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Updated: May 31, 2026

A Syngeneic Mouse Model of Metastatic Renal Cell Carcinoma for Quantitative and Longitudinal Assessment of Preclinical Therapies
Published on: April 12, 2017
Kidney cancer pathology in the new context of targeted therapy
Yves Allory1, Stéphane Culine, Alexandre de la Taille
1INSERM U955, Team 7 'Translational research in genitourinary oncogenesis', Henri Mondor Hospital, AP-HP, Créteil, France. yves.allory @ hmn.aphp.fr
Abstract:
The outcome in metastatic renal cancer remains poor with an overall survival at 5 years of less than 10%. However, molecular pathology in kidney cancer has developed extensively in the few last years, providing a basis for new systemic therapies including antiangiogenic drugs and mTOR inhibitors. Use of these targeted therapies in metastatic disease has improved the prognosis but still in a too-limited range, with a lack of consistent predictive biomarkers. The multiple entities of renal tumors add complexity to the research of biomarkers and the design of clinical trials. This review aims to focus on pathways in renal cancer (VHL/HIF, mTOR, c-MYC, c-MET, and immune response) in the respective tumor subtypes, accounting for the effects of targeted therapies and providing the framework to search for relevant predictive biomarkers and propose new trials. This overview underscores that the pathways are often intermingled and common (at least partially) to the different tumor subtypes.
Insights
Metastatic renal cancer survival is poor, but targeted therapies offer improved prognosis. This review explores key molecular pathways and biomarkers for better kidney cancer treatment strategies.
Area of Science:
- Oncology
- Molecular Pathology
- Translational Medicine
Background:
- Metastatic renal cancer has a poor prognosis, with <10% 5-year survival.
- Advances in molecular pathology have led to targeted therapies like antiangiogenic drugs and mTOR inhibitors.
- Current targeted therapies improve outcomes but lack consistent predictive biomarkers, complicating clinical trial design.
Purpose of the Study:
- To review key molecular pathways in renal cancer subtypes.
- To analyze the impact of targeted therapies on these pathways.
- To identify potential predictive biomarkers and inform future clinical trial design.
Main Methods:
- Literature review focusing on VHL/HIF, mTOR, c-MYC, c-MET, and immune response pathways.
- Analysis of targeted therapy effects within specific renal tumor subtypes.
- Synthesis of information to guide biomarker discovery and trial development.
Main Results:
- Identified critical molecular pathways (VHL/HIF, mTOR, c-MYC, c-MET, immune response) implicated in renal cancer.
- Highlighted the intermingled nature of these pathways across different tumor subtypes.
- Emphasized the need for predictive biomarkers to optimize targeted therapy efficacy.
Conclusions:
- Targeted therapies have improved metastatic renal cancer prognosis but require better biomarker strategies.
- Understanding shared and subtype-specific molecular pathways is crucial for biomarker development.
- Future research should focus on integrated pathway analysis and biomarker-driven clinical trials for kidney cancer.
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