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The VHL Tumor Suppressor: Master Regulator of HIF
Open accessAbstract
Hypoxia-Inducible Factors (HIFs) are heterodimeric oxygen-sensitive basic helix-loop-helix transcription factors that play central roles in cellular adaptation to low oxygen environments. The von-Hippel Lindau tumor suppressor (pVHL) is the substrate recognition component of an E3 ubiquitin ligase and functions as a master regulator of HIF activity by targeting the hydroxylated HIF-alpha subunit for ubiquitylation and rapid proteasomal degradation under normoxic conditions. Mutations in pVHL can be found in familial and sporadic hemangioblastomas, clear cell carcinomas of the kidney, pheochromocytomas and inherited forms of erythrocytosis, illustrating the importance of disrupted molecular oxygen sensing in the pathogenesis of these diseases. Tissue-specific gene targeting of pVHL in mice has demonstrated that efficient execution of HIF proteolysis is critically important for normal tissue physiology, and has provided novel insights into the functional consequences of HIF activation on the cellular and tissue level. Here we focus on the contribution of individual HIF transcription factors to the development of VHL phenotypes and discuss how the pVHL/HIF axis could be exploited pharmacologically.
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“Independently of hypoxia, HIFs can also become activated through the activation of oncogenes, or loss of tumor suppressor genes.”
From The HIF Axes in Cancer - Angiogenesis, Metabolism and Immune-Modulation (2025) · cites this paper as [13]
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“Similarly, activation of RAS, PI-3K, or downstream ERK1/2 kinases, common in many cancer types, and loss of pVHL, frequently observed in clear cell renal cell carcinoma (ccRCC), result in hypoxia-independent activation of the HIFs [12–14].”
From The HIF Axes in Cancer - Angiogenesis, Metabolism and Immune-Modulation (2025) · cites this paper as [13]
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“The tumor suppressor protein VHL is a part of an E3-ubiquitin ligase complex and is involved in hypoxia-related cellular signaling pathways ( 31 ).”
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“Dysfunctional VHL has been linked to the onset of ischaemia, prolonged anaemia and cardiovascular disease [24].”
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“In normoxia, hydroxylation of two proline residues and acetylation of a lysine residue in its oxygen-dependent degradation domain (ODDD) promote the association of HIF-1α with the von Hippel-Lindau (pVHL) ubiquitin E3 ligase complex, leading to HIF-1α degradation via ubiquitin-proteasome pathway [7-9].”
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“not through transcriptional regulation at the mRNA level [18–20].”
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“…function of pVHL is its role as the substrate recognition submit of an E3 ubiquitin ligase complex and as a master regulator of hypoxia-inducible factor (HIF) activity by targeting the HIF-alpha subunit for ubiquitination and rapid proteasomal degradation under normoxic conditions (Haase, 2009).”
Strikić, A., Kokeza, J., Ogorevc, M., Kelam, N., Vukoja, M., Đolonga, P., & Tomaš, S. Z. (2023) · Frontiers in Oncology · doi:10.3389/fonc.2023.1287239 · Cited by 6
“The results of the presented study showed pRCC having higher HIF-1 a protein expression than ccRCC. Previous studies in ccRCC showed that HIF-1 a expression is frequently upregulated due to mutations or inactivation of the VHL gene, which is a common feature in this subtype (5, 14).”
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“The normoxic degradation of HIF1A is initiated by the hydroxylation of two prolines (P402 and P564 in humans; P402 and P577 in mice) in the oxygen dependent degradation domain (ODDD) of the protein [20], and mediated by the von Hippel Lindau (VHL) protein complex [21].”
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“…partner ARNT caused down-expres-sion of the glycolysis genes LDHA , GAPDH , and ALDOA , while knockdown of the HIF1A degradation gene VHL resulted in the up-regulation of these genes, thus recovering the regulative relationship between hypoxia and the glycolysis pathways 47,48 (Figures 2H and S4A).”
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“RCC is a well-known malignancy for inducing upregulated angiogenesis and hemorrhagic metastases related to alterations in pVHL [1,12].”
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Modified Hypoxia-Inducible Factor Expression in CD8+ T Cells Increases Antitumor Efficacy
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“This enables the E3 ubiquitin ligase complex, which is gathered by the von Hippel Lindau (VHL) tumor suppressor, to ubiquitinate HIF-α and target it for proteasome degradation [32, 34, 35].”
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“Typically, in the presence of oxygen, prolyl hydroxylase induces HIF-1 α hydroxylation, which is known to induce its proteasomal degradation mediated by the E3 ubiquitin ligase, von-Hippel Lindau tumor suppressor [25].”
