tostatin receptors (SSTR1-5) mediate antiproliferative effects. In C6 rat glioma cells, somatostatin is cytostatic in vitro via phosphotyrosine phosphatase-dependent inhibition of ERK1/2 activity mediated by SSTR1, -2, and -5. Here we analyzed the effects of SSTR activation on C6 glioma growth in vivo and the intracellular mechanisms involved, comparing somatostatin effects with selective agonists for SSTR1, -2, and -5 (BIM-23745, BIM-23120, BIM-23206) or receptor biselective compounds (SSTR1 and -2, BIM-23704; and SSTR2 and -5, BIM-23190). Nude mice subcutaneously xenografted with C6 cells were treated with somatostatin, SSTR agonists (50 g, twice/day), or vehicle. Tumor growth was evaluated every 3 days for 19 days. The intracellular pathways responsible of SSTR effects in vivo were evaluated measuring Ki-67, phospho-ERK1/2, and p27 kip1 expression by immunohistochemistry in sections from explanted tumors. Somatostatin and SSTR1, -2, and -5 agonists strongly inhibited in vivo C6 tumor growth, intratumoral neovessel formation, Ki-67 expression, and ERK1/2 phosphorylation and induced upregulation of p27Kip1 , whereas only a modest activation of caspase-3 was observed. Somatostatin (acting on SSTR1, -2, and -5) displayed the highest efficacy; SSTR5 selective agonist showed a stronger effect than SSTR1 agonist, and SSTR2 agonist was less effective. On the other hand, SSTR1 and -2 agonists maximally reduced tumor neovascularization. The combined activation of SSTR1 and -2 showed a synergistic activity, reaching a higher efficacy than BIM-23206, whereas the simultaneous activation of SSTR2 and -5 resulted in a response resembling SSTR5 effects. Thus the simultaneous activation of different SSTRs inhibits glioma cell proliferation in vivo through both direct cytotostatic and antiangiogenic effects. somatostatin; somatostatin receptor; glioblastoma; antiproliferative activity; in vivo; extracellular signal-regulated kinase 1/2 SOMATOSTATIN (SST), through the activation of a family of five G protein-coupled receptors [SST receptor (SSTR)1-5] (46), exerts antiproliferative effects in normal and tumor epithelial and endocrine cells (25, 51), thus providing the basis for the clinical use of SST analogs for the treatment of pituitary adenomas (13) and neuroendocrine tumors (28). SSTRs are expressed in several human cancer cells, including neuroendocrine, gastroenteropancreatic, brain, prostate, lung, and breast tumors; more than one subtype was detected in each tumor histotype, with SSTR2 the most frequently expressed subtype (54).Although both direct (induction of cell cycle arrest or apoptosis) (14) and indirect [antiendocrine (60) and antiangiogenic (2)] antitumoral activities of SST were identified, its possible clinical application as anticancer drug is still controversial (63).Multiple intracellular mechanisms Have been involved in the antiproliferative effects of SST (20). SST indirectly regulates tumor proliferation, inhibiting the release of growthpromoting hormones and growth factors (growth hormone, insulin-lik...