Hereditary renal cell carcinoma
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Also known as familial renal carcinomahereditary renal cell cancerhereditary renal cell carcinoma (disease)
Summary
Hereditary renal cell carcinoma (MONDO:0003008) is a cancer (an umbrella term covering 7 Mondo subtypes) with 4 cohort genes (3 CIViC-evidence somatic drivers; 4 ClinVar predisposition records). Molecularly, FH Deficient confers sensitivity to Bevacizumab + Erlotinib in Hereditary Renal Cell Carcinoma (CIViC Level B); 1 further subtype–drug associations are mapped below.
At a glance
- Classification: Cancer
- Umbrella term: 7 Mondo subtypes
- Cohort genes: 4
- ClinVar variants: 4
- Precision-medicine evidence (CIViC): 2 subtype–drug associations
Clinical features
No curated clinical features (Orphanet) for this disease.
Identifiers
Disease identifiers
| Field | Value |
|---|---|
| Canonical name | hereditary renal cell carcinoma |
| Mondo ID | MONDO:0003008 |
| MeSH | C536851 |
| DOID | DOID:4455 |
| NCIT | C39789 |
| SNOMED CT | 717736007 |
| UMLS | C2608055 |
| MedGen | 392857 |
| GARD | 0023326 |
| Is cancer (heuristic) | yes |
Also known as: familial renal carcinoma · hereditary renal cell cancer · hereditary renal cell carcinoma · hereditary renal cell carcinoma (disease)
Data availability: 4 ClinVar variants.
Disease family
An umbrella term covering 7 Mondo subtypes.
Classification path: human disease › 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
Related subtypes (8): childhood kidney cell carcinoma, sarcomatoid renal cell carcinoma, clear cell renal carcinoma, renal cell carcinoma associated with Xp11.2 translocations/TFE3 gene fusions, papillary renal cell carcinoma, chromophobe renal cell carcinoma, renal cell carcinoma associated with neuroblastoma, tubulocystic renal cell carcinoma
Subtypes (7): hereditary papillary renal cell carcinoma, 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
4 retrieved; paginated sample, class counts are floors:
2 uncertain significance, 1 conflicting classifications of pathogenicity, 1 benign
| ClinVar | Variant (HGVS) | Gene | Classification | Review |
|---|---|---|---|---|
| 224947 | NM_004168.4(SDHA):c.133G>A (p.Ala45Thr) | SDHA | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 347225 | NM_001963.6(EGF):c.47G>C (p.Ser16Thr) | EGF | Uncertain significance | criteria provided, multiple submitters, no conflicts |
| 496816 | NM_001618.4(PARP1):c.370A>G (p.Thr124Ala) | PARP1 | Uncertain significance | no assertion criteria provided |
| 496815 | NM_016292.3(TRAP1):c.1604C>G (p.Thr535Ser) | DNASE1 | Benign | criteria provided, single submitter |
Genes & proteins
Mendelian disease overlap and somatic drivers
GenCC: 0 · Orphanet: 10 · OMIM-shared: 0 · Dual-evidence (GWAS+Mendelian): 0
Somatic driver evidence (intOGen + CIViC, cohort fanout)
| Gene | intOGen role | Cancer types | CIViC |
|---|---|---|---|
| SDHA | Act | CHRCC,HCC,LGGNOS | CIViC #5176 |
| PARP1 | CIViC #199 | ||
| EGF | CIViC #1634 |
Orphanet rare-disease linkage (cohort genes)
| Gene | Orphanet ID | Rare disease |
|---|---|---|
| SDHA | Orphanet:139411 | Carney triad |
| SDHA | Orphanet:154 | Familial isolated dilated cardiomyopathy |
| SDHA | Orphanet:29072 | Hereditary pheochromocytoma-paraganglioma |
| SDHA | Orphanet:3208 | Isolated succinate-CoQ reductase deficiency |
| SDHA | Orphanet:44890 | Gastrointestinal stromal tumor |
| SDHA | Orphanet:97286 | Carney-Stratakis syndrome |
| DNASE1 | Orphanet:300345 | Autosomal systemic lupus erythematosus |
| DNASE1 | Orphanet:536 | Systemic lupus erythematosus |
| EGF | Orphanet:210159 | Adult hepatocellular carcinoma |
| EGF | Orphanet:620368 | EGF-related primary hypomagnesemia with intellectual disability |
Cohort genes → proteins
4 cohort genes, 4 distinct canonical proteins.
