Peptide Basics
Somatostatin: The Peptide Hormone That Switches Others Off, Its Five Receptors and the Medicines Built on It
Somatostatin is a peptide hormone, 14 or 28 amino acids long, that holds back the release of other hormones: growth hormone from the pituitary, insulin and glucagon from the pancreas, and gastrin in the gut. This page sets out what the molecule is, the precursor its two forms are cut from, where it is made, its five receptors, how octreotide, lanreotide and pasireotide were built from it, and the somatostatin-based medicines in FDA’s records. Every figure is taken from UniProt, PubChem, MeSH or FDA’s own databases and labels.
What somatostatin is
Somatostatin is one of the peptide hormones. MeSH, the U.S. National Library of Medicine’s subject index, describes it as a 14-amino-acid peptide named for its ability to inhibit the release of growth hormone from the pituitary, which is why it is also called somatotropin release-inhibiting factor, or SRIF. It is made in the central and peripheral nervous systems, the gut and other organs, and besides acting as a hormone it works as a neurotransmitter and neuromodulator.
Its 14-amino-acid form reads AGCKNFFWKTFTSC. The cysteines at positions 3 and 14 are joined by a disulfide bond, which closes most of the molecule into a ring. PubChem gives it a molecular formula of C76H104N18O19S2 and a molecular weight of 1,637.9 (CID 16129706).
One precursor, two forms: somatostatin-14 and somatostatin-28
Both forms are cut from one precursor of 116 amino acids, made from the SST gene. UniProt maps it like this:
| Piece | Positions | Amino acids | Note |
|---|---|---|---|
| Signal peptide | 1-24 | 24 | Steers the precursor into the secretory pathway; removed first. |
| Propeptide | 25-88 | 64 | Cut away during processing. UniProt records a separate peptide inside it, neuronostatin (31-43). |
| Somatostatin-28 | 89-116 | 28 | The longer form; MeSH records it as the main form in the gut. |
| Somatostatin-14 | 103-116 | 14 | The last 14 amino acids of somatostatin-28, closed into a ring by a disulfide bond. |
Somatostatin-14 is simply the last 14 amino acids of somatostatin-28. MeSH records that the longer form has the same biological activities, with a 14-amino-acid extension at the front, and that it is the main form in the gastrointestinal tract. The first piece of the precursor is a signal sequence, explained on our signal peptides page.
Sources: UniProt P61278 (SST); MeSH D013004 and D053561; PubChem CID 16129706. Read 5 November 2026.
Where it is made and what it holds back
In the brain. Released by the hypothalamus, somatostatin is the brake on the pituitary. UniProt records that it inhibits the secretion of growth hormone, prolactin, ACTH, luteinizing hormone and TSH, and that it blunts the growth hormone release that ghrelin and GnRH would otherwise trigger. Our growth hormone peptides page shows how it sits opposite GHRH and ghrelin, the two signals that push release up.
In the pancreas and gut. MeSH describes D cells, also called delta cells, scattered through the gastrointestinal tract and the islets of the pancreas. They release somatostatin both into the blood and onto the cells around them, holding back insulin, gastrin and renin as well as growth hormone. In the islets, the same hormone restrains both insulin and glucagon.
UniProt also records a second, smaller peptide inside the precursor’s cut-away section, neuronostatin, 13 amino acids long. It is studied separately and is not one of the forms called somatostatin.
Sources: UniProt P61278; MeSH D013004, D019864 and D017481. Read 5 November 2026.
The five somatostatin receptors
Somatostatin acts through five receptors, SSTR1 to SSTR5. Each is a G protein-coupled receptor that, UniProt records, inhibits the enzyme adenylyl cyclase when activated, lowering the cell’s cyclic AMP. They differ in length, in which form of the hormone they prefer, and in where they are found:
| Receptor | Amino acids | Prefers | Where UniProt records it |
|---|---|---|---|
| SSTR1 | 391 | Binds somatostatin-14 more strongly than -28 | Adult pancreas, brain, lung, jejunum and stomach |
| SSTR2 | 369 | Somatostatin-14 and -28 | Pancreas, at higher levels than the other four, where it is the dominant receptor on alpha and beta cells; also brain and kidney |
| SSTR3 | 418 | Somatostatin-14 and -28 | Brain, pituitary and pancreas |
| SSTR4 | 388 | Somatostatin-14 | Brain, lung and stomach |
| SSTR5 | 364 | Somatostatin-28, and somatostatin-14 to a lesser extent | Pituitary, heart, small intestine, adrenal gland and cerebellum |
UniProt adds that SSTR4 mediates somatostatin’s antiproliferative action in tumour cells, and that SSTR2 pairs with SSTR3 and SSTR5 in ways that change how each behaves. The receptors also matter for medicine in a practical way: many neuroendocrine tumours carry them, so a somatostatin-like peptide that carries a radioactive metal can find those tumours on a scan or deliver radiation to them.
Sources: UniProt P30872, P30874, P32745, P31391 and P35346; MeSH D017481. Read 5 November 2026.
