Target intelligence / Profile preview

Renal cell carcinoma cells (RCC)

Target
RCC
Molecular classification
Malignant cell type, Epithelial cancer cell
01

Overview

Renal cell carcinoma (RCC) cells are malignant epithelial cells originating from the renal tubules, representing the most common form of kidney cancer. These cells are characterized by distinct genetic alterations, most notably the loss of the von Hippel-Lindau (VHL) tumor suppressor gene in the clear cell subtype, which leads to the stabilization of hypoxia-inducible factors (HIF) and subsequent overproduction of vascular endothelial growth factor (VEGF) (Hsieh et al., 2017). This metabolic and signaling reprogramming drives intense angiogenesis and tumor growth within the renal parenchyma. In the context of pharmacology, RCC cells are not a single molecular target but rather a complex cellular environment containing multiple therapeutic targets such as VEGFR, mTOR, and PD-L1 (Choueiri & Motzer, 2017). Modern treatments focus on inhibiting these specific pathways to starve the tumor of its blood supply or to restore the host's immune response against the malignant cells. Understanding the heterogeneity of these cells is essential for the development of targeted therapies and the identification of predictive biomarkers for patient management (Linehan & Ricketts, 2019).

Other names
RCC cellsHypernephroma cellsRenal adenocarcinoma cellsGrawitz tumor cellsKidney cancer cells
02

Mechanism of action

Therapeutic agents do not target the RCC cell as a single entity; instead, they target specific molecular pathways within or on the surface of these cells. Tyrosine kinase inhibitors (TKIs) block VEGFR and PDGFR to inhibit angiogenesis; mTOR inhibitors disrupt cell growth and protein synthesis; and immune checkpoint inhibitors (anti-PD-1/PD-L1) prevent the cancer cells from deactivating cytotoxic T-cells (Choueiri & Motzer, 2017; National Cancer Institute, 2024).

03

Biological functions

Malignant transformationUncontrolled cell proliferationEvasion of apoptosisInduction of angiogenesis (via VEGF secretion)Metabolic reprogramming (Warburg effect)Immune system evasion
04

Disease associations

Clear cell renal cell carcinomaPapillary renal cell carcinomaChromophobe renal cell carcinomaMetastatic kidney cancer
05

Safety considerations

Hypertension (associated with VEGF inhibition)Hand-foot syndromeImmune-related adverse events (irAEs) such as colitis or pneumonitisNephrotoxicityHepatotoxicityFatigue and gastrointestinal distress
06

Interacting drugs

Sunitinib

9 more in the full profile.

07

Biomarkers

VHL (von Hippel-Lindau) gene mutation status (Hsieh et al., 2017)HIF-1α and HIF-2α expression levels (Linehan & Ricketts, 2019)PD-L1 (Programmed death-ligand 1) expression (Choueiri & Motzer, 2017)CAIX (Carbonic anhydrase IX) expression (National Cancer Institute, 2024)PBRM1 mutation status (Hsieh et al., 2017)

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