Evidence partition
| Subset | Genes |
|---|---|
| multi_evidence | 4 |
Cohort genes (full)
| Symbol | HGNC | Ensembl | UniProt | Name | Evidence |
|---|---|---|---|---|---|
| SDHA | HGNC:10680 | ENSG00000073578 | P31040 | Succinate dehydrogenase [ubiquinone] flavoprotein subunit, mitochondrial | clinvar |
| PARP1 | HGNC:270 | ENSG00000143799 | P09874 | Poly [ADP-ribose] polymerase 1 | clinvar |
| DNASE1 | HGNC:2956 | ENSG00000213918 | P24855 | Deoxyribonuclease-1 | clinvar |
| EGF | HGNC:3229 | ENSG00000138798 | P01133 | Pro-epidermal growth factor | clinvar |
Cohort function summary
Lead sentence per gene, UniProt-curated.
| Symbol | Protein name | Function (lead sentence) |
|---|---|---|
| SDHA | Succinate dehydrogenase [ubiquinone] flavoprotein subunit, mitochondrial | Flavoprotein (FP) subunit of succinate dehydrogenase (SDH) that is involved in complex II of the mitochondrial electron transport chain and is responsible for transferring electrons from succinate to ubiquinone (coenzyme Q). |
| PARP1 | Poly [ADP-ribose] polymerase 1 | Poly-ADP-ribosyltransferase that mediates poly-ADP-ribosylation of proteins and plays a key role in DNA repair. |
| DNASE1 | Deoxyribonuclease-1 | Serum endocuclease secreted into body fluids by a wide variety of exocrine and endocrine organs. |
| EGF | Pro-epidermal growth factor | EGF stimulates the growth of various epidermal and epithelial tissues in vivo and in vitro and of some fibroblasts in cell culture. |
Protein-family classification
Druggable: 1 · Difficult: 1 · Unknown: 2 · Druggable fraction: 0.25
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 |
|---|---|---|---|
| Phosphatase | 1 | 21.0× | 0.141 |
| Transcription factor | 1 | 2.1× | 0.605 |
| Other/Unknown | 2 | 0.9× | 0.769 |
Per-gene assignment
| Symbol | Family | Druggable? | EC | InterPro (top 3) |
|---|---|---|---|---|
| SDHA | Other/Unknown | no | FRD_SDH_FAD_BS, FAD-dep_OxRdtase_2_FAD-bd, Succ_DH_flav_su_fwd | |
| PARP1 | Transcription factor | no | 2.4.2.30 | BRCT_dom, Znf_PARP, Poly(ADP-ribose)pol_reg_dom |
| DNASE1 | Phosphatase | yes | 3.1.21.1 | Endo/exonuclease/phosphatase, DNase_I, Deoxyribonuclease-1_AS |
| EGF | Other/Unknown | no | LDLR_classB_rpt, EGF-type_Asp/Asn_hydroxyl_site, EGF |
Expression context
Cohort genes with no expression data: 0.
4 cohort genes 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) | 4 |
| unknown | 0 |
Top tissues across cohort
| Tissue | Cohort genes |
|---|---|
| apex of heart | 1 |
| heart left ventricle | 1 |
| mucosa of transverse colon | 1 |
| ganglionic eminence | 1 |
| primordial germ cell in gonad | 1 |
| ventricular zone | 1 |
| duodenum | 1 |
| jejunal mucosa | 1 |
| small intestine Peyer’s patch | 1 |
| body of pancreas | 1 |
| hindlimb stylopod muscle | 1 |
| renal medulla | 1 |
Per-gene tissue summary (top 30)
| Symbol | Bgee breadth | FANTOM5 breadth | SCXA | Top tissues |
|---|---|---|---|---|
| SDHA | 143 | ubiquitous | marker | apex of heart, heart left ventricle, mucosa of transverse colon |
| PARP1 | 292 | ubiquitous | marker | ventricular zone, ganglionic eminence, primordial germ cell in gonad |
| DNASE1 | 226 | ubiquitous | marker | duodenum, jejunal mucosa, small intestine Peyer’s patch |
| EGF | 215 | broad | marker | renal medulla, body of pancreas, hindlimb stylopod muscle |
Protein interactions among cohort
Intra-cohort edges: 0.
