Hereditary papillary renal cell carcinoma
diseaseOn this page
Also known as familial renal papillary carcinomahereditary kidney papillary carcinomahereditary papillary carcinoma of kidneyhereditary papillary carcinoma of the kidneyhereditary papillary renal carcinomahereditary papillary renal cell cancerrenal cell carcinoma, papillaryrenal cell carcinoma, papillary, 1, familial and somatic
Summary
Hereditary papillary renal cell carcinoma (MONDO:0003789) is a cancer caused by MET (GenCC Definitive), with 1 cohort gene and 1 clinical trial. Top therapeutic interventions include pamiparib.
At a glance
- Classification: Cancer
- Causal gene: MET (GenCC Definitive)
- Cohort genes: 1
- ClinVar variants: 9
- Clinical trials: 1
Clinical features
No curated clinical features (Orphanet) for this disease.
Identifiers
Disease identifiers
| Field | Value |
|---|---|
| Canonical name | hereditary papillary renal cell carcinoma |
| Mondo ID | MONDO:0003789 |
| OMIM | 605074 |
| Orphanet | 47044 |
| DOID | DOID:6163 |
| NCIT | C9222 |
| SNOMED CT | 715561008 |
| UMLS | C0879257 |
| MedGen | 163907 |
| GARD | 0013157 |
| Is cancer (heuristic) | yes |
Also known as: familial renal papillary carcinoma · hereditary kidney papillary carcinoma · hereditary papillary carcinoma of kidney · hereditary papillary carcinoma of the kidney · hereditary papillary renal carcinoma · hereditary papillary renal cell cancer · hereditary papillary renal cell carcinoma · renal cell carcinoma, papillary · renal cell carcinoma, papillary, 1, familial and somatic
Data availability: 9 ClinVar variants · 3 GenCC gene-disease records.
Disease family
Classification path: disease by etiologic mechanism › cancer or benign tumor › neoplastic disease or syndrome › neoplasm › cancer › carcinoma › adenocarcinoma › renal cell carcinoma › renal cell adenocarcinoma › hereditary renal cell carcinoma › hereditary papillary renal cell carcinoma
Related subtypes (6): adrenocortical carcinoma, hereditary, renal cell carcinoma, Xp11-associated, aniridia 2, aniridia 3, hereditary clear cell renal cell carcinoma, PAX6-related ocular dysgenesis
Genetics & variants
GWAS landscape
No GWAS associations recorded — common-variant (GWAS) studies don’t cover this disease (typical for Mendelian / rare diseases). See the curated gene cohort and Mendelian overlap below.
Variant details and genetic-evidence tiers
ClinVar germline variants
9 retrieved; paginated sample, class counts are floors:
5 conflicting classifications of pathogenicity, 3 uncertain significance, 1 pathogenic/likely pathogenic
| ClinVar | Variant (HGVS) | Gene | Classification | Review |
|---|---|---|---|---|
| 13881 | NM_000245.4(MET):c.3392T>C (p.Met1131Thr) | MET | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 1367069 | NM_000245.4(MET):c.232C>T (p.Leu78Phe) | MET | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 167292 | NM_000245.4(MET):c.901A>G (p.Thr301Ala) | MET | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 188364 | NM_000245.4(MET):c.1132G>A (p.Val378Ile) | MET | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 485733 | NM_000245.4(MET):c.2547G>C (p.Met849Ile) | MET | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 582091 | NM_000245.4(MET):c.2554A>G (p.Met852Val) | MET | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 1511567 | NM_000245.4(MET):c.395G>T (p.Ser132Ile) | MET | Uncertain significance | criteria provided, multiple submitters, no conflicts |
| 3294308 | NM_000245.4(MET):c.3010C>T (p.Arg1004Ter) | MET | Uncertain significance | criteria provided, multiple submitters, no conflicts |
| 454250 | NM_000245.4(MET):c.3997C>G (p.Leu1333Val) | MET | Uncertain significance | criteria provided, multiple submitters, no conflicts |
Genes & proteins
Mendelian disease overlap and somatic drivers
GenCC: 14 · Orphanet: 5 · OMIM-shared: 0 · Dual-evidence (GWAS+Mendelian): 0
GenCC gene–disease validity (cohort genes)
the Disease column is the GenCC-asserted condition — a cohort gene’s strongest validity may be for a related predisposition syndrome.
| Gene | Classification | Inheritance | Disease | Records |
|---|---|---|---|---|
| MET | Definitive | Autosomal dominant | hereditary papillary renal cell carcinoma | 14 |
Orphanet rare-disease linkage (cohort genes)
| Gene | Orphanet ID | Rare disease |
|---|---|---|
| MET | Orphanet:319298 | Papillary renal cell carcinoma |
| MET | Orphanet:33402 | Pediatric hepatocellular carcinoma |
| MET | Orphanet:47044 | Hereditary papillary renal cell carcinoma |
| MET | Orphanet:488265 | Osteofibrous dysplasia |
| MET | Orphanet:90636 | Rare autosomal recessive non-syndromic sensorineural deafness type DFNB |
Cohort genes → proteins
1 cohort genes, 1 distinct canonical proteins.
