MPL

Chr 1ARADSomatic

MPL proto-oncogene, thrombopoietin receptor

Also known as: C-MPL, CD110, MPLV, THCYT2, THPOR, TPOR

In 1990 an oncogene, v-mpl, was identified from the murine myeloproliferative leukemia virus that was capable of immortalizing bone marrow hematopoietic cells from different lineages. In 1992 the human homologue, named, c-mpl, was cloned. Sequence data revealed that c-mpl encoded a protein that was homologous with members of the hematopoietic receptor superfamily. Presence of anti-sense oligodeoxynucleotides of c-mpl inhibited megakaryocyte colony formation. The ligand for c-mpl, thrombopoietin, was cloned in 1994. Thrombopoietin was shown to be the major regulator of megakaryocytopoiesis and platelet formation. The protein encoded by the c-mpl gene, CD110, is a 635 amino acid transmembrane domain, with two extracellular cytokine receptor domains and two intracellular cytokine receptor box motifs . TPO-R deficient mice were severely thrombocytopenic, emphasizing the important role of CD110 and thrombopoietin in megakaryocyte and platelet formation. Upon binding of thrombopoietin CD110 is dimerized and the JAK family of non-receptor tyrosine kinases, as well as the STAT family, the MAPK family, the adaptor protein Shc and the receptors themselves become tyrosine phosphorylated. [provided by RefSeq, Jul 2008]

OMIMResearchGenerating clinical summary…
MultiplemechanismAR/AD/SomaticLOEUF 0.763 OMIM phenotypes
Clinical SummaryMPL
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Gene-Disease Validity (ClinGen)
thrombocythemia 2 · ADDefinitive

Definitive — sufficient evidence for diagnostic panels

2 total gene-disease associations curated

Population Constraint (gnomAD)
Low constraint (pLI 0.00) — loss-of-function variants are relatively tolerated in the population.
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Clinical Trials
12 active or recruiting trials — potential therapeutic options may be available

Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

Tolerant — LoF & missense variants common in population
LoF Constraint?
0.76LOEUF
pLI 0.000
Z-score 2.72
OE 0.53 (0.370.76)
Tolerant

Typical tolerance to LoF variation

Missense Constraint?
0.39Z-score
OE missense 0.94 (0.851.03)
311 obs / 331.2 exp
Tolerant

Mild missense constraint

Observed / Expected Ratios?
LoF OE?0.53 (0.370.76)
00.351.4
Missense OE?0.94 (0.851.03)
00.61.4
Synonymous OE?0.74
01.21.6
LoF obs/exp: 20 / 38.1Missense obs/exp: 311 / 331.2Syn Z: 2.42

This gene — mechanism propensity

DN
0.6839th %ile
GOF
0.7126th %ile
LOF
0.2872th %ile

This gene has evidence for multiple mechanisms of pathogenicity (gain-of-function and dominant-negative). Both the Badonyi & Marsh prediction and the broader genomic evidence point to gain-of-function as the predominant mechanism. Different variants in this gene may act through different mechanisms — interpret in context of the specific variant.

GOFprediction above median · 1 literature citation
DNprediction above median

Note: In-silico variant effect predictors (SIFT, PolyPhen, REVEL, CADD) may underestimate pathogenicity of missense variants in genes with GOF or DN mechanisms. Consider functional evidence and clinical context.

Literature Evidence

GOFWe have identified an activating mutation of MPL using a combination of a retrovirus-mediated gene transfer and polymerase chain reaction-driven random mutagenesis.1

Predictions from Badonyi M, Marsh JA. PLoS ONE. 2024;19(8):e0307312.

References

  1. 1.PMID 8695859

ClinVar Variant Classifications

0 submitted variants in ClinVar

Protein Context — Lollipop Plot

MPL · protein map & ClinVar variants

Showing all ClinVar variants across the protein. Search a specific variant to highlight its position.

