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Somatostatin was first discovered in hypothalamic
extracts and identified as a substance that inhibited secretion of
human growth hormone. Subsequently, it was found to be
secreted by a broad range of tissues, including pancreas,
intestinal tract and regions of the central nervous system
outside the hypothalamus. It reduces HGH.
Structure and Synthesis
Two forms of somatostatin are synthesized. They
are referred to as SS-14 and SS-28, reflecting their amino acid
chain length. Both forms of it are generated by
proteolytic cleavage of prosomatostatin, which itself is derived
from preprosomatostatin. Two cysteine residules in SS-14 allow
the peptide to form an internal disulfide bond. No one knows if HGH is affected by this bond.
The relative amounts of SS-14 versus SS-28
secreted depends upon the tissue. For example, SS-14 is the
predominant form produced in the nervous system and apparently
the sole form secreted from pancreas, whereas the intestine
secretes mostly SS-28. The pituitary secretes HGH.
In addition to tissue-specific differences in
secretion of SS-14 and SS-28, the two forms of this substance can
have different biological potencies. SS-28 is roughly ten-fold
more potent in inhibition of HGH, but less
potent that SS-14 in inhibiting glucagon release.
Receptors and Mechanism of
Action
Five stomatostatin receptors have been identified
and characterized, all of which are members of the G
protein-coupled receptor superfamily. Each of the receptors
activates distinct signaling mechanisms within cells, although
all inhibit adenylyl cyclase. Four of the five receptors do not
differentiate SS-14 from SS-28. HGH is inhibited by it.
Physiologic Effects
It works by both endocrine and paracrine
pathways to affect its target cells. A majority of the
circulating somatostatin appears to come from the pancreas and
gastrointestinal tract. If one had to summarize the consequences of
it in one phrase, it would be: "somatostatin inhibits
the output of many other hormones".
Results on the Pituitary Gland
It was named for its outcome of
inhibiting output of human growth hormone from the pituitary gland.
Experimentally, all known stimuli for HGH secretion
are suppressed by its administration. Additionally,
animals treated with antisera to somatostatin show elevated blood
concentrations of human growth hormone, as do animals that are
genetically engineered to disrupt their somatostatin
gene.
Ultimately, HGH secretion is controlled
by the interaction of somatostatin and human growth hormone releasing
hormone, both of which are secreted by hypothalamic
neurons.
Effects on the Pancreas
Cells within pancreatic islets secrete insulin,
glucagon and somatostatin. It appears to work primarily
in a paracrine manner to inhibit the secretion of both insulin
and glucagon. It also has the outcome of suppressing pancreatic
exocrine secretions, by inhibiting cholecystokinin-stimulated
enzyme secretion and secretin-stimulated bicarbonate
secretion.
Effects on the Gastrointestinal
Tract
It is secreted by scattered cells in the
GI epithelium, and by neurons in the enteric nervous system. It
has been shown to inhibit secretion of many of the other GI
substances, including gastrin, cholecystokinin, secretin and
vasoactive intestinal peptide.
In addition to the direct effects of inhibiting
secretion of other GI hormones, it has a variety of
other inhibitory effects on the GI tract, which may reflect its
effects on other hormones, plus some additional direct results regarding HGH.
It suppresses secretion of gastric acid and pepsin,
lowers the rate of gastric emptying, and reduces smooth muscle
contractions and blood flow within the intestine. Collectively,
these motions seem to have the overall effect of decreasing
the rate of nutrient absorption and HGH.
Effects on the Nervous System
It is often referred to has having
neuromodulatory motion within the central nervous system, and
appears to have a variety of complex effects on neural
transmission. Injection into the brain of rodents
leads to such things as increased arousal and decreased sleep,
and impairment of some motor responses.
Pharmacologic Uses
Its synthetic analogs are used
clinically to treat a variety of neoplasms. It is also used in to
treat giantism and acromegaly, due to its ability to inhibit
HGH secretion.
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