PMID- 27585680 OWN - NLM STAT- MEDLINE DCOM- 20180319 LR - 20220408 IS - 1432-198X (Electronic) IS - 0931-041X (Linking) VI - 32 IP - 7 DP - 2017 Jul TI - Treatment of renal angiomyolipoma in tuberous sclerosis complex (TSC) patients. PG - 1137-1144 LID - 10.1007/s00467-016-3474-6 [doi] AB - In adult tuberous sclerosis complex (TSC) patients, renal complications are the leading cause of death. Beginning in childhood, up to 80 % of patients develop renal angiomyolipoma characterized by a size-dependent risk of life-threatening bleeding. After discovery of the two causative genes, TSC1 and TSC2, and the role of mammalian target of rapamycin (mTOR) regulation in the pathogenesis of TSC, an increasing number of clinical studies evaluating mTOR inhibition in TSC patients have shown impressive results in many organ manifestations, such as brain, lung, and kidney. For renal angiomyolipoma, mTOR inhibitor treatment fundamentally changed the approach from preventive embolization or even partial nephrectomy to everolimus treatment in order to preserve kidney function. FAU - Brakemeier, S AU - Brakemeier S AUID- ORCID: 0000-0003-3845-211X AD - Department of Internal Medicine, Division of Nephrology, Charite Campus Mitte, Berlin, Germany. Susanne.brakemeier@charite.de. FAU - Bachmann, F AU - Bachmann F AD - Department of Internal Medicine, Division of Nephrology, Charite Campus Mitte, Berlin, Germany. FAU - Budde, K AU - Budde K AD - Department of Internal Medicine, Division of Nephrology, Charite Campus Mitte, Berlin, Germany. LA - eng PT - Journal Article PT - Review DEP - 20160901 PL - Germany TA - Pediatr Nephrol JT - Pediatric nephrology (Berlin, Germany) JID - 8708728 RN - 0 (Antineoplastic Agents) RN - 0 (TSC1 protein, human) RN - 0 (TSC2 protein, human) RN - 0 (Tuberous Sclerosis Complex 1 Protein) RN - 0 (Tuberous Sclerosis Complex 2 Protein) RN - 0 (Tumor Suppressor Proteins) RN - 9HW64Q8G6G (Everolimus) RN - EC 2.7.1.1 (MTOR protein, human) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) RN - W36ZG6FT64 (Sirolimus) SB - IM MH - Angiomyolipoma/diagnosis/etiology/*therapy MH - Antineoplastic Agents/*therapeutic use MH - Child MH - Embolization, Therapeutic MH - Everolimus/therapeutic use MH - Humans MH - Kidney/physiopathology/surgery MH - Kidney Failure, Chronic/diagnosis/prevention & control MH - Kidney Function Tests MH - Kidney Neoplasms/diagnosis/etiology/*therapy MH - Mutation MH - Nephrectomy MH - Signal Transduction MH - Sirolimus/therapeutic use MH - TOR Serine-Threonine Kinases/*antagonists & inhibitors/metabolism MH - Tuberous Sclerosis/*complications/genetics/therapy MH - Tuberous Sclerosis Complex 1 Protein MH - Tuberous Sclerosis Complex 2 Protein MH - Tumor Suppressor Proteins/genetics OTO - NOTNLM OT - AML OT - TSC OT - mTOR inibitor treatment EDAT- 2016/09/03 06:00 MHDA- 2018/03/20 06:00 CRDT- 2016/09/03 06:00 PHST- 2016/01/15 00:00 [received] PHST- 2016/07/12 00:00 [accepted] PHST- 2016/05/26 00:00 [revised] PHST- 2016/09/03 06:00 [pubmed] PHST- 2018/03/20 06:00 [medline] PHST- 2016/09/03 06:00 [entrez] AID - 10.1007/s00467-016-3474-6 [pii] AID - 10.1007/s00467-016-3474-6 [doi] PST - ppublish SO - Pediatr Nephrol. 2017 Jul;32(7):1137-1144. doi: 10.1007/s00467-016-3474-6. Epub 2016 Sep 1.