b S Supporting Information N eurogenic inflammation refers to vasodilation and plasma protein extravasation (edema formation) induced by proinflammatory sensory neuropeptides such as calcitonin generelated peptide (CGRP) and substance P (SP) released from the activated sensory nerve terminals in the innervated area. 1 These processes are followed by the activation of inflammatory cells later. The classical nonsteroidal anti-inflammatory drugs cannot inhibit the neurogenic component, which plays an important role in the pathological mechanisms of several inflammatory diseases, for example, rheumatoid arthritis, allergic contact dermatitis, psoriasis, asthma, and inflammatory bowel diseases. Corticosteroids are only effective in very high doses in which they produce severe side effects. 2 SP and CGRP are also involved in neuropathic pain, which is rather resistant to conventional analgesics. Therefore, agents acting at the level of the sensory nerve terminals themselves to inhibit the release of these pro-inflammatory/pro-nociceptive sensory neuropeptides are desired for the development of a new group of anti-inflammatory and analgesic drugs.Somatostatin (SST), a naturally occurring neuropeptide, generally induces inhibitory activity in the central nervous system and acts as a neurotransmitter effecting the locomotor activity and cognitive function. 3 In the peripheral nervous system, it is found in sensory and sympathetic neurons where it exerts downregulation of nociception and neurogenic components of inflammatory processes. 4,5 SST counteracts the effects of SP in neurogenic inflammation due to the inhibition of pro-inflammatory neuropeptide release or opposing receptor actions. SST acting on its own receptors inhibits neurokinin 1 receptor (NK1)-mediated SP actions on vasodilatation in arterioles, as well as on plasma protein extravasation from postcapillary venules, accumulation, and cytokine production of immune cells and other stimulated inflammatory cells.Besides the locally released pro-inflammatory sensory neuropeptides, SST is also released from the peripheral terminals of the capsaicin-sensitive peptidergic population of primary sensory neurons in response to activation. 4À7 It gets into the systemic circulation and inhibits inflammatory and nociceptive processes in rat and mouse experimental models presumably through SST receptor subtypes 1 and/or 4 (sst 1 / sst 4 ; SRIF1 receptor group), while inhibition of hormone secretion is mediated by the sst 2 , sst 3 , and sst 5 subtypes (SRIF2 receptor group).SST, because of its broad range of physiological activity, has a great potential as a therapeutic molecule. However, a major drawback of metabolic instability, that is, half-life of <3 min in circulation and lack of selectivity toward the different receptor subtypes (sst 1À5 ), led to the development of hundreds of synthetic analogues of SST. 8 One of these analogues, seglitide (MK678) (Figure 1), that was found to be selective toward the SST receptor subtype 2 (sst 2 ) and showed improved control of po...