Clinical Trials

Active and recruiting trials from ClinicalTrials.gov

ALL, AdultAML, AdultAcute Leukaemia

A Study of BN104 in the Treatment of Acute Leukemia

ACTIVE NOT RECRUITING
NCT06052813Phase PHASE1, PHASE2Institut de Recherches Internationales Servier (I.R.I.S.)Started 2023-10-19
BN104 monotherapyBN104 monotherapyBN104 monotherapy - rp2d
Heart Failure

Acute Reno-Cardiac Action of Dapagliflozin In Advanced Heart Failure Patients on Heart Transplant Waiting List

RECRUITING
NCT06868797Phase NACentral Hospital, Nancy, FranceStarted 2025-08-29
Biological sample for the measurement of suPAR levels.
Ehlers-Danlos Syndrome, Vascular Type

SEDVasc (RaDiCo Cohort) (RaDiCo-SEDVasc)

ACTIVE NOT RECRUITING
NCT05976841Institut National de la Santé Et de la Recherche Médicale, FranceStarted 2016-12-05
Acute Myeloid LeukemiaMyelodysplastic Syndrome With Excess Blasts-2

A Study of Gilteritinib Versus Midostaurin in Combination With Induction and Consolidation Therapy Followed by One-year Maintenance in Patients With Newly Diagnosed Acute Myeloid Leukemia or Myelodysplastic Syndromes With Excess Blasts-2 With FLT3 Mutations Eligible for Intensive Chemotherapy

ACTIVE NOT RECRUITING
NCT04027309Phase PHASE3Stichting Hemato-Oncologie voor Volwassenen NederlandStarted 2019-12-20
GilteritinibMidostaurin
Breast NeoplasmsTriple Negative Breast NeoplasmsHR Low-Positive/HER2-Negative Breast Neoplasms

A Clinical Study of Sacituzumab Tirumotecan (Sac-TMT, MK-2870) in People With Breast Cancer (MK-2870-032)

RECRUITING
NCT06966700Phase PHASE3Merck Sharp & Dohme LLCStarted 2025-06-30
Sacituzumab tirumotecanPembrolizumabRescue Medication
Breast Cancer

Predictive Role of New Biomarkers for Hypersensitive Patients to Radiation in Breast Cancer (BIORISE)

ACTIVE NOT RECRUITING
NCT03252717Phase NAInstitut du Cancer de Montpellier - Val d'AurelleStarted 2014-08
Blood sample
Cystic Fibrosis

Study to Evaluate Elexacaftor/Tezacaftor/Ivacaftor (ELX/TEZ/IVA) Long-term Safety and Efficacy in Subjects Without F508del

ACTIVE NOT RECRUITING
NCT05331183Phase PHASE3Vertex Pharmaceuticals IncorporatedStarted 2022-11-23
ELX/TEZ/IVAIVA
Pigmentary; Dermatosis

Genomic Study of Cutis Tricolor

RECRUITING
NCT06073171Phase NAUniversity Hospital, MontpellierStarted 2024-06-05
Blood sampleCutaneous biopsyHigh troughput sequencing of human's exome
Prostate Cancer

A Study of Metastases Free Survival With Saruparib vs Placebo Added to a Standard RT/ADT in Men With High-risk Prostate Cancer With a BRCA Mutation

RECRUITING
NCT06952803Phase PHASE3AstraZenecaStarted 2025-08-06
SaruparibPlaceboAbiraterone + Prednisolone/Prednisone
Immune System Responses and Trained Immunity After AS01 AdministrationHealthy Adult

Improving Vaccine Protection for Adults

RECRUITING
NCT07527247Phase PHASE2Singapore General HospitalStarted 2025-11-06
AS01 adjuvant (0.5 mL intramuscular)YF17D (Stamaril, Sanofi-Pasteur)Placebo (NaCl 09%, 0.5mL)
ImmunologyAllergyGenetic Diseases

Impaired Type I IFN Immunity Due to Autoantibodies or a Genetic Defect: a Prospective National Cohort

RECRUITING
NCT06762002Institut National de la Santé Et de la Recherche Médicale, FranceStarted 2025-04-09
blood sample
Muscle Injury

Biological Variables Associated With the Response to Intensive Training in Athletes

NOT YET RECRUITING
NCT05279196Phase NAUniversity Hospital, MontpellierStarted 2025-09
Quadriceps microbiopsy and blood collection