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Modeling Spontaneous Metastatic Renal Cell Carcinoma (mRCC) in Mice Following Nephrectomy
Published on: April 29, 2014
Novel antiangiogenic therapies for renal cell cancer
1Arizona Cancer Center-Greater Phoenix Area, University of Arizona College of Medicine, Scottsdale, Arizona 85258, USA. msgordon@u.arizona.edu
Abstract:
Renal cell cancer remains a disease for which highly effective therapy for the majority of patients with metastatic disease is lacking. The biology of clear cell carcinomas and their association with mutations of the von Hippel-Lindau gene and its resultant increased expression of vascular endothelial growth factor (VEGF) make angiogenesis a potentially pathophysiologic mechanism for tumor development. As a result, the use of antiangiogenic therapy is an intriguing concept for the treatment of renal cell cancer. Various agents, aside from the inhibitors of VEGF, have been studied, including thalidomide, low-dose interferon, and novel antiangiogenic agents such as the thrombospondin-1 mimetics. Use of these agents has been associated with some degree of objective response or prolonged stabilization of disease, and their true value needs to be assessed in ongoing prospective studies. Combinations of antiangiogenic agents either with other similarly acting drugs or as a component of a "cocktail" with other noncytotoxic therapies should be explored in this patient population.
Insights
Antiangiogenic therapies targeting vascular endothelial growth factor (VEGF) show promise for metastatic renal cell cancer. Further studies are needed to assess the value of VEGF inhibitors and combination therapies.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Metastatic renal cell cancer lacks highly effective therapies for most patients.
- Clear cell carcinomas are linked to von Hippel-Lindau gene mutations, increasing vascular endothelial growth factor (VEGF) expression.
- Angiogenesis is a key pathophysiologic mechanism in renal cell carcinoma development.
Purpose of the Study:
- To explore the potential of antiangiogenic therapy for renal cell cancer.
- To review various antiangiogenic agents beyond VEGF inhibitors.
- To discuss the role of combination therapies in treating renal cell cancer.
Main Methods:
- Review of existing studies on antiangiogenic agents for renal cell cancer.
- Analysis of agents including VEGF inhibitors, thalidomide, low-dose interferon, and thrombospondin-1 mimetics.
- Consideration of combination therapy strategies.
Main Results:
- Antiangiogenic agents have shown objective responses or disease stabilization in some patients.
- VEGF inhibitors represent a promising therapeutic avenue.
- Thalidomide, interferon, and thrombospondin-1 mimetics are under investigation.
Conclusions:
- Antiangiogenic therapy is an intriguing concept for renal cell cancer treatment.
- Ongoing prospective studies are crucial to determine the true value of these agents.
- Exploring combinations of antiangiogenic agents with other therapies warrants investigation.
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