PMID- 21417772 OWN - NLM STAT- MEDLINE DCOM- 20110901 LR - 20211020 IS - 1744-7682 (Electronic) IS - 1471-2598 (Print) IS - 1471-2598 (Linking) VI - 11 IP - 6 DP - 2011 Jun TI - Allogeneic hematopoietic cell transplantation for renal cell carcinoma: ten years after. PG - 763-73 LID - 10.1517/14712598.2011.566855 [doi] AB - INTRODUCTION: The first series of patients with metastatic renal cell carcinoma (RCC) treated by non-myeloablative allogeneic hematopoietic cell transplantation (HCT) was reported in 2000 and demonstrated an allogeneic graft-versus-tumor (GVT) effect that encouraged further investigation of this approach. However, the past 10 years have also witnessed profound changes in the medical management of metastatic RCC with the introduction of targeted therapies directed against VEGF or mammalian target of rapamycin (mTOR) signaling pathways creating uncertainty about a continued role for allogeneic HCT in the treatment of RCC. AREAS COVERED: A total of 21 published reports describing clinical outcomes for 398 patients with metastatic RCC treated by allogeneic HCT compiled herein provide a composite overview of the world wide experience for key efficacy and toxicity outcomes. Review of correlative studies that identify donor-derived T cells as mediators of RCC-specific GVT effects offers insight into both the potential as well as the technical barriers to the delivery of antigen-specific post-transplant cellular therapy or vaccination designed to augment the allogeneic GVT effect. EXPERT OPINION: The future development of non-myeloablative allogeneic HCT for metastatic RCC will require novel treatment protocols designed to augment and sustain post-transplant GVT effects against RCC to generate renewed enthusiasm for this approach. FAU - Tykodi, Scott S AU - Tykodi SS AD - Clinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, WA 98109, USA. stykodi@fhcrc.org FAU - Sandmaier, Brenda M AU - Sandmaier BM FAU - Warren, Edus H AU - Warren EH FAU - Thompson, John A AU - Thompson JA LA - eng GR - K08 CA121912/CA/NCI NIH HHS/United States GR - K08 CA121912-05/CA/NCI NIH HHS/United States GR - P01 CA078902/CA/NCI NIH HHS/United States PT - Journal Article PT - Review DEP - 20110321 PL - England TA - Expert Opin Biol Ther JT - Expert opinion on biological therapy JID - 101125414 SB - IM MH - Carcinoma, Renal Cell/*surgery MH - *Hematopoietic Stem Cell Transplantation MH - Humans MH - Kidney Neoplasms/*surgery MH - Transplantation, Homologous MH - Treatment Outcome PMC - PMC3201801 MID - NIHMS325784 EDAT- 2011/03/23 06:00 MHDA- 2011/09/02 06:00 PMCR- 2012/06/01 CRDT- 2011/03/23 06:00 PHST- 2011/03/23 06:00 [entrez] PHST- 2011/03/23 06:00 [pubmed] PHST- 2011/09/02 06:00 [medline] PHST- 2012/06/01 00:00 [pmc-release] AID - 10.1517/14712598.2011.566855 [doi] PST - ppublish SO - Expert Opin Biol Ther. 2011 Jun;11(6):763-73. doi: 10.1517/14712598.2011.566855. Epub 2011 Mar 21.