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Biomarker CD10 Full name Common Acute Lymphoblastic Leukemia Antigen Molecular Type Protein(Cytosolic glycoproteins)
Molecular Formula / Molecular Weight / Core Functional Dimensions Diagnosis (Classification)
Disease(or Constitution) Renal Cell Carcinoma(RCC) Disease Subtypes ccRCC
Organ Kidney Test Sample / Technology Platform Organization (Immunohistochemistry)
Pathobiological Mechanisms Marking tumors of proximal renal tubule origin, diffuse membranous expression in ccRCC
Clinical Availability Status Clinical availability / Routine pathology: Subtype identification index
Notes and Dynamics Papillary RCC shows focal luminal staining, while chromophobic cell RCC is negative.
Biomarker Vimentin Full name Vimentin Molecular Type Protein (intermediate filament protein)
Molecular Formula / Molecular Weight / Core Functional Dimensions Diagnosis (Classification)
Disease(or Constitution) Renal Cell Carcinoma(RCC) Disease Subtypes ccRCC
Organ Kidney Test Sample / Technology Platform Organization (Immunohistochemistry)
Pathobiological Mechanisms Mesenchymal markers, specific expression of ccRCC and papillary RCC
Clinical Availability Status Clinical availability / Routine pathology: Subtype identification index
Notes and Dynamics Negative for ccRCC and eosinophilic cell tumor, used for differential diagnosis
Biomarker PAX8 Full name Paired Box 8 Molecular Type Protein(Transcription factor)
Molecular Formula / Molecular Weight / Core Functional Dimensions Diagnosis (subtyping / metastasis tracing)
Disease(or Constitution) Renal Cell Carcinoma(RCC) Disease Subtypes ccRCC
Organ Kidney Test Sample / Technology Platform Organization (Immunohistochemistry)
Pathobiological Mechanisms Renal tissue-specific transcription factor, marker of renal tumors
Clinical Availability Status Clinically available / Routine pathology: Core markers for tracing metastatic foci
Notes and Dynamics The sensitivity is higher than that of PAX2, and high-grade tumors may be negative; angiosmooth muscle lipoma may be negative.
Biomarker VHL gene Full name von Hippel-Lindau gene Molecular Type Nucleic acid(DNA)
Molecular Formula / Molecular Weight / Core Functional Dimensions Diagnosis, classification, susceptibility
Disease(or Constitution) Renal Cell Carcinoma(RCC) Disease Subtypes ccRCC
Organ Kidney Test Sample / Technology Platform Tissue / Whole Blood (Genomic Sequencing)
Pathobiological Mechanisms ccRCC core driver gene, mutations leading to 3p deletion and VHL protein inactivation
Clinical Availability Status clinically available / essential for classification: auxiliary indicators for pathological classification
Notes and Dynamics Patients with VHL syndrome present with bilateral multiple ccRCC; associated with 3p deletion
Biomarker CA-IX Full name Carbonic Anhydrase IX Molecular Type Protein(transmembrane protein)
Molecular Formula / Molecular Weight / Core Functional Dimensions Diagnosis, classification, and targeted therapy targets
Disease(or Constitution) Renal Cell Carcinoma(RCC) Disease Subtypes ccRCC
Organ Kidney Test Sample / Technology Platform Tissue (immunohistochemistry), Serum (ELISA), Imaging (PET/CT)
Pathobiological Mechanisms Downstream molecules of the VHL mutation pathway, which are highly expressed in ccRCC and lowly expressed in normal renal tissue
Clinical Availability Status Clinical validation / Multi-scenario application: Immunohistochemistry for typing; 124I-cG250 PET/CT for diagnosis
Notes and Dynamics 18F-VM4-037 PET/CT improves detection of metastatic ccRCC; cccRCC shows characteristic "cup-shaped" staining
Biomarker CSF1、ICAM1、IL-18BP、KIM1、TNFRII Full name Colony Stimulating Factor 1 / Intercellular Adhesion Molecule 1 / Interleukin-18 Binding Protein / Kidney Injury Molecule 1 / Tumor Necrosis Factor Receptor II composite biomarker score Molecular Type Protein combination
Molecular Formula / Molecular Weight / Core Functional Dimensions Predicting treatment response
Disease(or Constitution) Renal Cell Carcinoma(RCC) Disease Subtypes /
Organ Kidney Test Sample / Technology Platform Serum(Multivariate detection platform)
Pathobiological Mechanisms Covering multiple pathways including inflammation and angiogenesis, it comprehensively reflects the biological characteristics of tumors.
