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A Syngeneic Mouse Model of Metastatic Renal Cell Carcinoma for Quantitative and Longitudinal Assessment of Preclinical Therapies
Published on: April 12, 2017
Kidney Cancer: Current Progress in Treatment
1Faculty of Pharmacy, Adina Institute of Pharmaceutical Sciences, Sagar, M.P. - 470002, India.
Abstract:
Kidney cancer accounts for approximately 2% of all cancers worldwide, with renal cell carcinoma being the most widespread form. Worldwide, the occurrence and mortality rates are rising by 2-3% per decade. Cigarette smoking, obesity, acquired cystic kidney disease and inherited vulnerability are identified risk issues for kidney cancer. Immunotherapy confers a small but significant overall survival benefit in metastatic renal cell carcinoma but only for the minority of patients, i.e. the 20% with good predictive characteristics. Current developments in the molecular biology of renal cell carcinoma have recognized multiple pathways related with the progress of this cancer. Several strategies have been explored targeting these trails, with major clinical benefits shown in early studies. New agents including the small molecule targeted inhibitors like sunitinib, sorafenib and temsirolimus, and the monoclonal antibody bevacizumab have shown anti-tumour activity in randomised clinical trials and have become the standard of care for most patients.
Insights
Kidney cancer, primarily renal cell carcinoma, is increasing globally. New targeted therapies and immunotherapies offer survival benefits for select patients with advanced disease.
Area of Science:
- Oncology
- Nephrology
- Cancer Biology
Background:
- Kidney cancer represents 2% of global cancer diagnoses, with rising incidence and mortality.
- Renal cell carcinoma (RCC) is the predominant histological subtype.
- Key risk factors include smoking, obesity, and genetic predispositions.
Purpose of the Study:
- To review current understanding of kidney cancer epidemiology and risk factors.
- To summarize advancements in targeted therapies and immunotherapies for metastatic RCC.
- To highlight emerging molecular pathways and treatment strategies.
Main Methods:
- Review of epidemiological data on kidney cancer incidence and mortality.
- Analysis of clinical trial outcomes for novel therapeutic agents in metastatic RCC.
- Exploration of molecular pathways implicated in RCC pathogenesis.
Main Results:
- Immunotherapy provides a survival advantage in a subset of metastatic RCC patients (approx. 20%) with specific predictive markers.
- Small molecule inhibitors (sunitinib, sorafenib, temsirolimus) and monoclonal antibodies (bevacizumab) demonstrate anti-tumor activity.
- These agents have become standard of care for many patients with advanced RCC.
Conclusions:
- Targeted therapies and immunotherapies represent significant progress in managing advanced kidney cancer.
- Further research into molecular pathways may identify new therapeutic targets.
- Personalized treatment approaches based on predictive characteristics are crucial for optimizing outcomes in RCC.
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