Table 1.
Some of the key pathways in Ileal NETs.
Pathway | Gene(s) | Clinical Evidence | Orthologous Evidence | Additional Notes | Key References |
---|---|---|---|---|---|
Somatostatin receptor-2 | SSTR2 | Somatostatin analogues approved for treatment of patients with I-NETs | GOT1 cell line responds to somatostatin analogues | SSTR2 is naturally expressed by EC cells. | [17,20,61] |
mTOR | mTOR | mTOR inhibitors approved for treatment of patients with I-NETs | GOT1 cell line responds to everolimus | Nonrecurrent CNVs and promoter methylations in mTOR pathway | [20,30,31,32] |
IGF2 | IGF2 | 57% of I-NETs show loss of imprinting of IGF2 | I-NETs form in RT2B6 and in RT2B6AF2 mice due to IGF2 pathway genes | Pathway downstream of IGF2 is unestablished in I-NETs | [63] |
RB1 | MIR1-2 CDKN1B CDKN2C |
MIR1-2 shows loss of copy in 60% of I-NETs; CDKN1B is mutant in 8%; CDKN2C is mutant in 8% | I-NETs form in mice expressing SV40 T-antigen, which inactivates RB1 | [33,34,35,36,69] | |
p53 | MDM2 IPMK | MDM2 overproduction in patient samples; frame-shifted IPMK allele associates with familial I-NETs | I-NETs form in mice expressing SV40 T-antigen; MDM2 inhibitors prevent growth of GOT1 |
I-NETs often respond poorly to cytotoxic chemotherapies, suggestive of low p53 activity | [74,75,101] |