

    PubMed  CAS  Google Scholar 

  16. Reubi, J. C. (2003). Endocr. Rev. 24, 389–427.

    Article  PubMed  CAS  Google Scholar 

  17. Reubi, J. C., Kvols, L., Krenning, E., and Lamberts, S. W. (1990). Metabolism 39, 78–81.

    Article  PubMed  CAS  Google Scholar 

  18. Saveanu, A., Gunz, G., Dufour, H., Enjalbert, A., Culler, M. D., and Jaquet, P. (2003). J. Endocrinol. Invest. 26, 4–7.

    PubMed  CAS  Google Scholar 

  19. Shimon, I., Taylor, J. E., Dong, J. Z., et al. (1997). J. Clin. Invest. 99, 789–798.

    Article  PubMed  CAS  Google Scholar 

  20. Greenman, Y. and Melmed, S. (1994). J. Clin. Endocrinol. Metab. 78, 398–403.

    Article  PubMed  CAS  Google Scholar 

  21. Greenman, Y. and Melmed, S. (1994). J. Clin. Endocrinol. Metab. 79, 724–729.

    Article  PubMed  CAS  Google Scholar 

  22. Sharma, K., Patel, Y. C., and Srikant, C. B. (1999). Mol. Endocrinol. 13, 82–90.

    Article  PubMed  CAS  Google Scholar 

  23. Teijeiro, R., Rios, R., Costoya, J. A., et al. (2002). Cell Physiol. Biochem. 12, 31–38.

    Article  PubMed  CAS  Google Scholar 

  24. Lattuada, D., Casnici, C., Venuto, A., and Marelli, O. (2002). J. Neuroimmunol. 133, 211–216.

    Article  PubMed  CAS  Google Scholar 

  25. Schonbrunn, A., Gu, Y. Z., Dournard, P., Beaudet, A., Tannenbaum, G. S., and Brown, P. J. (1996). Metabolism 45, 8–11.

    Article  PubMed  CAS  Google Scholar 

  26. Vale, W., Rivier, J., Ling, N., and Brown, M. (1978). Metabolism 27, 1391–1401.

    Article  PubMed  CAS  Google Scholar 

  27. Bauer, W., Briner, U., Doepfner, W., et al. (1982). Life Sci. 31, 1133–1140.

    Article  PubMed  CAS  Google Scholar 

  28. Flogstad, A. K., Halse, J., Haldorsen, T., et al. (1995). J. Clin. Endocrinol. Metab. 80, 3601–3607.

    Article  PubMed  CAS  Google Scholar 

  29. Stewart, P. M., Kane, K. F., Stewart, S. E., Lancranjan, I., and Sheppard, M. C. (1995). J. Clin. Endocrinol. Metab. 80, 3267–3272.

