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Updated: May 2, 2026

The Use of Reverse Phase Protein Arrays RPPA to Explore Protein Expression Variation within Individual Renal Cell Cancers
Published on: January 22, 2013
Papillary renal cell carcinoma: current progress and future directions
Przemyslaw W Twardowski1, Philip C Mack2, Primo N Lara2
1Department of Medical Oncology, City of Hope Comprehensive Cancer Center, Duarte, CA; Southwest Oncology Group, Portland, OR.
Abstract:
Papillary renal cell carcinoma (pRCC) represents the second most common histologic variant of kidney cancer. It exhibits a different molecular signature than clear-cell carcinoma and is typically not associated with mutations in the VHL (von Hippel-Lindau) tumor suppressor gene. pRCC is less responsive to modern drugs introduced in the management of kidney cancer in the past decade. In this article, the heredity and biology of 2 main variants of pRCC are outlined. New targets that are being explored in the treatment of this disease are discussed, with particular emphasis on inhibition of mesenchymal epithelial transition (MET) and epidermal growth factor receptor (EGFR) pathways. We discuss preclinical data providing rationale for the combination of MET and EGFR inhibitors and review recently completed and ongoing clinical trials that attempt to expand our therapeutic options for this important subset of kidney cancer.
Insights
Papillary renal cell carcinoma (pRCC), a kidney cancer subtype, is less responsive to current treatments. Research explores new therapeutic targets like MET and EGFR pathways for better patient outcomes.
Area of Science:
- Oncology
- Genitourinary Cancers
Background:
- Papillary renal cell carcinoma (pRCC) is the second most common kidney cancer subtype.
- pRCC has a distinct molecular profile compared to clear-cell carcinoma and lacks VHL gene mutations.
- This cancer subtype shows limited response to contemporary kidney cancer therapies.
Purpose of the Study:
- To outline the heredity and biology of the two main pRCC variants.
- To discuss emerging therapeutic targets for pRCC treatment.
- To review preclinical data and clinical trials for novel pRCC therapies.
Main Methods:
- Review of scientific literature on pRCC heredity and biology.
- Analysis of preclinical data on MET and EGFR pathway inhibition.
- Summary of completed and ongoing clinical trials for pRCC.
Main Results:
- pRCC exhibits unique genetic and molecular characteristics.
- Inhibition of mesenchymal epithelial transition (MET) and epidermal growth factor receptor (EGFR) pathways are promising therapeutic strategies.
- Combination therapy with MET and EGFR inhibitors shows potential based on preclinical data.
Conclusions:
- Targeting MET and EGFR pathways offers new therapeutic avenues for pRCC.
- Ongoing clinical trials are crucial for expanding treatment options for pRCC patients.
- Further research into pRCC biology is essential for developing effective treatments.
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