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Updated: Feb 24, 2026

A Syngeneic Mouse Model of Metastatic Renal Cell Carcinoma for Quantitative and Longitudinal Assessment of Preclinical Therapies
Published on: April 12, 2017
Combination therapy using molecular-targeted drugs modulates tumor microenvironment and impairs tumor growth in renal
Hiroyuki Kitano1, Yasuhiko Kitadai2, Jun Teishima1
1Department of Urology, Institute of Biomedical & Health Sciences, Hiroshima University, Hiroshima, 734-8551, Japan.
Abstract:
Tumor growth and metastasis are determined not by cancer cells alone but also by a variety of stromal cells, various populations of which overexpress platelet-derived growth factor receptors (PDGF-Rs). In addition, activation of PI3K-AKT-mammalian target of rapamycin (mTOR) signaling is frequently observed in many cancer types as well. mTOR comprises a serine/threonine kinase that increases the production of proteins that stimulate key cellular processes such as cell growth and proliferation, cell metabolism, and angiogenesis. In this study, we investigated the impact of molecular-targeting agents including PDGF-R and mTOR inhibitors on the tumor stroma of human kidney cancer and examined the efficacy of combination therapy with these agents against this disease. Treatment with sunitinib did not suppress tumor growth, but significantly decreased stromal reactivity, microvessel density, and pericyte coverage of tumor microvessels in an orthotopic mouse model. In contrast, treatment with everolimus decreased tumor growth and microvessel density but not stromal reactivity. However, sunitinib and everolimus in combination reduced both the growth rate and stromal reaction. These findings suggest that target molecule-based inhibition of the cancer-stromal cell interaction appears promising as an effective antitumor therapy.
Insights
Combining platelet-derived growth factor receptor (PDGF-R) and mammalian target of rapamycin (mTOR) inhibitors effectively targets kidney cancer stroma and growth. This combination therapy shows promise for treating kidney cancer by disrupting tumor-stromal interactions.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Research
Background:
- Tumor growth and metastasis involve cancer cells and stromal cells, many expressing platelet-derived growth factor receptors (PDGF-Rs).
- PI3K-AKT-mammalian target of rapamycin (mTOR) signaling is frequently activated in various cancers, regulating cell growth, metabolism, and angiogenesis.
Purpose of the Study:
- To investigate the impact of PDGF-R and mTOR inhibitors on kidney cancer stroma.
- To evaluate the efficacy of combination therapy using these inhibitors against kidney cancer.
Main Methods:
- Utilized an orthotopic mouse model of human kidney cancer.
- Administered sunitinib (PDGF-R inhibitor) and everolimus (mTOR inhibitor) individually and in combination.
- Assessed tumor growth, stromal reactivity, microvessel density, and pericyte coverage.
Main Results:
- Sunitinib decreased stromal reactivity, microvessel density, and pericyte coverage but did not suppress tumor growth.
- Everolimus decreased tumor growth and microvessel density but did not affect stromal reactivity.
- Combination therapy with sunitinib and everolimus reduced both tumor growth rate and stromal reactivity.
Conclusions:
- Targeting cancer-stromal cell interactions with molecular agents is a promising antitumor strategy.
- Combination therapy with PDGF-R and mTOR inhibitors demonstrates enhanced efficacy in reducing kidney cancer growth and stromal reaction.
- Inhibition of the cancer-stromal axis offers a potential therapeutic approach for kidney cancer.
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