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Updated: Aug 1, 2026

Modeling Spontaneous Metastatic Renal Cell Carcinoma (mRCC) in Mice Following Nephrectomy
Published on: April 29, 2014
VEGF-targeted therapy in metastatic renal cell carcinoma
11600 Divisadero, Room A717, San Francisco, California 94115, USA. brini@medicine.ucsf.edu
Purpose:
To review the biology of renal cell carcinoma (RCC) and the clinical results of vascular endothelial growth factor (VEGF) blockade in metastatic RCC.
Methods:
A review of relevant published literature regarding VEGF, von Hippel-Lindau (VHL) gene inactivation, and VEGF overexpression in RCC was performed. Further, a review of the mechanism, toxicity, and clinical development of VEGF-targeted therapy in metastatic RCC was undertaken.
Results:
VHL tumor suppressor gene inactivation is observed in the majority of clear cell RCC cases, leading to VEGF overexpression. Therapy with agents directed against the VEGF protein or the VEGF receptor have demonstrated initial clinical activity in metastatic RCC.
Conclusions:
Therapeutic targeting of VEGF in RCC has strong biologic rationale. Substantial clinical activity has been reported in initial clinical trials with VEGF-targeting agents. Further investigation is needed to optimally use these agents for maximal clinical benefit.
Insights
Targeting vascular endothelial growth factor (VEGF) in renal cell carcinoma (RCC) shows promise. Inactivation of the von Hippel-Lindau (VHL) gene leads to VEGF overexpression, and blocking VEGF demonstrates clinical activity in metastatic RCC.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- Renal cell carcinoma (RCC) is a significant health concern.
- The von Hippel-Lindau (VHL) gene plays a crucial role in RCC development.
- VEGF overexpression is a common event in clear cell RCC.
Purpose of the Study:
- To review the biology of renal cell carcinoma (RCC).
- To examine the clinical outcomes of vascular endothelial growth factor (VEGF) blockade in metastatic RCC.
Main Methods:
- Literature review of VHL gene inactivation and VEGF in RCC.
- Review of VEGF-targeted therapy mechanisms, toxicity, and clinical trials in metastatic RCC.
Main Results:
- VHL gene inactivation, observed in most clear cell RCC, results in VEGF overexpression.
- VEGF-targeted therapies have shown initial clinical activity in metastatic RCC patients.
Conclusions:
- Targeting VEGF in RCC has a strong biological basis.
- VEGF-targeting agents demonstrate substantial clinical activity in early trials.
- Further research is necessary to optimize the use of VEGF inhibitors for maximum patient benefit.
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