In vitro and In vivo Models Analyzing von Hippel-Lindau Disease-Specific Mutations

Mutations in the von Hippel-Lindau ( VHL ) tumor suppressor gene cause tissue-specific tumors, with a striking genotype-phenotype correlation. Loss of VHL expression predisposes to hemangioblastoma and clear cell renal cell carcinoma, whereas specific point mutations predispose to pheochromocytoma, polycythemia, or combinations of hemangioblastoma, renal cell carcinoma, and/or pheochromocytoma. The VHL protein (pVHL) has been implicated in many cellular activities including the hypoxia response, cell cycle arrest, apoptosis, and extracellular matrix remodeling. We have expressed missense pVHL mutations in Vhl −/− murine embryonic stem cells to test genotype-phenotype correlations in euploid cells. We first examined the ability of mutant pVHL to direct degradation of the hypoxia inducible factor (HIF) subunits HIF1α and HIF2α. All mutant pVHL proteins restored proper hypoxic regulation of HIF1α, although one VHL mutation ( VHL R167Q ) displayed impaired binding to Elongin C. This mutation also failed to restore HIF2α regulation. In separate assays, these embryonic stem cells were used to generate teratomas in immunocompromised mice, allowing independent assessment of the effects of specific VHL mutations on tumor growth. Surprisingly, teratomas expressing the VHL Y112H mutant protein displayed a growth disadvantage, despite restoring HIFα regulation. Finally, we observed increased microvessel density in teratomas derived from Vhl −/− as well as VHL Y112H , VHL R167Q , and VHL R200W embryonic stem cells. Together, these observations support the hypothesis that pVHL plays multiple roles in the cell, and that these activities can be separated via discrete VHL point mutations. The ability to dissect specific VHL functions with missense mutations in a euploid model offers a novel opportunity to elucidate the activities of VHL as a tumor suppressor.