    Article  PubMed  CAS  Google Scholar 

  30. Grass, P., Marbach, P., Bruns, C., and Lancranjan, I. (1996). Metabolism 45, 27–30.

    Article  PubMed  CAS  Google Scholar 

  31. Turner, H. E., Thornton-Jones, V. A., and Wass, J. A. (2004). Clin. Endocrinol. (Oxf.) 61, 224–231.

    Article  CAS  Google Scholar 

  32. Morange, I., De Boisvilliers, F., Chanson, P., et al. (1994). J. Clin. Endocrinol. Metab. 79, 145–151.

    Article  PubMed  CAS  Google Scholar 

  33. Soule, S., Conway, G., Hatfield, A., and Jacobs, H. (1996). J. Clin. Endocrinol. Metab. 81, 4502–4503.

    Article  PubMed  CAS  Google Scholar 

  34. Giusti, M., Ciccarelli, E., Dallabonzana, D., et al. (1997). Eur. J. Clin. Invest. 27, 277–284.

    Article  PubMed  CAS  Google Scholar 

  35. Ciccarelli, A., Daly, A., and Beckers, A. (2004). Treat. Endocrinol. 3, 77–81.

    Article  PubMed  CAS  Google Scholar 

  36. Caron, P., Beckers, A., Cullen, D. R., et al. (2002). J. Clin. Endocrinol. Metab. 87, 99–104.

    Article  PubMed  CAS  Google Scholar 

  37. Caron, P., Bex, M., Cullen, D. R., et al. (2004). Clin. Endocrinol. (Oxf.) 60, 734–740.

    Article  CAS  Google Scholar 

  38. Krenning, E. P., Kwekkeboom, D. J., Reubi, J. C., et al. (1992). Metabolism 41, 83–86.

    Article  PubMed  CAS  Google Scholar 

  39. van der Lely, A. J., Beckers, A., Daly, A., Lamberts, S. W., and Clemmons, D. (2005). In: Acromegaly: pathology, diagnosis and treatment. Taylor and Francis: New York.

    Google Scholar 

  40. Stevenaert, A. and Beckers, A. (1996). Metabolism 45, 72–74.

    Article  PubMed  CAS  Google Scholar 

  41. Sheppard, M. C. (2003). Clin. Endocrinol. (Oxf.) 58, 387–399.

    Article  Google Scholar 

  42. Newman, C. B., Melmed, S., George, A., et al. (1998). J. Clin. Endocrinol. Metab. 83, 3034–3040.

    Article  PubMed  CAS  Google Scholar 

  43. Petrossians, P., Borges-Martins, L., Espinoza, C., et al. (2005). Eur. J. Endocrinol. 152, 61–66.

    Article  PubMed  CAS  Google Scholar 

  44. Lamberts, S. W., Uitterlinden, P., Verschoor, L., van Dongen, K. J., and Del Pozo, E. (1985). N. Engl. J. Med. 313, 1576–1580.

    Article  PubMed  CAS  Google Scholar 

  45. Lamberts, S. W., Oosterom, R., Neufeld, M., and Del Pozo, E. (1985). J. Clin. Endocrinol. Metab. 60, 1161–1165.

    PubMed  CAS  Google Scholar 

  46. Vance, M. L. and Harris, A. G. (1991). Arch. Intern. Med. 151, 1573–1578.

    Article  PubMed  CAS  Google Scholar 

  47. Sassolas, G., Harris, A. G., and James-Deidier, A. (1990). J. Clin. Endocrinol. Metab. 71, 391–397.

    Article  PubMed  CAS  Google Scholar 

  48. Ezzat, S., Snyder, P. J., Young, W. F., et al. (1992). Ann. Intern. Med. 117, 711–718.

    PubMed  CAS  Google Scholar 

  49. Melmed, S., Casanueva, F. F., Cavagnini, F., et al. (2002). J. Clin. Endocrinol. Metab. 87, 4054–4058.

    Article  PubMed  CAS  Google Scholar 

  50. Newman, C. B., Melmed, S., Snyder, P. J., et al. (1995). J. Clin. Endocrinol. Metab. 80, 2768–2775.

    Article  PubMed  CAS  Google Scholar 

  51. Freda, P. U. (2002). J. Clin. Endocrinol. Metab. 87, 3013–3018.

    Article  PubMed  CAS  Google Scholar 

  52. Melmed, S., Sternberg, R., Cook, D., et al. (2005). J. Clin. Endocrinol. Metab. 10.1210/jc.2004-2466.

  53. Freda, P. U., Katznelson, L., van der Lely, A. J., Reyes, C. M., Zhao, S., and Rabinowitz, D. (2005). J. Clin. Endocrinol. Metab. doi: 10.1210/jc.2005-0260.

  54. Bevan, J. S. (2005). J. Clin. Endocrinol. Metab. 90, 1856–1863.

    Article  PubMed  CAS  Google Scholar 

  55. Levy, M. J., Bejon, P., Barakat, M., Goadsby, P. J., and Meeran, K. (2003). Headache 43, 794–797.

    Article  PubMed  Google Scholar 

  56. Donangelo, I., Rodacki, M., Peixoto, M. C., Vaisman, M., Caldas, N. R., and Gadelha, M. R. (2004). Endocr. Pract. 10, 107–111.

