To the editor: Erythropoietin production is regulated by the transcription factor hypoxia-inducible factor (HIF). Erythrocytosis with raised erythropoietin levels due to dysregulated HIF activity is recognized as a consequence of a hypomorphic HIFα E3 ubiquitin ligase ( VHL ) allele (Chuvash
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Gale et al. (2008) studied this question.
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