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Updated: Jun 23, 2026

A Syngeneic Mouse Model of Metastatic Renal Cell Carcinoma for Quantitative and Longitudinal Assessment of Preclinical Therapies
Published on: April 12, 2017
[New therapeutic opportunities in metastatic renal cell carcinoma]
1Medizinische Klinik, St. Claraspital, Basel.
Abstract:
Until recently metastatic renal cell carcinoma was considered refractory to the available therapies. A better understanding of the molecular biology and the introduction of targeted agents led to a significant improvement in the prognosis of patients with metastatic renal cell carcinoma. In this paper the molecular pathology, specifically the deregulation of the oxygen adaption mechanisms leading to tumorangiognesis will be presented. Based on these fundamental mechanisms the targeted agents will be introduced. These agents have been tested in randomized phase III trials in different clinical and prognostic situations. The results and the side-effects of sunitinib, sorafenib, temsirolimus, everolimus and bevacizumab treatment will be presented leading to a possible treatment algorithm.
Insights
Metastatic renal cell carcinoma is now treatable with targeted therapies. This review covers molecular pathology, targeted agents like sunitinib and sorafenib, and their clinical trial results to guide treatment.
Area of Science:
- Oncology
- Molecular Biology
- Pathology
Context:
- Metastatic renal cell carcinoma (mRCC) was historically refractory to treatment.
- Recent advances in understanding mRCC molecular pathology have improved patient prognosis.
Purpose:
- To present the molecular pathology of mRCC, focusing on oxygen adaptation mechanisms and tumor angiogenesis.
- To introduce targeted agents based on these mechanisms.
- To review clinical trial data and side effects of specific targeted agents.
Summary:
- Deregulation of oxygen adaptation mechanisms drives tumor angiogenesis in mRCC.
- Targeted agents including sunitinib, sorafenib, temsirolimus, everolimus, and bevacizumab have shown efficacy in phase III trials.
- Results and side effects are presented to inform treatment strategies.
Impact:
- Improved understanding of mRCC pathogenesis.
- Guidance on the selection and sequencing of targeted therapies for mRCC.
- Potential for a new treatment algorithm for metastatic renal cell carcinoma.
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