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肾细胞癌患者的生物标志物指导治疗

Biomarker-informed care for patients with renal cell carcinoma.

作者信息

McKinnon Mackenzie B, Rini Brian I, Haake Scott M

机构信息

Division of Hematology and Oncology, Department of Medicine, Vanderbilt University Medical Center, Nashville, TN, USA.

Vanderbilt-Ingram Cancer Center, Nashville, TN, USA.

出版信息

Nat Cancer. 2025 Apr;6(4):573-583. doi: 10.1038/s43018-025-00942-1. Epub 2025 Apr 16.

Abstract

Kidney cancer is a commonly diagnosed cancer in adults, and clear cell renal cell carcinoma (ccRCC) is the most common histological subtype. Immune checkpoint inhibitors have revolutionized care for patients with ccRCC, either as adjuvant therapy or combined with other agents in advanced disease. However, biomarkers to predict therapeutic benefits are lacking. Here, we explore biomarkers that predict therapeutic response in other tumor types and discuss the reasons for their ineffectiveness in ccRCC. We also review emerging predictive and prognostic biomarkers to prioritize in ccRCC, including gene expression signatures.

摘要

肾癌是成人中常见的诊断癌症,透明细胞肾细胞癌(ccRCC)是最常见的组织学亚型。免疫检查点抑制剂已经彻底改变了ccRCC患者的治疗方式,无论是作为辅助治疗还是与其他药物联合用于晚期疾病。然而,目前缺乏预测治疗效果的生物标志物。在这里,我们探索在其他肿瘤类型中预测治疗反应的生物标志物,并讨论它们在ccRCC中无效的原因。我们还综述了ccRCC中应优先考虑的新兴预测和预后生物标志物,包括基因表达特征。

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