PMID- 26558012 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20151111 LR - 20200930 IS - 2090-598X (Print) IS - 2090-5998 (Electronic) IS - 2090-598X (Linking) VI - 10 IP - 2 DP - 2012 Jun TI - Prognostic markers in renal cell carcinoma: A focus on the 'mammalian target of rapamycin' pathway. PG - 110-7 LID - 10.1016/j.aju.2012.02.005 [doi] AB - OBJECTIVES: Increased knowledge about the molecular pathways involved in tumorigenesis has led to the discovery of new prognostic molecular markers and development of novel targeted therapies for renal cell carcinoma (RCC). In this review we describe the prognostic markers of RCC and highlight the areas of recent discovery with a focus on the mammalian target of rapamycin (mTOR) pathway. METHODS: We reviewed previous reports, using PubMed with the search terms 'renal cell carcinoma', 'molecular markers', 'prognosis', 'outcomes' and 'mammalian target of rapamycin pathway' published in the last two decades. We created a library of 100 references and focused on presenting the recent advances in the field. RESULTS: Growing evidence suggests that mTOR deregulation is associated with many types of human cancer, including RCC. Consequently, temsirolimus and everolimus, which target mTOR, are approved for treating advanced RCC. There is a demand to integrate clinical, pathological and molecular markers into accurate prognostic models to provide patients with the most personalised cancer care possible. CONCLUSIONS: The mTOR pathway is highly implicated in RCC tumorigenesis and progression, and its constituents might represent a promising prognostic tool and target for treating RCC. Combining newly discovered molecular markers with classic clinicopathological prognostics might potentially improve the management of RCC. FAU - Youssef, Ramy F AU - Youssef RF AD - Division of Urologic Oncology, University of Texas Southwestern Medical Center, Dallas, TX, USA. FAU - Cost, Nicholas G AU - Cost NG AD - Division of Urologic Oncology, University of Texas Southwestern Medical Center, Dallas, TX, USA. FAU - Darwish, Oussama M AU - Darwish OM AD - Division of Urologic Oncology, University of Texas Southwestern Medical Center, Dallas, TX, USA. FAU - Margulis, Vitaly AU - Margulis V AD - Division of Urologic Oncology, University of Texas Southwestern Medical Center, Dallas, TX, USA. LA - eng PT - Journal Article PT - Review DEP - 20120409 PL - United States TA - Arab J Urol JT - Arab journal of urology JID - 101562480 PMC - PMC4442886 OTO - NOTNLM OT - 4E-BP1, eukaryotic initiation factor-binding protein-1 OT - CA-9, carbonic anhydrase 9 OT - HIF, hypoxia inducible factor OT - IRS-1, insulin receptor substrate-1 OT - LDH, lactate dehydrogenase OT - Molecular markers OT - PI3k, phosphatidylinositol 3-kinase OT - Prognostic OT - Renal cell carcinoma OT - S6K1, S6 kinase 1 OT - TKR, tyrosine kinase receptor OT - TSC, tuberous sclerosis complex OT - VEGF, vascular endothelial growth factor OT - VHL, von Hippel-Lindau OT - mTOR OT - mTOR, mammalian target of rapamycin EDAT- 2012/06/01 00:00 MHDA- 2012/06/01 00:01 PMCR- 2012/04/09 CRDT- 2015/11/12 06:00 PHST- 2012/02/01 00:00 [received] PHST- 2012/02/23 00:00 [revised] PHST- 2012/02/25 00:00 [accepted] PHST- 2015/11/12 06:00 [entrez] PHST- 2012/06/01 00:00 [pubmed] PHST- 2012/06/01 00:01 [medline] PHST- 2012/04/09 00:00 [pmc-release] AID - S2090-598X(12)00040-X [pii] AID - 10.1016/j.aju.2012.02.005 [doi] PST - ppublish SO - Arab J Urol. 2012 Jun;10(2):110-7. doi: 10.1016/j.aju.2012.02.005. Epub 2012 Apr 9.