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Updated: Jun 4, 2026

Testing Targeted Therapies in Cancer using Structural DNA Alteration Analysis and Patient-Derived Xenografts
Published on: July 25, 2020
[Task-orientated therapy (target-therapy) directed to patients with renal cell carcinoma]
Abstract:
Two main ways playing a cardinal role in the pathogenesis of metastatic renal cell carcinoma (mRCC) have been identified in recent years, they are following: 1) a way of the mutation of a gene suppressor VHL (Van-Hippel-Lindau), stimulating various types of tyrosine-kinases participating in the development of tumors; 2) mTOR way, where ramapycyn plays a leading role, which effect proliferation and angiogenesis of mRCC. This discovery enabled the development of a new generation of highly effective medications for target-therapy of mRCCC--tyrosine-kinases inhibitors (VEGFR-1, VEGFR-2, VEGFR-3, PDGFR-alpha/PDGFR-beta, Raf-kinases, etc.) sunitimab, sorafenib, pazopanib, axitinib, etc. and mTOR inhibitors--everolimus and temsirolimus as well as monoclonal neutralising antibody VEGF (bevasizumab). The review is devoted to the analysis of antitumor activity, patient tolerance and side effect of these preparations in the system therapy of patients with mRCC.
Insights
Targeted therapies, including tyrosine kinase inhibitors and mTOR inhibitors, offer new treatment options for metastatic renal cell carcinoma (mRCC). This review analyzes their effectiveness, patient tolerance, and side effects in mRCC therapy.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Metastatic renal cell carcinoma (mRCC) pathogenesis involves VHL gene mutations and the mTOR pathway.
- These pathways stimulate tumor development, proliferation, and angiogenesis.
Purpose of the Study:
- To review the antitumor activity of novel targeted therapies for mRCC.
- To analyze patient tolerance and side effects of these treatments.
Main Methods:
- Literature review of tyrosine kinase inhibitors (e.g., sunitinib, sorafenib) and mTOR inhibitors (e.g., everolimus, temsirolimus).
- Analysis of clinical data on efficacy, safety, and patient tolerance.
Main Results:
- Tyrosine kinase inhibitors and mTOR inhibitors represent a new generation of mRCC treatments.
- Bevacizumab, a monoclonal antibody, is also discussed for its anti-VEGF activity.
Conclusions:
- Targeted therapies have shown significant promise in mRCC treatment.
- Further analysis of efficacy, tolerance, and side effect profiles is crucial for optimizing patient care.
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