Related Experiment Video
Updated: Jul 14, 2026

Induction and Testing of Hypoxia in Cell Culture
Published on: August 12, 2011
Hypoxia-inducible factor linked to differential kidney cancer risk seen with type 2A and type 2B VHL mutations
Lianjie Li1, Liang Zhang, Xiaoping Zhang
1Department of Medical Oncology, Dana-Farber Cancer Institute and Brigham and Women's Hospital, Harvard Medical School, 44 Binney Street, Mayer 457, Boston, MA 02115, USA.
Abstract:
Clear cell carcinoma of the kidney is a major cause of mortality in patients with von Hippel-Lindau (VHL) disease, which is caused by germ line mutations that inactivate the VHL tumor suppressor gene. Biallelic VHL inactivation, due to mutations or hypermethylation, is also common in sporadic clear cell renal carcinomas. The VHL gene product, pVHL, is part of a ubiquitin ligase complex that targets the alpha subunits of the heterodimeric transcription factor hypoxia-inducible factor (HIF) for destruction under well-oxygenated conditions. All VHL mutations linked to classical VHL disease compromise this pVHL function although some missense mutations result in a low risk of kidney cancer (type 2A VHL disease) while others result in a high risk (type 2B VHL disease). We found that type 2A mutants were less defective than type 2B mutants when reintroduced into VHL-/- renal carcinoma cells with respect to HIF regulation. A stabilized version of HIF2alpha promoted tumor growth by VHL-/- cells engineered to produce type 2A mutants, while knock-down of HIF2alpha in cells producing type 2B mutants had the opposite effect. Therefore, quantitative differences with respect to HIF deregulation are sufficient to account for the differential risks of kidney cancer linked to VHL mutations.
Insights
Von Hippel-Lindau (VHL) disease involves mutations in the VHL tumor suppressor gene. Quantitative differences in hypoxia-inducible factor (HIF) deregulation explain varying kidney cancer risks in VHL disease patients.
Area of Science:
- Oncology
- Genetics
- Molecular Biology
Background:
- Clear cell kidney carcinoma is a significant cause of mortality in von Hippel-Lindau (VHL) disease, stemming from VHL tumor suppressor gene inactivation.
- Both familial VHL disease and sporadic clear cell renal carcinomas involve biallelic VHL inactivation.
- The VHL gene product (pVHL) functions within a ubiquitin ligase complex, degrading hypoxia-inducible factor (HIF) alpha subunits under normoxia.
Purpose of the Study:
- To investigate the functional differences between VHL mutations associated with varying kidney cancer risks in VHL disease.
- To elucidate the role of hypoxia-inducible factor (HIF) deregulation in differential kidney cancer risk among VHL disease subtypes.
Main Methods:
- Reintroduction of type 2A and type 2B VHL mutants into VHL-deficient renal carcinoma cells.
- Assessment of HIF regulation in cells expressing different VHL mutants.
- Manipulation of HIF2alpha levels (stabilization or knockdown) to evaluate its impact on tumor cell growth.
Main Results:
- Type 2A VHL mutants exhibited less severe defects in HIF regulation compared to type 2B mutants.
- Stabilization of HIF2alpha promoted tumor growth in VHL-/- cells expressing type 2A mutants.
- HIF2alpha knockdown inhibited tumor growth in cells expressing type 2B mutants.
Conclusions:
- Quantitative differences in HIF deregulation, rather than qualitative ones, are sufficient to explain the varying kidney cancer risks associated with different VHL mutations.
- Understanding these quantitative differences in HIF pathway dysregulation is crucial for predicting and potentially managing kidney cancer risk in VHL disease.
Related Concept Videos
Regulation of Angiogenesis and Blood Supply
Adaptive Mechanisms in Cancer Cells
Some of the advantages that cancer cells have on normal cells include - enhanced ability to divide without terminally differentiating, induce new blood vessel formation,...
Cancer-Critical Genes II: Tumor Suppressor Genes
When the function of certain critical genes, especially those involved in cell cycle regulation and cell growth signaling cascades, gets disrupted, it upsets the cell cycle progression. Such cells with unchecked cell cycles start proliferating uncontrollably and eventually develop into tumors.
Such genes that act...
Cancer-Critical Genes II: Tumor Suppressor Genes
When the function of certain critical genes, especially those involved in cell cycle regulation and cell growth signaling cascades, gets disrupted, it upsets the cell cycle progression. Such cells with unchecked cell cycles start proliferating uncontrollably and eventually develop into tumors.
Such genes that act...
Cancer-Critical Genes I: Proto-oncogenes
When the function of certain critical genes, especially those involved in cell cycle regulation and cell growth signaling cascades, gets disrupted, it upsets the cell cycle progression. Such cells with unchecked cell cycles start proliferating uncontrollably and eventually develop into tumors.
Such genes that act...
lncRNA - Long Non-coding RNAs
