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WebHIF-2α, not HIF-1α, is the main driver of carcinogenesis in ccRCC. HIF-2α as a novel target for the treatment of ccRCC is established, and inhibitors to this pathway are being developed actively. Instead of targeting endothelial cell VEGF pathway with TKIs, HIF-2α inhibitors target more proximally and directly the tumor cell HIF pathway. WebGermline mutations in the oxygen-sensing pathway (VHL-HIF2A-PHD2) or erythropoietin (EPO) signaling (EPOR) are relatively rare but may result in erythrocytosis with normal p50 measurement (oxygen tension at which hemoglobin is 50% saturated) accompanied by either an elevated or inappropriately normal EPO (VHL-HIF2APHD2) or subnormal EPO … • Brahimi-Horn MC, Pouysségur J (2005). "The hypoxia-inducible factor and tumor progression along the angiogenic pathway". International Review of Cytology. 242: 157–213. doi:10.1016/S0074-7696(04)42004-X. ISBN 9780123646460. PMID 15598469. • Haase VH (August 2006). "Hypoxia-inducible factors in the kidney". American Journal of Physiology. Renal Physiology. 291 (2): F271-81. doi:10.1152/ajprenal.00071.2006. PMC 4232221. PMID 16554418. dick butkus house