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Updated: Sep 29, 2025

A Syngeneic Mouse Model of Metastatic Renal Cell Carcinoma for Quantitative and Longitudinal Assessment of Preclinical Therapies
Published on: April 12, 2017
Angiogenesis Inhibitors and Immunomodulation in Renal Cell Cancers: The Past, Present, and Future
Lawrence Kasherman1,2,3, Derrick Ho Wai Siu1,4, Rachel Woodford1,5
1Department of Medical Oncology, St. George Hospital, Kogarah, NSW 2217, Australia.
Abstract:
Angiogenesis inhibitors have been adopted into the standard armamentarium of therapies for advanced-stage renal cell carcinomas (RCC), but more recently, combination regimens with immune checkpoint inhibitors have demonstrated better outcomes. Despite this, the majority of affected patients still eventually experience progressive disease due to therapeutic resistance mechanisms, and there remains a need to develop novel therapeutic strategies. This article will review the synergistic mechanisms behind angiogenesis and immunomodulation in the tumor microenvironment and discuss the pre-clinical and clinical evidence for both clear-cell and non-clear-cell RCC, exploring opportunities for future growth in this exciting area of drug development.
Insights
New renal cell carcinoma (RCC) treatments combine angiogenesis inhibitors with immune checkpoint inhibitors. Despite improved outcomes, resistance necessitates novel strategies targeting tumor microenvironment interactions for advanced RCC.
Area of Science:
- Oncology
- Immunology
- Pharmacology
Background:
- Advanced renal cell carcinoma (RCC) treatments traditionally include angiogenesis inhibitors.
- Combination regimens with immune checkpoint inhibitors show improved outcomes in RCC.
- Therapeutic resistance remains a significant challenge, driving the need for novel strategies.
Purpose of the Study:
- To review synergistic mechanisms of angiogenesis and immunomodulation in the RCC tumor microenvironment.
- To discuss pre-clinical and clinical evidence for RCC treatment strategies.
- To explore future opportunities in RCC drug development.
Main Methods:
- Review of pre-clinical studies on angiogenesis and immunomodulation in RCC.
- Analysis of clinical trial data for combination therapies in RCC.
- Exploration of therapeutic resistance mechanisms in RCC.
Main Results:
- Angiogenesis inhibitors and immune checkpoint inhibitors demonstrate synergistic effects in RCC.
- Evidence supports combination strategies for both clear-cell and non-clear-cell RCC.
- Understanding tumor microenvironment interactions is key to overcoming resistance.
Conclusions:
- Combination therapies targeting angiogenesis and immune responses offer promising avenues for advanced RCC.
- Further research into synergistic mechanisms can overcome therapeutic resistance.
- Novel drug development holds potential for improved patient outcomes in RCC.
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