Von Hippel-Lindau disease (VHL) is caused by germline mutations in the
VHL tumour suppressor gene. Tumour development in this setting is due
to loss or inactivation of the remaining wild-type VHL allele, The VH
L gene product (pVHL) resides primarily in the cytoplasm, A frequently
mutated region of pVHL can bind to complexes containing elongin B, el
ongin C and Cul2. Loss of pVHL leads to an inappropriate accumulation
of hypoxia-inducible mRNAs, such as the mRNA encoding vascular endothe
lial growth factor (VEGF), under normoxic conditions. This finding is
most likely to account for the hypervascular nature of VHL-associated
neoplasms, Current studies are focussed on understanding if and how bi
nding to elongins and Cul2 is linked to the ability of pVHL to regulat
e hypoxia-inducible mRNAs, In this regard, it is perhaps noteworthy th
at elongin C and Cul2 are homologous to yeast proteins Skp1 and Cdc53,
These latter proteins participate in the formation of complexes that
target certain proteins for ubiquitination.