Genomic profiling in renal cell carcinoma.


Journal

Nature reviews. Nephrology
ISSN: 1759-507X
Titre abrégé: Nat Rev Nephrol
Pays: England
ID NLM: 101500081

Informations de publication

Date de publication:
08 2020
Historique:
accepted: 28 04 2020
pubmed: 21 6 2020
medline: 11 11 2020
entrez: 21 6 2020
Statut: ppublish

Résumé

The treatment landscape of metastatic renal cell carcinoma (RCC) has been revolutionized over the past two decades, bringing forth an era in which more than a dozen therapeutic agents are now available to treat patients. As a consequence, personalized care has become a critical part of developing effective treatment guidelines and improving patient outcomes. One of the most important emerging aspects of precision medicine in cancer is matching patients and treatments based on the genomic characteristics of an individual and their tumour. Despite the lack of a single genomic predictor of treatment response or prognostication feature in RCC, emerging research suggests that the identification of such markers remains promising. Mutations in VHL and alterations in its downstream pathways are the mainstay of RCC development and progression. However, the predictive value of VHL mutations has been questioned. Further research has examined mutations in genes involved in chromosome remodelling (for example, PBRM1, BAP1 and SETD2), DNA methylation and DNA damage repair, all of which have been associated with clinical outcomes. Here, we provide a comprehensive overview of genomic evidence in the context of RCC and its potential predictive and prognostic value.

Identifiants

pubmed: 32561872
doi: 10.1038/s41581-020-0301-x
pii: 10.1038/s41581-020-0301-x
doi:

Substances chimiques

Angiogenesis Inhibitors 0
Antineoplastic Agents 0
Antineoplastic Agents, Immunological 0
BAP1 protein, human 0
DNA-Binding Proteins 0
NF2 protein, human 0
Neurofibromin 2 0
PBRM1 protein, human 0
Protein Kinase Inhibitors 0
TP53 protein, human 0
Transcription Factors 0
Tumor Suppressor Protein p53 0
Tumor Suppressor Proteins 0
EZH2 protein, human EC 2.1.1.43
Enhancer of Zeste Homolog 2 Protein EC 2.1.1.43
Histone-Lysine N-Methyltransferase EC 2.1.1.43
SETD2 protein, human EC 2.1.1.43
Von Hippel-Lindau Tumor Suppressor Protein EC 2.3.2.27
MET protein, human EC 2.7.10.1
Proto-Oncogene Proteins c-met EC 2.7.10.1
TERT protein, human EC 2.7.7.49
Telomerase EC 2.7.7.49
PTEN Phosphohydrolase EC 3.1.3.67
PTEN protein, human EC 3.1.3.67
Ubiquitin Thiolesterase EC 3.4.19.12
VHL protein, human EC 6.3.2.-

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

435-451

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Auteurs

Nazli Dizman (N)

Department of Medical Oncology & Experimental Therapeutics, City of Hope Comprehensive Cancer Center, Duarte, CA, USA.

Errol J Philip (EJ)

University of California San Francisco (UCSF) School of Medicine, San Francisco, CA, USA.

Sumanta K Pal (SK)

Department of Medical Oncology & Experimental Therapeutics, City of Hope Comprehensive Cancer Center, Duarte, CA, USA. spal@coh.org.

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