“…On the one hand, a recent investigation [223] did not address variability between matched primary tumors and metastasis or changes in the genomic of RCC. On the other hand, in a few publications [224,225,226,227,228], reporting on metastatic RCC as one group, it could be proved that the microRNA profile in metastatic RCC differs from non metastatic RCC [225,229], as well as the epithelial-mesenchymal transition associated microRNA/mRNA signature [230] (The number of differently expressed miRNA in metastatic RCC was determined to be 12 [229], 14 [224], 15 [230], 20 [227], and 21 [225], respectively; 11 of these miRNAs were mentioned just in one report: miRNA 10a–p5, 21, 30c–5p, 30e, 31, 130b, 149, 199–5p, 200b, 429, 455; and 10 in two or more reports: miRNA 10b–5p, 30a–3p, 30a–5p, 139–5p, 144, 200a, 200c, 204, 223–3p, 451). In addition, the microRNA expression in distant RCC metastasis differed according to the site of metastasis in lung, bone, and brain [224].…”