VHL tumor suppressor regulates Cl-/HCO3- exchange and Na+/H+ exchange activities in renal carcinoma cells

S A Karumanchi1, L Jiang, B Knebelmann

  • 1Renal Division, Beth Israel Deaconess Medical Center, Departments of Medicine and Cell Biology, Harvard Medical School, Boston, Massachusetts 02215, USA.

Insights

Mutations in the von Hippel-Lindau (VHL) gene impact clear-cell renal carcinoma (RCC) by altering ion exchangers. VHL cells show increased AE2 and NHE3 mRNA but reduced ion exchange activity, suggesting a complex role in RCC pathogenesis.

Area of Science:

  • Molecular Biology
  • Oncology
  • Cell Physiology

Background:

  • Mutations in the von Hippel-Lindau (VHL) tumor suppressor gene are implicated in clear-cell renal carcinoma (RCC) pathogenesis.
  • The VHL gene product (pVHL) is crucial for cellular homeostasis and tumor suppression.
  • Identifying VHL target genes is key to understanding RCC development.

Purpose of the Study:

  • To investigate the role of the AE2 anion exchanger and Na+/H+ exchanger (NHE) in VHL-deficient renal carcinoma cells.
  • To determine if AE2 and NHE are direct or indirect targets of VHL.

Main Methods:

  • Differential display-PCR to identify VHL target genes.
  • Quantitative analysis of AE2 and NHE mRNA and polypeptide levels.
  • Measurement of Cl-/HCO3- and Na+/H+ exchange activities.
  • Intracellular pH (pHi) measurements following acid loading.

Main Results:

  • AE2 mRNA and protein levels were significantly elevated in VHL-mutated cells (786-O VHL) compared to control cells (786-O Neo).
  • Despite increased AE2 expression, Cl-/HCO3- exchange activity was reduced by 50% in VHL cells.
  • Na+/H+ exchange activity was also impaired in VHL cells, though hypertonicity-stimulated NHE was unaffected.
  • NHE3 mRNA levels were upregulated in VHL cells, while NHE1 mRNA levels remained unchanged.

Conclusions:

  • AE2 and NHE3 are identified as novel VHL target genes, with their expression upregulated in VHL-deficient renal carcinoma cells.
  • The functional downregulation of AE2 and NHE activities in VHL cells suggests a complex regulatory mechanism.
  • Further research is needed to elucidate the precise mechanisms underlying the altered ion exchange activities in VHL-associated RCC.

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