BackgroundKumar, V., Kaushik, V., Kumar, S., Levkovich, S. A., Gupta, P., Bar‐Yosef, D. L., Gazit, E., & Segal, D. (2023) · Biochemical and Biophysical Research Communications · doi:10.1016/j.bbrc.2023.149250 · Cited by 3
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“70 Interestingly, two studies discovered that eIF3b, another subunit within the eIF3 complex, can directly bind to proteins to prevent their ubiquitination and subsequent degradation.”
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“In VHL-deficient cells, the absence of functional VHL protein prevents the degradation of both HIF-α isoforms [20,25,30–32].”
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“VHL (Von Hippel–Lindau) is a negative master regulator of HIF proteins, a family of transcription factors [20,21], inducing cell metabolism adaptation and expression of a wide range of pro-angiogenic molecules (VEGF, erythropoietin, angiopoietins 1/2, PlGF, HGF, etc.) in response to hypoxia [22,23].”
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“The frequent loss of VHL and subsequent HIF stabilization upregulate glutamine transporters (ASCT2, SN2) and key enzymes like glutaminase (GLS), which converts glutamine to glutamate [38].”
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“Furthermore, the authors showed that the induction of NF-κB by tumor necrosis factor promotes an increase in the expression and activity of HIF-1α under hypoxic conditions [17-20].”
BackgroundHypoxia in the Pathophysiology of Inflammatory Bowel Disease
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“PHDs hydroxy-late proline residues in the HIF proteins in the presence of oxygen, which recruits the E3 ubiquitin ligase von-Hippel Lindau (VHL) tumor suppressor to enable ubiquitination and proteasomal degradation of the HIF proteins (39).”
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“VHL disease results from germline pathogenic variants in the VHL tumor-suppressor gene on chromosome 3p25-p26 [5].”
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“In hypoxic settings, HIF-1α remains unhydroxylated, inhibiting negative regulation by pVHL, which allows active HIF-1α to promote the expression of hypoxia-related genes 14,15 .”
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“This aligns with previous reports demonstrating that VHL regulates angiogenesis by targeting HIF-1 α for ubiquitin-dependent degradation under normoxic conditions (Haase 2009).”
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“Therefore, it appears important to perform further clinical, biochemical, and imaging screening in patients presenting with clear cell NENs before excluding VHL disease [16].”
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Alternative Splicing in Human Viral Oncogenesis and Tumor Progression
Martelli, I., Cappabianca, L. A., Cipriani, P., Farina, A. R., Sbaffone, M., & Mackay, A. R. (2026) · Cancers · doi:10.3390/cancers18122004
“It is highly plausible, therefore, that this may involve oncovirus-induced aberrant splicing of the VHL tumor suppressor, a master regulator of HIF [208], resulting in exon skipping and loss of function VHL isoforms, similar to those described in von Hippel–Lindau disease [209], in addition to…”
Die Rolle des CSB-Proteins bei der neuronalen Entwicklung und Hypoxie-induzierten Transkription
Schumacher, C. M. (2012) · Univ. Duesseldorf: Duesseldorfer Dokumenten- und Publikationsserver
Metadata
- Authors
- Haase, V.
- Affiliations
- Vanderbilt University Medical Center (US)
- Corresponding author
- Haase, Volker
- ORCID
- Haase, Volker
- Venue
- Current Pharmaceutical Design
- Publisher
- Bentham Science Publishers Ltd.
- Published
- 2009-11-01
- Volume
- 15
- Issue
- 33
- Pages
- 3895-3903
- ISSN
- 1381-6128 (ISSN-L)
- PMC
- PMC3622710
- OpenAlex
- W2067955850
- Cited by
- 175
- References
- 114
- Citations by year
- 2026: 5 · 2025: 27 · 2024: 19 · 2023: 21 · 2022: 20 · 2021: 18 · 2020: 10 · 2019: 9 · 2018: 5 · 2017: 4 · 2016: 9 · 2015: 5 · 2014: 8 · 2013: 6 · 2012: 5
- FWCI
- 1.01
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Locations
- Current Pharmaceutical Design (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Cancer Institute (R01CA100787)
- National Institute of Diabetes and Digestive and Kidney Diseases (R01DK080821, R01DK081646)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cancer Research › Cancer, Hypoxia, and Metabolism
- Health Sciences › Medicine › Oncology › Ear and Head Tumors
- Health Sciences › Medicine › Hematology › Erythropoietin and Anemia Treatment
- Keywords
- von Hippel-Lindau tumor suppressor, hypoxia-inducible factor, ubiquitin ligase, proteasomal degradation, oxygen sensing, hemangioblastoma, clear cell renal cell carcinoma, pheochromocytoma, erythrocytosis, HIF-targeted therapy
- MeSH terms
- Animals, Humans, Mutation, Phenotype, Drug Delivery Systems, Gene Targeting, Mice, Von Hippel-Lindau Tumor Suppressor Protein, Hypoxia-Inducible Factor 1, alpha Subunit, Ubiquitination
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