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Comment
. 2014 Apr 1;20(7):1721-3.
doi: 10.1158/1078-0432.CCR-14-0056. Epub 2014 Mar 14.

Seeing the forest for the trees: kidney oncogenomes in relation to therapeutic outcomes

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Comment

Seeing the forest for the trees: kidney oncogenomes in relation to therapeutic outcomes

David D Chism et al. Clin Cancer Res. .

Abstract

Renal cell carcinoma is a heterogeneous disease, and tissue investigations provide clues that may predict treatment response. Oncogenomic analysis of five outliers, who achieved a sustained response with rapalogs, implicates alterations of the TSC1 and mTOR genes and reveals insights into the conserved evolution of tumors.

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Conflict of interest statement

Dislcosure of potential conflicts of Interest: Research support and collaboration, including support for sabbatical, from Novartis (spouse of WKR).

Figures

Figure 1
Figure 1. Concordance of mTOR pathway activating mutations confers rapalogue sensitivity
Patient 2 has an early “trunk” event in all regions (R1, R2 and R3 respectively) of the primary clear cell renal cell carcinoma (ccRCC) tumor and its metastases (M1); Patient 3 demonstrates a late “branch” mutation in two different regions (R1,R3 vs. R3,R4 respectively) of the primary ccRCC tumor.

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References

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