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Updated: Jul 18, 2026

The Use of Reverse Phase Protein Arrays (RPPA) to Explore Protein Expression Variation within Individual Renal Cell Cancers
Published on: January 22, 2013
Molecularly targeted therapy in renal cell carcinoma: where do we go from here?
1Cleveland Clinic Taussig Cancer Center, Department of Solid Tumor Oncology and Urology, 9500 Euclid Avenue/Desk R35, Cleveland, OH 44195, USA. rinib2@ccf.org
Abstract:
The angiogenic phenotype of renal cell carcinoma results from vascular endothelial growth factor pathway activation. Several different strategies targeting various aspects of the pathway have emerged as clinically relevant therapeutics in metastatic renal cell carcinoma. Key clinical data regarding these approaches are presented in this article. Furthermore, there are several considerations as to the further development of these agents and their appropriate application in metastatic renal cell carcinoma, such as timing of therapy, choice of initial therapy, continued role of debulking nephrectomy and toxicity concerns. These issues are discussed in light of current data and strategies for further drug development are presented.
Insights
Targeting the vascular endothelial growth factor pathway offers new treatments for metastatic renal cell carcinoma. This review discusses current therapies, clinical data, and future strategies for this complex cancer.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Renal cell carcinoma (RCC) exhibits an angiogenic phenotype driven by vascular endothelial growth factor (VEGF) pathway activation.
- VEGF pathway dysregulation is a key mechanism in the development and progression of metastatic RCC.
- Targeting the VEGF pathway has become a cornerstone in the treatment of advanced kidney cancer.
Purpose of the Study:
- To review current therapeutic strategies targeting the VEGF pathway in metastatic renal cell carcinoma (mRCC).
- To present key clinical data for these emerging treatments.
- To discuss considerations for future drug development and clinical application in mRCC.
Main Methods:
- Review of clinical data and published literature on VEGF pathway inhibitors in mRCC.
- Analysis of therapeutic strategies, including timing, choice of initial therapy, and role of cytoreductive nephrectomy.
- Discussion of toxicity profiles and ongoing challenges in mRCC treatment.
Main Results:
- Several therapeutic strategies targeting the VEGF pathway are clinically relevant in mRCC.
- Key clinical data supporting these approaches are presented.
- The article highlights the efficacy of various agents in managing metastatic disease.
Conclusions:
- VEGF pathway inhibitors represent significant advancements in mRCC treatment.
- Further research is needed to optimize treatment sequencing, combination therapies, and management of toxicities.
- Strategic development of novel agents and treatment paradigms is crucial for improving patient outcomes in mRCC.
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