Circulating biomarkers for vascular endothelial growth factor inhibitors in renal cell carcinoma

Amado J Zurita1, Eric Jonasch, Hua-Kang Wu

  • 1Department of Genitourinary Medical Oncology, The University of Texas M. D. Anderson Cancer Center, 1515 Holcombe Boulevard, Unit 1374, Houston, TX 77030-4009, USA. azurita@mdanderson.org

Cancer
|April 30, 2009
PubMed

Insights

Identifying biomarkers for antiangiogenic therapies in renal cell carcinoma is crucial. Promising biomarkers are being investigated to predict treatment response and toxicity for VEGF pathway inhibitors.

Area of Science:

  • Oncology
  • Pharmacology

Background:

  • Antiangiogenic therapies targeting the vascular endothelial growth factor (VEGF) pathway have advanced in renal cell carcinoma (RCC) treatment.
  • Current limitations include the lack of validated methods for patient selection, dose optimization, and efficacy monitoring for these therapies.

Purpose of the Study:

  • To review promising biomarkers for predicting response and toxicity to VEGF pathway inhibitors in clear cell renal cell carcinoma.
  • To highlight the need for further validation of these biomarkers in clinical settings.

Main Methods:

  • Review of recent studies investigating biomarkers in clear cell renal cell carcinoma.
  • Focus on biomarkers related to VEGF pathway inhibition.

Main Results:

  • Several promising biomarkers are under investigation, including circulating proangiogenic factors and receptors.
  • Markers of hypoxia, endothelial damage, and peripheral blood cell populations (e.g., circulating endothelial cells) show potential.

Conclusions:

  • Biomarkers are essential for personalizing antiangiogenic therapy in renal cell carcinoma.
  • Further preclinical and translational studies are required to establish the clinical utility of these promising biomarkers.