“…Each SSTR associates with heterotrimeric guanine nucleotide-binding proteins (G-proteins) to mediate the inhibition of adenylyl cyclase activity, primarily, as well as mitogen-activated protein kinase and various phosphatases and ion channels [33,34]. Injury, cytokines, growth factors (including insulin and growth hormone, GH), and somatostatin itself regulate SSTR gene expression [35,36,37,38]. Initial responses of SSTR binding are diminished by continuous exposure via mechanisms of receptor desensitization, internalization, and degradation [35,39].…”