Saturation genome editing maps the functional spectrum of pathogenic VHL alleles

Abstract: To maximize the impact of precision medicine approaches, it is critical to identify genetic variants underlying disease and to accurately quantify their functional effects. A gene exemplifying the challenge of variant interpretation is the von Hippel–Lindautumor suppressor (VHL). VHL encodes an E3 ubiquitin ligase that regulates the cellular response to hypoxia. Germline pathogenic variants in VHL predispose patients to tumors including clear cell renal cell carcinoma (ccRCC) and pheochromocytoma, and somatic VHL mutations are frequently observed in sporadic renal cancer. Here we optimize and apply saturation genome editing to assay nearly all possible single-nucleotide variants (SNVs) across VHL’s coding sequence. To delineate mechanisms, we quantify mRNA dosage effects and compare functional effects in isogenic cell lines. Function scores for 2,268 VHL SNVs identify a core set of pathogenic alleles driving ccRCC with perfect accuracy, inform differential risk across tumor types and reveal new mechanisms by which variants impact function. These results have immediate utility for classifying VHL variants encountered clinically and illustrate how precise functional measurements can resolve pleiotropic and dosage-dependent genotype–phenotype relationships across complete genes

Location
Deutsche Nationalbibliothek Frankfurt am Main
Extent
Online-Ressource
Language
Englisch
Notes
Nature Genetics. - 56, 7 (2024) , 1446-1455, ISSN: 1546-1718

Event
Veröffentlichung
(where)
Freiburg
(who)
Universität
(when)
2024
Creator
Buckley, Megan
Terwagne, Chloé
Ganner, Athina
Cubitt, Laura
Brewer, Reid
Kim, Dong-Kyu
Kajba, Christina M.
Forrester, Nicole
Dace, Phoebe
De Jonghe, Joachim
Shepherd, Scott T. C.
Sawyer, Chelsea
McEwen, Mairead
Diederichs, Sven
Neumann-Haefelin, Elke
Turajlic, Samra
Ivakine, Evgueni A.
Findlay, Gregory M.

DOI
10.1038/s41588-024-01800-z
URN
urn:nbn:de:bsz:25-freidok-2552252
Rights
Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
Last update
14.08.2025, 11:04 AM CEST

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Associated

  • Buckley, Megan
  • Terwagne, Chloé
  • Ganner, Athina
  • Cubitt, Laura
  • Brewer, Reid
  • Kim, Dong-Kyu
  • Kajba, Christina M.
  • Forrester, Nicole
  • Dace, Phoebe
  • De Jonghe, Joachim
  • Shepherd, Scott T. C.
  • Sawyer, Chelsea
  • McEwen, Mairead
  • Diederichs, Sven
  • Neumann-Haefelin, Elke
  • Turajlic, Samra
  • Ivakine, Evgueni A.
  • Findlay, Gregory M.
  • Universität

Time of origin

  • 2024

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