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Author Spotlight: Advancements in Molecular Biomarker Testing for Non-Squamous Non-Small Cell Lung Cancer
Published on: September 8, 2023
Molecular markers and targeted therapies for adrenocortical carcinoma
1Department of Urology, School of Medicine, Ruijin Hospital, Shanghai Jiao Tong University, Shanghai, China; Department of Urology, School of Medicine, Renji Hospital, Shanghai Jiao Tong University, Shanghai, China.
Abstract:
Adrenocortical carcinoma (ACC) is a lethal disease with poor prognosis and lack of effective therapeutic options. Systemic treatment is often employed to treat patients with advanced ACC, but outcomes are disappointing. During the last decade, some of the causative genetic mutations in sporadic ACCs have been identified. Molecular analysis has had a significant impact on the understanding of the pathogenetic mechanism of ACC development and the evaluation of prognostic and predictive markers. Preclinical investigations and clinical trials of tyrosine kinase inhibitors and anti-angiogenic compounds have been initiated to seek target therapy of ACCs. This review summarizes the current view of molecular alterations involved in the pathophysiology of adrenocortical carcinogenesis. The rationale for testing targeted therapies of ACC is also presented.
Insights
Adrenocortical carcinoma (ACC) is a deadly cancer with limited treatments. This review explores genetic mutations and molecular pathways driving ACC, highlighting targeted therapy potential.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- Adrenocortical carcinoma (ACC) presents a significant clinical challenge due to its poor prognosis and limited effective therapeutic strategies.
- Current systemic treatments for advanced ACC yield disappointing outcomes, underscoring the need for novel therapeutic approaches.
Purpose of the Study:
- To review the current understanding of molecular alterations in adrenocortical carcinogenesis.
- To present the rationale for investigating targeted therapies in ACC.
Main Methods:
- Literature review of recent advancements in adrenocortical carcinoma research.
- Analysis of identified genetic mutations and molecular pathways in sporadic ACC.
- Summary of preclinical and clinical investigations into targeted therapies.
Main Results:
- Identification of key genetic mutations contributing to ACC development.
- Elucidation of molecular mechanisms underlying ACC pathophysiology.
- Initiation of clinical trials for tyrosine kinase inhibitors and anti-angiogenic agents.
Conclusions:
- Molecular analysis has advanced the understanding of ACC development and identified prognostic markers.
- Targeted therapies show promise for improving outcomes in adrenocortical carcinoma.
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