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Pre-clinical Evaluation of Tyrosine Kinase Inhibitors for Treatment of Acute Leukemia
Published on: September 19, 2013
Targeting Tyrosine kinases in Renal Cell Carcinoma: "New Bullets against Old Guys"
Teresa Alonso-Gordoa1, María Laura García-Bermejo2, Enrique Grande3
1Medical Oncology Department, The Ramón y Cajal Health Research Institute (IRYCIS), CIBERONC, Alcalá University, University Hospital Ramon y Cajal, 28034 Madrid, Spain. talonso@oncologiahrc.com.
Abstract:
Clear cell renal cell carcinoma (ccRCC) is the seventh most frequently diagnosed tumor in adults in Europe and represents approximately 2.5% of cancer deaths. The molecular biology underlying renal cell carcinoma (RCC) development and progression has been a key milestone in the management of this type of tumor. The discovery of Von Hippel Lindau (VHL) gene alterations that arouse in 50% of ccRCC patients, leads the identification of an intracellular accumulation of HIF and, consequently an increase of VEGFR expression. This change in cell biology represents a new paradigm in the treatment of metastatic renal cancer by targeting angiogenesis. Currently, there are multiple therapeutic drugs available for advanced disease, including therapies against VEGFR with successful results in patients´ survival. Other tyrosine kinases' pathways, including PDGFR, Axl or MET have emerged as key signaling pathways involved in RCC biology. Indeed, promising new drugs targeting those tyrosine kinases have exhibited outstanding efficacy. In this review we aim to present an overview of the central role of these tyrosine kinases' activities in relevant biological processes for kidney cancer and their usefulness in RCC targeted therapy development. In the immunotherapy era, angiogenesis is still an "old guy" that the medical community is trying to fight using "new bullets".
Insights
Clear cell renal cell carcinoma (ccRCC) treatment advances with targeted therapies. Targeting vascular endothelial growth factor receptor (VEGFR) and other tyrosine kinases shows promise for advanced kidney cancer.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Therapeutics
Background:
- Clear cell renal cell carcinoma (ccRCC) is a significant cause of cancer deaths in Europe.
- Von Hippel Lindau (VHL) gene alterations in 50% of ccRCC patients lead to HIF accumulation and increased VEGFR expression, driving tumor angiogenesis.
- Targeting angiogenesis represents a new paradigm for metastatic renal cancer treatment.
Purpose of the Study:
- To review the central role of tyrosine kinases in kidney cancer biology.
- To discuss the utility of targeting tyrosine kinases in renal cell carcinoma (RCC) therapy development.
- To provide an overview of current and emerging targeted therapies for advanced RCC.
Main Methods:
- Literature review of molecular biology in ccRCC.
- Analysis of signaling pathways including VHL, HIF, VEGFR, PDGFR, Axl, and MET.
- Evaluation of targeted therapies for advanced renal cell carcinoma.
Main Results:
- VEGFR-targeted therapies have improved survival in advanced renal cancer.
- Other tyrosine kinase pathways (PDGFR, Axl, MET) are crucial in RCC.
- New drugs targeting these kinases show significant efficacy.
Conclusions:
- Tyrosine kinase inhibitors are vital in developing targeted therapies for kidney cancer.
- Targeting angiogenesis remains a key strategy despite the rise of immunotherapy.
- Continued research into tyrosine kinase pathways offers new therapeutic avenues for RCC.
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