PMID- 21573959 OWN - NLM STAT- MEDLINE DCOM- 20121029 LR - 20220331 IS - 1573-0646 (Electronic) IS - 0167-6997 (Linking) VI - 30 IP - 4 DP - 2012 Aug TI - Antiangiogenic treatments and mechanisms of action in renal cell carcinoma. PG - 1791-801 LID - 10.1007/s10637-011-9677-6 [doi] AB - Several angiogenic mechanisms are involved in the pathology of renal cell carcinoma (RCC). Increasing knowledge of angiogenesis and the associated signalling pathways has led to the development of targeted antiangiogenic agents for the treatment of metastatic RCC and the introduction of these agents has significantly improved outcomes for these patients. This article provides an overview of the angiogenic mechanisms implicated in RCC, focusing on the main vascular endothelial growth factor (VEGF), platelet-derived growth factor (PDGF) and mammalian target of rapamycin (mTOR) signalling pathways. Targeted antiangiogenic agents for the treatment of mRCC include receptor tyrosine kinase inhibitors (such as sunitinib, sorafenib, pazopanib, axitinib, cediranib and tivozanib), monoclonal antibodies (such as bevacizumab) and mTOR inhibitors (such as temsirolimus and everolimus). In this article, we consider the modes of action of these targeted agents and their differing target receptor profiles and we also evaluate how these correlate with their clinical efficacy and tolerability profiles. FAU - Negrier, Sylvie AU - Negrier S AD - Universite de Lyon-Centre Leon Berard, 28 rue Laennec, 69373 Lyon cedex 08, France. negrier@lyon.fnclcc.fr FAU - Raymond, Eric AU - Raymond E LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20110515 PL - United States TA - Invest New Drugs JT - Investigational new drugs JID - 8309330 RN - 0 (Angiogenesis Inhibitors) SB - IM MH - Angiogenesis Inhibitors/adverse effects/*pharmacology/*therapeutic use MH - Carcinoma, Renal Cell/*drug therapy/pathology MH - Humans MH - Kidney Neoplasms/*drug therapy/pathology MH - Models, Biological MH - Neoplasm Metastasis MH - Practice Patterns, Physicians' EDAT- 2011/05/17 06:00 MHDA- 2012/10/30 06:00 CRDT- 2011/05/17 06:00 PHST- 2011/03/04 00:00 [received] PHST- 2011/04/26 00:00 [accepted] PHST- 2011/05/17 06:00 [entrez] PHST- 2011/05/17 06:00 [pubmed] PHST- 2012/10/30 06:00 [medline] AID - 10.1007/s10637-011-9677-6 [doi] PST - ppublish SO - Invest New Drugs. 2012 Aug;30(4):1791-801. doi: 10.1007/s10637-011-9677-6. Epub 2011 May 15.