PMID- 21258414 OWN - NLM STAT- MEDLINE DCOM- 20110819 LR - 20201219 IS - 1476-5594 (Electronic) IS - 0950-9232 (Linking) VI - 30 IP - 23 DP - 2011 Jun 9 TI - Mutations of the von Hippel-Lindau gene confer increased susceptibility to natural killer cells of clear-cell renal cell carcinoma. PG - 2622-32 LID - 10.1038/onc.2010.638 [doi] AB - The tumor suppressor gene von Hippel-Lindau (VHL) is involved in the development of sporadic clear-cell renal cell carcinoma (RCC). VHL interferes with angiogenesis and also controls cell adhesion and invasion. Therapies that target VHL-controlled genes are currently being evaluated in RCC patients. RCC is a immunogenic tumor and treatment with interleukin-2 (IL2) or interferon (IFN)-alpha results in regression in some patients. We used two renal tumor cell lines (RCC6 and RCC4) carrying VHL loss-of-function mutations to investigate the role of mutant VHL in susceptibility to natural killer (NK) cell-mediated lysis. The RCC6 and RCC4 cell lines were transfected with the wild-type gene to restore the function of VHL. The presence of the gene in RCC cells downregulated hypoxia-inducible factor (HIF)-1alpha and subsequently decreased vascular endothelial growth factor (VEGF) production. Relative to control transfectants and parental cells, pVHL-transfected cell lines activated resting and IL2-activated NK cells less strongly, as assessed by IFNgamma secretion, NK degranulation and cell lysis. NKG2A, a human leukocyte antigen (HLA)-I-specific inhibitory NK receptor, controls the lysis of tumor targets. We show that HLA-I expression in RCC-pVHL cells is stronger than that in parental and controls cells, although the expression of activating receptor NK ligands remains unchanged. Blocking NKG2A/HLA-I interactions substantially increased lysis of RCC-pVHL, but had little effect on the lysis of VHL-mutated RCC cell lines. In addition, in response to IFNalpha, the exponential growth of RCC-pVHL was inhibited more than that of RCC-pE cells, indicating that VHL mutations may be involved in IFNalpha resistance. These results indicate that a decreased expression of HLA-I molecules in mutated VHL renal tumor cells sensitizes them to NK-mediated lysis. These results suggest that combined immunotherapy with anti-angiogenic drugs may be beneficial for patients with mutated VHL. FAU - Perier, A AU - Perier A AD - Institut Cochin, INSERM U1016, CNRS UMR 8104, Universite Paris Descartes, Paris, France. FAU - Fregni, G AU - Fregni G FAU - Wittnebel, S AU - Wittnebel S FAU - Gad, S AU - Gad S FAU - Allard, M AU - Allard M FAU - Gervois, N AU - Gervois N FAU - Escudier, B AU - Escudier B FAU - Azzarone, B AU - Azzarone B FAU - Caignard, A AU - Caignard A LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20110124 PL - England TA - Oncogene JT - Oncogene JID - 8711562 RN - 0 (HIF1A protein, human) RN - 0 (Histocompatibility Antigens Class I) RN - 0 (Hypoxia-Inducible Factor 1, alpha Subunit) RN - 0 (Interferon-alpha) RN - 0 (NK Cell Lectin-Like Receptor Subfamily C) RN - 0 (Vascular Endothelial Growth Factor A) RN - 82115-62-6 (Interferon-gamma) RN - EC 2.3.2.27 (Von Hippel-Lindau Tumor Suppressor Protein) SB - IM MH - Blotting, Western MH - Carcinoma, Renal Cell/genetics/immunology/pathology MH - Cell Hypoxia MH - Cell Line, Tumor MH - Cell Proliferation/drug effects MH - Cytotoxicity, Immunologic/*genetics/immunology MH - Genetic Complementation Test MH - Histocompatibility Antigens Class I/metabolism MH - Humans MH - Hypoxia-Inducible Factor 1, alpha Subunit/genetics/immunology/metabolism MH - Interferon-alpha/pharmacology MH - Interferon-gamma/immunology/metabolism MH - Kidney Neoplasms/genetics/immunology/pathology MH - Killer Cells, Natural/immunology/*metabolism MH - *Mutation MH - NK Cell Lectin-Like Receptor Subfamily C/metabolism MH - RNA Interference MH - Transfection MH - Vascular Endothelial Growth Factor A/immunology/metabolism MH - Von Hippel-Lindau Tumor Suppressor Protein/*genetics/metabolism EDAT- 2011/01/25 06:00 MHDA- 2011/08/20 06:00 CRDT- 2011/01/25 06:00 PHST- 2011/01/25 06:00 [entrez] PHST- 2011/01/25 06:00 [pubmed] PHST- 2011/08/20 06:00 [medline] AID - onc2010638 [pii] AID - 10.1038/onc.2010.638 [doi] PST - ppublish SO - Oncogene. 2011 Jun 9;30(23):2622-32. doi: 10.1038/onc.2010.638. Epub 2011 Jan 24.