Biology and Clinical Development of Vascular Endothelial Growth Factor–Targeted Therapy in Renal Cell Carcinoma

作者: Brian I. Rini , Eric J. Small

DOI: 10.1200/JCO.2005.01.186

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摘要: Purpose To review the biology of renal cell carcinoma (RCC) leading to vascular endothelial growth factor (VEGF) overexpression and clinical results VEGF blockade in metastatic RCC. Methods A relevant published literature regarding VEGF, von Hippel-Lindau (VHL) gene inactivation RCC was performed. Further, a mechanism, toxicity, development VEGF-targeted therapy undertaken. Results is major proangiogenic protein that exerts biologic effect through interaction with cellular receptors. The majority sporadic clear-cell tumors are characterized by VHL tumor suppressor inactivation. resulting silencing leads overexpression. An antibody (bevacizumab) has demonstrated significant prolongation time disease progression compared placebo patients Small molecules inhibitory effects against receptor have undergone initial ...

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