vascular plexuses, including the superficial vascular plexus (SVP) in the nerve fiber layer, deep vascular plexus (DVP) in the outer plexiform layer (OPL), and intermediate vascular plexus (IVP) in the inner plexiform layer (16).The origin of the true tumorigenic cell type in RCH and RAP is controversial. This reflects the dearth of human samples available for histopathological analyses, limiting the vast majority of studies to observations in intact human eyes. In RCH, early work referred to an astrocytic component (17). More recently, but with only 3 cases, 2 groups reported that glial fibrillary acidic protein-positive (GFAP + ) glial cells contribute to human RCH (18,19). Thus, the cell of origin of human RCH needs further investigation.Deleting Vhl in murine retina delays regression of hyaloid vessels and inhibits retinal angiogenesis, which depend on the associated high levels of 21). Paradoxically, therefore, high Hif does not induce RCH, but instead inhibits retinal angiogenesis in the murine Vhl -/retina. Deleting Vhl in all retinal cells and vascular endothelial cells using UBC-Cre ER also suppresses retinal angiogenesis (22). Deleting Vhl in specific retinal cell types, such as amacrine or horizontal interneurons (23), rods (24), cones (25), or retinal pigment epithelium (RPE) cells (26), also does not induce RCH. Although removing Vhl in murine hemangioblasts using stem cell leukemia-Cre ER (Scl-Cre ER ) triggered some features of early-stage RCH, including dilated tortuous vessels, vascular leakage, and foamy stromal cell clusters, histologically it did not cause any neovascularization or hemangioblastoma structures in the retina (27). Thus, it remains unclear why the Vhl -/retina lacks vascular overgrowth and RCH. One possibility is that inhibitors interfere with Hif activity. Indeed, an SNP microarray study implicated several cell cycle genes in the pathogenesis of hemangioblastoma, including the retinoblastoma repressor (Rb1) (28). Inactivating Vhl plus additional tumor suppressors (Rb1 and tumor protein p53; Tp53) can induce CCRCC (29). However, inhibitors that block angiogenesis in the Vhl -/murine retina are unknown.In addition to angiogenesis, autophagy is important for hypoxia adaptation because it captures and degrades intracellular components to sustain metabolism and homeostasis (30). Hypoxia-induced autophagy requires the constitutive expression of beclin 1 (Becn1) and autophagy related 5 (Atg5) and the Hif1-dependent expression of Bnip3/Bnip3L (30,31). Autophagy has been observed in human RCH (32), but its role in the Vhl -/murine retina is unclear.Retinoblastoma is the most common pediatric intraocular tumor. Rb1 regulates cell cycle, cell death, and many other cellular processes in part by inhibiting the E2f transcription factors (33). Loss of Rb1 and its relative Rbl1 (also called p107) in the retina causes mouse retinoblastoma (34-36). In the Rb1/Rbl1-null retina, all differentiating cells divide ectopically, excitatory neurons (ganglion cells, bipolar cells, rods, and cones) underg...