PMID- 22723081 OWN - NLM STAT- MEDLINE DCOM- 20121220 LR - 20151119 IS - 1573-7233 (Electronic) IS - 0167-7659 (Linking) VI - 31 Suppl 1 DP - 2012 Sep TI - The role of pharmacogenomics in metastatic renal cell carcinoma. PG - S29-32 LID - 10.1007/s10555-012-9356-x [doi] AB - Pharmacogenomics is the study of how variation in the genetic background affects an individual's response to a specific drug and/or its metabolism. Using knowledge about the genes which produce the enzymes that metabolize a specific drug, a physician may decide to raise or lower the dose, or even change to a different drug. Targeted therapy with tyrosine kinase inhibitors (TKIs) and mammalian target of rapamycin (mTOR) inhibitors has led to a substantial improvement in the standard of care for patients with advanced or metastatic renal cell carcinoma (RCC). Although few studies have identified biomarkers that predict the response of targeted drugs in the treatment of metastatic RCC, some associations have been found. Several studies have identified genetic polymorphisms with implications in the pharmacokinetics and/or pharmacodynamics of TKIs and mTOR inhibitors and which are associated with a prolonged progression-free survival and/or overall survival in patients with metastatic RCC. Among the genes of interest, we should consider IL8, FGFR2, VEGFA, FLT4, and NR1I2. In this review, we discuss single nucleotide polymorphisms (SNPs) associated with outcome and toxicity following targeted therapies and provide recommendations for future trials to facilitate the use of SNPs in personalized therapy for this disease. FAU - Castellano, Daniel AU - Castellano D AD - Hospital Universitario 12 de Octubre, Madrid, Spain. FAU - Virizuela, Juan Antonio AU - Virizuela JA FAU - Cruz, Josefina AU - Cruz J FAU - Sepulveda, Juan Manuel AU - Sepulveda JM FAU - Saez, Maria Isabel AU - Saez MI FAU - Paz-Ares, Luis AU - Paz-Ares L LA - eng PT - Journal Article PT - Review PL - Netherlands TA - Cancer Metastasis Rev JT - Cancer metastasis reviews JID - 8605731 RN - 0 (Biomarkers, Tumor) RN - 0 (Protein Kinase Inhibitors) SB - IM EIN - Cancer Metastasis Rev. 2013 Jun;32(1-2):317. Saenz, Maribel [corrected to Saez, Maria Isabel] MH - Biomarkers, Tumor/*metabolism MH - Carcinoma, Renal Cell/*drug therapy/*genetics/metabolism/pathology MH - Drug Delivery Systems MH - Humans MH - Kidney Neoplasms/*drug therapy/*genetics/metabolism/pathology MH - Neoplasm Metastasis MH - Pharmacogenetics MH - Polymorphism, Single Nucleotide MH - Protein Kinase Inhibitors/*therapeutic use EDAT- 2012/06/23 06:00 MHDA- 2012/12/21 06:00 CRDT- 2012/06/23 06:00 PHST- 2012/06/23 06:00 [entrez] PHST- 2012/06/23 06:00 [pubmed] PHST- 2012/12/21 06:00 [medline] AID - 10.1007/s10555-012-9356-x [doi] PST - ppublish SO - Cancer Metastasis Rev. 2012 Sep;31 Suppl 1:S29-32. doi: 10.1007/s10555-012-9356-x.