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SET1B Drives Sustained HIF Activity and Disease Progression in Clear-Cell Renal Cell Carcinoma

Lookup NU author(s): Dr Brian OrtmannORCiD, Lukasz Marzec, Alexander Handyside, Laura WilsonORCiD, Dr Anastasia Hepburn, Professor Craig RobsonORCiD

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This work is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0).


Abstract

©2026 The Authors; Published by the American Association for Cancer Research. The cellular response to hypoxia is driven by hypoxia-inducible factors (HIF), which regulate genes involved in glycolysis, angiogenesis, and cell proliferation, as well as inflammation and tumor progression. HIF activation is well characterized and is primarily regulated by oxygen-dependent prolyl hydroxylation and subsequent degradation. SET1B, a histone H3 lysine 4 methyltransferase, has recently emerged as a key modulator of HIF target gene transcription, but evidence suggests that it plays a broader role in modulating HIF transcriptional activity beyond histone methylation. In this study, we revealed that SET1B interacts with RNA polymerase II to coordinate sustained HIF-mediated transcriptional activity through multiple functional domains. In clear-cell renal cell carcinoma (ccRCC), SET1B is critical for sustained HIF activity, and SET1B expression correlated with disease progression and metastasis in patient samples. Moreover, SET1B depletion enhanced the efficacy of HIF2 inhibitors. These findings establish SET1B as a driver of tumor progression and potential therapeutic target in ccRCC. SIGNIFICANCE: SET1B functions as a key regulator of HIF-dependent transcription and cancer growth under low-oxygen conditions, revealing a therapeutic target to enhance treatment efficacy and potentially slow disease progression in kidney cancer.


Publication metadata

Author(s): Ortmann BM, Pauzaite T, Bertlin JAC, Seear RV, Arnaiz E, Marzec LW, Handyside A, Bowker LM, Barnett SE, Harcourt K, Lin S, Salman AM, Wilson L, Harris AL, Stewart GD, Hepburn A, Clare S, Robson CN, Coulson JM, Speak AO, Nathan JA

Publication type: Article

Publication status: Published

Journal: Cancer Research

Year: 2026

Volume: 86

Issue: 15

Pages: 3704-3719

Online publication date: 04/08/2026

Acceptance date: 30/03/2026

Date deposited: 17/08/2026

ISSN (print): 0008-5472

ISSN (electronic): 1538-7445

Publisher: American Association for Cancer Research

URL: https://doi.org/10.1158/0008-5472.CAN-25-1076

DOI: 10.1158/0008-5472.CAN-25-1076

Data Access Statement: The mRNA expression data for SET1B in KIRC were obtained from TCGA database, more specifically OncoLnc (http://www.oncolnc.org/), and analyzed by comparing the top 25% and bottom 25% of SET1B mRNA expression levels within the patient cohort. All raw data generated during this study are available from the corresponding author upon reasonable request.

PubMed id: 41941749


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Funding

Funder referenceFunder name
Academy of Medical Sciences
British Heart Foundation
Cancer Research UK Cambridge Centre (C9685/A25177 and CTRQQR-2021\100012)
Cancer Research UK Cambridge Centre Urological Malignancies Programme Pump Priming award [Cancer Research UK Cambridge Centre (C9685/A25177 and CTRQQR-2021\100012)]
Diabetes UK Springboard Award (SBF0010/1105)
Government Department of Science Innovation and Technology
Lister Institute Research Fellowship
Newcastle Academic Tract Fellowship (STR/0260/NACT)
NIHR Cambridge Biomedical Research Centre (NIHR203312)
The Mark Foundation for Cancer Research (RG95043)
Wellcome Sanger Institute
Wellcome Trust
Wellcome Senior Clinical Research Fellowship (215477/Z/19/Z)

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