Immunotherapeutic strategies for the treatment of renal cell carcinoma: Where will we go?

Introduction: Historically, renal cell carcinoma (RCC) is considered a chemotherapy-resistant tumor. The cornerstone of systemic therapy included mammalian target of rapamycin (mTOR) inhibitors, endothelial growth factor receptor (VEGFR) and tyrosine kinase inhibitors (TKIs). Currently, a new era is...

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Publicado en:Expert Review of Anticancer Therapy Vol. 17; no. 4; pp. 357 - 369
Autores principales: Anselmo Da Costa, Inês, Rausch, Steffen, Kruck, Stephan, Todenhöfer, Tilman, Stenzl, Arnulf, Bedke, Jens, Anselmo da Costa, Inês
Formato: review tables/charts Journal Article
Publicado: Taylor & Francis Ltd Apr2017
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Taylor & Francis Ltd
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        10.1080/14737140.2017.1292138
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        atl: Immunotherapeutic strategies for the treatment of renal cell carcinoma: Where will we go?
      aug:
        au:
          Anselmo Da Costa, Inês
          Rausch, Steffen
          Kruck, Stephan
          Todenhöfer, Tilman
          Stenzl, Arnulf
          Bedke, Jens
          Anselmo da Costa, Inês
          Todenhöfer, Tilman
        affil: Department of Urology, Eberhard Karls University, Tuebingen, Germany
      sug:
        subj:
          Kidney Neoplasms Therapy
          Immunotherapy Methods
          Carcinoma, Renal Cell Therapy
          Kidney Neoplasms Pathology
          Patient Selection
          Cancer Vaccines Immunology
          Carcinoma, Renal Cell Pathology
          Kidney Neoplasms Immunology
          Algorithms
          Cancer Vaccines Administration and Dosage
          Carcinoma, Renal Cell Immunology
          Immunotherapy Adverse Effects
      ab: Introduction: Historically, renal cell carcinoma (RCC) is considered a chemotherapy-resistant tumor. The cornerstone of systemic therapy included mammalian target of rapamycin (mTOR) inhibitors, endothelial growth factor receptor (VEGFR) and tyrosine kinase inhibitors (TKIs). Currently, a new era is enteres with promising immunotherapeutic treatments, which are becoming commercially available. Areas covered: We provide a comprehensive review using PubMed and ClinicalTrials.gov about the following immunotherapies in RCC: i) vaccine therapy, ii) adoptive T Cell Transfer and CAR T cells, iii) nonspecific immunotherapy - IL-2 (new formulations), iv) Checkpoint inhibitors, v) other checkpoint-molecules. We will also discuss their mechanism of action and toxicity, the importance of developing new patient selection algorithms (immunoprofiling, guidelines updates) and new biomarkers such as PD-1 expression. Expert commentary: Immunotherapy shows promise, and the current tools used in clinical practice, including guidelines, staging-classification and algorithms should be revised and adapted to the new immunotherapeutic drugs. Although immunotherapy in RCC show promising results, more research is needed in parallel to discover biomarkers that enable the prediction of a treatment response and therefore lead to better patient selection.
      pubtype: Academic Journal
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        tables/charts
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      ougenre: Article
    language: English
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