From hormone to medicine: octreotide, lanreotide and pasireotide
A search of Drugs@FDA by active ingredient on 5 November 2026 found no record of somatostatin itself as a medicine. What it holds are analogues: shorter ring-shaped peptides that U.S. labels describe as mimicking the natural hormone. Octreotide keeps the Phe-Trp-Lys-Thr stretch from the middle of somatostatin-14, with its tryptophan in the mirror-image D form, inside a ring of six amino acids. Lanreotide and dotatate share its D-tryptophan and lysine at the centre of an eight-amino-acid ring; pasireotide is a ring of six with no disulfide at all, and PubChem’s formula for it contains no sulfur.
| Molecule | Structure (U.S. label or UniProt) | Amino acids | Formula · weight (PubChem) |
|---|---|---|---|
| Somatostatin-14 | AGCKNFFWKTFTSC, a ring closed between cysteines 3 and 14 | 14 | C76H104N18O19S2 · 1,637.9 |
| Octreotide | D-Phe-Cys-Phe-D-Trp-Lys-Thr-Cys-threoninol, a ring closed between cysteines 2 and 7 | 8 | C49H66N10O10S2 · 1,019.2 |
| Lanreotide | D-2-naphthylalanine-Cys-Tyr-D-Trp-Lys-Val-Cys-Thr amide, a ring closed by a disulfide | 8 | C54H69N11O10S2 · 1,096.3 |
| Pasireotide | A cyclohexapeptide: a ring of six amino acids with no disulfide | 6 | C58H66N10O9 · 1,047.2 |
| Dotatate | D-Phe-Cys-Tyr-D-Trp-Lys-Thr-Cys-Thr with a DOTA chelator that holds a radioactive metal | 8 | Netspot label: 1,435.6 for the peptide with its chelator |
The Sandostatin label calls octreotide a long-acting octapeptide with actions that mimic the natural hormone. Our page on types of peptides explains cyclic peptides more generally.
Sources: UniProt P61278; current U.S. labels for Sandostatin, Somatuline Depot, Signifor and Netspot (description); PubChem CID 16129706, 448601, 6918011 and 9941444. Read 5 November 2026.
Somatostatin-based medicines: what FDA’s records show
The table gives the approval year Drugs@FDA records for each original application, in order. Five of the twelve are radioactive agents for finding or treating tumours that carry somatostatin receptors:
| Medicine | Application | Approved | What the record shows |
|---|---|---|---|
| Sandostatin (octreotide) | NDA 019667 | 1988 | The first somatostatin analogue in Drugs@FDA; an injection. Generic octreotide injections followed from 2005. |
| Octreoscan (indium In 111 pentetreotide) | NDA 020314 | 1994 | An imaging agent: octreotide carrying a radioactive metal, used to find tumours that carry somatostatin receptors. |
| Sandostatin LAR Depot (octreotide) | NDA 021008 | 1998 | A long-acting form, for patients already shown to respond to the injection. |
| Somatuline Depot (lanreotide) | NDA 022074 | 2007 | A prolonged-release injection. A second lanreotide application (2021) is recorded as discontinued. |
| Signifor (pasireotide) | NDA 200677 | 2012 | The only one of the group whose label is for Cushing's disease alone. |
| Signifor LAR (pasireotide) | NDA 203255 | 2014 | A long-acting form, labelled for acromegaly and Cushing's disease. |
| Netspot (gallium Ga 68 dotatate) | NDA 208547 | 2016 | A PET imaging kit for tumours that carry somatostatin receptors. |
| Lutathera (lutetium Lu 177 dotatate) | NDA 208700 | 2018 | The same peptide carrying a radioactive metal that treats, rather than images, those tumours. |
| Gallium Ga 68 edotreotide (DOTATOC) | NDA 210828 | 2019 | A PET imaging agent from a university imaging centre. |
| Mycapssa (octreotide) | NDA 208232 | 2020 | Octreotide in a delayed-release capsule taken by mouth. |
| Detectnet (copper Cu 64 dotatate) | NDA 213227 | 2020 | A third PET imaging agent built on dotatate. |
| Bynfezia Pen (octreotide) | NDA 213224 | 2024 | An octreotide pen injector; the year is the one Drugs@FDA records for the application. |
What the current labels name them for: octreotide injection for acromegaly when surgery, radiation and bromocriptine have not been enough or are not possible, and for the severe diarrhoea and flushing of metastatic carcinoid tumours and the watery diarrhoea of VIP-secreting tumours. Its label adds that improvement in signs and symptoms, or shrinkage of tumours, was not shown in its trials. Lanreotide is labelled for acromegaly, for certain advanced gastroenteropancreatic neuroendocrine tumours to improve progression-free survival, and for carcinoid syndrome. Pasireotide is labelled for Cushing’s disease when pituitary surgery is not an option or has not worked, and its long-acting form also for acromegaly. The oral capsule is for maintenance in acromegaly after a response to octreotide or lanreotide injections. The imaging agents are labelled to locate tumours that carry somatostatin receptors, and Lutathera to treat such tumours of the gut and pancreas in adults and children 12 and older.
