Renal cell carcinoma: molecular biology and targeted therapy

Daniel Su1, Lambros Stamatakis, Eric A Singer

  • 1aUrologic Oncology Branch, Center for Cancer Research, National Cancer Institute, National Institutes of Health, Bethesda, Maryland bSection of Urologic Oncology, Rutgers Cancer Institute of New Jersey and Robert Wood Johnson Medical School, New Brunswick, New Jersey, USA.

Abstract

Insights

New targeted therapies and immunotherapies show promise for metastatic renal cell carcinoma (mRCC). Continued research is vital to optimize treatments and improve durable responses in patients with kidney cancer.

Area of Science:

  • Oncology
  • Translational Research

Background:

  • Renal cell carcinoma (RCC) is under extensive clinical and translational investigation.
  • Systemic therapies are evolving, with new molecular pathways and immunotherapy approaches emerging.

Purpose of the Study:

  • To discuss advances in systemic targeted therapies for renal cell carcinoma.
  • To review new molecular pathways and immunotherapy approaches for treating metastatic RCC.

Main Methods:

  • Review of current clinical and translational research.
  • Analysis of systemic targeted therapies and immunomodulatory agents.

Main Results:

  • Vascular endothelial growth factor (VEGF) and mammalian target of rapamycin (mTOR) pathway inhibitors remain standard for metastatic RCC (mRCC).
  • While newer agents have improved toxicity, durable complete responses are infrequent.
  • Emerging data suggest potential for immunomodulatory agents in mRCC treatment.

Conclusions:

  • The therapeutic options for genitourinary oncologists treating mRCC are expanding.
  • Further research is needed to fully leverage targeted strategies and immunotherapy for improved patient outcomes.

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