Immunotherapeutic Targets and Therapy for Renal Cell Carcinoma

Pierangela Sepe1, Alessia Mennitto1, Francesca Corti1

  • 1Genitourinary Cancer Unit, Department of Medical Oncology, Fondazione IRCCS Istituto Nazionale dei Tumori di Milano, Milan, Italy.

Immunotargets and Therapy
|November 23, 2020
PubMed

Insights

New immunotherapies and targeted therapies are improving outcomes for metastatic renal cell carcinoma (mRCC). While immune checkpoint inhibitors (ICIs) offer long-lasting responses, research continues to address resistance and enhance treatment strategies for mRCC patients.

Area of Science:

  • Oncology
  • Immunology
  • Pharmacology

Background:

  • Metastatic renal cell carcinoma (mRCC) treatment has evolved, with angiogenesis inhibitors and immunotherapy now central.
  • Tyrosine kinase inhibitors (TKIs) target angiogenesis, a key driver in renal carcinoma pathogenesis.
  • Immune checkpoint inhibitors (ICIs) have emerged as a significant advancement, particularly in pretreated mRCC.

Purpose of the Study:

  • To review current immunotherapeutic targets and approved therapies for mRCC.
  • To examine mechanisms of resistance to immunotherapy in mRCC.
  • To explore future directions and novel treatment strategies for mRCC management.

Main Methods:

  • Literature review of current immunotherapeutic targets and therapies for mRCC.
  • Analysis of mechanisms underlying primary refractoriness to immunotherapy.
  • Examination of emerging treatment strategies combining different mechanisms of action.

Main Results:

  • Combination immunotherapy and immunotherapy with targeted agents show improved outcomes compared to single-agent TKIs in mRCC.
  • ICIs are associated with durable responses in a subset of mRCC patients.
  • Primary refractoriness to immunotherapy remains a challenge in mRCC treatment.

Conclusions:

  • While immunotherapy has revolutionized mRCC treatment, challenges like primary resistance persist.
  • Novel strategies combining different mechanisms of action are crucial for improving response rates and survival.
  • Further research into immune escape pathways and combination therapies is needed to optimize mRCC management.

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