The central role played by angiogenesis in RCC pathogenesis is mediated by signaling cascades involving multiple factors, such as pVHL (von Hippel-Lindau tumor suppressor protein), HIF-1α (hypoxia inducible factor 1 subunit alpha), VEGF (vascular endothelial growth factor), PDGF (platelet-derived growth factor), and mTOR (mammalian target of rapamycin) (4–7). The gene discussed is HIF1A; the disease is renal cell carcinoma.