Ged Yasser, Voss Martin H
Department of Medicine, Johns Hopkins University, Baltimore, MD, USA.
Department of Medicine, Memorial Sloan Kettering Cancer Center, 300 East 66th Street, New York, NY 10065, USA.
Ther Adv Med Oncol. 2021 Nov 25;13:17588359211059367. doi: 10.1177/17588359211059367. eCollection 2021.
The treatment of metastatic renal cell carcinoma has significantly evolved in recent years, particularly with the advent of novel immune checkpoint inhibitors (ICI). Despite the striking benefits observed on a population level, outcomes vary and some patients do not respond to ICI-based regimens, ultimately require salvage therapies. An ever deeper understanding of the disease biology mediated by the development of multiple high-throughput molecular omics has led to significant progress in biomarkers discovery. But despite growing insights into the molecular underpinnings of the tumor microenvironment, biomarkers have not been integrated successfully into clinical practice. In this review, we discuss some of the novel emerging predictive biomarkers to ICIs in metastatic renal cell carcinoma.
近年来,转移性肾细胞癌的治疗有了显著进展,尤其是随着新型免疫检查点抑制剂(ICI)的出现。尽管在群体水平上观察到了显著益处,但治疗结果存在差异,一些患者对基于ICI的治疗方案无反应,最终需要挽救治疗。通过多种高通量分子组学的发展,对疾病生物学有了更深入的理解,这在生物标志物发现方面取得了重大进展。但是,尽管对肿瘤微环境的分子基础有了越来越多的了解,生物标志物尚未成功整合到临床实践中。在本综述中,我们讨论了转移性肾细胞癌中一些新出现的ICI预测生物标志物。