The Impact of Modifying Sunitinib Treatment Scheduling on Renal Cancer Tumor Biology and Resistance

With sunitinib treatment of metastatic renal cell carcinoma, most patients end up developing resistance over time. Recent clinical trials have shown that individualizing treatment protocols could delay resistance and result in better outcomes. We developed an in vivo xenograft tumor model and compar...

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Main Authors: Harrison Sicheng Lin, Qiang Ding, Zsuzsanna Lichner, Sung Sun Kim, Rola Saleeb, Mina Farag, Ashley Di Meo, Pamela Plant, Mirit Kaldas, Georg Arnold Bjarnason, George Makram Yousef
Format: Article
Language:English
Published: MDPI AG 2022-01-01
Series:Journal of Clinical Medicine
Subjects:
Online Access:https://www.mdpi.com/2077-0383/11/2/369
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author Harrison Sicheng Lin
Qiang Ding
Zsuzsanna Lichner
Sung Sun Kim
Rola Saleeb
Mina Farag
Ashley Di Meo
Pamela Plant
Mirit Kaldas
Georg Arnold Bjarnason
George Makram Yousef
author_facet Harrison Sicheng Lin
Qiang Ding
Zsuzsanna Lichner
Sung Sun Kim
Rola Saleeb
Mina Farag
Ashley Di Meo
Pamela Plant
Mirit Kaldas
Georg Arnold Bjarnason
George Makram Yousef
author_sort Harrison Sicheng Lin
collection DOAJ
description With sunitinib treatment of metastatic renal cell carcinoma, most patients end up developing resistance over time. Recent clinical trials have shown that individualizing treatment protocols could delay resistance and result in better outcomes. We developed an in vivo xenograft tumor model and compared tumor growth rate, morphological, and transcriptomic differences between alternative and traditional treatment schedules. Our results show that the alternative treatment regime could delay/postpone cancer progression. Additionally, we identified distinct morphological changes in the tumor with alternative and traditional treatments, likely due to the significantly dysregulated signaling pathways between the protocols. Further investigation of the signaling pathways underlying these morphological changes may lead potential therapeutic targets to be used in a combined treatment with sunitinib, which offers promise in postponing/reversing the resistance of sunitinib.
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spelling doaj.art-e1919bf398534ca48c8ab160ec77dde72023-11-23T14:12:51ZengMDPI AGJournal of Clinical Medicine2077-03832022-01-0111236910.3390/jcm11020369The Impact of Modifying Sunitinib Treatment Scheduling on Renal Cancer Tumor Biology and ResistanceHarrison Sicheng Lin0Qiang Ding1Zsuzsanna Lichner2Sung Sun Kim3Rola Saleeb4Mina Farag5Ashley Di Meo6Pamela Plant7Mirit Kaldas8Georg Arnold Bjarnason9George Makram Yousef10The Keenan Research Centre for Biomedical Science, St. Michael’s Hospital, Toronto, ON M5B 1W8, CanadaThe Keenan Research Centre for Biomedical Science, St. Michael’s Hospital, Toronto, ON M5B 1W8, CanadaThe Keenan Research Centre for Biomedical Science, St. Michael’s Hospital, Toronto, ON M5B 1W8, CanadaThe Keenan Research Centre for Biomedical Science, St. Michael’s Hospital, Toronto, ON M5B 1W8, CanadaThe Keenan Research Centre for Biomedical Science, St. Michael’s Hospital, Toronto, ON M5B 1W8, CanadaThe Keenan Research Centre for Biomedical Science, St. Michael’s Hospital, Toronto, ON M5B 1W8, CanadaThe Keenan Research Centre for Biomedical Science, St. Michael’s Hospital, Toronto, ON M5B 1W8, CanadaThe Keenan Research Centre for Biomedical Science, St. Michael’s Hospital, Toronto, ON M5B 1W8, CanadaThe Keenan Research Centre for Biomedical Science, St. Michael’s Hospital, Toronto, ON M5B 1W8, CanadaSunnybrook Odette Cancer Centre, Toronto, ON M4N 3M5, CanadaThe Keenan Research Centre for Biomedical Science, St. Michael’s Hospital, Toronto, ON M5B 1W8, CanadaWith sunitinib treatment of metastatic renal cell carcinoma, most patients end up developing resistance over time. Recent clinical trials have shown that individualizing treatment protocols could delay resistance and result in better outcomes. We developed an in vivo xenograft tumor model and compared tumor growth rate, morphological, and transcriptomic differences between alternative and traditional treatment schedules. Our results show that the alternative treatment regime could delay/postpone cancer progression. Additionally, we identified distinct morphological changes in the tumor with alternative and traditional treatments, likely due to the significantly dysregulated signaling pathways between the protocols. Further investigation of the signaling pathways underlying these morphological changes may lead potential therapeutic targets to be used in a combined treatment with sunitinib, which offers promise in postponing/reversing the resistance of sunitinib.https://www.mdpi.com/2077-0383/11/2/369renal cell carcinomasunitinibresistancetreatment scheduling
spellingShingle Harrison Sicheng Lin
Qiang Ding
Zsuzsanna Lichner
Sung Sun Kim
Rola Saleeb
Mina Farag
Ashley Di Meo
Pamela Plant
Mirit Kaldas
Georg Arnold Bjarnason
George Makram Yousef
The Impact of Modifying Sunitinib Treatment Scheduling on Renal Cancer Tumor Biology and Resistance
Journal of Clinical Medicine
renal cell carcinoma
sunitinib
resistance
treatment scheduling
title The Impact of Modifying Sunitinib Treatment Scheduling on Renal Cancer Tumor Biology and Resistance
title_full The Impact of Modifying Sunitinib Treatment Scheduling on Renal Cancer Tumor Biology and Resistance
title_fullStr The Impact of Modifying Sunitinib Treatment Scheduling on Renal Cancer Tumor Biology and Resistance
title_full_unstemmed The Impact of Modifying Sunitinib Treatment Scheduling on Renal Cancer Tumor Biology and Resistance
title_short The Impact of Modifying Sunitinib Treatment Scheduling on Renal Cancer Tumor Biology and Resistance
title_sort impact of modifying sunitinib treatment scheduling on renal cancer tumor biology and resistance
topic renal cell carcinoma
sunitinib
resistance
treatment scheduling
url https://www.mdpi.com/2077-0383/11/2/369
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