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Abstract
Experimental evidence suggests that somatostatin analogues may have a role to play
in the management of lung tumours. We evaluated membrane preparations of nine small
cell lung cancer (SCLC) cell lines and of tumour samples from 3 patients with non-small
cell lung cancer (NSCLC), 1 patient with an atypical carcinoid and another with a
bronchial carcinoid for the presence of specific binding sites for RC-160, a potent
growth inhibitory octapeptide analogue of somatostatin. Specific binding was noted
on six of nine SCLC lines. Radio-receptor assay on the cell line NCI H 69 showed evidence
of two specific binding sites for RC-160, one with high affinity and the other with
low affinity. Binding sites were also found on all five tumour samples. Scatchard
analysis indicated the presence of a single class of receptors with high affinity
in each case. Histological assessment of the resected specimens before binding assay
showed them to be comprised of tumour cells and necrotic tissue, stroma and/or inflammatory
cells. Therefore, the specific binding of RC-160 may be to tissues other than the
tumour cells. In 3 patients, from whom the tumour samples were obtained, radiolabelled
somatostatin analogue scintigraphy using [111In] pentetreotide was performed prior to surgery. In all cases, the radiolabel localised
the disease. This study demonstrates the presence of specific binding sites for RC-160
in SCLC. Furthermore, the detection of specific binding in vitro and in vivo in NSCLC and intrapulmonary carcinoids demonstrates that these tumours contain cells
which express specific binding sites for somatostatin. These results suggest that
RC-160 may have a role to play as a therapeutic agent in lung cancer.
Keywords
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© 1994 Published by Elsevier Inc.