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Updated: Jul 20, 2026

The Use of Reverse Phase Protein Arrays (RPPA) to Explore Protein Expression Variation within Individual Renal Cell Cancers
Published on: January 22, 2013
Targeted therapy for renal cell carcinoma: a new therapeutic paradigm
Philip E Shaheen1, Ronald M Bukowski
1Fellow, Department of Experimental Therapeutics, Taussig Cancer Center, The Cleveland Clinic Foundation, Cleveland, Ohio, USA.
Abstract:
Renal cell carcinoma is the most common tumor of the kidney. It has an unpredictable behavior and poor response to systemic therapy. Developing newer therapy for this disease is a priority considering the high recurrence rate and the small subset of patients who benefit from the use of cytokines such as interferon-alpha or interleukin-2. Identifying molecular targets and targeting various biomarkers has revolutionized the therapeutic approach to advanced and metastatic renal cell carcinoma. Although some of the antiangiogenic agents and receptor tyrosine kinase inhibitors appear promising, further understanding of their mechanism of action and the patient population who would benefit most from such agents is still being explored. As numerous targeted agents are entering the clinical investigation arena in a relatively short period of time, newer challenges in renal cell carcinoma therapeutics are emerging. Some of the future challenges in using targeted antineoplastic agents in renal cell carcinoma will include evaluating their long-term safety and benefit, using the particular drug in the appropriate patient population after appropriate stratification and studying the combination of some of these drugs for synergy or additive effects.
Insights
Newer therapies are crucial for renal cell carcinoma (RCC), a common kidney cancer with poor treatment response. Targeted agents show promise but require further study for optimal use and combination strategies.
Area of Science:
- Oncology
- Nephrology
Background:
- Renal cell carcinoma (RCC) is the most common kidney tumor, characterized by unpredictable behavior and limited response to traditional systemic therapies.
- High recurrence rates and the modest efficacy of cytokine therapies (interferon-alpha, interleukin-2) underscore the urgent need for novel treatment strategies.
Purpose of the Study:
- To review the evolving therapeutic landscape for advanced and metastatic renal cell carcinoma.
- To highlight the impact of molecularly targeted therapies and biomarkers in revolutionizing RCC treatment.
- To identify emerging challenges and future directions in the clinical application of targeted antineoplastic agents for RCC.
Main Methods:
- Review of current literature on targeted therapies for renal cell carcinoma.
- Analysis of the mechanisms of action for antiangiogenic agents and receptor tyrosine kinase inhibitors.
- Discussion of clinical investigation trends and emerging therapeutic challenges.
Main Results:
- Molecularly targeted agents and biomarkers have significantly advanced the treatment paradigm for advanced/metastatic RCC.
- Antiangiogenic agents and receptor tyrosine kinase inhibitors demonstrate promise but require further investigation into their mechanisms and optimal patient selection.
- A rapid influx of targeted agents into clinical trials presents new challenges in therapeutic development.
Conclusions:
- Further research is essential to elucidate the long-term safety and efficacy of targeted agents in renal cell carcinoma.
- Patient stratification based on biomarkers is critical for maximizing the benefit of targeted therapies.
- Investigating drug combinations for synergistic or additive effects represents a key future direction in RCC treatment.
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