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Pharmacological HIF2? inhibition improves VHL disease-associated phenotypes in zebrafish model.


ABSTRACT: Patients with a germline mutation in von Hippel-Lindau (VHL) develop renal cell cancers and hypervascular tumors of the brain, adrenal glands, and pancreas as well as erythrocytosis. These phenotypes are driven by aberrant expression of HIF2?, which induces expression of genes involved in cell proliferation, angiogenesis, and red blood cell production. Currently, there are no effective treatments available for VHL disease. Here, using an animal model of VHL, we report a marked improvement of VHL-associated phenotypes following treatment with HIF2? inhibitors. Inactivation of vhl in zebrafish led to constitutive activation of HIF2? orthologs and modeled several aspects of the human disease, including erythrocytosis, pathologic angiogenesis in the brain and retina, and aberrant kidney and liver proliferation. Treatment of vhl(-/-) mutant embryos with HIF2?-specific inhibitors downregulated Hif target gene expression in a dose-dependent manner, improved abnormal hematopoiesis, and substantially suppressed erythrocytosis and angiogenic sprouting. Moreover, pharmacologic inhibition of HIF2? reversed the compromised cardiac contractility of vhl(-/-) embryos and partially rescued early lethality. This study demonstrates that small-molecule targeting of HIF2? improves VHL-related phenotypes in a vertebrate animal model and supports further exploration of this strategy for treating VHL disease.

SUBMITTER: Metelo AM 

PROVIDER: S-EPMC4463187 | biostudies-literature | 2015 May

REPOSITORIES: biostudies-literature

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Pharmacological HIF2α inhibition improves VHL disease-associated phenotypes in zebrafish model.

Metelo Ana Martins AM   Noonan Haley R HR   Li Xiang X   Jin Youngnam Y   Baker Rania R   Kamentsky Lee L   Zhang Yiyun Y   van Rooijen Ellen E   Shin Jordan J   Carpenter Anne E AE   Yeh Jing-Ruey JR   Peterson Randall T RT   Iliopoulos Othon O  

The Journal of clinical investigation 20150413 5


Patients with a germline mutation in von Hippel-Lindau (VHL) develop renal cell cancers and hypervascular tumors of the brain, adrenal glands, and pancreas as well as erythrocytosis. These phenotypes are driven by aberrant expression of HIF2α, which induces expression of genes involved in cell proliferation, angiogenesis, and red blood cell production. Currently, there are no effective treatments available for VHL disease. Here, using an animal model of VHL, we report a marked improvement of VHL  ...[more]

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