Dual loss of VHL and RASSF1A enhances tumorigenicity in clear cell renal cancer

Howard Donninger1, Rachel Ferrill2, Katherine Hobbing2

  • 1Brown Cancer Center, Department of Medicine, University of Louisville, Louisville, KY, United States.

Frontiers in Oncology
|August 14, 2026
PubMed
Abstract

Insights

Clear Cell Renal Cell Carcinoma (ccRCC) involves the loss of VHL and RASSF1A tumor suppressors. These proteins interact and cooperate to suppress tumor growth, but additional genetic changes are needed for ccRCC development.

Area of Science:

  • Oncology
  • Molecular Biology
  • Genetics

Background:

  • Clear Cell Renal Cell Carcinoma (ccRCC) is the most common kidney cancer.
  • Loss or mutation of the VHL tumor suppressor is common in ccRCC.
  • RASSF1A is inactivated at high frequency in ccRCC, suggesting a functional link with VHL.

Purpose of the Study:

  • To investigate the functional relationship between RASSF1A and VHL in ccRCC.
  • To determine if RASSF1A and VHL proteins interact and cooperate in tumor suppression.

Main Methods:

  • Generated matched renal cancer cell systems with gene add-back or knockdown for RASSF1A and VHL.
  • Created compound transgenic mice with induced dual inactivation of RASSF1A and VHL.
  • Assessed tumor cell growth, apoptosis sensitivity, and xenograft tumor development.

Main Results:

  • RASSF1A and VHL proteins form a complex, cooperating to suppress 3D cell growth and sensitize cells to apoptosis.
  • Loss of both RASSF1A and VHL promotes 3D cell growth.
  • Loss of VHL alone did not promote tumorigenesis but accelerated tumor growth in RASSF1A-deficient cells, with altered vascularization and HIF1α/HIF2α deregulation.

Conclusions:

  • This study reports the first interaction between RASSF1A and VHL, potentially explaining RASSF1A's frequent inactivation in renal cancer.
  • Dual inactivation of RASSF1A and VHL alone is insufficient for ccRCC development, indicating the necessity of additional genetic lesions.

Related Concept Videos

The Retinoblastoma Gene01:20

The Retinoblastoma Gene

Tumor suppressor genes are normal genes that can slow down cell division, repair DNA mistakes, or program the cells for apoptosis in case of irreparable damage. Hence, they play an essential role in preventing the proliferation of damaged cells.
The first-ever tumor suppressor gene called Rb was identified in retinoblastoma - a rare eye tumor in children. In inherited forms of the disease, a child inherits one defective copy of the Rb gene, which predisposes them to retinoblastoma. However,...
The Retinoblastoma Gene01:20

The Retinoblastoma Gene

Tumor suppressor genes are normal genes that can slow down cell division, repair DNA mistakes, or program the cells for apoptosis in case of irreparable damage. Hence, they play an essential role in preventing the proliferation of damaged cells.
The first-ever tumor suppressor gene called Rb was identified in retinoblastoma - a rare eye tumor in children. In inherited forms of the disease, a child inherits one defective copy of the Rb gene, which predisposes them to retinoblastoma. However,...
Rous Sarcoma Virus (RSV) and Cancer01:03

Rous Sarcoma Virus (RSV) and Cancer

Rous Sarcoma virus or RSV was discovered by F. Peyton Rous in the year 1911 as a filterable transmissible agent that could cause tumors in chickens. He won a Nobel Prize for this discovery in 1966. His experiments clearly demonstrated that some cancers could be caused by infectious agents and led to the discovery of many more cancer-causing viruses in animals as well as humans.
RSV is a retrovirus that contains two copies of a plus-strand  RNA genome. Its genome consists of four main open...
Rous Sarcoma Virus (RSV) and Cancer01:03

Rous Sarcoma Virus (RSV) and Cancer

Rous Sarcoma virus or RSV was discovered by F. Peyton Rous in the year 1911 as a filterable transmissible agent that could cause tumors in chickens. He won a Nobel Prize for this discovery in 1966. His experiments clearly demonstrated that some cancers could be caused by infectious agents and led to the discovery of many more cancer-causing viruses in animals as well as humans.
RSV is a retrovirus that contains two copies of a plus-strand  RNA genome. Its genome consists of four main open...
Loss of Tumor Suppressor Gene Functions01:12

Loss of Tumor Suppressor Gene Functions

Tumor suppressor genes are normal genes that can slow down cell division, repair DNA mistakes, or program the cells for apoptosis in case of irreparable damage. Hence, they play an essential role in preventing the proliferation of damaged cells.
When the tumor suppressor genes develop mutations or are lost, cells start growing out of control, leading to cancer. However, a single functional copy of the tumor suppressor gene is enough for the cells to maintain their normal functions and cell...
Loss of Tumor Suppressor Gene Functions01:12

Loss of Tumor Suppressor Gene Functions

Tumor suppressor genes are normal genes that can slow down cell division, repair DNA mistakes, or program the cells for apoptosis in case of irreparable damage. Hence, they play an essential role in preventing the proliferation of damaged cells.
When the tumor suppressor genes develop mutations or are lost, cells start growing out of control, leading to cancer. However, a single functional copy of the tumor suppressor gene is enough for the cells to maintain their normal functions and cell...