“…Inactivation of the VHL tumor suppressor gene and subsequent loss of function in VHL, and VHL Elongin BC, result in dysfunction in the ubiquitination of hypoxia inducible factor (HIF), which leads to the overexpression of several hypoxia-inducible genes such as vascular endothelial growth factors, erythropoietin, and platelet-derived growth factor, which could explain the development of angiogenic tumors. 7,23,24 The expression of various proteins such as Scl, brachyury, Csf-1R, Gata-1, Flk-1, and Tie-2 on the stromal cells suggests an embryonic progenitor cell origin with a hemangioblastic differentiation. Besides these, the interaction of Tie-2 proteins with HIF could be an initiating event in the pathogenesis of the lesions.…”