Hub genes (top 10 by interactor count)
| Symbol | Interactor count |
|---|---|
| PARP1 | 8,370 |
| EGF | 8,267 |
| SDHA | 6,141 |
| DNASE1 | 1,051 |
Structural data
PDB: 4 · AlphaFold-only: 0 · No structure: 0
Cohort genes with PDB structures (top 30)
| Symbol | UniProt | PDB entries |
|---|---|---|
| PARP1 | P09874 | 106 |
| EGF | P01133 | 13 |
| SDHA | P31040 | 5 |
| DNASE1 | P24855 | 1 |
Function
Pathway analysis
Distinct Reactome pathways touched by cohort: 49. Enrichment computed across 4 evidence-associated genes (3 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 3 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.
| Pathway | Cohort genes | Fold | FDR | Sample cohort genes |
|---|---|---|---|---|
| vRNA Synthesis | 1 | 3806.7× | 0.013 | PARP1 |
| PLCG1 events in ERBB2 signaling | 1 | 951.7× | 0.013 | EGF |
| POLB-Dependent Long Patch Base Excision Repair | 1 | 423.0× | 0.013 | PARP1 |
| Inhibition of Signaling by Overexpressed EGFR | 1 | 423.0× | 0.013 | EGF |
| EGFR interacts with phospholipase C-gamma | 1 | 380.7× | 0.013 | EGF |
| NFE2L2 regulating tumorigenic genes | 1 | 317.2× | 0.013 | EGF |
| HDR through MMEJ (alt-NHEJ) | 1 | 292.8× | 0.013 | PARP1 |
| ERBB2 Activates PTK6 Signaling | 1 | 271.9× | 0.013 | EGF |
| GRB2 events in EGFR signaling | 1 | 253.8× | 0.013 | EGF |
| SHC1 events in EGFR signaling | 1 | 237.9× | 0.013 | EGF |
| Constitutive Signaling by EGFRvIII | 1 | 237.9× | 0.013 | EGF |
| ERBB2 Regulates Cell Motility | 1 | 237.9× | 0.013 | EGF |
| PI3K events in ERBB2 signaling | 1 | 223.9× | 0.013 | EGF |
| Signaling by ERBB2 ECD mutants | 1 | 223.9× | 0.013 | EGF |
| GAB1 signalosome | 1 | 211.5× | 0.013 | EGF |
| GRB2 events in ERBB2 signaling | 1 | 211.5× | 0.013 | EGF |
| Developmental Lineage of Multipotent Pancreatic Progenitor Cells | 1 | 200.3× | 0.013 | EGF |
| Constitutive Signaling by Ligand-Responsive EGFR Cancer Variants | 1 | 190.3× | 0.013 | EGF |
| Maturation of TCA enzymes and regulation of TCA cycle | 1 | 190.3× | 0.013 | SDHA |
| Developmental Lineage of Mammary Gland Myoepithelial Cells | 1 | 181.3× | 0.013 | EGF |
| SHC1 events in ERBB2 signaling | 1 | 158.6× | 0.013 | EGF |
| NOTCH3 Activation and Transmission of Signal to the Nucleus | 1 | 158.6× | 0.013 | EGF |
| Signaling by ERBB2 TMD/JMD mutants | 1 | 158.6× | 0.013 | EGF |
| Developmental Lineage of Mammary Gland Luminal Epithelial Cells | 1 | 152.3× | 0.013 | EGF |
| Estrogen-dependent nuclear events downstream of ESR-membrane signaling | 1 | 146.4× | 0.013 | EGF |
| Citric acid cycle (TCA cycle) | 1 | 141.0× | 0.013 | SDHA |
| Signaling by ERBB2 KD Mutants | 1 | 141.0× | 0.013 | EGF |
| Downregulation of ERBB2 signaling | 1 | 126.9× | 0.014 | EGF |
| Downregulation of SMAD2/3:SMAD4 transcriptional activity | 1 | 122.8× | 0.014 | PARP1 |
| Signaling by ERBB2 | 1 | 115.3× | 0.014 | EGF |
GO biological processes by enrichment
Over-representation of cohort genes vs the genome-wide background (hypergeometric test, Benjamini-Hochberg FDR; fold = observed/expected over 4 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.
