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A Modified Two Kidney One Clip Mouse Model of Renin Regulation in Renal Artery Stenosis
Published on: October 26, 2020
[Angiogenesis inhibitor therapies: focus on hypertension and kidney toxicity]
1Service de Néphrologie, Hôpital Pitié-Salpêtrière, 83, Boulevard de l'Hôpital, 75013 Paris, France. hassan.izzedine@psl.aphp.fr
Abstract:
Developments in the knowledge of molecular biology of cancer over the past 20 years have been identified. Angiogenesis is playing a key role in the physiopathology of cancer evolution. Several strategies have been developed to target angiogenesis for the treatment of metastatic RCC. These include inhibition of VEGF receptors (inhibition of the tyrosine kinase activity) or binding to the VEGF protein. Several additional kinases inhibitions including PDGF receptors are also targeted. Anti-angiogenic drugs recently marketed or still under clinical development, may interact with the kidneys. Clinical and pathological, and mechanisms of their renal toxicity are presented in this article.
Insights
Molecular biology advances reveal angiogenesis is crucial in cancer. This article details anti-angiogenic therapies for metastatic renal cell carcinoma (RCC) and their potential kidney side effects.
Area of Science:
- Cancer molecular biology
- Tumor angiogenesis
- Renal cell carcinoma (RCC) pathophysiology
Context:
- Over 20 years of molecular biology research in cancer.
- Angiogenesis is a critical factor in cancer progression.
- Emerging anti-angiogenic therapies for metastatic RCC.
Purpose:
- To review the role of angiogenesis in cancer.
- To discuss anti-angiogenic strategies targeting VEGF and PDGF pathways.
- To present the renal toxicity associated with these therapies.
Summary:
- Anti-angiogenic drugs targeting VEGF receptors or protein, and other kinases like PDGF, are used for metastatic RCC.
- These targeted therapies, while effective, can have significant interactions with the kidneys.
- The article outlines the clinical and pathological aspects of renal toxicity.
Impact:
- Provides insights into the mechanisms of anti-angiogenic drug-induced kidney damage.
- Informs clinicians about potential renal side effects in RCC patients.
- Contributes to the understanding of targeted cancer therapy complications.
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