PMID- 12124175 OWN - NLM STAT- MEDLINE DCOM- 20020927 LR - 20220317 IS - 1535-6108 (Print) IS - 1535-6108 (Linking) VI - 1 IP - 5 DP - 2002 Jun TI - HIF activation identifies early lesions in VHL kidneys: evidence for site-specific tumor suppressor function in the nephron. PG - 459-68 AB - Mutations in the von Hippel-Lindau (VHL) gene are associated with hereditary and sporadic clear cell renal carcinoma. VHL acts in a ubiquitin ligase complex regulating hypoxia-inducible factor-1 (HIF-1), but the link between this function and cancer development is unclear. Here we show that in the kidneys of patients with VHL disease, HIF activation is an early event occurring in morphologically normal single cells within the renal tubules. In comparison, dysplastic lesions, cystic lesions, and tumors showed evidence of additional mechanisms that amplify HIF activation. Detection of cells with constitutive HIF activation identified a large number of previously unrecognized foci of VHL inactivation. In proximal tubules these were almost entirely unicellular, whereas multicellular foci were almost exclusively seen in the distal nephron. FAU - Mandriota, Stefano J AU - Mandriota SJ AD - Wellcome Trust Centre for Human Genetics, Oxford OX3 7BN, United Kingdom. FAU - Turner, Kevin J AU - Turner KJ FAU - Davies, David R AU - Davies DR FAU - Murray, Paul G AU - Murray PG FAU - Morgan, Neil V AU - Morgan NV FAU - Sowter, Heidi M AU - Sowter HM FAU - Wykoff, Charles C AU - Wykoff CC FAU - Maher, Eamonn R AU - Maher ER FAU - Harris, Adrian L AU - Harris AL FAU - Ratcliffe, Peter J AU - Ratcliffe PJ FAU - Maxwell, Patrick H AU - Maxwell PH LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Cancer Cell JT - Cancer cell JID - 101130617 RN - 0 (Antigens, CD) RN - 0 (Antigens, Neoplasm) RN - 0 (DNA-Binding Proteins) RN - 0 (Glucose Transporter Type 1) RN - 0 (HIF1A protein, human) RN - 0 (Hypoxia-Inducible Factor 1) RN - 0 (Hypoxia-Inducible Factor 1, alpha Subunit) RN - 0 (Monosaccharide Transport Proteins) RN - 0 (Neoplasm Proteins) RN - 0 (Nuclear Proteins) RN - 0 (RNA Probes) RN - 0 (SLC2A1 protein, human) RN - 0 (Transcription Factors) RN - EC 4.2.1.1 (CA9 protein, human) RN - EC 4.2.1.1 (Carbonic Anhydrase IX) RN - EC 4.2.1.1 (Carbonic Anhydrases) SB - IM MH - Adenocarcinoma, Clear Cell/genetics/*metabolism/pathology MH - Adult MH - Antigens, CD/metabolism MH - *Antigens, Neoplasm MH - Apoptosis/physiology MH - Carbonic Anhydrase IX MH - Carbonic Anhydrases/metabolism MH - Carcinoma, Renal Cell/genetics/*metabolism/pathology MH - DNA-Binding Proteins/*metabolism MH - Genes, Tumor Suppressor/*physiology MH - Glucose Transporter Type 1 MH - Humans MH - Hypoxia-Inducible Factor 1 MH - Hypoxia-Inducible Factor 1, alpha Subunit MH - Immunoenzyme Techniques MH - In Situ Hybridization MH - In Situ Nick-End Labeling MH - Kidney Neoplasms/genetics/*metabolism/pathology MH - Middle Aged MH - Monosaccharide Transport Proteins/metabolism MH - Neoplasm Proteins/metabolism MH - Nephrectomy MH - Nephrons/*metabolism MH - Nuclear Proteins/*metabolism MH - RNA Probes MH - *Transcription Factors MH - von Hippel-Lindau Disease/genetics/*metabolism/pathology EDAT- 2002/07/19 10:00 MHDA- 2002/09/28 04:00 CRDT- 2002/07/19 10:00 PHST- 2002/07/19 10:00 [pubmed] PHST- 2002/09/28 04:00 [medline] PHST- 2002/07/19 10:00 [entrez] AID - S1535610802000715 [pii] AID - 10.1016/s1535-6108(02)00071-5 [doi] PST - ppublish SO - Cancer Cell. 2002 Jun;1(5):459-68. doi: 10.1016/s1535-6108(02)00071-5.