| GO term | Cohort genes | Fold | FDR | Sample cohort genes |
|---|---|---|---|---|
| positive regulation of myofibroblast differentiation | 1 | 4213.0× | 0.008 | PARP1 |
| regulation of neutrophil mediated cytotoxicity | 1 | 2106.5× | 0.008 | DNASE1 |
| regulation of base-excision repair | 1 | 2106.5× | 0.008 | PARP1 |
| negative regulation of ATP biosynthetic process | 1 | 2106.5× | 0.008 | PARP1 |
| DNA ADP-ribosylation | 1 | 1404.3× | 0.008 | PARP1 |
| mitochondrial DNA metabolic process | 1 | 1404.3× | 0.008 | PARP1 |
| regulation of circadian sleep/wake cycle, non-REM sleep | 1 | 1404.3× | 0.008 | PARP1 |
| regulation of acute inflammatory response | 1 | 1053.2× | 0.008 | DNASE1 |
| positive regulation of hyaluronan biosynthetic process | 1 | 1053.2× | 0.008 | EGF |
| ATP generation from poly-ADP-D-ribose | 1 | 1053.2× | 0.008 | PARP1 |
| succinate metabolic process | 1 | 842.6× | 0.008 | SDHA |
| mitochondrial electron transport, succinate to ubiquinone | 1 | 842.6× | 0.008 | SDHA |
| positive regulation of cerebellar granule cell precursor proliferation | 1 | 842.6× | 0.008 | EGF |
| negative regulation of secretion | 1 | 842.6× | 0.008 | EGF |
| replication fork reversal | 1 | 842.6× | 0.008 | PARP1 |
| regulation of oxidative stress-induced neuron intrinsic apoptotic signaling pathway | 1 | 842.6× | 0.008 | PARP1 |
| positive regulation of necroptotic process | 1 | 702.2× | 0.008 | PARP1 |
| negative regulation of cholesterol efflux | 1 | 702.2× | 0.008 | EGF |
| positive regulation of epithelial tube formation | 1 | 702.2× | 0.008 | EGF |
| mitochondrial DNA repair | 1 | 601.9× | 0.008 | PARP1 |
| negative regulation of adipose tissue development | 1 | 601.9× | 0.008 | PARP1 |
| protein poly-ADP-ribosylation | 1 | 526.6× | 0.008 | PARP1 |
| regulation of calcium ion import | 1 | 526.6× | 0.008 | EGF |
| neutrophil activation involved in immune response | 1 | 468.1× | 0.008 | DNASE1 |
| positive regulation of peptidyl-threonine phosphorylation | 1 | 468.1× | 0.008 | EGF |
| ubiquitin-dependent endocytosis | 1 | 468.1× | 0.008 | EGF |
| ERBB2-EGFR signaling pathway | 1 | 421.3× | 0.008 | EGF |
| positive regulation of mitochondrial depolarization | 1 | 421.3× | 0.008 | PARP1 |
| positive regulation of protein localization to early endosome | 1 | 421.3× | 0.008 | EGF |
| response to aldosterone | 1 | 421.3× | 0.008 | PARP1 |
Therapeutics
Drug target analysis
Approved (phase 4): 3 · Phase ≥3: 3 · Phased (≥1): 3 · Undrugged: 1
Druggability breadth: 4 of 4 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 |
|---|---|
| SDHA | LINEZOLID |
| PARP1 | NIRAPARIB |
| DNASE1 | GENTIAN VIOLET |
Top cohort targets by molecule count
| Symbol | Molecules | Max phase |
|---|---|---|
| PARP1 | 24 | 4 |
| SDHA | 1 | 4 |
| DNASE1 | 1 | 4 |
| EGF | 0 | 0 |
Drugs targeting cohort genes (top 30)
| Molecule | Max phase | Targets in cohort |
|---|---|---|
| LINEZOLID | 4 | SDHA |
| NIRAPARIB | 4 | PARP1 |
| RUCAPARIB | 4 | PARP1 |
| PALBOCICLIB | 4 | PARP1 |
| TALAZOPARIB | 4 | PARP1 |
| RUCAPARIB CAMSYLATE | 4 | PARP1 |
| OLAPARIB | 4 | PARP1 |
| AMITRIPTYLINE | 4 | PARP1 |
| GENTIAN VIOLET | 4 | DNASE1 |
| INIPARIB | 3 | PARP1 |
| FLUZOPARIB | 3 | PARP1 |
| PAMIPARIB | 3 | PARP1 |
| VELIPARIB | 3 | PARP1 |
| SARUPARIB | 3 | PARP1 |
| CHLORTHENOXAZINE | 2 | PARP1 |
| LUTEOLIN | 2 | PARP1 |
| FLAVONE | 2 | PARP1 |
| E-7016 | 2 | PARP1 |
| 2X-121 | 2 | PARP1 |
| AMELPARIB | 2 | PARP1 |
| NESUPARIB | 2 | PARP1 |
| RUCAPARIB PHOSPHATE | 1 | PARP1 |
| AZD2461 | 1 | PARP1 |
| CEP-9722 | 1 | PARP1 |
| ATAMPARIB | 1 | PARP1 |
| AZD-9574 | 1 | PARP1 |
Bioactivity and enzyme data
Enzyme cohort genes (≥1 EC): 2.
