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Modeling Spontaneous Metastatic Renal Cell Carcinoma (mRCC) in Mice Following Nephrectomy
Published on: April 29, 2014
Renal cell carcinoma: molecularly targeted therapy
William Cáceres1, Alexis Cruz-Chacón
1School of Medicine, University of Puerto Rico Medical Sciences Campus, San Juan, Puerto Rico. wcjn@prtc.net
Abstract:
Renal cell carcinoma is the most common cancer of the kidney and is among the tumors that are the most resistant to systemic therapy. Until recently, long term survival of this disease when it was not confined to the kidney was dismal, with the use of drugs such as interleukin-2 resulting in a 5-year survival rate of less than 10% for patients with advanced disease. Nearly 30% of patients present with metastatic disease, and recurrence develops in approximately 40% of patients with localized tumors. Since December 2005, the Food and Drug Administration (FDA) has approved 6 novel drugs that target advanced disease. These molecularly targeted drugs, representing the next generation of anticancer agents, inhibit angiogenesis and tumor growth factors. Small molecule tyrosine kinase inhibitors are the prototype of cancer therapy in this century, causing fewer toxic effects in the normal cells and with targeted inhibition of malignant cell proliferation. These therapies have emerged from the understanding of the molecular genetics and biology of this tumor. Further elucidation of the mechanisms of action of these drugs and those in development will lead to more effective therapies and increase the understanding of the best ways to combine them.
Insights
Novel targeted therapies offer improved survival for advanced renal cell carcinoma, a previously treatment-resistant kidney cancer. These next-generation drugs inhibit tumor growth and angiogenesis with fewer side effects.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Renal cell carcinoma (RCC) is the most common kidney cancer and notoriously resistant to systemic therapy.
- Advanced RCC historically had dismal long-term survival rates, with interleukin-2 yielding <10% 5-year survival.
- Metastatic disease presents in ~30% of patients, and recurrence affects ~40% of localized cases.
Purpose of the Study:
- To review the advent and impact of novel molecularly targeted drugs for advanced renal cell carcinoma.
- To highlight the shift towards targeted therapies based on molecular genetics and tumor biology.
Main Methods:
- Review of Food and Drug Administration (FDA) approvals since December 2005.
- Analysis of the mechanisms of action of novel targeted agents, including small molecule tyrosine kinase inhibitors.
- Discussion of therapies inhibiting angiogenesis and tumor growth factors.
Main Results:
- Six novel molecularly targeted drugs have been FDA-approved for advanced RCC since December 2005.
- These agents represent a new generation of cancer therapy with targeted inhibition of malignant cell proliferation.
- Small molecule tyrosine kinase inhibitors demonstrate fewer toxic effects on normal cells.
Conclusions:
- Molecularly targeted therapies have significantly advanced the treatment landscape for advanced renal cell carcinoma.
- Further research into drug mechanisms and combinations is crucial for developing more effective treatments.
- Understanding tumor molecular genetics is key to advancing RCC therapy.
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