PMID- 24675233 OWN - NLM STAT- MEDLINE DCOM- 20141118 LR - 20220317 IS - 1531-703X (Electronic) IS - 1040-8746 (Print) IS - 1040-8746 (Linking) VI - 26 IP - 3 DP - 2014 May TI - Renal cell carcinoma: molecular biology and targeted therapy. PG - 321-7 LID - 10.1097/CCO.0000000000000069 [doi] AB - PURPOSE OF REVIEW: Renal cell carcinoma (RCC) continues to be the subject of vigorous clinical and translational investigation. Advances in systemic targeted therapies, new molecular pathways and immunotherapy approaches will be discussed. RECENT FINDINGS: Agents targeting the vascular endothelial growth factor (VEGF) and/or the mammalian target of rapamycin (mTOR) pathways continue to be the mainstay for treating metastatic RCC (mRCC). Although enhanced target specificity has improved the toxicity profile associated with newer VEGF-pathway antagonists, durable complete responses remain the exception. Identification of novel pathways/agents, as well as the optimal sequencing and combination of existing targeted agents, remain areas of active study. In addition, emerging data from early clinical trials have reinvigorated interest in immunomodulatory agents. SUMMARY: The therapeutic armamentarium available to genitourinary oncologists continues to grow, but much work remains to be done to fully realize the potential of pathway-specific targeted strategies and immune-based approaches for mRCC. FAU - Su, Daniel AU - Su D AD - aUrologic Oncology Branch, Center for Cancer Research, National Cancer Institute, National Institutes of Health, Bethesda, Maryland bSection of Urologic Oncology, Rutgers Cancer Institute of New Jersey and Robert Wood Johnson Medical School, New Brunswick, New Jersey, USA. FAU - Stamatakis, Lambros AU - Stamatakis L FAU - Singer, Eric A AU - Singer EA FAU - Srinivasan, Ramaprasad AU - Srinivasan R LA - eng GR - P30 CA072720/CA/NCI NIH HHS/United States GR - Z99 CA999999/Intramural NIH HHS/United States GR - P30CA072720/CA/NCI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, N.I.H., Intramural PT - Review PL - United States TA - Curr Opin Oncol JT - Current opinion in oncology JID - 9007265 RN - 0 (Antineoplastic Agents) SB - IM MH - Antineoplastic Agents/*therapeutic use MH - Carcinoma, Renal Cell/genetics/*therapy MH - Humans MH - Immunotherapy/methods MH - Kidney Neoplasms/*drug therapy/genetics MH - Molecular Biology MH - Molecular Targeted Therapy/*methods PMC - PMC4232438 MID - NIHMS637948 COIS- Conflicts of interest The authors report no conflicts of interest. EDAT- 2014/03/29 06:00 MHDA- 2014/11/19 06:00 PMCR- 2015/05/01 CRDT- 2014/03/29 06:00 PHST- 2014/03/29 06:00 [entrez] PHST- 2014/03/29 06:00 [pubmed] PHST- 2014/11/19 06:00 [medline] PHST- 2015/05/01 00:00 [pmc-release] AID - 10.1097/CCO.0000000000000069 [doi] PST - ppublish SO - Curr Opin Oncol. 2014 May;26(3):321-7. doi: 10.1097/CCO.0000000000000069.