Evidence partition
| Subset | Genes |
|---|---|
| multi_evidence | 1 |
Cohort genes (full)
| Symbol | HGNC | Ensembl | UniProt | Name | Evidence |
|---|---|---|---|---|---|
| MET | HGNC:7029 | ENSG00000105976 | P08581 | Hepatocyte growth factor receptor | gencc,clinvar |
Cohort function summary
Lead sentence per gene, UniProt-curated.
| Symbol | Protein name | Function (lead sentence) |
|---|---|---|
| MET | Hepatocyte growth factor receptor | Receptor tyrosine kinase that transduces signals from the extracellular matrix into the cytoplasm by binding to hepatocyte growth factor/HGF ligand. |
Protein-family classification
Druggable: 1 · Difficult: 0 · Unknown: 0 · Druggable fraction: 1.0
Family distribution
Cohort families vs a genome-wide background (hypergeometric, BH-FDR; fold = observed/expected). Counts kept; sorted by enrichment, so the catch-all Other/Unknown bucket no longer leads.
| Family | Genes | Fold | FDR |
|---|---|---|---|
| Kinase | 1 | 27.7× | 0.036 |
Per-gene assignment
| Symbol | Family | Druggable? | EC | InterPro (top 3) |
|---|---|---|---|---|
| MET | Kinase | yes | 2.7.10.1 | Prot_kinase_dom, Ser-Thr/Tyr_kinase_cat_dom, Semap_dom |
Expression context
Cohort genes with no expression data: 0.
1 cohort gene are a single-cell marker in ≥1 SCXA experiment.
Breadth distribution (Bgee present_calls)
| Bucket | Genes |
|---|---|
| narrow (1-5 tissues) | 0 |
| moderate (6-20) | 0 |
| broad (>20) | 1 |
| unknown | 0 |
Top tissues across cohort
| Tissue | Cohort genes |
|---|---|
| cartilage tissue | 1 |
| germinal epithelium of ovary | 1 |
| pigmented layer of retina | 1 |
Per-gene tissue summary (top 30)
| Symbol | Bgee breadth | FANTOM5 breadth | SCXA | Top tissues |
|---|---|---|---|---|
| MET | 270 | ubiquitous | marker | pigmented layer of retina, germinal epithelium of ovary, cartilage tissue |
Protein interactions among cohort
Intra-cohort edges: 0.
Hub genes (top 10 by interactor count)
| Symbol | Interactor count |
|---|---|
| MET | 5,823 |
Structural data
PDB: 1 · AlphaFold-only: 0 · No structure: 0
Cohort genes with PDB structures (top 30)
| Symbol | UniProt | PDB entries |
|---|---|---|
| MET | P08581 | 130 |
Function
Pathway analysis
Distinct Reactome pathways touched by cohort: 44. Enrichment computed across 1 evidence-associated genes (1 with Reactome annotation).
Pathways by enrichment
Over-representation of cohort genes vs the genome-wide background (hypergeometric test, Benjamini-Hochberg FDR; fold = observed/expected over 1 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.
