Tumor heterogeneity in VHL drives metastasis in clear cell renal cell carcinoma
Open accessAbstract
Loss of function of the von Hippel-Lindau (VHL) tumor suppressor gene is a hallmark of clear cell renal cell carcinoma (ccRCC). The importance of heterogeneity in the loss of this tumor suppressor has been under reported. To study the impact of intratumoral VHL heterogeneity observed in human ccRCC, we engineered VHL gene deletion in four RCC models, including a new primary tumor cell line derived from an aggressive metastatic case. The VHL gene-deleted (VHL-KO) cells underwent epithelial-to-mesenchymal transition (EMT) and exhibited increased motility but diminished proliferation and tumorigenicity compared to the parental VHL-expressing (VHL + ) cells. Renal tumors with either VHL + or VHL-KO cells alone exhibit minimal metastatic potential. Combined tumors displayed rampant lung metastases, highlighting a novel cooperative metastatic mechanism. The poorly proliferative VHL-KO cells stimulated the proliferation, EMT, and motility of neighboring VHL + cells. Periostin (POSTN), a soluble protein overexpressed and secreted by VHL non-expressing (VHL − ) cells, promoted metastasis by enhancing the motility of VHL-WT cells and facilitating tumor cell vascular escape. Genetic deletion or antibody blockade of POSTN dramatically suppressed lung metastases in our preclinical models. This work supports a new strategy to halt the progression of ccRCC by disrupting the critical metastatic crosstalk between heterogeneous cell populations within a tumor.
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Loss-of-function mutations in VHL impair proteasomal degradation of hydroxylated HIF α subunits and result in constitutive HIF activation despite normoxia.
“A clear causal link between HIF dysregulation and tumorigenesis is illustrated by loss of function mutations in von Hippel–Lindau (VHL), which impair proteasomal degradation of hydroxylated HIF α subunits and result in constitutive HIF activation despite normoxia [[222], [223], [224], [225]].”
From HIF inhibition: Current strategies and clinical challenges (2026) · cites this paper as [224]
The Introduction (page unavailable) says VHL targets HIF-α for oxygen-dependent degradation and links VHL inactivation to constitutive HIF-pathway activation. It does not explicitly describe proteasomal degradation or state that activation persists under normoxia; proline hydroxylation appears in the titles of works it cites, rather than in its own explanation. (LLM, conf=0.82)
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- Authors
- Hu, J., Tan, P., Ishihara, M., Bayley, N. A., Schokrpur, S., Reynoso, J. G., Zhang, Y., Lim, R. J., Dumitras, C., Yang, L., Dubinett, S. M., Jat, P. S., Van Snick, J., Huang, J., Chin, A. I., Prins, R. M., Graeber, T. G., Xu, H., & Wu, L.
- Affiliations
- University of California, Los Angeles (US)
- West China Hospital of Sichuan University (CN)
- University of California San Diego (US)
- Zhongnan Hospital of Wuhan University (CN)
- MRC Prion Unit (GB)
- Duke University (US)
- Corresponding author
- Xu, Hua
- Wu, Lily
- ORCID
- Venue
- Signal Transduction and Targeted Therapy
- Published
- 2023-04-17
- Volume
- 8
- Issue
- 1
- Pages
- 155-155
- ISSN
- 2059-3635 (ISSN-L)
- PMC
- PMC10110583
- OpenAlex
- W4366171201
- Cited by
- 85
- References
- 86
- Citations by year
- 2026: 27 · 2025: 33 · 2024: 19 · 2023: 6
- FWCI
- 15.66
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Signal Transduction and Targeted Therapy (publishedVersion, cc-by)
- Research Square (acceptedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- UCL Discovery (University College London) (submittedVersion, cc-by)
- eScholarship (California Digital Library) (submittedVersion, cc-by)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Tobacco-Related Disease Research Program (27IR-0016)
- Cancer Research Coordinating Committee (CRC15-380768)
- National Institutes of Health (W81XWH, UL1TR001881)
- National Cancer Institute (R21CA216770, P50CA211015, T32CA067754, P30CA016042)
- National Center for Advancing Translational Sciences
- Jonsson Comprehensive Cancer Center (P30 CA016042, UL1TR001881, 27IR-0016, W81XWH-20-1-0918)
- Clinical and Translational Science Institute, University of California, Los Angeles (UL1 TR001881)
- Congressionally Directed Medical Research Programs (W81XWH-20-1-0918, P30CA016042)
- Topics
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Renal cell carcinoma treatment
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cancer Research › Cancer, Hypoxia, and Metabolism
- Health Sciences › Medicine › Oncology › Cancer Cells and Metastasis
- Keywords
- von Hippel-Lindau tumor suppressor, clear cell renal cell carcinoma, intratumoral heterogeneity, metastasis, epithelial-mesenchymal transition, periostin, lung metastasis, tumor cell motility, tumor cell proliferation
- MeSH terms
- Carcinoma, Renal Cell, Humans, Kidney Neoplasms, Lung Neoplasms, Genes, Tumor Suppressor, Von Hippel-Lindau Tumor Suppressor Protein
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Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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