Related Experiment Video
Updated: Jul 2, 2026

A Syngeneic Mouse Model of Metastatic Renal Cell Carcinoma for Quantitative and Longitudinal Assessment of Preclinical Therapies
Published on: April 12, 2017
[Molecular basis of targeted therapy in metastatic renal cancer]
1Institut für Klinische Pathologie, Departement Pathologie, Universitätsspital Zürich, Schmelzbergstr. 12, 8091 Zürich. holger.moch@usz.ch
Abstract:
The introduction of targeted therapy in metastatic renal cancer patients provides a whole array of individual therapeutic options. The basis for this treatment is the inactivation of the von Hippel-Lindau tumor suppressor gene, resulting in high expression of pro-angiogenic growth factors, e.g. vascular endothelial growth factor (VEGF) and platelet-derived growth factor (PDGF). This provides the rationale for targeting these pathways in clear cell renal cell carcinomas by small molecule inhibitors. This article gives a review on clinical trials with sunitinib, sorafenib, and temsirolimus in patients with advanced renal cell carcinoma and shows how promising treatments can emerge from an understanding of the molecular genetics and signaling pathways of tumors. However, a predictive marker, e.g. specific mutations associated with drug-resistant or responsive tumors, has not yet been identified and is paramount for the future.
Insights
Targeted therapies for metastatic renal cancer, including sunitinib and sorafenib, show promise by inhibiting pro-angiogenic factors like VEGF. Identifying predictive markers for drug response remains crucial for advancing treatment.
Area of Science:
- Oncology
- Molecular Genetics
- Pharmacology
Background:
- Metastatic renal cancer is often linked to von Hippel-Lindau gene inactivation.
- This inactivation leads to elevated pro-angiogenic factors, including vascular endothelial growth factor (VEGF) and platelet-derived growth factor (PDGF).
- Targeting these specific molecular pathways is a key strategy in treating clear cell renal cell carcinomas.
Purpose of the Study:
- To review clinical trials of targeted therapies in advanced renal cell carcinoma.
- To highlight the link between molecular genetics and the development of effective cancer treatments.
- To discuss the need for predictive markers in personalized cancer therapy.
Main Methods:
- Review of clinical trials involving sunitinib, sorafenib, and temsirolimus.
- Analysis of molecular genetics and signaling pathways in renal cell carcinoma.
- Examination of the rationale for small molecule inhibitors targeting angiogenesis.
Main Results:
- Targeted therapies offer individualized treatment options for metastatic renal cancer.
- Sunitinib, sorafenib, and temsirolimus have been investigated in clinical trials for advanced renal cell carcinoma.
- Understanding tumor molecular pathways informs the development of promising treatments.
Conclusions:
- Targeted therapies represent a significant advancement in treating advanced renal cell carcinoma.
- Further research is needed to identify predictive markers for drug response and resistance.
- Personalized medicine approaches are essential for optimizing patient outcomes in renal cell carcinoma treatment.
Related Concept Videos
Targeted Cancer Therapies
There are several types of targeted therapies against specific...
Targeted Cancer Therapies
There are several types of targeted therapies against specific...
Pharmacogenetics of Drug Targets: β₂-Adrenergic Receptors, Apo E, Thymidylate Synthase
Combination Therapies and Personalized Medicine
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
Treatment Resistant Cancers
Metastasis
Epithelial-to-Mesenchymal Transition
The epithelial-to-mesenchymal transition or EMT is a developmental process commonly observed in wound healing, embryogenesis, and cancer metastasis. EMT is induced by transforming growth factor-beta (TGF-β) or receptor tyrosine kinase (RTK) ligands, which further...
