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Related Concept Videos

Chronic Kidney Disease I: Introduction01:25

Chronic Kidney Disease I: Introduction

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Chronic Kidney Disease (CKD) arises when the kidneys progressively lose their ability to function, ultimately leading to end-stage renal disease. At this advanced stage, the kidneys can no longer filter waste or maintain essential body functions, requiring renal replacement therapy (RRT) through dialysis or a kidney transplant for survival.Early-stage chronic kidney disease and detection challengesIn CKD's early stages, symptoms often remain absent because healthy nephrons compensate for...
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Renal Tubule and Collecting Duct01:24

Renal Tubule and Collecting Duct

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The renal tubule is divided into three parts: the proximal convoluted tubule (PCT), the Loop of Henle (LOH), and the distal convoluted tubule (DCT).
Proximal Convoluted Tubule (PCT):
The PCT is the initial segment of the renal tubule, extending from the Bowman's capsule that encloses the glomerulus. Its convoluted structure and microvilli-lined cells increase the surface area for reabsorption. The PCT reabsorbs glucose, amino acids, sodium, and water from the filtrate, ensuring essential...
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Diabetic Nephropathy01:28

Diabetic Nephropathy

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Definition Diabetic nephropathy is a chronic kidney complication that results from prolonged hyperglycemia.Prevalence It is the most common cause of chronic kidney disease (CKD) and end-stage renal disease (ESRD) worldwide, affecting up to half of individuals with diabetes.Pathophysiology • Sustained hyperglycemia triggers multiple hemodynamic and metabolic changes in the kidney. • Early in the disease, increased renal blood flow and glomerular hyperfiltration...
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Urinary Tract Calculi III: Medical Management01:30

Urinary Tract Calculi III: Medical Management

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The diagnosis of renal calculi involves several imaging techniques, including non-contrast CT scans and ultrasound. These methods help visualize kidney stones, assess their size and location, and detect possible obstructions. Additionally, Measuring urine pH is useful for diagnosing specific stone types, such as struvite (alkaline pH) and uric acid stones (acidic pH). Cystine stones are primarily linked to cystinuria, a genetic condition. A urinalysis helps detect blood in the urine (hematuria)...
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Urinary Tract Calculi VI: Surgical Management01:25

Urinary Tract Calculi VI: Surgical Management

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Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
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Renal Drug Excretion: Tubular Secretion01:28

Renal Drug Excretion: Tubular Secretion

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Active tubular secretion is a robust, energy-demanding process that utilizes carrier systems to transport drugs into renal tubules. The active renal secretion systems include the organic anion transporter (OAT) for weak acids and the organic cation transporter (OCT) for weak bases. Structurally similar drugs can compete for the same transporter, potentially leading to drug accumulation and toxicity. However, this principle can be exploited therapeutically. One example is probenecid (Probalan),...
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Related Experiment Video

Updated: May 1, 2026

Modeling Spontaneous Metastatic Renal Cell Carcinoma mRCC in Mice Following Nephrectomy
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[Renal cell carcinoma].

Yoshihiko Tomita1

  • 1Dept. of Urology, Yamagata University Faculty of Medicine.

Gan to Kagaku Ryoho. Cancer & Chemotherapy
|April 19, 2014
PubMed
Summary

Clear cell renal cell carcinoma (ccRCC) driven by VHL gene alterations often leads to hypervascular tumors. Current anti-angiogenic therapies show limited complete response rates, necessitating exploration of novel treatment strategies.

Area of Science:

  • Oncology
  • Genetics
  • Molecular Biology

Context:

  • Clear cell renal cell carcinoma (ccRCC) is the most common subtype of renal cell cancer (RCC).
  • VHL gene alterations in ccRCC disrupt ubiquitination, leading to hypoxia-inducible factor (HIF)-alpha accumulation.
  • This accumulation upregulates HIF-alpha target genes, promoting hypervascular tumor formation.

Purpose:

  • To review the current landscape of targeted therapies for ccRCC.
  • To highlight the anti-angiogenic mechanisms of existing treatments.
  • To underscore the need for alternative therapeutic approaches due to limited efficacy.

Summary:

  • Kinase inhibitors (sorafenib, sunitinib, axitinib, pazopanib) target VEGFR, while anti-VEGF antibodies (bevacizumab) and mTOR inhibitors (temsirolimus, everolimus) reduce HIF-alpha expression.

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  • These targeted drugs are classified as anti-angiogenic agents for RCC treatment.
  • Despite their development, the sustained complete response rate for these therapies remains low.
  • Impact:

    • Current anti-angiogenic drugs for ccRCC have demonstrated limited sustained complete response rates.
    • The findings emphasize the urgent need to investigate novel treatment modalities beyond anti-angiogenic therapies.
    • Further research into alternative strategies is crucial for improving patient outcomes in ccRCC.