Target intelligence / Profile preview

Von Hippel–Lindau tumor suppressor protein (pVHL)

Target
pVHL
Molecular classification
Tumor suppressor, E3 ubiquitin ligase, Protein complex subunit
01

Overview

The **Von Hippel–Lindau tumor suppressor protein (pVHL)** is a cellular protein encoded by the *VHL* gene and acts as the substrate recognition subunit of a multi-protein E3 ubiquitin ligase complex. pVHL is essential for the regulated degradation of hypoxia-inducible factors (HIF-1α and HIF-2α), transcription factors that control gene expression under low oxygen conditions and are central to angiogenesis, erythropoiesis, and cell metabolism. Loss or mutation of pVHL leads to constitutive HIF activation, driving increased blood vessel formation, uncontrolled cellular proliferation, and predisposition to various tumors, most notably **clear cell renal cell carcinoma, hemangioblastoma of the CNS and retina, and pheochromocytoma**, as seen in **Von Hippel–Lindau disease**—an autosomal dominant hereditary cancer syndrome. The protein also plays roles in cell cycle control and extracellular matrix assembly. Targeting the pVHL/HIF/VEGF axis is the basis for several approved therapies in VHL-related and sporadic cancers, though resistance and broad toxicity remain challenges[1][2][3][4][6][7][8].

Other names
VHL proteinpVHLVHL1VHL_HUMAN
02

Mechanism of action

Inhibition of vascular endothelial growth factor (VEGF) pathway Inhibition of mTOR pathway Restoration of HIF inactivation (vitamin C, theorized)

03

Biological functions

Ubiquitin-mediated protein degradationHypoxia-inducible factor (HIF) regulationCell cycle regulationAngiogenesis inhibitionExtracellular matrix formation
04

Disease associations

Cancer (clear cell renal cell carcinoma, hemangioblastoma, pheochromocytoma, pancreatic neuroendocrine tumor)Von Hippel–Lindau disease (hereditary cancer syndrome)Retinal hemangioblastomaOther cystic or tumorous conditions of kidneys, CNS, pancreas
05

Safety considerations

Tumor resistance, recurrenceOff-target toxicity with VEGFR/mTOR inhibitorsLoss of vision or organ function from tumorsSurgical morbidity
06

Interacting drugs

Sorafenib

7 more in the full profile.

07

Biomarkers

HIF-1α and HIF-2α stabilization or activationVHL mutation status (genetic diagnosis)

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