Von Hippel-Lindau and Cancers

A special issue of Cancers (ISSN 2072-6694). This special issue belongs to the section "Molecular Cancer Biology".

Deadline for manuscript submissions: closed (15 November 2023) | Viewed by 1992

Special Issue Editors


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Guest Editor
Endocrine Surgery Section, Surgical Oncology Program, National Cancer Institute, NIH, Bethesda, MD 20892, USA
Interests: adrenocortical cancer; neuroendocrine tumors; targeted therapy; drug discovery; drug delivery; nanomedicine; tumor microenvironment; tumor necrosis factor alpha

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Guest Editor
Center for Cancer Research National Cancer Institute, NIH, Bethesda, MD 20892, USA
Interests: urologic oncologic surgery; renal cell carcinoma; hereditary kidney cancer syndromes; adrenal surgery; cancer genetics

Special Issue Information

Dear Colleagues,

Von Hippel–Lindau disease (VHL) is a rare and inheritable tumor syndrome with an autosomal dominant pattern that affects multiple organs. The disease was named after the German ophthalmologist, Eugen von Hippel, who first described ophthalmic angiomas in 1904, and the Swedish pathologist, Arvid Lindau, who discovered “angiomatosis of the central nervous system” in 1927. VHL disease is caused by germline alterations in the VHL gene. pVHL is a member of an E3 ubiquitin ligase complex. During normoxia, this complex ubiquitinates transcription factor hypoxia-inducible factor-alpha (HIF-α) for degradation by the proteasome. Alterations in VHL reduce the degradation of HIF, resulting in HIF accumulation and upregulation of multiple targets genes resulting in angiogenesis and tumorigenesis. The importance of this pathway was highlighted in 2019 as three investigators who discovered the cellular response to hypoxia received the Nobel Prize in Physiology or Medicine.

In this Special Issue, we include a brief history of VHL; the detailed molecular pathophysiology of VHL-HIF and tumorigenesis; organ-specific phenotypes such as retinal, brain, and spine hemangioblastomas; pheochromocytoma and paragangliomas; pancreatic cysts and neuroendocrine tumors; and urologic manifestations of VHL with a focus on renal cell cancer. The updated surgical and medical management and surveillance programs are also discussed.

Dr. Naris Nilubol
Dr. Mark W. Ball
Guest Editors

Manuscript Submission Information

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Keywords

  • von Hippel–Lindau disease
  • hemangioblastoma
  • pheochromocytoma
  • renal cell cancer
  • pancreatic neuroendocrine tumor
  • hypoxia-inducible factor

Published Papers (1 paper)

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Review

14 pages, 597 KiB  
Review
Non-Interventional Management of Advanced Pancreatic Neuroendocrine Neoplasms in Patients with von Hippel-Lindau Disease
by Reut Halperin and Amit Tirosh
Cancers 2023, 15(6), 1739; https://doi.org/10.3390/cancers15061739 - 13 Mar 2023
Cited by 3 | Viewed by 1541
Abstract
Von Hippel–Lindau (VHL) is a rare autosomal dominant hereditary cancer predisposition syndrome. Patients with VHL have a high risk for developing retinal and central nervous system hemangioblastoma, pheochromocytoma, renal cell carcinoma, and pancreatic neuroendocrine neoplasms (PNEN). About a fifth of patients with VHL [...] Read more.
Von Hippel–Lindau (VHL) is a rare autosomal dominant hereditary cancer predisposition syndrome. Patients with VHL have a high risk for developing retinal and central nervous system hemangioblastoma, pheochromocytoma, renal cell carcinoma, and pancreatic neuroendocrine neoplasms (PNEN). About a fifth of patients with VHL will develop PNEN, and only a tenth of them will develop metastatic or unresectable (advanced) PNEN requiring medical intervention. In this review, we performed a literature search for studies, written in English, on the medical interventions for VHL-related localized and advanced PNENs and their clinical outcomes. We detail the various medical interventions for this rare group of patients, including their mode of action and potential efficacy and toxicity. Finally, based on the current literature, we delineate a possible management algorithm for patients with VHL and advanced PNEN. We can conclude that data on the efficacy of various vascular endothelial growth factor (VEGF) receptor inhibitors, and on the efficacy of belzutifan, a novel hypoxia-inducible factor 2 inhibitor, for the management of advanced PNEN in VHL, are scarce. Hence, deduction from the management of sporadic PNEN is required, and is implemented in the proposed management algorithm provided within this review. Full article
(This article belongs to the Special Issue Von Hippel-Lindau and Cancers)
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