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Updated: Jun 13, 2026

A Syngeneic Mouse Model of Metastatic Renal Cell Carcinoma for Quantitative and Longitudinal Assessment of Preclinical Therapies
Published on: April 12, 2017
[Signalling pathways in renal-cell carcinoma: from the molecular biology to the future therapy]
J Edeline1, C Vigneau, J-J Patard
1Service d'anatomie et de cytologie pathologique, pôle cellules et tissus, CHU de Pontchaillou 35033 Rennes cedex 09, France.
Abstract:
The medical treatment of renal-cell carcinoma, and of its most frequent subtype, clear cell renal-cell carcinoma, has recently been drastically changed by the emergence of targeted therapies. The development of these drugs has been made possible by more precise knowledge of molecular mechanisms involved in the carcinogenesis of these tumors. We present in this article the molecular pathways linked to targeted therapies for clear cell renal-cell carcinoma: VHL/HIF/VEHF and PI3K/AkT/mTOR pathways. We also describe succinctly the EGFR pathways, and the molecular mechanisms involved in other histological subtypes. Then, we briefly describe how these targeted therapies work. We finally discuss how biology could improve the use of these therapies, by developing new prognostic factors, and predictive factors of response to treatment.
Insights
Targeted therapies have revolutionized renal-cell carcinoma treatment by targeting key molecular pathways like VHL/HIF/VEGF and PI3K/Akt/mTOR. Understanding these pathways aids in developing better prognostic and predictive factors for clear cell renal-cell carcinoma.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Renal-cell carcinoma (RCC) treatment has been transformed by targeted therapies.
- Advances are driven by a deeper understanding of tumor molecular mechanisms.
- Clear cell renal-cell carcinoma (ccRCC) is the most common subtype.
Purpose of the Study:
- To review molecular pathways critical for targeted therapies in ccRCC.
- To explain the mechanisms of action for these targeted therapies.
- To discuss the role of biological factors in optimizing treatment.
Main Methods:
- Review of scientific literature on targeted therapies for ccRCC.
- Description of key molecular pathways: VHL/HIF/VEGF and PI3K/Akt/mTOR.
- Brief overview of EGFR pathways and other histological subtypes.
Main Results:
- Identification of VHL/HIF/VEGF and PI3K/Akt/mTOR as central pathways in ccRCC targeted therapy.
- Explanation of how targeted therapies function at a molecular level.
- Discussion of the potential for novel prognostic and predictive biomarkers.
Conclusions:
- Targeted therapies represent a paradigm shift in ccRCC management.
- Molecular pathway knowledge is essential for current and future drug development.
- Further research into biomarkers can personalize and improve treatment efficacy.
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