Evidence map›Paper›PMID 34885091›Full record

ReviewCancers2021

Molecular Mechanisms of Resistance to Immunotherapy and Antiangiogenic Treatments in Clear Cell Renal Cell Carcinoma.

Pablo Álvarez Ballesteros, Jesús Chamorro, María San Román-Gil, Javier Pozas, Victoria Gómez Dos Santos, Álvaro Ruiz Granados, Enrique Grande, Teresa Alonso-Gordoa, Javier Molina-Cerrillo

Open access · goldAbstract readReview
In one paragraph

Review in Cancers, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed
8.4field-weighted citation impact, top 2% 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

42 citing papers in PubMed, 68 citations in OpenAlex.

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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

9 authors at 2 institutions in 1 country.

Pablo Álvarez BallesterosMedical Oncology Department, Ramón y Cajal University Hospital, 28034 Madrid, Spain.
Jesús ChamorroMedical Oncology Department, Ramón y Cajal University Hospital, 28034 Madrid, Spain.
María San Román-GilMedical Oncology Department, Ramón y Cajal University Hospital, 28034 Madrid, Spain.ORCID 0000-0002-8810-6525
Javier PozasMedical Oncology Department, Ramón y Cajal University Hospital, 28034 Madrid, Spain.
Victoria Gómez Dos SantosUrology Department, Ramón y Cajal University Hospital, Alcala University, 28034 Madrid, Spain.
Álvaro Ruiz GranadosMedical Oncology Department, Ramón y Cajal University Hospital, 28034 Madrid, Spain.
Enrique GrandeMD Anderson Cancer Center, 28033 Madrid, Spain.ORCID 0000-0002-0134-4732
Teresa Alonso-GordoaMedical Oncology Department, Ramón y Cajal University Hospital, Medical School, Alcala University, 28034 Madrid, Spain.ORCID 0000-0002-8966-7236
Javier Molina-CerrilloMedical Oncology Department, Ramón y Cajal University Hospital, Medical School, Alcala University, 28034 Madrid, Spain.ORCID 0000-0003-4616-0598
Instituto Cajal · ESMD Anderson Cancer Center Madrid · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Clear cell renal cell carcinoma (ccRCC) is the most common histological subtype arising from renal cell carcinomas. This tumor is characterized by a predominant angiogenic and immunogenic microenvironment that interplay with stromal, immune cells, and tumoral cells. Despite the obscure prognosis traditionally related to this entity, strategies including angiogenesis inhibition with tyrosine kinase inhibitors (TKIs), as well as the enhancement of the immune system with the inhibition of immune checkpoint proteins, such as PD-1/PDL-1 and CTLA-4, have revolutionized the treatment landscape. This approach has achieved a substantial improvement in life expectancy and quality of life from patients with advanced ccRCC. Unfortunately, not all patients benefit from this success as most patients will finally progress to these therapies and, even worse, approximately 5 to 30% of patients will primarily progress. In the last few years, preclinical and clinical research have been conducted to decode the biological basis underlying the resistance mechanisms regarding angiogenic and immune-based therapy. In this review, we summarize the insights of these molecular alterations to understand the resistance pathways related to the treatment with TKI and immune checkpoint inhibitors (ICIs). Moreover, we include additional information on novel approaches that are currently under research to overcome these resistance alterations in preclinical studies and early phase clinical trials.

Indexed as

angiogenesisimmunotherapyrenal cell cancertreatment resistancetumor microenvironment

Identifiers

PMID34885091
PMCPMC8656474
OpenAlexW3216427242

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.