Urologic Oncology Branch, National Cancer Institute, Bethesda, MD, United States.
Semin Cancer Biol. 2013 Feb;23(1):46-55. doi: 10.1016/j.semcancer.2012.06.002. Epub 2012 Jun 13.
Kidney cancer is not a single disease; it is made up of a number of different types of cancer that occur in the kidney. Each of these different types of kidney cancer can have a different histology, have a different clinical course, can respond differently to therapy and is caused by a different gene. Kidney cancer is essentially a metabolic disease; each of the known genes for kidney cancer, VHL, MET, FLCN, TSC1, TSC2, TFE3, TFEB, MITF, fumarate hydratase (FH), succinate dehydrogenase B (SDHB), succinate dehydrogenase D (SDHD), and PTEN genes is involved in the cells ability to sense oxygen, iron, nutrients or energy. Understanding the metabolic basis of kidney cancer will hopefully provide the foundation for the development of effective forms of therapy for this disease.
肾癌不是一种单一的疾病;它由肾脏中发生的多种不同类型的癌症组成。这些不同类型的肾癌在组织学上可能不同,临床过程也不同,对治疗的反应也不同,并且由不同的基因引起。肾癌本质上是一种代谢疾病;已知的肾癌基因,如 VHL、MET、FLCN、TSC1、TSC2、TFE3、TFEB、MITF、延胡索酸水合酶(FH)、琥珀酸脱氢酶 B(SDHB)、琥珀酸脱氢酶 D(SDHD)和 PTEN 基因,都参与了细胞感知氧气、铁、营养物质或能量的能力。了解肾癌的代谢基础有望为该疾病的有效治疗方法的发展提供基础。