Sources: Drugs@FDA via openFDA (original approval dates and marketing status); current U.S. labels for Sandostatin, Sandostatin LAR Depot, Mycapssa, Bynfezia Pen, Somatuline Depot, Signifor, Signifor LAR, Octreoscan, Netspot, Ga 68 DOTATOC, Detectnet and Lutathera. Read 5 November 2026. Doses are not reproduced here; the full list of approved peptides is on our FDA-approved peptides page.
Medibact does not manufacture or sell peptides. We supply USP-grade bacteriostatic water, made in the USA, for research use only, and publish reference material like this page.
Where this sits in the rest of the reference
FAQ
What is somatostatin?
Somatostatin is a peptide hormone that switches other hormones off. MeSH, the U.S. National Library of Medicine's subject index, describes it as a 14-amino-acid peptide named for its ability to inhibit the release of growth hormone from the pituitary, which is why it is also called somatotropin release-inhibiting factor (SRIF). It is made in the brain, the nerves, the gut, the pancreas and other organs.
What does somatostatin do?
It holds back the release of other hormones. UniProt records that it inhibits the secretion of several pituitary hormones, including growth hormone, prolactin, ACTH, luteinizing hormone and TSH. MeSH adds insulin and glucagon from the pancreas, and records that the D cells of the gut and pancreas use it to hold back gastrin, insulin and renin, acting on nearby cells as well as through the blood. In the brain it also works as a neurotransmitter and neuromodulator.
Where is somatostatin produced?
In several places. It is released by the hypothalamus, where it brakes growth hormone release from the pituitary, and by the D cells (delta cells) of the pancreatic islets and the gut. MeSH also records it throughout the central and peripheral nervous systems.
What is the difference between somatostatin-14 and somatostatin-28?
Both are cut from the same precursor of 116 amino acids. Somatostatin-28 is the longer form; somatostatin-14 is its last 14 amino acids, AGCKNFFWKTFTSC, closed into a ring by a disulfide bond between its two cysteines. MeSH records that somatostatin-28 has the same biological activities with a 14-amino-acid extension at the front, and that it is the main form in the gut.
What are somatostatin receptors?
Five receptors, SSTR1 to SSTR5, each a G protein-coupled receptor that, UniProt records, inhibits the enzyme adenylyl cyclase when activated. They differ in which form of the hormone they prefer and where they are found: SSTR2 is the dominant one on the insulin- and glucagon-making cells of the pancreas, and SSTR5 prefers somatostatin-28. Many neuroendocrine tumours carry these receptors, which is what the imaging agents and Lutathera are built to find.
What are somatostatin analogues?
Shorter, longer-lasting peptides built to act like somatostatin. U.S. labels describe octreotide as a cyclic octapeptide with actions mimicking the natural hormone, lanreotide as a synthetic cyclical octapeptide analogue, and pasireotide as a cyclohexapeptide that mimics it. They are approved as medicines for conditions such as acromegaly, certain hormone-secreting tumours and Cushing's disease.
Is octreotide the same as somatostatin?
No. Octreotide is a synthetic analogue of eight amino acids; somatostatin-14 has fourteen. Octreotide keeps the Phe-Trp-Lys-Thr stretch from the middle of somatostatin-14, with tryptophan in its mirror-image D form, inside a smaller disulfide ring. The Sandostatin label calls it a long-acting octapeptide with actions that mimic the natural hormone. Drugs@FDA holds records for octreotide since 1988; a search by active ingredient on 5 November 2026 found none for somatostatin itself as a medicine.
What is a somatostatinoma?
A tumour that makes somatostatin. MeSH describes it as a somatostatin-secreting tumour derived from the delta cells of the pancreas, also found in the intestine, and associated with diabetes, gallstones, fatty stools and low stomach acid. This page does not discuss diagnosis or treatment; those belong with a clinician.
Is this medical advice?
No. This page explains what somatostatin is, from public scientific and regulatory sources. It gives no dose, schedule or recommendation; anyone treated with these medicines should follow their own clinician and product label. Peptides sold for research are labelled research use only, not for human use. Medibact supplies USP-grade bacteriostatic water, made in the USA, and is not affiliated with any manufacturer of the products named here.
References: UniProt P61278, P30872, P30874, P32745, P31391, P35346; MeSH D013004, D053561, D019864, D017481, D015282, D013005; PubChem CID 16129706, 448601, 6918011, 9941444; Drugs@FDA via openFDA and the current U.S. labels named above. Read 5 November 2026.
Educational use only — not medical advice. This guide summarizes information reported in published research and community practice for educational purposes. It is not medical advice and not a recommendation to use any compound. Any doses, schedules, or combinations shown are examples of what has been reported, not instructions for you. Many peptides described here are research compounds that are not FDA-approved for the uses discussed and may be investigational or restricted. Effects, risks, and legal status vary; individual needs and results vary. Consult a qualified, licensed healthcare professional before making any decision. Do not use this content to diagnose, treat, or dose yourself.