Preprint Review Version 1 Preserved in Portico This version is not peer-reviewed

Genetics, Pathophysiology, and Current Challenges in Von Hippel-Lindau Disease Therapeutics

Version 1 : Received: 15 June 2024 / Approved: 15 June 2024 / Online: 17 June 2024 (08:35:12 CEST)

How to cite: Gómez-Virgilio, L.; Velazquez-Paniagua, M.; Cuazozon-Ferrer, L.; Silva-Lucero, M.-D. C.; Padilla-Mendoza, J.-R.; Borbolla-Vázquez, J.; Díaz-Hernández, J.-A.; Jiménez-Orozco, F.-A.; Cardenas-Aguayo, M.-D.-C. Genetics, Pathophysiology, and Current Challenges in Von Hippel-Lindau Disease Therapeutics. Preprints 2024, 2024061103. https://doi.org/10.20944/preprints202406.1103.v1 Gómez-Virgilio, L.; Velazquez-Paniagua, M.; Cuazozon-Ferrer, L.; Silva-Lucero, M.-D. C.; Padilla-Mendoza, J.-R.; Borbolla-Vázquez, J.; Díaz-Hernández, J.-A.; Jiménez-Orozco, F.-A.; Cardenas-Aguayo, M.-D.-C. Genetics, Pathophysiology, and Current Challenges in Von Hippel-Lindau Disease Therapeutics. Preprints 2024, 2024061103. https://doi.org/10.20944/preprints202406.1103.v1

Abstract

Von Hippel-Lindau disease (VHL) is a multiple organ neoplastic syndrome with autosomal dominant transmission, complete penetrance, and variable expression caused by mutations in the VHL gene. Although VHL disease is hereditary in many cases, new mutations cause up to 20 % of the incidence. Mutations in VHL may cause the development of cysts and tumors in many organs, including brain and spinal cord hemangioblastoma, renal cell carcinoma (RCC), retinal heman-gioblastoma (RH), pheochromocytoma, epididymal and broad ligament cystadenomas, endo-lymphatic sac tumor, pancreatic neuroendocrine tumors, and renal and pancreatic cysts. VHL is a syndrome associated with functional inactivation of the Von Hippel–Lindau protein (pVHL). pVHL is a tumor suppressor mainly known for its role as a regulator of hypoxia-inducible factor (HIF) activity. The prevalence of VHL disease is between 1 in 39 000 and 1 in 91 000 individuals in different regional populations. Here, we review the etiology, epidemiology, pathophysiology, genetics, clinical manifestations, diagnosis, and current treatments, as well as the molecular aspects of this disease. We also discuss the animal models used to study this disease, VHL biomarkers, and current VHL clinical trials for VHL according to NIH.

Keywords

VHL; pVHL; tumor suppressor; HIF; treatments; biomarkers; clinical trials

Subject

Medicine and Pharmacology, Pathology and Pathobiology

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