Sunitinib resistance in renal cell carcinoma

<p>Of the many targeted therapies introduced since 2006, sunitinib has carved its way to become the most commonly used first-line therapy for the treatment of metastatic renal cell carcinoma (RCC). Despite significant improvements in progression-free survival, 30% of the patients are intrinsic...

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Main Author: Christudas Morais
Format: Article
Language:English
Published: Codon Publications 2014-04-01
Series:Journal of Kidney Cancer and VHL
Subjects:
Online Access:http://jkcvhl.com/index.php/jkcvhl/article/view/7
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author Christudas Morais
author_facet Christudas Morais
author_sort Christudas Morais
collection DOAJ
description <p>Of the many targeted therapies introduced since 2006, sunitinib has carved its way to become the most commonly used first-line therapy for the treatment of metastatic renal cell carcinoma (RCC). Despite significant improvements in progression-free survival, 30% of the patients are intrinsically resistant to sunitinib and the remaining 70% who respond initially will eventually become resistant in 6–15 months. While the molecular mechanisms of acquired resistance to sunitinib have been unravelling at a rapid rate, the mechanisms of intrinsic resistance remain elusive. Combination therapy, sunitinib-rechallenge and sequential therapy have been investigated as means to overcome resistance to sunitinib. Of these, sequential therapy appears to be the most promising strategy. This mini review summarises our emerging understanding of the molecular mechanisms, and the strategies employed to overcome sunitinib resistance.</p>
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spelling doaj.art-dd813154bf614fc493704b48f96976422022-12-21T19:13:24ZengCodon PublicationsJournal of Kidney Cancer and VHL2203-58262014-04-011111110.15586/jkcvhl.2014.71Sunitinib resistance in renal cell carcinomaChristudas Morais0Centre for Kidney Disease Research, School of Medicine, University of Queensland<p>Of the many targeted therapies introduced since 2006, sunitinib has carved its way to become the most commonly used first-line therapy for the treatment of metastatic renal cell carcinoma (RCC). Despite significant improvements in progression-free survival, 30% of the patients are intrinsically resistant to sunitinib and the remaining 70% who respond initially will eventually become resistant in 6–15 months. While the molecular mechanisms of acquired resistance to sunitinib have been unravelling at a rapid rate, the mechanisms of intrinsic resistance remain elusive. Combination therapy, sunitinib-rechallenge and sequential therapy have been investigated as means to overcome resistance to sunitinib. Of these, sequential therapy appears to be the most promising strategy. This mini review summarises our emerging understanding of the molecular mechanisms, and the strategies employed to overcome sunitinib resistance.</p>http://jkcvhl.com/index.php/jkcvhl/article/view/7renal cell carcinomasunitinibresistancekidney cancer
spellingShingle Christudas Morais
Sunitinib resistance in renal cell carcinoma
Journal of Kidney Cancer and VHL
renal cell carcinoma
sunitinib
resistance
kidney cancer
title Sunitinib resistance in renal cell carcinoma
title_full Sunitinib resistance in renal cell carcinoma
title_fullStr Sunitinib resistance in renal cell carcinoma
title_full_unstemmed Sunitinib resistance in renal cell carcinoma
title_short Sunitinib resistance in renal cell carcinoma
title_sort sunitinib resistance in renal cell carcinoma
topic renal cell carcinoma
sunitinib
resistance
kidney cancer
url http://jkcvhl.com/index.php/jkcvhl/article/view/7
work_keys_str_mv AT christudasmorais sunitinibresistanceinrenalcellcarcinoma