The results described above establish a link between pVHL and BIMEL and the vulnerability of RCC cells to certain apoptotic stimuli. Initially, we observed that BIMEL protein levels were greater in RCC cells expressing wild type pVHL than in the same cells lacking pVHL. Inhibiting pVHL expression with RNA interference produced a corresponding decrease in BIMEL protein, while exogenous pVHL inhibited the accumulation of polyubiquitinated BIMEL in cells treated with a proteasome inhibitor. Consistent with these results, the presence of pVHL correlated with an increase in BIMEL protein half-life, which was reversed when pVHL expression was inhibited. Finally, siRNA-mediated suppression of BIMEL in RCC cells expressing pVHL reduced the death of these cells after exposure to etoposide or UV radiation.
The finding that loss of pVHL results in destabilization of the pro-apoptotic protein BIM
EL provides a mechanistic explanation for a recent report that BIM
EL expression is frequently suppressed in clear-cell RCC clinical samples and cell lines (
Zantl et al., 2007). In their study, BIM
EL expression was reduced in 35 of 43 clear-cell RCC samples and in 6 of 9 RCC cell lines. The projected incidence of reduced BIM
EL expression in RCC is similar to estimates that 60–75% of sporadic clear-cell RCC harbor mutations in
VHL (
Cohen, 1999;
van Houwelingen et al., 2005).
Zantl et al. (2007) also described an inverse correlation between BIM
EL levels and resistance of RCC cells to apoptosis. Our results demonstrating a role for pVHL in regulating BIM
EL stability establish a potential cause and effect relationship between mutations in
VHL and a reduction in BIM
EL in RCC. It will be important to investigate whether reduced BIM
EL expression is a more general characteristic of clear-cell RCC associated with defective
VHL.
Regulation of BIM
EL is complex and involves transcriptional and post-translational mechanisms. Data presented here show that pVHL can influence BIM
EL protein levels without affecting its mRNA expression. While the precise mechanism is unknown, the ability of pVHL and BIM
EL to co-immunoprecipitate raises the possibility that polyubiquitination of BIM
EL may be influenced by its interaction with pVHL. Similar mechanisms were proposed to explain the stabilization of p53 and Jade-1 by pVHL (
Roe et al., 2006;
Zhou et al., 2002). Alternatively, pVHL could promote BIM
EL stabilization by interfering with the function of a ubiquitin ligase that normally degrades BIM
EL. Recently, an E3 ligase consisting of CIS (
cytokine-
inducible
Src homology 2 domain-containing protein), elongins B and C, and Cul2 was shown to mediate the degradation of BIM
EL in ovarian and breast cancer cells (
Zhang et al., 2008). Elongins B and C and Cul2 are also part of the pVHL E3 ligase (
Iwai et al., 1999;
Stebbins et al., 1999). Thus, the abundance of pVHL relative to CIS may be important for determining the ubiquitin ligase activity of the latter and thus the stability of substrates such as BIM
EL. Interestingly, the substrate-binding β-domain of pVHL and not its elongin C-binding α-domain co-immunoprecipitates with BIM
EL (data not shown), raising the possibility that complexes containing pVHL and BIM
EL could also contain elongin C.
In response to a variety of apoptotic stimuli, BIM
EL and related BH3-only proteins act by sequestering anti-apoptotic Bcl-2 proteins at the mitochondria, thus enabling the pro-apoptotic proteins Bax and Bak to form complexes that promote release of cytochrome c into the cytoplasm and activation of the apoptosome (
Willis et al., 2007). In the absence of death inducing stimuli, survival-promoting growth factors and cytokines stimulate phosphorylation of serine-65 in BIM
EL by ERK1/2 leading to its polyubiquitination and degradation (
Ewings et al., 2007). Our results raise the possibility that pVHL may act by inhibiting ERK-dependent phosphorylation of BIM
EL or the interaction between ERK-phosphorylated BIM
EL and its ubiquitin ligase. While these hypotheses remain to be tested, co-immunoprecipitation experiments with truncated forms of BIM
EL reveal that pVHL can interact with residues 41-97 of BIM
EL, which include the critical ERK phosphorylation site at serine-65 (data not shown).
The ability of pVHL to promote BIM
EL stabilization is not the only means by which pVHL sensitizes cells to apoptosis. pVHL was recently shown to promote the stabilization and transcription factor activity of p53 (
Roe et al., 2006), which correlated with the increased susceptibility of pVHL-expressing tumor cells to certain apoptotic stimuli. In another study, over-expression of pVHL in 786-0 cells with a recombinant adenovirus caused cell death which was associated with an increase in Bax expression (
Kim et al., 2004). In addition to enhancing death pathways, pVHL may also suppress cell survival pathways including those mediated by NF-κB (
Qi and Ohh, 2003;
Yang et al., 2007), atypical PKC (
Okuda et al., 2001), JunB (
Lee et al., 2005) and HIF (
Semenza, 2003). Despite these and other reports that pVHL can sensitize RCC and other tumor cells to apoptosis, expression of pVHL in RCC cells can also decrease sensitivity to cell death under certain conditions (
Devarajan et al., 2001;
Schoenfeld et al., 2000;
Gorospe et al., 1999). Given the multiple functions of pVHL in the regulation of protein stability, microtubule stability, extracellular matrix signaling, and transcriptional regulation (
Frew and Krek, 2008), it is perhaps not surprising that pVHL influences cell survival in diverse ways and through multiple mechanisms.
In summary, we have identified a mechanism by which loss of pVHL contributes to the desensitization of RCC cells to apoptotic stimuli that involves destabilization of the pro-apoptotic protein BIMEL. The high incidence of mutations in VHL in inherited and sporadic clear-cell RCC, together with the recent finding that BIMEL expression is suppressed in a similarly high percentage of clear-cell RCC, suggest that pVHL-dependent regulation of BIMEL stability may be an important factor in the development of many kidney tumors.