| Pathway | Cohort genes | Fold | FDR | Sample cohort genes |
|---|---|---|---|---|
| Drug-mediated inhibition of MET activation | 1 | 5710.0× | 0.004 | MET |
| MET activates STAT3 | 1 | 3806.7× | 0.004 | MET |
| MET activates PTPN11 | 1 | 2284.0× | 0.004 | MET |
| MET interacts with TNS proteins | 1 | 2284.0× | 0.004 | MET |
| MET Receptor Activation | 1 | 1903.3× | 0.004 | MET |
| MET activates PI3K/AKT signaling | 1 | 1903.3× | 0.004 | MET |
| Sema4D mediated inhibition of cell attachment and migration | 1 | 1427.5× | 0.004 | MET |
| MET receptor recycling | 1 | 1142.0× | 0.004 | MET |
| MET activates RAS signaling | 1 | 1038.2× | 0.004 | MET |
| MET activates RAP1 and RAC1 | 1 | 1038.2× | 0.004 | MET |
| Listeria monocytogenes entry into host cells | 1 | 1038.2× | 0.004 | MET |
| InlB-mediated entry of Listeria monocytogenes into host cell | 1 | 761.3× | 0.005 | MET |
| Sema4D in semaphorin signaling | 1 | 671.8× | 0.005 | MET |
| MET promotes cell motility | 1 | 601.0× | 0.005 | MET |
| MECP2 regulates neuronal receptors and channels | 1 | 601.0× | 0.005 | MET |
| Regulation of MITF-M-dependent genes involved in cell cycle and proliferation | 1 | 571.0× | 0.005 | MET |
| Negative regulation of MET activity | 1 | 519.1× | 0.005 | MET |
| Semaphorin interactions | 1 | 393.8× | 0.006 | MET |
| MET activates PTK2 signaling | 1 | 380.7× | 0.006 | MET |
| PI3K/AKT Signaling in Cancer | 1 | 368.4× | 0.006 | MET |
| Bacterial Infection Pathways | 1 | 335.9× | 0.006 | MET |
| Signaling by MET | 1 | 317.2× | 0.006 | MET |
| Transcriptional Regulation by MECP2 | 1 | 317.2× | 0.006 | MET |
| Negative regulation of the PI3K/AKT network | 1 | 278.5× | 0.007 | MET |
| MITF-M-dependent gene expression | 1 | 181.3× | 0.010 | MET |
| MAPK1/MAPK3 signaling | 1 | 131.3× | 0.013 | MET |
| Constitutive Signaling by Aberrant PI3K in Cancer | 1 | 126.9× | 0.013 | MET |
| MITF-M-regulated melanocyte development | 1 | 114.2× | 0.014 | MET |
| MAPK family signaling cascades | 1 | 102.9× | 0.015 | MET |
| PI5P, PP2A and IER3 Regulate PI3K/AKT Signaling | 1 | 96.8× | 0.015 | MET |
GO biological processes by enrichment
Over-representation of cohort genes vs the genome-wide background (hypergeometric test, Benjamini-Hochberg FDR; fold = observed/expected over 1 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.
| GO term | Cohort genes | Fold | FDR | Sample cohort genes |
|---|---|---|---|---|
| negative regulation of hydrogen peroxide-mediated programmed cell death | 1 | 4213.0× | 0.003 | MET |
| hepatocyte growth factor receptor signaling pathway | 1 | 2106.5× | 0.003 | MET |
| endothelial cell morphogenesis | 1 | 1053.2× | 0.003 | MET |
| positive regulation of endothelial cell chemotaxis | 1 | 991.3× | 0.003 | MET |
| positive chemotaxis | 1 | 802.5× | 0.003 | MET |
| branching morphogenesis of an epithelial tube | 1 | 732.7× | 0.003 | MET |
| pancreas development | 1 | 674.1× | 0.003 | MET |
| excitatory postsynaptic potential | 1 | 443.5× | 0.004 | MET |
| semaphorin-plexin signaling pathway | 1 | 401.2× | 0.004 | MET |
| negative regulation of autophagy | 1 | 259.3× | 0.006 | MET |
| liver development | 1 | 221.7× | 0.006 | MET |
| cell surface receptor protein tyrosine kinase signaling pathway | 1 | 173.7× | 0.007 | MET |
| neuron differentiation | 1 | 100.3× | 0.012 | MET |
| cell surface receptor signaling pathway | 1 | 64.1× | 0.017 | MET |
| positive regulation of transcription by RNA polymerase II | 1 | 14.9× | 0.067 | MET |
Therapeutics
Drug target analysis
Approved (phase 4): 1 · Phase ≥3: 1 · Phased (≥1): 1 · Undrugged: 0
Druggability breadth: 1 of 1 evidence-associated genes (100%) have a ChEMBL target (buckets above are over the deeply-mined display cohort).
Genes with an approved drug
The molecule shown is one approved compound that hits the gene — not necessarily a drug of choice or one indicated for this disease.
| Symbol | Example approved molecule |
|---|---|
| MET | AFATINIB |
Top cohort targets by molecule count
| Symbol | Molecules | Max phase |
|---|---|---|
| MET | 95 | 4 |
Drugs targeting cohort genes (top 30)
| Molecule | Max phase | Targets in cohort |
|---|---|---|
| AFATINIB | 4 | MET |
| FEDRATINIB | 4 | MET |
| TIVOZANIB | 4 | MET |
| AXITINIB | 4 | MET |
| SORAFENIB | 4 | MET |
| NERATINIB | 4 | MET |
| INFIGRATINIB PHOSPHATE | 4 | MET |
| INFIGRATINIB | 4 | MET |
| PALBOCICLIB | 4 | MET |
| ENTRECTINIB | 4 | MET |
| DABRAFENIB | 4 | MET |
| CABOZANTINIB S-MALATE | 4 | MET |
| AFATINIB DIMALEATE | 4 | MET |
| CABOZANTINIB | 4 | MET |
| CERITINIB | 4 | MET |
| VANDETANIB | 4 | MET |
| BOSUTINIB | 4 | MET |
| CAPMATINIB | 4 | MET |
| TEPOTINIB | 4 | MET |
| BRIGATINIB | 4 | MET |
| ENSARTINIB | 4 | MET |
| PAZOPANIB | 4 | MET |
| NINTEDANIB | 4 | MET |
| SUNITINIB | 4 | MET |
| ERLOTINIB | 4 | MET |
| CRIZOTINIB | 4 | MET |
| MIDOSTAURIN | 4 | MET |
| GEFITINIB | 4 | MET |
| LINSITINIB | 3 | MET |
| RIGOSERTIB | 3 | MET |
Bioactivity and enzyme data
Enzyme cohort genes (≥1 EC): 1.
