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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
Immune Checkpoint Inhibitors in Renal Cell Carcinoma: Molecular Basis and Rationale for Their Use in Clinical
Francesco Lasorsa1, Nicola Antonio di Meo1, Monica Rutigliano1
1Urology, Andrology and Kidney Transplantation Unit, Department of Precision and Regenerative Medicine and Ionian Area, University of Bari "Aldo Moro", 70124 Bari, Italy.
Abstract:
Renal cell carcinoma (RCC) is the seventh most common cancer in men and the ninth most common cancer in women worldwide. There is plenty of evidence about the role of the immune system in surveillance against tumors. Thanks to a better understanding of immunosurveillance mechanisms, immunotherapy has been introduced as a promising cancer treatment in recent years. Renal cell carcinoma (RCC) has long been thought chemoresistant but highly immunogenic. Considering that up to 30% of the patients present metastatic disease at diagnosis, and around 20-30% of patients undergoing surgery will suffer recurrence, we need to identify novel therapeutic targets. The introduction of immune checkpoint inhibitors (ICIs) in the clinical management of RCC has revolutionized the therapeutic approach against this tumor. Several clinical trials have shown that therapy with ICIs in combination or ICIs and the tyrosine kinase inhibitor has a very good response rate. In this review article we summarize the mechanisms of immunity modulation and immune checkpoints in RCC and discuss the potential therapeutic strategies in renal cancer treatment.
Insights
Immunotherapy, particularly immune checkpoint inhibitors (ICIs), shows promise for treating renal cell carcinoma (RCC). Combining ICIs with other treatments offers good response rates for this often chemoresistant cancer.
Area of Science:
- Oncology
- Immunology
Background:
- Renal cell carcinoma (RCC) is a common cancer with significant metastatic and recurrence rates.
- RCC is considered chemoresistant but highly immunogenic, highlighting the potential of immunotherapy.
- Understanding immunosurveillance mechanisms has led to the development of novel cancer treatments.
Purpose of the Study:
- To review the mechanisms of immunity modulation and immune checkpoints in RCC.
- To discuss potential therapeutic strategies for renal cancer treatment.
Main Methods:
- Review of existing literature on RCC, immunology, and immunotherapy.
- Analysis of clinical trial data regarding immune checkpoint inhibitors (ICIs) and tyrosine kinase inhibitors in RCC treatment.
Main Results:
- Immunotherapy, especially ICIs, has revolutionized RCC treatment.
- Combination therapies involving ICIs show very good response rates.
- ICIs modulate the immune system's response against RCC.
Conclusions:
- ICIs represent a significant advancement in managing renal cell carcinoma.
- Further research into immune modulation and therapeutic strategies is crucial for improving RCC patient outcomes.
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