Key words: targeted chemotherapy; non-Hodgkin's lymphoma; somatostatin receptor; NHL is the most frequently diagnosed hematologic malignancy and ranks as the sixth most common cause of cancer-related deaths in the United States. 1,2 Over the past 50 years, an increased incidence of NHL has been reported, with an estimated 54,370 new cases in 2004. 1,2 Depending on the classification, the treatment of choice can include surgical intervention, conventional chemotherapy, radiotherapy or a combination of these. 2,3 However, patients who have advanced-stage NHL with tumors Ͼ10 cm in diameter and more than one extranodal lesion face a dismal prognosis, with a 5-year survival rate of 26%. 3 These findings emphasize the importance of developing effective therapies. 3 The discovery of specific surface antigens in various human cancers led to the development of targeted antitumor agents like MAbs. 4 These antibodies are used as single drugs or attached to radioisotopes and toxins. In the case of NHL, the anti-CD20 MAb rituximab (Rituxan) and the radiolabeled anti-CD20 antibodies Yttrium 90 ibritumomab tiuxetan (Zevalin) and 131 I tositumomab (Bexxar) were approved by the U.S. Food and Drug Administration and yielded promising clinical results. 5,6 In addition, receptors for some peptide hormones are found in relatively high concentrations on many cancer types, providing another option for targeted therapy with radiolabeled peptide hormones or cytotoxic peptide conjugates. 7-9 Expression of somatostatin receptors was found in 70 -100% of surgically removed NHL specimens of low-, intermediate-and high-grade malignancy. 10 Consequently, in several clinical studies, radiolabeled somatostatin analogues such as [ 111 In-DTPA-D-Phe 1 ]-octreotide ( 111 In-pentetreotide, OctreoScan) were used to detect lymphomatous lesions in patients with NHL. 11-14 Based on these results, the "straight" somatostatin analogue octreotide, which can decrease the growth of certain somatostatin receptor-positive cancers, was used in patients with NHL and showed some antitumor activity in 2 phase II trials when administered as a single agent or in combination therapy. 15,16 These studies [11][12][13][14][15][16] indicate that somatostatin receptors might be utilized for the targeted therapy of NHL based on radionuclide or cytotoxic somatostatin analogues.Previously, we developed a cytotoxic somatostatin analogue, AN-238, for the targeted therapy of somatostatin receptor-positive cancers. 17 AN-238 consists of the carrier somatostatin octapeptide RC-121 linked covalently to a highly potent derivate of DOX, This analogue fully retains the cytotoxic activity of the radical and binds with high affinity to somatostatin receptor subtypes sst 2 and sst 5 and with medium affinity to subtype sst 3 . AN-238 significantly inhibits the growth of various tumors that express somatostatin receptors (subtypes 2, 3 and 5). 7,8 Here, we evaluated the antitumor effects and toxicity of cytotoxic somatostatin analogue AN-238 on 2 different human NHL cell lines xenograf...