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A Simple Bioassay for the Evaluation of Vascular Endothelial Growth Factors
Published on: March 15, 2016
von Hippel-Lindau syndrome: target for anti-vascular endothelial growth factor (VEGF) receptor therapy
1Imperial Cancer Research Fund, Medical Oncology Laboratories, University of Oxford, Institute of Molecular Medicine, John Radcliffe Hospital, Oxford, England. aharris.lab@icrf.icnet.uk
Abstract:
von Hippel-Lindau (VHL) syndrome is a familial cancer syndrome caused by germline mutations in the VHL tumor suppressor gene. Mutations in the VHL gene result in the constitutive stabilization of transcription factors hypoxia-inducible factors 1alpha and 2alpha, which bind to specific enhancer elements in the vascular endothelial growth factor (VEGF) gene and stimulate angiogenesis. This increase in angiogenesis under normoxic conditions in key target organs such as the brain, kidney, and eye leads to high morbidity and reduced life expectancy. Drugs designed to block the VEGF signaling pathway may prevent the long-term complications of the disease. To test this hypothesis, a clinical study was initiated to evaluate the effect of the VEGF tyrosine kinase receptor inhibitor SU5416 in patients with VHL syndrome. Preliminary data on SU5416 indicate that it is well tolerated when administered chronically in such patients. However, since little is known about the long-term use of such inhibitors, patients will need careful monitoring. Data obtained from monitoring these patients will provide valuable information for adjuvant treatment trials in cancer patients.
Insights
von Hippel-Lindau (VHL) syndrome patients may benefit from VEGF inhibitors like SU5416. This study shows the drug is well-tolerated, offering potential for managing VHL-related complications and informing future cancer treatments.
Area of Science:
- Oncology
- Genetics
- Molecular Biology
Background:
- von Hippel-Lindau (VHL) syndrome is an inherited cancer predisposition.
- Germline mutations in the VHL tumor suppressor gene drive disease pathogenesis.
- VHL mutations lead to hypoxia-inducible factor stabilization and increased vascular endothelial growth factor (VEGF) signaling, promoting angiogenesis.
Purpose of the Study:
- To evaluate the efficacy and safety of the VEGF tyrosine kinase receptor inhibitor SU5416 in patients with VHL syndrome.
- To investigate the potential of blocking the VEGF pathway to prevent VHL-related complications.
Main Methods:
- A clinical study involving patients diagnosed with VHL syndrome.
- Chronic administration of SU5416.
- Careful patient monitoring to assess tolerability and potential adverse effects.
Main Results:
- Preliminary data indicate that SU5416 is well-tolerated in VHL syndrome patients during chronic administration.
- The study provides initial insights into the long-term use of VEGF inhibitors in this population.
Conclusions:
- VEGF inhibition with SU5416 shows promise for managing VHL syndrome.
- Long-term monitoring is crucial for patients receiving VEGF inhibitors.
- Data from VHL patients may inform adjuvant treatment strategies for broader cancer patient populations.
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