Natural Products in Clear Cell Renal Cell Carcinoma: Rewiring the VHL-HIF Axis, Metabolic Plasticity, and

Yao-Chou Tsai1,2, Chung-Che Tsai3, Vincent F S Tsai1

  • 1Division of Urology, Department of Surgery, Taipei Tzuchi Hospital, The Buddhist Tzu Chi Medical Foundation, New Taipei City 23142, Taiwan.

Insights

Natural compounds like curcumin and resveratrol may enhance clear cell renal cell carcinoma (ccRCC) treatment by targeting the VHL-HIF pathway and immune interactions. Further research is needed for clinical application.

Area of Science:

  • Oncology
  • Molecular Biology
  • Natural Products Chemistry

Background:

  • Clear cell renal cell carcinoma (ccRCC) is driven by VHL gene mutations, leading to sustained HIF activation.
  • This pathway regulates key cancer processes including angiogenesis, metabolism, and immune evasion.
  • Current therapies show limited efficacy due to adaptive resistance.

Purpose of the Study:

  • To review the potential of natural products in modulating ccRCC oncogenic pathways.
  • To explore how compounds like curcumin, resveratrol, quercetin, and EGCG impact the VHL-HIF axis.
  • To assess the influence of these natural products on ccRCC's metabolic and immune microenvironment.

Main Methods:

  • Literature review of studies on natural products and ccRCC.
  • Analysis of mechanisms by which selected compounds affect VHL-HIF signaling.
  • Examination of effects on metabolic reprogramming and immune interactions in ccRCC.

Main Results:

  • Natural products modulate the VHL-HIF axis, a key driver in ccRCC.
  • Compounds disrupt metabolic and redox homeostasis within tumor cells.
  • These agents influence tumor-immune system interactions, potentially overcoming resistance.

Conclusions:

  • Natural products show promise in enhancing therapeutic sensitivity for ccRCC.
  • A systems-level approach suggests these compounds can target multiple oncogenic pathways.
  • Clinical validation is necessary to translate these findings into effective ccRCC treatments.

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