Objective: Somatostatin (sst) are present in the majority of gastro-entero-pancreatic (GEP) tumours. Effects of somatostatin receptor (sst) analogues are partial and of limited duration. Cell lines derived from GEP express dopaminergic receptors D 2 . New chimeric analogues simultaneously recognising sst 2 and sst 5 or sst 2 and D 2 have additive effects in inhibition of GH and prolactin secretion in pituitary adenomas. Our aim was to quantify the expression of sst and D 2 mRNA in human GEP tumours. Design and methods: mRNA expression of sst 1 , sst 2 , sst 3 and sst 5 as well as D 2 , was analysed using realtime PCR (TaqMan probe) in a series of 35 patients with GEP tumours (pancreas (nZ19) and intestinal (nZ16)). Levels of expression were compared with a group of 13 somatotroph adenomas. Results: All GEP tumours express sst 1 , sst 2 and D 2 . Expression of sst 3 and sst 5 was observed in 89 and 76% of tumours respectively with highly variable levels. sst 2 mRNA expression was higher in nonfunctional tumours (P!0.009) and sst5 was higher in pancreatic than in intestinal tumours (P!0.02). Whereas sst 2 levels were similar between GEP and somatotroph tumours, levels of sst 5 and D 2 were higher in the former (394.9G156.1!10 K2 vs 69.7G19.5!10 -2 copy/copy b-Gus (P!0.0036) and 519.6G121.2!10 K2 vs 50.0G21.6!10 -2 copy/copy b-Gus (P!0.0001) respectively). In small tumours (!30 mm), sst 2 density appeared as a crucial parameter in somatostatin receptor scintigraphy results, whereas in big tumours, a consistent bias in SRS results was introduced by the size. In pancreatic GEP, high-level sst 3 expression was found in tumours with more active angiogenesis (higher microvessel density and vascular endothelial growth factor expression (P!0.03)). Conclusions: GEP tumours co-express sst 2 and D 2 in 100% of cases and sst 5 in 89% thus supporting the testing of bi-specific agonists (sst 2 /sst 5 or sst 2 /D 2 ) in these tumours.European Journal of Endocrinology 155 849-857