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Updated: Jul 8, 2026

The Use of Reverse Phase Protein Arrays (RPPA) to Explore Protein Expression Variation within Individual Renal Cell Cancers
Published on: January 22, 2013
Genetics and epigenetics of renal cell cancer
Marcella M L Baldewijns1, Iris J H van Vlodrop, Leo J Schouten
1Department of Pathology, GROW - School for Oncology and Developmental Biology, Maastricht University, Maastricht, The Netherlands.
Abstract:
Renal cell carcinoma (RCC) is not a single disease, but comprises a group of tumors of renal epithelial origin, each with a different histology, displaying a different clinical course and caused by different genetic alterations. Since cure rates are inversely associated with stage and response to the available treatment regimes is limited to a subgroup of patients, diagnostic methods facilitating early detection and new therapeutic modalities are necessary. Increased knowledge of the underlying pathophysiology of RCC has resulted in the identification of genetic alterations involved in renal cell cancer carcinogenesis. Promising agents to target these pathways, especially the angiogenesis pathway, are being developed, some of which are already standard of care. In addition to genetics, knowledge on epigenetics in the process of renal tumorigenesis has been significantly increased in the last decades. Epigenetics will play an increasing role in the development of new therapeutic modalities and may deliver new prognostic and early diagnostic markers. In this review we discuss the background of RCC and the clinical applications of RCC genetics and epigenetics.
Insights
Renal cell carcinoma (RCC) is a complex group of kidney cancers. Understanding its genetics and epigenetics is crucial for developing new diagnostic and therapeutic strategies.
Area of Science:
- Oncology
- Genetics
- Epigenetics
Background:
- Renal cell carcinoma (RCC) is not a single entity but a heterogeneous group of kidney tumors.
- Current treatments for RCC are effective only in a subset of patients, and cure rates are stage-dependent.
- Early detection and novel therapeutic approaches are essential due to limited treatment responses.
Purpose of the Study:
- To review the background of renal cell carcinoma.
- To discuss the clinical applications of genetics in RCC.
- To explore the role of epigenetics in RCC diagnosis and treatment.
Main Methods:
- Literature review of genetic and epigenetic alterations in renal cell carcinoma.
- Analysis of current and developing therapeutic agents targeting RCC pathways.
- Discussion of diagnostic and prognostic markers.
Main Results:
- Genetic alterations are key drivers of renal cell cancer carcinogenesis.
- Targeted therapies, particularly those inhibiting angiogenesis, show promise and are becoming standard care.
- Epigenetic modifications are increasingly recognized for their role in tumorigenesis.
Conclusions:
- Advances in understanding RCC genetics and epigenetics are paving the way for improved diagnostics and therapeutics.
- Epigenetics holds significant potential for developing novel prognostic and early diagnostic markers for RCC.
- Integrating genetic and epigenetic insights is vital for future RCC management.
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