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Updated: Dec 8, 2025

A Syngeneic Mouse Model of Metastatic Renal Cell Carcinoma for Quantitative and Longitudinal Assessment of Preclinical Therapies
Published on: April 12, 2017
Immune evasion in renal cell carcinoma: biology, clinical translation, future directions
Xiaoyang Wang1, Robert Lopez2, Rebecca A Luchtel2
1Department of Medicine, Albert Einstein College of Medicine, Jacobi Medical Center, New York, New York, USA.
Abstract:
Targeted therapies and immune checkpoint inhibitors have advanced the treatment landscape of Renal Cell Carcinoma (RCC) over the last decade. While checkpoint inhibitors have demonstrated survival benefit and are currently approved in the front-line and second-line settings, primary and secondary resistance is common. A comprehensive understanding of the mechanisms of immune evasion in RCC is therefore critical to the development of effective combination treatment strategies. This article reviews the current understanding of the different, yet coordinated, mechanisms adopted by RCC cells to evade immune killing; summarizes various aspects of clinical translation thus far, including the currently registered RCC clinical trials exploring agents in combination with checkpoint inhibitors; and provides perspectives on the current landscape and future directions for the field.
Insights
Renal Cell Carcinoma (RCC) treatments like targeted therapies and immune checkpoint inhibitors show promise, but resistance is common. Understanding immune evasion mechanisms is key to developing effective combination therapies for better patient outcomes.
Area of Science:
- Oncology
- Immunology
- Cancer Research
Background:
- Renal Cell Carcinoma (RCC) treatment has advanced with targeted therapies and immune checkpoint inhibitors.
- Despite survival benefits, primary and secondary resistance to these therapies is frequently observed.
- A deep understanding of RCC's immune evasion strategies is crucial for improving treatment efficacy.
Purpose of the Study:
- To review the current understanding of immune evasion mechanisms in Renal Cell Carcinoma.
- To summarize clinical translation of these findings, including ongoing combination trials.
- To provide perspectives on the future of RCC treatment strategies.
Main Methods:
- Literature review of mechanisms of immune evasion in RCC.
- Analysis of clinical trial data for combination therapies involving checkpoint inhibitors.
- Synthesis of current knowledge and future research directions.
Main Results:
- RCC cells employ diverse, coordinated mechanisms to evade immune detection and killing.
- Several clinical trials are investigating combinations of checkpoint inhibitors with other agents.
- The field is rapidly evolving, with ongoing efforts to overcome resistance.
Conclusions:
- Overcoming resistance to current RCC therapies requires a thorough understanding of immune evasion.
- Combination strategies targeting multiple pathways are essential for future treatment success.
- Continued research into RCC immunology and clinical trials will drive therapeutic advancements.
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