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1- Understanding the biology was key








                                                                                                         E2
                                                                                               CUL2
                                                                                                        Rbx1          VHL complex
                                                                                                                         disrupted
                                                                                       Elongin B  Elongin C


                     VHL protein                 β-domain                             Mutant α-domain





                         HIFα
                     accumulation


                             Activation of hypoxia-inducible genes




                               VEGF               Glut1                PDGF













                                                                                 Autocrine Growth
                Angiogenesis                 Glucose Transport                      Stimulation
   7   8   9   10   11   12   13   14   15   16   17