Jr. Gnarra et al., POSTTRANSCRIPTIONAL REGULATION OF VASCULAR ENDOTHELIAL GROWTH-FACTOR MESSENGER-RNA BY THE PRODUCT OF THE VHL TUMOR-SUPPRESSOR GENE, Proceedings of the National Academy of Sciences of the United Statesof America, 93(20), 1996, pp. 10589-10594
The VHL tumor suppressor gene is inactivated in patients with von Hipp
el-Lindau disease and in most sporadic clear cell renal carcinomas. Al
though VHL protein function remains unclear, VHL does interact with th
e elongin BC subunits in vivo and regulates RNA polymerase II elongati
on activity in vitro by inhibiting formation of the elongin ABC comple
x, Expression of wild-type VHL in renal carcinoma cells with inactivat
ed endogenous VHL resulted in unaltered in vitro cell growth and decre
ased vascular endothelial growth factor (VEGF) mRNA expression and res
ponsiveness to serum deprivation. VEGF is highly expressed in many tum
ors, including VHL-associated and sporadic renal carcinomas, and it st
imulates neoangiogenesis in growing solid tumors. Despite 5-fold diffe
rences in VEGF mRNA levels, VHL overexpression did not affect VEGF tra
nscription initiation or elongation as would have been suggested by VH
L-elongin association. These results suggest that VHL regulates VEGF e
xpression at a post-transcriptional level and that VHL inactivation in
target cells causes a loss of VEGF suppression, leading to formation
of a vascular stroma.