Skip to main content

Genetic Heterogeneity of Kidney Cancer

  • Chapter
Kidney Cancer

Abstract

Clinicians have long suspected that significant heterogeneity may exist within individual tumors and their metastases. Patients with metastatic renal cell cancer (RCC) are known to develop mixed responses to therapy suggesting the presence of tumor subclones and clonal selection. Advances in laboratory techniques – including next generation sequencing – have provided new means of understanding RCC intra tumor heterogeneity and clomal evolution. This chapter briefly summarizes the state-of-the-art in RCC hetero geneity research and highlights potential clinical implicatiuons.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

eBook
USD 16.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 159.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Santoni M et al (2014) Heterogeneous drug target expression as possible basis for different clinical and radiological response to the treatment of primary and metastatic renal cell carcinoma: suggestions from bench to bedside. Cancer Metastasis Rev 33(1):321–331

    Article  CAS  PubMed  Google Scholar 

  2. Philip T et al (1989) Interleukin-2 with and without LAK cells in metastatic renal cell carcinoma: the Lyon first-year experience in 20 patients. Cancer Treat Rev 16(Suppl A):91–104

    Article  PubMed  Google Scholar 

  3. Klatte Tetal (2009) Cytogenetic profile products prognosis of patients with clear cell renal cell carcinoma. J Clin Oncol 27(5):746–753

    Google Scholar 

  4. Gisselsson D et al (2004) Telomere shortening and mitotic dysfunction generate cytogenetic heterogeneity in a subgroup of renal cell carcinomas. Br J Cancer 91(2):327–332

    CAS  PubMed Central  PubMed  Google Scholar 

  5. Ljungberg B et al (1996) Heterogeneity in renal cell carcinoma and its impact no prognosis–a flow cytometric study. Br J Cancer 74(1):123–127

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  6. Naito S et al (1991) Metastatic heterogeneity of human renal cell carcinoma. Urol Int 47(Suppl 1):90–95

    Article  PubMed  Google Scholar 

  7. Naito S et al (1988) Evidence for metastatic heterogeneity of human renal cell carcinoma. Anticancer Res 8(6):1163–1167

    CAS  PubMed  Google Scholar 

  8. Campbell PJ et al (2008) Subclonal phylogenetic structures in cancer revealed by ultra-deep sequencing. Proc Natl Acad Sci U S A 105(35):13081–13086

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  9. Russnes HG et al (2011) Insight into the heterogeneity of breast cancer through next-generation sequencing. J Clin Invest 121(10):3810–3818

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  10. Torres L et al (2007) Intratumor genomic heterogeneity in breast cancer with clonal divergence between primary carcinomas and lymph node metastases. Breast Cancer Res Treat 102(2):143–155

    Article  PubMed  Google Scholar 

  11. Yachida S et al (2010) Distant metastasis occurs late during the genetic evolution of pancreatic cancer. Nature 467(7319):1114–1117

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  12. Castellarin M et al (2013) Clonal evolution of high-grade serous ovarian carcinoma from primary to recurrent disease. J Pathol 229(4):515–524

    Article  CAS  PubMed  Google Scholar 

  13. Mullighan CG (2009) Genomic analysis of acute leukemia. Int J Lab Hematol 31(4):384–397

    Article  CAS  PubMed  Google Scholar 

  14. Mullighan CG et al (2008) Genomic analysis of the clonal origins of relapsed acute lymphoblastic leukemia. Science 322(5906):1377–1380

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  15. Walter MJ et al (2012) Clonal architecture of secondary acute myeloid leukemia. N Engl J Med 366(12):1090–1098

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  16. Gerlinger M et al (2014) Genomic architecture and evolution of clear cell renal cell carcinomas defined by multiregion sequencing. Nat Genet 46(3):225–233

    Article  CAS  PubMed  Google Scholar 

  17. Gerlinger M et al (2012) Intratumor heterogeneity and branched evolution revealed by multiregion sequencing. N Engl J Med 366(10):883–892

    Article  CAS  PubMed  Google Scholar 

  18. Martinez P et al (2013) Parallel evolution of tumour subclones mimics diversity between tumours. J Pathol 230(4):356–364

    Article  CAS  PubMed  Google Scholar 

  19. Xu X et al (2012) Single-cell exome sequencing reveals single-nucleotide mutation characteristics of a kidney tumor. Cell 148(5):886–895

    Article  CAS  PubMed  Google Scholar 

  20. Chowdhury SA et al (2014) Algorithms to model single gene, single chromosome, and whole genome copy number changes jointly in tumor phylogenetics. PLoS Comput Biol 10(7):e1003740

    Article  PubMed Central  PubMed  Google Scholar 

  21. Durinck S et al (2015) Spectrum of diverse genomic alterations define non-clear cell renal carcinoma subtypes. Nat Genet 47(1):13–21

    Article  CAS  PubMed  Google Scholar 

  22. Malouf GG et al (2013) Genomic heterogeneity of translocation renal cell carcinoma. Clin Cancer Res 19(17):4673–4684

    Article  CAS  PubMed  Google Scholar 

  23. Malouf GG et al (2014) Next-generation sequencing of translocation renal cell carcinoma reveals novel RNA splicing partners and frequent mutations of chromatin-remodeling genes. Clin Cancer Res 20(15):4129–4140

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  24. Jones TD et al (2005) Clonal divergence and genetic heterogeneity in clear cell renal cell carcinomas with sarcomatoid transformation. Cancer 104(6):1195–1203

    Article  CAS  PubMed  Google Scholar 

  25. Cancer Genome Atlas Research, N. (2013) Comprehensive molecular characterization of clear cell renal cell carcinoma. Nature 499(7456):43–49

    Article  Google Scholar 

  26. Murugaesu N, Chew SK, Swanton C (2013) Adapting clinical paradigms to the challenges of cancer clonal evolution. Am J Pathol 182(6):1962–1971

    Article  PubMed  Google Scholar 

  27. Tomaszewski JJ, Uzzo RG, Smaldone MC (2014) Heterogeneity and renal mass biopsy: a review of its role and reliability. Cancer Biol Med 11(3):162–172

    PubMed Central  PubMed  Google Scholar 

  28. Sankin A et al (2014) The impact of genetic heterogeneity on biomarker development in kidney cancer assessed by multiregional sampling. Cancer Med 3:1485–1492

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  29. Diehl F et al (2008) Circulating mutant DNA to assess tumor dynamics. Nat Med 14(9):985–990

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  30. Shaw JA et al (2012) Genomic analysis of circulating cell-free DNA infers breast cancer dormancy. Genome Res 22(2):220–231

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  31. Dawson SJ et al (2013) Analysis of circulating tumor DNA to monitor metastatic breast cancer. N Engl J Med 368(13):1199–1209

    Article  CAS  PubMed  Google Scholar 

  32. Fuso Nerini I et al (2014) Intratumor heterogeneity and its impact on drug distribution and sensitivity. Clin Pharmacol Ther 96(2):224–238

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to David Sun MD .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2015 Springer International Publishing

About this chapter

Cite this chapter

Sun, D., Jonasch, E., Lara, P.N. (2015). Genetic Heterogeneity of Kidney Cancer. In: Lara, P., Jonasch, E. (eds) Kidney Cancer. Springer, Cham. https://doi.org/10.1007/978-3-319-17903-2_5

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-17903-2_5

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-17902-5

  • Online ISBN: 978-3-319-17903-2

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics