Hypoxia inducible factor activates the transforming growth factor-alpha/epidermal growth factor receptor growth

Lakshman Gunaratnam1, Melissa Morley, Aleksandra Franovic

  • 1Department of Cellular and Molecular Medicine and Kidney Research Center, Faculty of Medicine, University of Ottawa, Ontario, Canada.

Insights

Loss of the VHL gene in kidney cancer leads to overproduction of TGF-alpha via HIF, driving cell growth through the EGF-R pathway. This highlights HIF

Area of Science:

  • Oncology
  • Molecular Biology
  • Genetics

Background:

  • Bi-allelic mutations in the VHL tumor suppressor gene are prevalent in clear cell renal cell carcinoma (RCC).
  • VHL-deficient RCC cells exhibit constitutive activation of hypoxia-inducible factor (HIF) due to oxygen-independent pathways.
  • The precise role of HIF in VHL-deficient RCC oncogenesis and uncontrolled proliferation is not fully understood.

Purpose of the Study:

  • To investigate the role of HIF in the unregulated growth of VHL-deficient clear cell renal cell carcinoma (RCC) cells.
  • To determine the specific pathways and molecular mechanisms by which HIF contributes to RCC cell proliferation.
  • To elucidate the relationship between VHL status, HIF activity, and growth factor signaling in RCC.

Main Methods:

  • Utilized dominant-negative HIF and EGF-R inhibitors to assess pathway involvement.
  • Analyzed the expression profile of EGF-R ligands, specifically TGF-alpha, in relation to VHL and HIF status.
  • Restored VHL function in VHL-deficient RCC cells to observe effects on TGF-alpha production and proliferation.

Main Results:

  • HIF plays a critical role in promoting VHL(-/-) RCC cell growth by activating the transforming growth factor-alpha (TGF-alpha)/epidermal growth factor receptor (EGF-R) pathway.
  • Inhibition of HIF or EGF-R effectively blocked EGF-R activation and serum-independent growth of VHL(-/-) RCC cells.
  • TGF-alpha was identified as a key HIF target responsible for driving proliferation, unlike other HIF targets such as VEGF.
  • Restoration of VHL function normalized TGF-alpha production and inhibited proliferation in serum-free media.

Conclusions:

  • Constitutive HIF activation in VHL(-/-) RCC cells drives oncogenesis through the TGF-alpha/EGF-R pathway.
  • TGF-alpha acts as a crucial mitogen in VHL-deficient RCC, mediating HIF-driven proliferation.
  • These findings suggest a broader role for HIF in cancer development than previously recognized, implicating it as a significant driver of renal cell carcinoma growth.

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