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Updated: Sep 20, 2026

Induction and Testing of Hypoxia in Cell Culture
Published on: August 12, 2011
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.
Abstract:
Bi-allelic-inactivating mutations of the VHL tumor suppressor gene are found in the majority of clear cell renal cell carcinomas (VHL(-/-) RCC). VHL(-/-) RCC cells overproduce hypoxia-inducible genes as a consequence of constitutive, oxygen-independent activation of hypoxia inducible factor (HIF). While HIF activation explains the highly vascularized nature of VHL loss lesions, the relative role of HIF in oncogenesis and loss of growth control remains unknown. Here, we report that HIF plays a central role in promoting unregulated growth of VHL(-/-) RCC cells by activating the transforming growth factor-alpha (TGF-alpha)/epidermal growth factor receptor (EGF-R) pathway. Dominant-negative HIF and enzymatic inhibition of EGF-R were equally efficient at abolishing EGF-R activation and serum-independent growth of VHL(-/-) RCC cells. TGF-alpha is the only known EGF-R ligand that has a VHL-dependent expression profile and its overexpression by VHL(-/-) RCC cells is a direct consequence of HIF activation. In contrast to TGF-alpha, other HIF targets, including vascular endothelial growth factor (VEGF), were unable to stimulate serum-independent growth of VHL(-/-) RCC cells. VHL(-/-) RCC cells expressing reintroduced type 2C mutants of VHL, and which retain the ability to degrade HIF, fail to overproduce TGF-alpha and proliferate in serum-free media. These data link HIF with the overproduction of a bona fide renal cell mitogen leading to activation of a pathway involved in growth of renal cancer cells. Moreover, our results suggest that HIF might be involved in oncogenesis to a much higher extent than previously appreciated.
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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