PMID- 30513765 OWN - NLM STAT- MEDLINE DCOM- 20190325 LR - 20200225 IS - 1422-0067 (Electronic) IS - 1422-0067 (Linking) VI - 19 IP - 12 DP - 2018 Dec 1 TI - Current Landscape and the Potential Role of Hypoxia-Inducible Factors and Selenium in Clear Cell Renal Cell Carcinoma Treatment. LID - 10.3390/ijms19123834 [doi] LID - 3834 AB - In the last two decades, the discovery of various pathways involved in renal cell carcinoma (RCC) has led to the development of biologically-driven targeted therapies. Hypoxia-inducible factors (HIFs), angiogenic growth factors, von Hippel(-)Lindau (VHL) gene mutations, and oncogenic microRNAs (miRNAs) play essential roles in the pathogenesis and drug resistance of clear cell renal cell carcinoma. These insights have led to the development of vascular endothelial growth factor (VEGF) inhibitors, Mechanistic target of rapamycin (mTOR) inhibitors, and immunotherapeutic agents, which have significantly improved the outcomes of patients with advanced RCC. HIF inhibitors will be a valuable asset in the growing therapeutic armamentarium of RCC. Various histone deacetylase (HDAC) inhibitors, selenium, and agents like PT2385 and PT2977 are being explored in various clinical trials as potential HIF inhibitors, to ameliorate the outcomes of RCC patients. In this article, we will review the current treatment options and highlight the potential role of selenium in the modulation of drug resistance biomarkers expressed in clear cell RCC (ccRCC) tumors. FAU - Garje, Rohan AU - Garje R AUID- ORCID: 0000-0002-7244-5602 AD - Department of Internal Medicine, Division of Hematology and Oncology, University of Iowa, Iowa City, IA 52242, USA. josiah-an@uiowa.edu. AD - Holden Comprehensive Cancer Center, University of Iowa, Iowa City, IA 52242, USA. josiah-an@uiowa.edu. FAU - An, Josiah J AU - An JJ AD - Department of Internal Medicine, Division of Hematology and Oncology, University of Iowa, Iowa City, IA 52242, USA. josiah-an@uiowa.edu. FAU - Sanchez, Kevin AU - Sanchez K AD - Department of Internal Medicine, University of Iowa, Iowa City, IA 52242, USA. kevin-sanchez@uiowa.edu. FAU - Greco, Austin AU - Greco A AD - Department of Internal Medicine, University of Iowa, Iowa City, IA 52242, USA. austin-greco@uiowa.edu. FAU - Stolwijk, Jeffrey AU - Stolwijk J AD - Interdisciplinary Graduate Program in Human Toxicology, Department of Occupational and Environmental Health, College of Public Health, University of Iowa, Iowa City, IA 52242, USA. jeffrey-stolwijk@uiowa.edu. FAU - Devor, Eric AU - Devor E AD - Department of Obstetrics and Gynecology, University of Iowa, Iowa City, IA 52242, USA. eric-devor@uiowa.edu. FAU - Rustum, Youcef AU - Rustum Y AD - Department of Internal Medicine, Division of Hematology and Oncology, University of Iowa, Iowa City, IA 52242, USA. Youcef.Rustum@RoswellPark.org. AD - Roswell Park Cancer Institute, Buffalo, NY 14203, USA. Youcef.Rustum@RoswellPark.org. FAU - Zakharia, Yousef AU - Zakharia Y AD - Department of Internal Medicine, Division of Hematology and Oncology, University of Iowa, Iowa City, IA 52242, USA. yousef-zakharia@uiowa.edu. AD - Holden Comprehensive Cancer Center, University of Iowa, Iowa City, IA 52242, USA. yousef-zakharia@uiowa.edu. LA - eng GR - P30 CA086862/CA/NCI NIH HHS/United States PT - Journal Article PT - Review DEP - 20181201 PL - Switzerland TA - Int J Mol Sci JT - International journal of molecular sciences JID - 101092791 RN - 0 (Angiogenesis Inhibitors) RN - 0 (Hypoxia-Inducible Factor 1) RN - H6241UJ22B (Selenium) SB - IM MH - Angiogenesis Inhibitors/pharmacology MH - Carcinogenesis/metabolism/pathology MH - Carcinoma, Renal Cell/*metabolism/pathology MH - Humans MH - Hypoxia-Inducible Factor 1/*metabolism MH - Kidney Neoplasms/*metabolism/pathology MH - Selenium/*metabolism PMC - PMC6321165 OTO - NOTNLM OT - PD-L1 OT - VEGF OT - clear cell renal cell carcinoma OT - hypoxia-inducible factors (HIFs) OT - mTOR inhibitors OT - miRNA OT - selenium COIS- The authors declare no conflict of interest. EDAT- 2018/12/06 06:00 MHDA- 2019/03/26 06:00 PMCR- 2018/12/01 CRDT- 2018/12/06 06:00 PHST- 2018/09/18 00:00 [received] PHST- 2018/11/27 00:00 [revised] PHST- 2018/11/28 00:00 [accepted] PHST- 2018/12/06 06:00 [entrez] PHST- 2018/12/06 06:00 [pubmed] PHST- 2019/03/26 06:00 [medline] PHST- 2018/12/01 00:00 [pmc-release] AID - ijms19123834 [pii] AID - ijms-19-03834 [pii] AID - 10.3390/ijms19123834 [doi] PST - epublish SO - Int J Mol Sci. 2018 Dec 1;19(12):3834. doi: 10.3390/ijms19123834.