Cohort genes with ChEMBL bioactivity (full, sorted by assay count)
| Symbol | Assays | Type breakdown |
|---|---|---|
| PARP1 | 825 | Binding:814, Functional:8, ADMET:3 |
| EGF | 5 | Binding:5 |
| DNASE1 | 4 | Binding:4 |
| SDHA | 3 | Binding:3 |
Cohort enzymes (BRENDA EC)
| Symbol | EC numbers | Names |
|---|---|---|
| PARP1 | 2.4.2.30 | NAD+ ADP-ribosyltransferase |
| DNASE1 | 3.1.21.1 | deoxyribonuclease I |
Cohort genes with high screening signal
≥100 ChEMBL assays — a studied-ness signal; see Therapeutics for approved-drug status.
| Symbol | ChEMBL assays |
|---|---|
| PARP1 | 825 |
Pharmacogenomics
Cohort genes with a PharmGKB record: 4; with CPIC/DPWG dosing guidelines: 0.
No cohort gene has a CPIC/DPWG genotype-guided dosing guideline (PharmGKB).
Drug repurposing candidates
26 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) |
|---|---|---|
| LINEZOLID | 4 | SDHA |
| NIRAPARIB | 4 | PARP1 |
| RUCAPARIB | 4 | PARP1 |
| PALBOCICLIB | 4 | PARP1 |
| TALAZOPARIB | 4 | PARP1 |
| RUCAPARIB CAMSYLATE | 4 | PARP1 |
| OLAPARIB | 4 | PARP1 |
| AMITRIPTYLINE | 4 | PARP1 |
| GENTIAN VIOLET | 4 | DNASE1 |
| INIPARIB | 3 | PARP1 |
| FLUZOPARIB | 3 | PARP1 |
| PAMIPARIB | 3 | PARP1 |
| VELIPARIB | 3 | PARP1 |
| SARUPARIB | 3 | PARP1 |
| CHLORTHENOXAZINE | 2 | PARP1 |
| LUTEOLIN | 2 | PARP1 |
| FLAVONE | 2 | PARP1 |
| E-7016 | 2 | PARP1 |
| 2X-121 | 2 | PARP1 |
| AMELPARIB | 2 | PARP1 |
| NESUPARIB | 2 | PARP1 |
| RUCAPARIB PHOSPHATE | 1 | PARP1 |
| AZD2461 | 1 | PARP1 |
| CEP-9722 | 1 | PARP1 |
| ATAMPARIB | 1 | PARP1 |
| AZD-9574 | 1 | PARP1 |
Druggability pyramid
Cohort genes binned by druggability tier (high → low):
| Tier | Definition | Genes | Symbols |
|---|---|---|---|
| A | Approved (phase 4 drug) | 3 | SDHA, PARP1, DNASE1 |
| 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 | 1 | EGF |
Undrugged target profiles
1 cohort genes are undrugged. Ranked by ‘starting-point quality’ (assay depth + drugged-partner adjacency).
| Symbol | ChEMBL assays | Drugged partners (top 3) |
|---|---|---|
| EGF | 5 | — |
Clinical trials & evidence
Clinical trials
Clinical trials: 0.
Precision-medicine subtype map (CIViC)
Drug × molecular subtype: 2 predictive associations from 2 curated evidence items.
| Molecular subtype | Therapy | Effect | Level | CIViC |
|---|---|---|---|---|
| FH Deficient | Bevacizumab + Erlotinib | Sensitivity/Response | CIViC B | EID12939 |
| SDHB Mutation | Vandetanib + Metformin | Sensitivity/Response | CIViC B | EID7959 |