VHL synthetic lethality screens uncover CBF-β as a negative regulator of STING

James A C Bertlin1, Tekle Pauzaite1, Qian Liang2

  • 1Cambridge Institute of Therapeutic Immunology & Infectious Disease (CITIID), Jeffrey Cheah Biomedical Centre, Department of Medicine, University of Cambridge, Cambridge, UK.

Nature Communications
|March 13, 2026
PubMed

Insights

Loss of Core Binding Factor β (CBF-β) selectively kills clear cell renal cell carcinoma (ccRCC) cells lacking the von Hippel-Lindau (VHL) gene. This discovery offers a new therapeutic strategy for VHL-deficient kidney cancer.

Area of Science:

  • Oncology
  • Molecular Biology
  • Genetics

Background:

  • Clear cell renal cell carcinoma (ccRCC) is the most common kidney cancer subtype.
  • VHL tumor suppressor gene inactivation is a hallmark of ccRCC.
  • Understanding VHL's synthetic lethal interactors is crucial for targeted therapies.

Purpose of the Study:

  • To identify genes that are synthetically lethal with VHL loss using genome-wide CRISPR/Cas9 screening.
  • To investigate the role of Core Binding Factor β (CBF-β) in VHL-null ccRCC.
  • To elucidate the mechanism by which CBF-β loss affects ccRCC cells.

Main Methods:

  • Genome-wide CRISPR/Cas9 screening in VHL-null ccRCC cell lines.
  • In vivo studies to assess tumor establishment and growth.
  • Analysis of gene expression, including type I interferon signaling and Interferon Stimulated Genes (ISGs).
  • Investigation of the STING locus and its regulation by CBF-β.

Main Results:

  • Loss of CBF-β leads to cell death in VHL-null ccRCC cells.
  • CBF-β loss impairs tumor growth in vivo.
  • The synthetic lethality is independent of hypoxia-inducible factors (HIFs) but involves RUNX transcription factors.
  • CBF-β loss upregulates type I interferon signaling by directly inhibiting the STING locus, controlling ISG expression.

Conclusions:

  • CBF-β is a synthetic lethal interactor of VHL in ccRCC.
  • Targeting CBF-β selectively induces lethality in ccRCC cells.
  • CBF-β inhibition activates type I interferon signaling, presenting a novel therapeutic avenue for kidney cancer.