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Updated: Jul 18, 2026

Comparing Metastatic Clear Cell Renal Cell Carcinoma Model Established in Mouse Kidney and on Chicken Chorioallantoic Membrane
Published on: February 8, 2020
Targeting von Hippel-Lindau pathway in renal cell carcinoma
Premal H Patel1, Rajendrakumar S V Chadalavada, R S K Chaganti
1Department of Medicine, Memorial Sloan-Kettering Cancer Center, New York, New York 10021, USA.
Abstract:
Inheritance of a defective copy of the von Hippel-Lindau (VHL) gene leads to the most common cause of inherited renal cell carcinoma (RCC). In addition, most patients with sporadic RCC have aberrant VHL. In the absence of VHL, hypoxia-inducible factor alpha accumulates, leading to production of several growth factors, including vascular endothelial growth factor and platelet-derived growth factor. We review here the biology of RCC and how a combination of proximal and distal block of VHL/hypoxia-inducible factor alpha pathway by novel targeted agents, including sunitinib, sorafenib, bevacizumab, everolimus, and temsirolimus, has led to significant improvements in progression-free survival.
Insights
Defective von Hippel-Lindau (VHL) gene causes inherited kidney cancer (RCC). Targeting the VHL/hypoxia pathway with novel agents significantly improves progression-free survival for RCC patients.
Area of Science:
- Oncology
- Genetics
- Molecular Biology
Background:
- The von Hippel-Lindau (VHL) gene is crucial in preventing kidney cancer (RCC).
- Defects in VHL are linked to both inherited and sporadic forms of RCC.
- VHL gene absence causes hypoxia-inducible factor alpha accumulation, promoting tumor growth via growth factors.
Purpose of the Study:
- To review the biology of renal cell carcinoma (RCC).
- To explore the therapeutic potential of targeting the VHL/hypoxia-inducible factor alpha pathway.
- To assess the impact of novel targeted agents on RCC progression.
Main Methods:
- Review of existing literature on VHL gene biology and RCC.
- Analysis of targeted agents affecting the VHL/hypoxia-inducible factor alpha pathway.
- Evaluation of clinical outcomes, focusing on progression-free survival.
Main Results:
- VHL gene defects are a primary cause of inherited RCC and common in sporadic RCC.
- Accumulation of hypoxia-inducible factor alpha, due to VHL absence, drives RCC pathogenesis.
- Targeted agents like sunitinib, sorafenib, bevacizumab, everolimus, and temsirolimus show promise.
Conclusions:
- Blocking the VHL/hypoxia-inducible factor alpha pathway offers a viable therapeutic strategy for RCC.
- Novel targeted agents have demonstrated significant improvements in progression-free survival for RCC patients.
- Further research into combination therapies targeting this pathway is warranted.
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