Evidence map›Paper›PMID 27844272›Full record

ReviewTargeted oncology2017

Resistance to Targeted Therapies in Renal Cancer: The Importance of Changing the Mechanism of Action.

I Duran, J Lambea, P Maroto, J L González-Larriba, Luis Flores, S Granados-Principal, M Graupera, B Sáez, A Vivancos, O Casanovas

Open access · greenAbstract readReview
PubMed Publisher
In one paragraph

Review in Targeted oncology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 60 papers.

0numbers the graph read from it
0cells of the map it votes in
60citing papers in PubMed
10.8field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

60 citing papers in PubMed, 102 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. Late failure of Everolimus in a patient with tuberous sclerosis complex after 10 years of effective response: an illustrative case.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2025
    Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Review
  10. Article
  11. Review
  12. Review
  13. Exosomes in the Diagnosis and Treatment of Renal Cell Cancer.International journal of molecular sciences · 2023
    Review
  14. Article
  15. Endoplasmic Reticulum Stress in Renal Cell Carcinoma.International journal of molecular sciences · 2023
    Review
  16. Intracellular chloride channel 1 and tumor.American journal of cancer research · 2023
    Review
  17. Article
  18. Article
  19. Article
  20. NMolecular cancer · 2022
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 9 institutions in 1 country.

I DuranSección de Oncología Médica, Hospital Universitario Virgen del Rocío, Sevilla, Spain.
J LambeaServicio de Oncología Médica, Hospital Clínico Universitario Lozano Blesa, Zaragoza, Spain.
P MarotoServicio de Oncología Médica, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain.
J L González-LarribaServicio de Oncología Médica, Hospital Clínico San Carlos, Madrid, Spain.
Luis FloresNovartis Oncology, Barcelona, Spain.
S Granados-PrincipalServicio de Oncología Médica, Complejo Hospitalario de Jaén, Jaén, Spain.
M GrauperaInstitut d'Investigació Biomèdica de Bellvitge-IDIBELL, Barcelona, Spain.
B SáezDepartmento de Bioquímica, Biología Molecular y Celular, Instituto Universitario de Investigación en Nanociencia de Aragón, Universidad de Zaragoza, Zaragoza, Spain.
A VivancosDepartamento de Bioquímica y Biología Molecular, Universidad Pompeu Fabra, Barcelona, Spain.
O CasanovasProCURE Research Program, Institut Català d'Oncologia-IDIBELL, L'Hospitalet de Llobregat, Avinguda Gran Via, 199-203, 08907, Barcelona, Spain. ocasanovas@iconcologia.net.
Institut d'Investigació Biomédica de Bellvitge · ESComplejo Hospitalario de Jaén · ESHospital Clínico San Carlos · ESHospital Clínico Universitario Lozano Blesa · ESHospital de Sant Pau · ESHospital Universitario Virgen del Rocío · ESNovartis (Spain) · ESPompeu Fabra University · ESUniversidad de Zaragoza · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Renal cell carcinoma (RCC) is a complex disease characterized by mutations in several genes. Loss of function of the von Hippel-Lindau (VHL) tumour suppressor gene is a very common finding in RCC and leads to up-regulation of hypoxia-inducible factor (HIF)-responsive genes accountable for angiogenesis and cell growth, such as platelet-derived growth factor (PDGF) and vascular endothelial growth factor (VEGF). Binding of these proteins to their cognate tyrosine kinase receptors on endothelial cells promotes angiogenesis. Promotion of angiogenesis is in part due to the activation of the phosphatidylinositol-3-kinase (PI3K)/AKT/mechanistic target of rapamycin (mTOR) pathway. Inhibition of this pathway decreases protein translation and inhibits both angiogenesis and tumour cell proliferation. Although tyrosine kinase inhibitors (TKIs) stand as the main first-line treatment option for advanced RCC, eventually all patients will become resistant to TKIs. Resistance can be overcome by using second-line treatments with different mechanisms of action, such as inhibitors of mTOR, c-MET, programmed death 1 (PD-1) receptor, or the combination of an mTOR inhibitor (mTORi) with a TKI. In this article, we briefly review current evidence regarding mechanisms of resistance in RCC and treatment strategies to overcome resistance with a special focus on the PI3K/AKT/mTOR pathway.

Indexed as

Drug Resistance, NeoplasmHumansKidney Neoplasms

Identifiers

PMID27844272
OpenAlexW2554620156

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.