A novel pVHL-independent but NEMO-driven pathway in renal cancer promotes HIF stabilization

Oncogene. 2016 Jun 16;35(24):3125-38. doi: 10.1038/onc.2015.400. Epub 2015 Oct 26.

Abstract

Activation of hypoxia-inducible factor (HIF) is due to loss of von Hippel-Lindau protein (pVHL) function in most clear cell renal cell carcinomas (ccRCCs). Here we describe a novel pVHL-independent mechanism of HIF regulation and identify nuclear factor (NF)-κB essential modulator (NEMO) as a hitherto unknown oncogenic factor influencing human ccRCC progression. Over 60% of human ccRCCs (n=157) have negative or weak NEMO protein expression by immunohistochemistry. Moderate/strong NEMO protein expression is more frequent in VHL wild-type ccRCCs. We show that NEMO stabilizes HIFα via direct interaction and independently of NF-κB signaling in vitro. NEMO prolongs tumor cell survival via regulation of apoptosis and activation of epithelial-to-mesenchymal transition, facilitating tumor metastasis. Our findings suggest that NEMO-driven HIF activation is involved in progression of ccRCC. Therefore, NEMO may represent a clinically relevant link between NF-κB and the VHL/HIF pathways. Targeting NEMO with specific inhibitors in patients with metastatic ccRCC could be a novel treatment approach in patients with ccRCC expressing functional pVHL.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Carcinoma, Renal Cell / metabolism*
  • Carcinoma, Renal Cell / pathology
  • Cell Death / physiology
  • Cell Movement / physiology
  • Disease Progression
  • Female
  • Heterografts
  • Humans
  • Hypoxia-Inducible Factor 1, alpha Subunit / metabolism*
  • I-kappa B Kinase / metabolism*
  • Kidney Neoplasms / metabolism*
  • Kidney Neoplasms / pathology
  • Mice
  • Mice, Inbred NOD
  • Mice, SCID
  • NF-kappa B / metabolism
  • Signal Transduction
  • Up-Regulation
  • Von Hippel-Lindau Tumor Suppressor Protein / metabolism*

Substances

  • Hypoxia-Inducible Factor 1, alpha Subunit
  • IKBKG protein, human
  • NF-kappa B
  • Von Hippel-Lindau Tumor Suppressor Protein
  • I-kappa B Kinase
  • VHL protein, human