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Taking the Next Step: a Neural Coaptation Orthotopic Hind Limb Transplant Model to Maximize Functional Recovery in Rat
Published on: August 30, 2020
Conclusion and future directions
Wolfram E Samlowski1, Nicholas J Vogelzang
1Section of Melanoma, Renal Cancer and Immunotherapy, Nevada Cancer Institute, Las Vegas, NV 89135, USA. wsamlowski@nvcancer.org
Abstract:
Twenty-five years ago treatment for metastatic renal cancer was generally ineffective. Over the intervening period, cytokines such as interferon-alpha and interleukin-2 gained prominence in the treatment of metastatic renal cancer. These agents produced clinical responses in a minority of patients with metastatic renal cancer, albeit with substantial toxicity. Over the last 3 years, there has been a substantial increase in our understanding of kidney cancer at the molecular level. This has led to major breakthroughs in the management of this once untreatable disease. Substantial gains in progression free and overall survival have occurred as a consequence. This issue of The Cancer Journal has been devoted to reviewing clinical progress in the treatment of metastatic renal cancer, with an eye toward current needs and the likely future directions of the field.
Insights
Recent advances in understanding kidney cancer molecular biology have revolutionized metastatic renal cancer treatment. New therapies offer significant improvements in progression-free and overall survival for patients with this disease.
Area of Science:
- Oncology
- Nephrology
- Molecular Biology
Background:
- Metastatic renal cancer treatment was historically ineffective.
- Cytokine therapies like interferon-alpha and interleukin-2 showed limited response rates and significant toxicity.
- Recent molecular discoveries have transformed kidney cancer management.
Purpose of the Study:
- To review clinical progress in metastatic renal cancer treatment.
- To highlight current needs and future directions in the field.
- To discuss recent breakthroughs driven by molecular understanding.
Main Methods:
- Review of clinical progress and breakthroughs in metastatic renal cancer treatment.
- Analysis of the impact of molecular-level understanding on therapeutic strategies.
- Discussion of cytokine-based therapies and their limitations.
Main Results:
- Substantial gains in progression-free survival have been achieved.
- Significant improvements in overall survival are now evident.
- New therapeutic approaches have emerged from molecular insights.
Conclusions:
- The molecular understanding of kidney cancer has led to major therapeutic breakthroughs.
- Current treatments offer improved outcomes for metastatic renal cancer patients.
- The field is rapidly evolving with promising future directions.
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