Clinical Availability Status Study test: Validation in the RECORD-3 trial
Notes and Dynamics Specific prediction of therapeutic benefit with everolimus, significantly longer PFS in patients with high CBS
Biomarker ctDNA Full name Circulating tumor DNA Molecular Type Nucleic acid(DNA)
Molecular Formula / Molecular Weight / Core Functional Dimensions Diagnosis, monitoring, and prediction of treatment response
Disease(or Constitution) Renal Cell Carcinoma(RCC) Disease Subtypes /
Organ Kidney Test Sample / Technology Platform Peripheral blood (targeted sequencing)
Pathobiological Mechanisms Genomic fragments released into the bloodstream by tumor cells reflect the genomic characteristics of the tumor.
Clinical Availability Status Study test / Frontier exploration: Dynamic monitoring of tumor burden and treatment resistance
Notes and Dynamics Detection of gene mutations such as VHL and BAP1, with post-treatment decline indicating efficacy
Biomarker CRP Full name C reactive protein Molecular Type Protein(Inflammatory markers)
Molecular Formula / Molecular Weight / Core Functional Dimensions Prognosis
Disease(or Constitution) Renal Cell Carcinoma(RCC) Disease Subtypes /
Organ Kidney Test Sample / Technology Platform Serum(Biochemical testing)
Pathobiological Mechanisms Systemic inflammatory markers associated with tumor progression
Clinical Availability Status Clinically available / Research support: Applicable to both localized and metastatic RCC
Notes and Dynamics Independent survival of OS, CSS, and metastasis-free survival
Biomarker NLR Full name Neutrophil-to-Lymphocyte Ratio Molecular Type Inflammatory markers (cell ratios)
Molecular Formula / Molecular Weight / Core Functional Dimensions Prognosis
Disease(or Constitution) Renal Cell Carcinoma(RCC) Disease Subtypes /
Organ Kidney Test Sample / Technology Platform Whole blood (complete blood count)
Pathobiological Mechanisms Reflects systemic inflammatory status, with anti-tumor immune suppression mediated by inflammation
Clinical Availability Status Clinically available / Research support: Multiple meta-analyses have confirmed its prognostic value
Notes and Dynamics NLR>4.0 suggests limited benefit of cytoreductive nephrectomy
Biomarker TIMP-1 Full name Tissue inhibitor of metalloproteinase 1 Molecular Type Protein
Molecular Formula / Molecular Weight / Core Functional Dimensions Prognosis
Disease(or Constitution) Renal Cell Carcinoma(RCC) Disease Subtypes /
Organ Kidney Test Sample / Technology Platform Serum(ELISA)
Pathobiological Mechanisms Inhibition of matrix metalloproteinases and regulation of tumor invasion and metastasis
Clinical Availability Status Study test: independent prognostic factor
Notes and Dynamics Combining MSKCC score with ECOG physical status can optimize the prognostic model
Biomarker Osteopontin Full name Osteopontin Molecular Type Protein(Cytokines / Angiogenic factors)
Molecular Formula / Molecular Weight / Core Functional Dimensions Prognosis, Prediction of treatment response
Disease(or Constitution) Renal Cell Carcinoma(RCC) Disease Subtypes /
Organ Kidney Test Sample / Technology Platform Serum(ELISA)
Pathobiological Mechanisms Participate in tumor invasion, angiogenesis and regulation of tumor microenvironment
Clinical Availability Status Study test: Prognostic biomarkers for sorafenib combined with interferon therapy
Notes and Dynamics Patients with low baseline levels had shorter progression-free survival (PFS) with sorafenib monotherapy and required combination therapy
Biomarker IL-8 Full name Interleukin-8 Molecular Type Protein(Cytokine)
Molecular Formula / Molecular Weight / Core Functional Dimensions Prognosis
