Immune Landscape of Renal Cell Carcinoma

A special issue of Cancers (ISSN 2072-6694). This special issue belongs to the section "Cancer Immunology and Immunotherapy".

Deadline for manuscript submissions: 30 November 2025 | Viewed by 2004

Special Issue Editors


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Guest Editor
University of Washington and Fred Hutchinson Cancer Research Center, Seattle, WA 98109, USA
Interests: kidney cancer; clinical trials; immunotherapy
Special Issues, Collections and Topics in MDPI journals

E-Mail Website
Guest Editor
University of Washington and Fred Hutchinson Cancer Research Center, Seattle, WA 98109, USA
Interests: renal cell carcinoma; T cell immunity; tumor-associated T cell receptor repertoires; bioinformatic approaches to characterizing T cell receptor specificity

Special Issue Information

Dear Colleagues,

This Special Issue, entitled “Immune Landscape of Renal Cell Carcinoma”, recognizes the unique history of renal cell carcinoma (RCC) as a solid tumor responsive to immune-based treatments. Immune checkpoint inhibitors (ICIs) are now firmly established as part of front-line treatment regimens for advanced disease and associated with improved response rates, durability of disease control, and overall survival. Yet, despite these important gains, clinical outcomes remain heterogenous. Primary or acquired treatment resistance is observed in most patients, with the predominant result being that metastatic disease remains largely incurable.

The aim of this Special Issue is to broadly address both the advantages and disadvantages of ICIs and other immune-based therapies for advanced RCC, exploring clinical outcomes derived from the use of standard-of-care and novel emerging immunotherapy agents and combinations; translational studies including biomarker discovery, tumor antigen identification, and the investigation of mechanisms for tumor resistance and escape; and the preclinical modeling of RCC-directed immunotherapy.

For this Special Issue, we welcome the submission of review papers and original research articles.

We look forward to receiving your contributions.

Dr. Scott S. Tykodi
Dr. Yuexin Xu
Guest Editors

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Keywords

  • renal cell carcinoma
  • solid tumor
  • immunotherapy
  • immune checkpoint inhibitor
  • T cell
  • tumor microenvironment
  • biomarkers
  • tumor antigen
  • immune surveillance

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Published Papers (2 papers)

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Review

36 pages, 1669 KiB  
Review
Immune-Based and Novel Therapies in Variant Histology Renal Cell Carcinomas
by Justin W. Miller, Jeffrey S. Johnson, Christopher Guske, Gowtam Mannam, Firas Hatoum, Michelle Nassar, Marine Potez, Adnan Fazili, Philippe E. Spiess and Jad Chahoud
Cancers 2025, 17(2), 326; https://doi.org/10.3390/cancers17020326 - 20 Jan 2025
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Abstract
Renal cell carcinoma (RCC) is a heterogeneous disease that represents the most common type of kidney cancer. The classification of RCC is primarily based on distinct morphological and molecular characteristics, with two broad categories: clear cell RCC (ccRCC) and non-clear cell RCC (nccRCC). [...] Read more.
Renal cell carcinoma (RCC) is a heterogeneous disease that represents the most common type of kidney cancer. The classification of RCC is primarily based on distinct morphological and molecular characteristics, with two broad categories: clear cell RCC (ccRCC) and non-clear cell RCC (nccRCC). Clear cell RCC is the predominant subtype, representing about 70–80% of all RCC cases, while non-clear cell subtypes collectively make up the remaining 20–30%. Non-clear cell RCC encompasses many histopathological variants, each with unique biological and clinical characteristics. Additionally, any RCC subtype can undergo sarcomatoid dedifferentiation, which is associated with poor prognosis and rapid disease progression. Recent advances in molecular profiling have also led to the identification of molecularly defined variants, further highlighting the complexity of this disease. While immunotherapy has shown efficacy in some RCC variants and subpopulations, significant gaps remain in the treatment of rare subtypes. This review explores the outcomes of immunotherapy across RCC subtypes, including rare variants, and highlights opportunities for improving care through novel therapies, biomarker-driven approaches, and inclusive clinical trial designs. Full article
(This article belongs to the Special Issue Immune Landscape of Renal Cell Carcinoma)
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14 pages, 498 KiB  
Review
A Review of Neoadjuvant Therapy for Localized and Locally Advanced Renal Cell Carcinoma
by Qian Qin, Isamu Tachibana, Vitaly Margulis, Jeffrey A. Cadeddu and Tian Zhang
Cancers 2025, 17(2), 312; https://doi.org/10.3390/cancers17020312 - 19 Jan 2025
Viewed by 632
Abstract
The introduction of vascular endothelial growth factor receptor-tyrosine kinases (VEGFR-TKIs) and immune checkpoint inhibitors (IOs) have drastically altered the treatment landscape for kidney cancer, with doublet combination immunotherapy (IO/IO or IO/VEGFR-TKI) now set as the standard front-line treatment for advanced renal cell carcinoma [...] Read more.
The introduction of vascular endothelial growth factor receptor-tyrosine kinases (VEGFR-TKIs) and immune checkpoint inhibitors (IOs) have drastically altered the treatment landscape for kidney cancer, with doublet combination immunotherapy (IO/IO or IO/VEGFR-TKI) now set as the standard front-line treatment for advanced renal cell carcinoma (RCC). However, the roles of VEGFR-TKIs and IOs in the neoadjuvant setting for locoregional/locally advanced RCC remain undefined, where the goals may be primary tumor downsizing/downstaging and potentially eradicating micrometastatic disease. This review will examine VEGFR-TKI monotherapy, IO monotherapy, and VEGFR-TKI/IO combination regimens in a preoperative setting with a focus on the efficacy, toxicity, surgical, and long-term implications. Full article
(This article belongs to the Special Issue Immune Landscape of Renal Cell Carcinoma)
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