    PubMed  Google Scholar 

  57. May, A., Lederbogen, S., and Diener, H. C. (1994). Cephalalgia 14, 303–304.

    Article  PubMed  CAS  Google Scholar 

  58. Musolino, N. R., Marino, Junior R., and Bronstein, M. D. (1990). Clin. J. Pain 6, 243–245.

    Article  PubMed  CAS  Google Scholar 

  59. Pascual, J., Freijanes, J., Berciano, J., and Pesquera, C. (1991). Pain 47, 341–344.

    Article  PubMed  CAS  Google Scholar 

  60. Popovic, V., Paunovic, V. R., Micic, D., et al. (1988). Horm. Metab. Res. 20, 250–251.

    PubMed  CAS  Google Scholar 

  61. Schmidt, K., Althoff, P. H., Harris, A. G., Prestele, H., Schumm-Draeger, P. M., and Usadel, K. H. (1993). Pain 53, 223–227.

    Article  PubMed  CAS  Google Scholar 

  62. Colao, A., Cuocolo, A., Marzullo, P., et al. (1999). J. Clin. Endocrinol. Metab. 84, 1518–1523.

    Article  PubMed  CAS  Google Scholar 

  63. Nishiki, M., Murakami, Y., Sohmiya, M., et al. (1997). Endocr. J. 44, 655–660.

    PubMed  CAS  Google Scholar 

  64. Bihan, H., Espinosa, C., Valdes-Socin, H., et al. (2004). J. Clin. Endocrinol. Metab. 89, 5308–5313.

    Article  PubMed  CAS  Google Scholar 

  65. Colao, A., Marzullo, P., Ferone, D., et al. (2000). J. Clin. Endocrinol. Metab. 85, 3132–3140.

    Article  PubMed  CAS  Google Scholar 

  66. Colao, A., Marzullo, P., Cuocolo, A., et al. (2003). Clin. Endocrinol. (Oxf.) 58, 169–176.

    Article  CAS  Google Scholar 

  67. Biermasz, N. R., Pereira, A. M., Smit, J. W., Romijn, J. A., and Roelfsema, F. (2005). J. Clin. Endocrinol. Metab. 90, 2731–2739.

    Article  PubMed  CAS  Google Scholar 

  68. Biermasz, N. R., van Thiel, S. W., Pereira, A. M., et al. (2004). J. Clin. Endocrinol. Metab. 89, 5369–5376.

    Article  PubMed  CAS  Google Scholar 

  69. Stevenaert, A., Harris, A. G., Kovacs, K., and Beckers, A. (1992). Metabolism 41, 51–58.

    Article  PubMed  CAS  Google Scholar 

  70. Ezzat, S., Kontogeorgos, G., Redelmeier, D. A., Horvath, E., Harris, A. G., and Kovacs, K. (1995). Eur. J. Endocrinol. 133, 686–690.

    Article  PubMed  CAS  Google Scholar 

  71. Ezzat, S., Horvath, E., Harris, A. G., and Kovacs, K. (1994). J. Clin. Endocrinol. Metab. 79, 113–118.

    Article  PubMed  CAS  Google Scholar 

  72. Losa, M., Ciccarelli, E., Mortini, P., et al. (2001). J. Clin. Endocrinol. Metab. 86, 5194–5200.

    Article  PubMed  CAS  Google Scholar 

  73. Barakat, S. and Melmed, S. (1989). Arch. Intern. Med. 149, 1443–1445.

    Article  PubMed  CAS  Google Scholar 

  74. Arosio, M., Macchelli, S., Rossi, C. M., Casati, G., Biella, O., and Faglia, G. (1995). Eur. J. Endocrinol. 133, 430–439.

    PubMed  CAS  Google Scholar 

  75. Lundin, P., Eden Engstrom B., Karlsson, F. A., and Burman, P. (1997). AJNR Am. J. Neuroradiol. 18, 765–772.

    PubMed  CAS  Google Scholar 

  76. Beck-Peccoz, P. and Persani, L. (2002). Pituitary 5, 83–88.

    Article  PubMed  CAS  Google Scholar 

  77. Beck-Peccoz, P., Brucker-Davis, F., Persani, L., Smallridge, R. C., and Weintraub, B. D. (1996). Endocr. Rev. 17, 610–638.

    Article  PubMed  CAS  Google Scholar 

  78. Siler, T. M., Yen, S. C., Vale, W., and Guillemin, R. (1974). J. Clin. Endocrinol. Metab. 38, 742–745.

    PubMed  CAS  Google Scholar 

  79. Caron, P., Arlot, S., Bauters, C., et al. (2001). J. Clin. Endocrinol. Metab. 86, 2849–2853.

    Article  PubMed  CAS  Google Scholar 

  80. Chanson, P., Weintraub, B. D., and Harris, A. G. (1993). Ann. Intern. Med. 119, 236–240.

    PubMed  CAS  Google Scholar 

  81. Warnet, A., Lajeunie, E., Gelbert, F., et al. (1991). Acta Endocrinol. (Copenh.) 124, 487–491.

    CAS  Google Scholar 

  82. Kuhn, J. M., Arlot, S., Lefebvre, H., et al. (2000). J. Clin. Endocrinol. Metab. 85, 1487–1491.

    Article  PubMed  CAS  Google Scholar 

  83. Socin, H. V., Chanson, P., Delemer, B., et al. (2003). Eur. J. Endocrinol. 148, 433–442.

    Article  PubMed  CAS  Google Scholar 

  84. Snyder, P. J. (1993). Endocrinol. Metab. Clin. North Am. 22, 163–175.

    PubMed  CAS  Google Scholar 

  85. Klibanski, A., Alexander, J. M., Bikkal, H. A., Hsu, D. W., Swearingen, B., and Zervas, N. T. (1991). J. Clin. Endocrinol. Metab. 73, 1248–1255.

    Article  PubMed  CAS  Google Scholar 

  86. Florio, T., Thellung, S., Arena, S., et al. (1999). Eur. J. Endocrinol. 141, 396–408.

    Article  PubMed  CAS  Google Scholar 

  87. Broson-Chazot, F., Houzard, C., Ajzenberg, C., et al. (1997). Clin. Endocrinol. (Oxf.) 47, 589–598.

    Article  CAS  Google Scholar 

  88. Warnet, A., Harris, A. G., Renard, E., Martin, D., James-Deidier, A., and Chaumet-Riffaud, P. (1997). Neurosurgery 41, 786–795.

    Article  PubMed  CAS  Google Scholar 

  89. Shomali, M. E. and Katznelson, L. (2002). Pituitary 5, 89–98.

    Article  PubMed  CAS  Google Scholar 

  90. Labeur, M., Arzt, E., Stalla, G. K., and Paez-Pereda, M. (2004). Curr. Drug Targets. Immune. Endocr. Metabol. Disord. 4, 335–342.

    Article  PubMed  CAS  Google Scholar 

  91. Lamberts, S. W., Uitterlinden, P., and Klijn, J. M. (1989). Acta Endocrinol. (Copenh.) 120, 760–766.

    CAS  Google Scholar 

  92. Stalla, G. K., Brockmeier, S. J., Renner, U., et al. (1994). Eur. J. Endocrinol. 130, 125–131.

    PubMed  CAS  Google Scholar 

  93. Woodhouse, N. J., Dagogo-Jack, S., Ahmed, M., and Judzewitsch, R. (1993). Am. J. Med. 95, 305–308.

    Article  PubMed  CAS  Google Scholar 

  94. Ambrosi, B., Bochicchio, D., Fadin, C., Colombo, P., and Faglia, G. (1990). J. Endocrinol. Invest. 13, 257–261.

    PubMed  CAS  Google Scholar 

  95. Bruns, C., Lewis, I., Briner, U., Meno-Tetang, G., and Weckbecker, G. (2002). Eur. J. Endocrinol. 146, 707–716.

    Article  PubMed  CAS  Google Scholar 

  96. Hofland, L. J., van der, Hoek J., Feelders, R., et al. (2005). Eur. J. Endocrinol. 152, 645–654.

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Tichomirowa, M.A., Daly, A.F. & Beckers, A. Treatment of pituitary tumors. Endocr 28, 93–99 (2005). https://doi.org/10.1385/ENDO:28:1:093

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1385/ENDO:28:1:093

Key Words

Navigation