PMID- 37403008 OWN - NLM STAT- MEDLINE DCOM- 20230905 LR - 20230913 IS - 1534-6277 (Electronic) IS - 1534-6277 (Linking) VI - 24 IP - 9 DP - 2023 Sep TI - Targeting HIF-2 Alpha in Renal Cell Carcinoma. PG - 1183-1198 LID - 10.1007/s11864-023-01106-y [doi] AB - Current treatment options for patients with metastatic renal cell carcinoma (mRCC) are limited to immunotherapy with checkpoint inhibitors and targeted therapies that inhibit the vascular endothelial growth factor receptors (VEFG-R) and the mammalian target of rapamycin (mTOR). Despite significantly improved outcomes over the last few decades, most patients with mRCC will ultimately develop resistance to these therapies, thus highlighting the critical need for novel treatment options. As part of the VHL-HIF-VEGF axis that rests at the foundation of RCC pathogenesis, hypoxia-inducible factor 2alpha (HIF-2alpha) has been identified as a rationale target for mRCC treatment. Indeed, one such agent (belzutifan) is already approved for VHL-associated RCC and other VHL-associated neoplasms. Early trials of belzutifan indicate encouraging efficacy and good tolerability in sporadic mRCC as well. The potential inclusion of belzutifan and other HIF-2alpha inhibitors into the mRCC treatment armamentarium either as a single agent or as combination therapy would be a welcome addition for patients with mRCC. CI - (c) 2023. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature. FAU - Ahmed, Ramsha AU - Ahmed R AD - Division of Hematology and Oncology, Department of Medicine, Medical College of Wisconsin, 9200 W. Wisconsin Ave., Milwaukee, WI, 53226, USA. FAU - Ornstein, Moshe C AU - Ornstein MC AUID- ORCID: 0000-0003-0184-3467 AD - Department of Hematology and Medical Oncology, Cleveland Clinic Taussig Cancer Institute, 9500 Euclid Ave, CA-60, Cleveland, OH, 44195, USA. ornstem@ccf.org. LA - eng PT - Journal Article PT - Review DEP - 20230705 PL - United States TA - Curr Treat Options Oncol JT - Current treatment options in oncology JID - 100900946 RN - 1B37H0967P (endothelial PAS domain-containing protein 1) RN - 0 (Vascular Endothelial Growth Factor A) RN - 7K28NB895L (belzutifan) RN - 0 (Basic Helix-Loop-Helix Transcription Factors) SB - IM MH - Humans MH - *Carcinoma, Renal Cell/drug therapy/etiology/metabolism MH - *Kidney Neoplasms/drug therapy/etiology/metabolism MH - Vascular Endothelial Growth Factor A MH - Basic Helix-Loop-Helix Transcription Factors OTO - NOTNLM OT - Belzutifan OT - HIF-2alpha OT - Kidney cancer OT - MK-6482 OT - Renal cell carcinoma OT - VHL EDAT- 2023/07/05 01:06 MHDA- 2023/09/05 06:42 CRDT- 2023/07/04 23:34 PHST- 2023/05/12 00:00 [accepted] PHST- 2023/09/05 06:42 [medline] PHST- 2023/07/05 01:06 [pubmed] PHST- 2023/07/04 23:34 [entrez] AID - 10.1007/s11864-023-01106-y [pii] AID - 10.1007/s11864-023-01106-y [doi] PST - ppublish SO - Curr Treat Options Oncol. 2023 Sep;24(9):1183-1198. doi: 10.1007/s11864-023-01106-y. Epub 2023 Jul 5.