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肾细胞癌转移的分子机制及潜在治疗靶点

Molecular mechanisms of renal cell carcinoma metastasis and potential targets for therapy.

作者信息

Li Xinwei, Xiong Wei, Xiong Zhiyong, Zhang Xiaoping

机构信息

Department of Urology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.

Institute of Urology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.

出版信息

Front Cell Dev Biol. 2025 Jan 20;13:1521151. doi: 10.3389/fcell.2025.1521151. eCollection 2025.

DOI:10.3389/fcell.2025.1521151
PMID:39901876
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11788337/
Abstract

Renal cell carcinoma is a common type of cancer, with approximately 30% of patients potentially developing metastatic disease. Some patients with metastatic renal cell carcinoma are found in advanced stages, so the 5-year survival rate for metastatic renal cell carcinoma is only 14%. Currently, there are several drugs available for patients with metastatic renal cell carcinoma, and their overall survival can be extended to nearly 5 years. However, the sensitivity and efficacy of the treatment are still unsatisfactory. New targets and drugs to improve patient prognosis are urgently needed, but these are closely linked to the molecular mechanisms of renal cell carcinoma metastasis. In this review, we present the definition and common molecular mechanisms of metastatic renal cell carcinoma and provide new insights on their potential link to targeted therapies, which may enlighten scientists to develop future targeted therapeutic agents to improve the prognosis of patients with metastatic renal cell carcinoma.

摘要

肾细胞癌是一种常见的癌症类型,约30%的患者可能发生转移性疾病。一些转移性肾细胞癌患者在晚期被发现,因此转移性肾细胞癌的5年生存率仅为14%。目前,有几种药物可供转移性肾细胞癌患者使用,其总生存期可延长至近5年。然而,治疗的敏感性和疗效仍不尽人意。迫切需要新的靶点和药物来改善患者预后,但这些与肾细胞癌转移的分子机制密切相关。在这篇综述中,我们阐述了转移性肾细胞癌的定义和常见分子机制,并对其与靶向治疗的潜在联系提供了新的见解,这可能启发科学家开发未来的靶向治疗药物,以改善转移性肾细胞癌患者的预后。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9c53/11788337/5d6c766c25fc/fcell-13-1521151-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9c53/11788337/5d6c766c25fc/fcell-13-1521151-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9c53/11788337/5d6c766c25fc/fcell-13-1521151-g001.jpg

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J Exp Clin Cancer Res. 2024 Oct 19;43(1):288. doi: 10.1186/s13046-024-03206-5.
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Exosome in renal cell carcinoma progression and implications for targeted therapy.外泌体在肾细胞癌进展中的作用及对靶向治疗的意义。
Front Oncol. 2024 Sep 4;14:1458616. doi: 10.3389/fonc.2024.1458616. eCollection 2024.
3
O-GlcNAcylation regulation of RIPK1-dependent apoptosis dictates sensitivity to sunitinib in renal cell carcinoma.
O-GlcNAcylation 调控 RIPK1 依赖性细胞凋亡决定了肾细胞癌对舒尼替尼的敏感性。
Drug Resist Updat. 2024 Nov;77:101150. doi: 10.1016/j.drup.2024.101150. Epub 2024 Sep 12.
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Impact of Timing of Immunotherapy and Cytoreductive Nephrectomy in Metastatic Renal Cell Carcinoma: Real-World Data on Survival Outcomes from the CKCis Database.免疫治疗和细胞减瘤性肾切除术时机对转移性肾细胞癌的影响:CKCis 数据库中生存结局的真实世界数据。
Curr Oncol. 2024 Aug 18;31(8):4704-4712. doi: 10.3390/curroncol31080351.
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FOXC1 transcriptionally suppresses ABHD5 to inhibit the progression of renal cell carcinoma through AMPK/mTOR pathway.FOXC1 通过转录抑制 ABHD5 抑制 AMPK/mTOR 通路促进肾细胞癌的进展。
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