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Updated: May 26, 2026

A Syngeneic Mouse Model of Metastatic Renal Cell Carcinoma for Quantitative and Longitudinal Assessment of Preclinical Therapies
Published on: April 12, 2017
Predictors of response to targeted therapy in renal cell carcinoma
Laurie J Eisengart1, Gary R MacVicar, Ximing J Yang
1Department of Pathology, Northwestern Memorial Hospital, Northwestern University Feinberg School of Medicine, 251 E Huron St, Chicago, IL 60611, USA.
Context:
The prognosis for patients with metastatic renal cell carcinoma is poor, with an average 5-year survival of approximately 10%. Use of traditional cytokine therapy, specifically high-dose interleukin 2, is limited by significant toxicity. Better understanding of the molecular pathogenesis of renal cell carcinoma has led to the development of targeted therapies to inhibit specific cellular pathways leading to tumorigenesis. These drugs provide improved survival with a more favorable toxicity profile. There is ongoing investigation of markers that predict response of an individual patient to different targeted therapies.
Objective:
To explain the molecular basis for vascular endothelial growth factor inhibitor (antiangiogenic) and mammalian target of rapamycin inhibitor therapies for renal cell carcinoma, summarize the clinical trials demonstrating the effectiveness of these drugs, and describe the biomarkers shown to correlate with outcome in patients treated with targeted therapy.
Data Sources:
All included sources are from peer-reviewed journals in PubMed (US National Library of Medicine).
Conclusion:
Emerging evidence shows promise that biomarkers will be useful for predicting an individual patient's response to targeted therapy, leading to a more personalized approach to treating renal cell carcinoma.
Insights
Targeted therapies offer improved survival for metastatic renal cell carcinoma patients compared to traditional treatments. Biomarkers show promise for personalizing treatment selection and improving patient outcomes.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Metastatic renal cell carcinoma (RCC) has a poor prognosis, with a 5-year survival rate around 10%.
- High-dose interleukin 2 therapy for RCC is limited by severe toxicity.
- Advances in understanding RCC molecular pathogenesis have led to targeted therapies with better efficacy and safety profiles.
Purpose of the Study:
- To elucidate the molecular mechanisms of vascular endothelial growth factor inhibitor (antiangiogenic) and mammalian target of rapamycin (mTOR) inhibitor therapies in RCC.
- To review clinical trial data supporting the effectiveness of these targeted agents in RCC treatment.
- To identify and describe biomarkers associated with patient outcomes in targeted therapy for RCC.
Main Methods:
- Literature search of peer-reviewed journals indexed in PubMed (US National Library of Medicine).
Main Results:
- Vascular endothelial growth factor inhibitor (antiangiogenic) and mammalian target of rapamycin (mTOR) inhibitor therapies demonstrate improved survival and tolerability in RCC.
- Clinical trials confirm the efficacy of targeted agents in managing metastatic renal cell carcinoma.
- Specific biomarkers are emerging as predictors of individual patient response to targeted therapies.
Conclusions:
- Targeted therapies represent a significant advancement in treating metastatic renal cell carcinoma.
- Biomarker discovery is crucial for developing personalized treatment strategies in RCC.
- Future research focusing on predictive biomarkers will enable tailored therapeutic approaches for improved patient outcomes.
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