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Comprehensive Molecular Characterization and Response to Therapy in Fumarate Hydratase-Deficient Renal Cell Carcinoma.

Jack Patrick GleesonInes NikolovskiRenzo DinataleMark ZuckerAndrea KnezevicSujata PatilYasser GedRitesh R KotechaNatalie ShapnikSamuel MurrayPaul RussoJonathan ColemanChung Han LeeZsofia K StadlerA Ari HakimiDarren R FeldmanRobert J MotzerEd ReznikMartin H VossYing-Bei ChenMaria Isabel Carlo
Published in: Clinical cancer research : an official journal of the American Association for Cancer Research (2021)
Although most FH-RCC tumors are due to germline FH alterations, a significant portion result from biallelic somatic FH loss. Both somatic and germline FH-RCC have similar molecular characteristics, with NF2 mutations, low tumor mutational burden, and high fraction of genome altered. Although immunotherapy alone produced no objective responses, combination mTOR/VEGF therapy showed encouraging results.
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