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Updated: Aug 8, 2026

Pre-clinical Evaluation of Tyrosine Kinase Inhibitors for Treatment of Acute Leukemia
Published on: September 18, 2013
Tyrosine kinase inhibitors in renal cell carcinoma
1Division of Hematology, Department of Medicine, Duke University Medical Center, Durham, North Carolina 27710, USA.
Abstract:
Current standard treatments for patients with metastatic (stage IV) renal cell carcinoma involve both surgical removal of tumors and treatment with biological agents such as interleukin 2 and/or IFN-alpha. Unfortunately, such approaches are inadequate for most patients with stage IV disease; the result is a median time to progression of 2 to 4 months and an overall survival of 6 to 17 months. Standard chemotherapy has been uniformly disappointing in this disorder. It is clear that new therapies are needed to approach these patients. Recently, a greater understanding of cancer genetics has led to the successful development of novel therapeutics directed against targets linked to specific types of cancer. During the past decade, researchers have identified the von Hippel-Lindau (VHL) gene as an important tumor suppressor in clear cell carcinoma of the kidney. Elucidation of the VHL gene product (pVHL) and its regulation of hypoxia-inducible factor signaling have created a potential genetic basis for growth factor-targeted strategies in this disease. This review will focus on the potential growth factor targets in clear cell carcinoma, their relation to VHL and hypoxia-inducible factor, and the clinical challenges that face their development.
Insights
New therapies targeting the von Hippel-Lindau (VHL) gene and hypoxia-inducible factor signaling are needed for metastatic kidney cancer. These genetic insights offer potential for novel growth factor-targeted treatments.
Area of Science:
- Oncology
- Cancer Genetics
- Molecular Biology
Background:
- Metastatic (stage IV) renal cell carcinoma (RCC) treatments, including surgery and immunotherapy (interleukin 2, IFN-alpha), show limited efficacy.
- Current therapies result in a median progression time of 2-4 months and overall survival of 6-17 months.
- Standard chemotherapy is ineffective for advanced RCC.
Purpose of the Study:
- To review potential growth factor targets in clear cell RCC.
- To explore the relationship between the von Hippel-Lindau (VHL) gene, hypoxia-inducible factor (HIF) signaling, and RCC development.
- To discuss clinical challenges in developing novel targeted therapies for advanced RCC.
Main Methods:
- Literature review focusing on VHL gene function in RCC.
- Analysis of hypoxia-inducible factor signaling pathways in clear cell carcinoma.
- Examination of emerging growth factor-targeted therapeutic strategies.
Main Results:
- The von Hippel-Lindau (VHL) gene is a critical tumor suppressor in clear cell RCC.
- Dysregulation of VHL leads to aberrant hypoxia-inducible factor (HIF) signaling.
- This pathway presents a genetic basis for targeted therapies.
Conclusions:
- Understanding VHL and HIF signaling is crucial for developing effective treatments for metastatic RCC.
- Targeting specific growth factors offers a promising avenue for novel therapeutic strategies.
- Overcoming clinical challenges is essential for translating these findings into patient benefit.
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