Evidence map›Paper›PMID 40696159›Full record

ReviewNature reviews. Nephrology2025

Immunological features of clear-cell renal-cell carcinoma and resistance to immune checkpoint inhibitors.

Femke H Burgers, Johannes C K van der Mijn, Tom T P Seijkens, Inge Jedema, Axel Bex, John B A G Haanen

Abstract readReview
PubMed Publisher
In one paragraph

Review in Nature reviews. Nephrology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed
–field-weighted citation impact
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

36 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
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  5. Review
  6. Article
  7. Balkan medical journal · 2026
    Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Review
  16. Epitranscriptomic silencing of the ZC3H13/mJournal of experimental & clinical cancer research : CR · 2026
    Article
  17. Article
  18. Lactate-Driven IL8+ Tumor-Associated Macrophages Mediate Immunosuppression and Resistance to Immunotherapy in Clear-Cell Renal Cell Carcinoma.Clinical cancer research : an official journal of the American Association for Cancer Research · 2026
    Article
  19. Article
  20. Article
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

6 authors.

Femke H BurgersDivision of Medical Oncology, Netherlands Cancer Institute (NKI), Amsterdam, the Netherlands.ORCID 0000-0002-7279-9216
Johannes C K van der MijnDivision of Medical Oncology, Netherlands Cancer Institute (NKI), Amsterdam, the Netherlands.
Tom T P SeijkensDivision of Medical Oncology, Netherlands Cancer Institute (NKI), Amsterdam, the Netherlands.
Inge JedemaDivision of Molecular Oncology and Immunology, Netherlands Cancer Institute (NKI), Amsterdam, the Netherlands.
Axel BexDepartment of Urology, Netherlands Cancer Institute (NKI), Amsterdam, the Netherlands.
John B A G HaanenDivision of Medical Oncology, Netherlands Cancer Institute (NKI), Amsterdam, the Netherlands. j.haanen@nki.nl.ORCID 0000-0001-5884-7704

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The advent of immunotherapy has yielded great improvements in survival outcomes of people with clear-cell renal-cell carcinoma (ccRCC). Currently, immune checkpoint inhibitors (ICIs) are the cornerstone of treatment regimens for metastatic ccRCC. Yet a substantial group of patients do not respond to ICIs and few achieve long-term remission, indicating the presence of intrinsic and acquired resistance. The mechanisms underlying ICI resistance in ccRCC remain poorly understood, potentially owing to its unique immunological landscape compared with other immunotherapy-responsive cancers. Specifically, ccRCC is characterized by one of the highest levels of T cell infiltration across different tumours; however, high T cell infiltration does not correlate consistently with improved ICI outcomes. Moreover, the tumour mutational burden in ccRCC is relatively low, compared with that of other immunotherapy-responsive cancers, and fails to predict ICI efficacy. The limited predictive value of these commonly used markers for ICI response underscores the need for deeper exploration of the immunological mechanisms driving the antitumour immune response in ccRCC. Investigating commonalities and disparities with other immunotherapy-responsive cancer types might improve understanding of ICI resistance in ccRCC and inform the development of strategies to enhance the clinical benefits of immunotherapy.

Indexed as

Carcinoma, Renal CellDrug Resistance, NeoplasmImmune Checkpoint InhibitorsKidney NeoplasmsHumansImmunotherapyImmune Checkpoint Inhibitors

Identifiers

What Socratic holds

Textmetadata
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 Socratic graph.