Cohort genes with ChEMBL bioactivity (full, sorted by assay count)
| Symbol | Assays | Type breakdown |
|---|---|---|
| MET | 2,015 | Binding:2005, Functional:6, ADMET:4 |
Cohort enzymes (BRENDA EC)
| Symbol | EC numbers | Names |
|---|---|---|
| MET | 2.7.10.1 | receptor protein-tyrosine kinase |
Cohort genes with high screening signal
≥100 ChEMBL assays — a studied-ness signal; see Therapeutics for approved-drug status.
| Symbol | ChEMBL assays |
|---|---|
| MET | 2,015 |
Pharmacogenomics
Cohort genes with a PharmGKB record: 1; with CPIC/DPWG dosing guidelines: 0.
No cohort gene has a CPIC/DPWG genotype-guided dosing guideline (PharmGKB).
Drug repurposing candidates
30 approved/phased drugs hit cohort targets but don’t yet appear in disease-level clinical trials. Target-inhibition rationale is strongest for cancer driver genes; a bioactivity hit is a screening signal, not a treatment claim.
| Compound | Max phase | Cohort target (bioactivity) |
|---|---|---|
| AFATINIB | 4 | MET |
| FEDRATINIB | 4 | MET |
| TIVOZANIB | 4 | MET |
| AXITINIB | 4 | MET |
| SORAFENIB | 4 | MET |
| NERATINIB | 4 | MET |
| INFIGRATINIB PHOSPHATE | 4 | MET |
| INFIGRATINIB | 4 | MET |
| PALBOCICLIB | 4 | MET |
| ENTRECTINIB | 4 | MET |
| DABRAFENIB | 4 | MET |
| CABOZANTINIB S-MALATE | 4 | MET |
| AFATINIB DIMALEATE | 4 | MET |
| CABOZANTINIB | 4 | MET |
| CERITINIB | 4 | MET |
| VANDETANIB | 4 | MET |
| BOSUTINIB | 4 | MET |
| CAPMATINIB | 4 | MET |
| TEPOTINIB | 4 | MET |
| BRIGATINIB | 4 | MET |
| ENSARTINIB | 4 | MET |
| PAZOPANIB | 4 | MET |
| NINTEDANIB | 4 | MET |
| SUNITINIB | 4 | MET |
| ERLOTINIB | 4 | MET |
| CRIZOTINIB | 4 | MET |
| MIDOSTAURIN | 4 | MET |
| GEFITINIB | 4 | MET |
| LINSITINIB | 3 | MET |
| RIGOSERTIB | 3 | MET |
Druggability pyramid
Cohort genes binned by druggability tier (high → low):
| Tier | Definition | Genes | Symbols |
|---|---|---|---|
| A | Approved (phase 4 drug) | 1 | MET |
| B | Phased (≥1) drug, not yet approved | 0 | |
| C | Druggable family + PDB, no drug | 0 | |
| D | Druggable family + AlphaFold only, no drug | 0 | |
| E | Difficult family or no structure, no drug | 0 |
Undrugged target profiles
0 cohort genes are undrugged. Ranked by ‘starting-point quality’ (assay depth + drugged-partner adjacency).
Clinical trials & evidence
Clinical trials
Clinical trials: 1.
Phase distribution (across all retrieved trials)
| Phase | Trials |
|---|---|
| PHASE2 | 1 |
Top trials by phase / activity
| NCT | Phase | Status | Title |
|---|---|---|---|
| NCT04603365 | PHASE2 | WITHDRAWN | Pamiparib and Temozolomide for the Treatment of Hereditary Leiomyomatosis and Renal Cell Cancer |
Drugs tested across these trials (top 30)
| Molecule | Max phase | Trials referencing |
|---|---|---|
| PAMIPARIB | 3 | 1 |
| CHEMBL3919533 | 0 | 1 |
| CHEMBL4228794 | 0 | 1 |