Nerve growth factor (NGF) has antiproliferative and differentiating effects on adenomas of neuroendocrine origin. Cell lines derived from small-cell lung carcinoma (SCLC), a very aggressive neuroendocrine tumor, express NGF receptors. The role of NGF in the control of proliferation and progression of this carcinoma, however, has never been investigated. Chronic exposure of NCI-N-592 and GLC8 SCLC cell lines to NGF remarkably inhibited their proliferation rate both in vitro and in vivo, prevented their anchorage-independent clonal growth in soft agar, impaired their invasive capacity in vitro, and abolished their tumorigenic potential in nude mice. The proliferative response of SCLC cell lines to nicotine was also remarkably impaired by in vitro NGF treatment. Furthermore, NGF treatment activates in SCLC cell lines the expression and secretion of NGF. NGF thus reverts SCLC cell lines to a noninvasive, nontumorigenic phenotype that does not respond to nicotine and produces NGF.Small-cell lung cancer (SCLC) is a very aggressive human tumor representing about 25% of all lung cancers (1). Although our understanding of the biology of SCLC is expanding rapidly, there have been no recent major advances in the treatment of this tumor, and overall survival has not changed significantly since the late 1970s (1). SCLC has some phenotypical properties of a neuroendocrine tumor such as expression of L-dopa decarboxylase (1, 2), bombesin͞gastrin-releasing peptide (1, 3), neuron-specific enolase (1), and voltage-operated calcium channels of neuronal type (4-6). Proliferation of SCLC is controlled by autocrine loops sustained by the secretion of different neurohormones and growth factors such as bombesin, insulin-like growth factor I, bradykinin, neurotensin, cholecystokinin, and vasopressin (1). A mitogenic loop mediated by serotonin (5-HT) and facilitated by neuronal-type nicotinic receptors through stimulation of 5-HT release (7, 8) has been recently shown to be operative in SCLC cell lines (9, 10).Despite the observation that SCLC cell lines express (11) the tyrosine kinase trkA receptor for NGF (12)(13)(14), the role of this neurotrophin in the control of proliferation, invasiveness, and tumorigenic potential of this tumor has never been investigated. This issue seems of critical relevance as it is now emerging that NGF is an antiproliferative and differentiation factor for various tumors of neuroendocrine origin (15-21). In particular, NGF has been consistently reported to induce differentiation of the pituitary tumor cell line GH 3 (15) and the insulinoma cell line RINm5F (16,17) and to suppress cell growth and tumorigenicity of human prolactin-secreting adenomas (18,19). In addition, we found that an autocrine loop mediated by NGF is operative in both normal pituitary lactotroph cells (20) and slowly proliferating, nontumorigenic prolactinomas but not in tumorigenic prolactinoma cells (18,21). The impact of this mechanism is such that the breakdown of the NGF-mediated autocrine loop in nontumorigenic prolactinoma...