Disease(or Constitution) Renal Cell Carcinoma(RCC) Disease Subtypes /
Organ Kidney Test Sample / Technology Platform Serum(ELISA)
Pathobiological Mechanisms Participates in the construction of tumor inflammatory microenvironment, promoting angiogenesis and invasion
Clinical Availability Status Study test: Multiple studies confirm its association with PFS
Notes and Dynamics Combination with IL-6 and bone bridging protein can improve the accuracy of prognosis assessment
Biomarker IL-6 Full name Interleukin-6 Molecular Type Protein(Cytokine)
Molecular Formula / Molecular Weight / Core Functional Dimensions Prognosis、Prediction of treatment response
Disease(or Constitution) Renal Cell Carcinoma(RCC) Disease Subtypes /
Organ Kidney Test Sample / Technology Platform Serum(ELISA)
Pathobiological Mechanisms RCC cells secrete under hypoxic conditions to promote tumor progression and inflammatory response
Clinical Availability Status Study test/clinical exploration: Prognostic potential of pazopanib demonstrated in prospective study
Notes and Dynamics Patients with elevated IL-6 levels benefit more significantly from pazopanib treatment; this has greater prognostic value than clinical staging
Biomarker LDH Full name Lactate dehydrogenase Molecular Type Protein (Enzymes)
Molecular Formula / Molecular Weight / Core Functional Dimensions Prognosis、Prediction of treatment response
Disease(or Constitution) Renal Cell Carcinoma(RCC) Disease Subtypes /
Organ Kidney Test Sample / Technology Platform Serum(Biochemical testing)
Pathobiological Mechanisms Participates in anaerobic glycolysis, regulated by the PI3-K/AKT/mTOR pathway, with high expression reflecting tumor burden
Clinical Availability Status Clinically available / Guideline included: core measures of the MSKCC risk score
Notes and Dynamics High LDH indicates poor prognosis and predicts therapeutic benefit with tesilomide
Biomarker VEGF Full name Vascular endothelial growth factor Molecular Type Protein(Cytokines / Angiogenic factors)
Molecular Formula / Molecular Weight / Core Functional Dimensions Prognosis、Prediction of treatment response
Disease(or Constitution) Renal Cell Carcinoma(RCC) Disease Subtypes /
Organ Kidney Test Sample / Technology Platform Serum(ELISA)
Pathobiological Mechanisms Regulating RCC angiogenesis is the core target of VEGF-targeted therapy
Clinical Availability Status Clinical validation/Routine application: Included in multiple clinical trial prognostic assessments; partially utilized for monitoring the efficacy of targeted therapy
Notes and Dynamics Patients with high baseline VEGF levels may benefit more from sorafenib therapy; associated with tumor invasion and metastasis
Biomarker NID2 gene promoter methylation Full name Nidogen 2 gene promoter methylation Molecular Type Nucleic acid (DNA methylation)
Molecular Formula / Molecular Weight / Core Functional Dimensions Early diagnosis (combinatorial detection)
Disease(or Constitution) Bladder Cancer (BC) Disease Subtypes /
Organ Bladder Test Sample / Technology Platform Urine (qMSP, digital PCR)
Pathobiological Mechanisms Promoter methylation occurs early; combined with ECRG4 & ITIH5 improves sensitivity & specificity
Clinical Availability Status Research verification stage
Notes and Dynamics Stand-alone sensitivity limited; included in methylation panels to boost combinatorial efficacy

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This study was supported by the Scientific Research Innovation Capability Support Project for Young Faculty (SRICSPYF-ZY2025112), the Fundamental and Interdisciplinary Disciplines Breakthrough Plan of the Ministry of Education of China (JYB2025XDXM612)

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