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Table 1 Genotype-phenotype correlation for von Hippel-Lindau disease and possible responsible pathophysiological mechanism

From: Von Hippel-Lindau Disease

Type VHL

Type of VHL gene germline mutation

Retinal HAB

CNS HAB

RCC

PHAEO

Mechanisms for VHL mediated tumourigenesis

1

missense

+

+

+

-

loss of function (i.e. HIF-1α degradation)

 

microdeletions

     
 

insertions

     
 

splice site

     
 

nonsense

     
 

large deletions

     

2A

missense

+

+

-

+

gain of function (PHAEO)

2B

missense

+

+

+

+

loss of function (HAB+RCC)

2C

missense

-

-

-

+

gain of function, fibronectin

  1. HAB, haemangioblastoma; CNS, central nervous system; RCC, renal cell carcinoma (clear cell type); PHAEO, phaeochromocytoma; HIF, hypoxia-inducible factor; +, tumour present; -, tumour absent