I searched Medline - a database of several million articles, mostly
from peer-reviewed scientific journals. I used the query phrase
"growth hormone receptor AND antagonist AND cancer[mesh]" and got 14
hits - a low number really. It seems that the drug may well be
pegvisomant, and the cancer, a pituitary tumour. Other articles note
that hGH receptors may be expressed by, for example breast carcinomas.
Anyway - check out these two abstracts - they may help you refine
your search.
1: Expert Opin Investig Drugs 2001 Sep;10(9):1725-35
The place of pegvisomant in the management of acromegaly.
Parkinson C, Trainer PJ.
Department of Endocrinology, Christie Hospital, Wilmslow Road,
Manchester, M20
4BX, UK.
Conventional treatments for acromegaly include surgery, radiotherapy,
dopamine
agonists and somatostatin (SMS) analogues, which effect disease
control by
lowering circulating growth hormone (GH). Due to variability in tumour
characteristics, combinations of these treatment modalities leave a
significant
number of patients with sub-optimal serum GH and insulin-like growth
factor-I
(IGF-I) levels, which have been linked to increased morbidity and
mortality. The
GH receptor antagonist pegvisomant is a genetically engineered
analogue of GH
that prevents functional dimerisation of the growth hormone receptor
(GHR); a
process that is critical to GH action at the cellular level. A crucial
amino
acid substitution at Gly(120) to Arg(120) within the third alpha helix
of the
antagonist prevents functional GHR dimerisation. Pegvisomant
represents a novel
treatment for acromegaly as, unlike existing treatment modalities, the
effectiveness of pegvisomant is independent of pituitary tumour
characteristics.
Initial clinical studies in patients with active acromegaly have
demonstrated
serum IGF-I normalisation in over 90% of patients receiving 20 mg per
day, such
that, in terms of serum IGF-I normalisation, pegvisomant now
represents the most
effective medical treatment for acromegaly. Although there are limited
long-term
data on the use of pegvisomant and questions regarding pituitary
tumour growth
and altered liver function remain, this therapy offers the prospect of
serum
IGF-I normalisation in the vast majority of patients with active
acromegaly.
Publication Types:
Review
Review, Tutorial
PMID: 11772281 [PubMed - indexed for MEDLINE]
2: Growth Horm IGF Res 2001 Jun;11 Suppl A:S121-3
Cancer and the potential place for growth hormone receptor antagonist
therapy.
Friend KE.
MD Anderson Cancer Center, University of Texas, Houston, USA.
Keith.Friend@am.pnu.com
Pegvisomant is a recombinant protein, structurally similar to natural
human
growth hormone (GH), which is capable of binding to the GH receptor as
a
competitive antagonist. As well as being evaluated for the treatment
of
acromegaly, pegvisomant is being investigated as a possible
antineoplastic
agent, initially in mice. So far, in vitro efficacy against meningioma
and in
vivo efficacy against colon and breast cancer cell lines have been
examined.
Publication Types:
Review
Review, Tutorial
PMID: 11527083 [PubMed - indexed for MEDLINE]
3: Growth Horm IGF Res 2001 Jun;11 Suppl A:S111-4
Experience with pegvisomant in the treatment of acromegaly.
Drake WM.
Department of Endocrinology, St Bartholomew's Hospital, London, UK.
will_drake@canada.com
Established modalities of therapy for acromegaly (surgical
adenomectomy,
external beam pituitary irradiation, oral dopamine agonists, and
injectable
somatostatin analogues) have as their common goal the lowering of
circulating
growth hormone (GH) levels, with a consequent reduction in serum
insulin-like
growth factor I (IGF-I). Pegvisomant is a GH receptor antagonist that
inhibits
GH receptor dimerization and has a powerful ability to lower serum
IGF-I levels
in patients with active acromegaly. Currently available data suggest
that
pegvisomant is an effective treatment for acromegaly that is safe,
well
tolerated, and not associated with expansion of residual pituitary
tumour over
the time period studied.
Publication Types:
Review
Review, Tutorial
PMID: 11527081 [PubMed - indexed for MEDLINE] |