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]

Primary Disease Associations & Inheritance

Amegakaryocytic thrombocytopenia, congenital, 1MIM #604498
AR
Myelofibrosis with myeloid metaplasia, somaticMIM #254450
Thrombocythemia 2MIM #601977
ADSomatic
197
ClinVar variants
30
Pathogenic / LP
0.00
pLI score
12
Active trials
Clinical SummaryMPL
🧬
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.
📋
ClinVar Variants
30 Pathogenic / Likely Pathogenic· 100 VUS of 197 total submissions
💊
Clinical Trials
12 active or recruiting trials — potential therapeutic options may be available
Some data sources returned errors (1)

clinvar: Error: NCBI fetch failed: 429 https://eutils.ncbi.nlm.nih.gov/entrez/eutils/esummary.fcgi

Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

Tolerant — LoF & missense variants common in population
LoF Constraint?LOEUF (Loss-of-function Observed/Expected Upper bound Fraction) is the upper bound of the 90% CI for LoF OE — the preferred gnomAD v4 metric. Lower = more intolerant to LoF. LOEUF < 0.35 = highly constrained.
0.76LOEUF
pLI 0.000
Z-score 2.72
OE 0.53 (0.370.76)
Tolerant

Typical tolerance to LoF variation

Missense Constraint?Missense Z-score: standard deviations fewer missense variants observed vs. expected. Z > 3.09 (p < 0.001) = gene does not tolerate missense variation. OE missense < 0.6 is also considered constrained.
0.39Z-score
OE missense 0.94 (0.851.03)
311 obs / 331.2 exp
Tolerant

Mild missense constraint

Observed / Expected Ratios?Shaded band = 90% confidence interval. Vertical tick = point estimate. Grey threshold line = gnomAD constraint cutoff for that variant class.
LoF OE?Ratio of observed to expected LoF variants. Upper CI bound (LOEUF) ≤ 0.35 = strong LoF constraint signal.0.53 (0.370.76)
00.351.4
Missense OE?Ratio of observed to expected missense variants. OE ≤ 0.6 = fewer missense variants than expected by chance.0.94 (0.851.03)
00.61.4
Synonymous OE?Control metric — synonymous variants are largely neutral and expected near OE = 1.0. Significant deviation may indicate annotation issues.0.74
01.21.6
LoF obs/exp: 20 / 38.1Missense obs/exp: 311 / 331.2Syn Z: 2.42

ClinVar Variant Classifications

197 submitted variants in ClinVar

Classification Summary

Pathogenic19
Likely Pathogenic11
VUS100
Likely Benign67
19
Pathogenic
11
Likely Pathogenic
100
VUS
67
Likely Benign

Curated Variants Distribution

Classified variants from ClinVar · 5 ACMG categories

ClassificationLoFMissense + InframeNon-codingSynonymousTotal
Pathogenic
9
0
10
0
19
Likely Pathogenic
6
4
1
0
11
VUS
0
86
6
8
100
Likely Benign
0
0
29
38
67
Benign
0
0
0
0
0
Total15904646197

LoF = frameshift, stop gained/lost, canonical splice · Counts from ClinVar esearch · Updated hourly

View 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.

OMIM — Genotype-Phenotype Relationships

1 OMIM entry

Amegakaryocytic thrombocytopenia, congenital, 1

MIM #604498

Molecular basis of disorder known

Autosomal recessive

Myelofibrosis with myeloid metaplasia, somatic

MIM #254450

Molecular basis of disorder known

Thrombocythemia 2

MIM #601977

Molecular basis of disorder known

Autosomal dominantSomatic mutation
📖
GeneReview available — MPL
Authoritative clinical overview · NCBI Bookshelf · Recommended first read
Open GeneReview ↗
Clinical Literature
Landmark / reviewRecent case evidence

Clinical Trials

Active and recruiting trials from ClinicalTrials.gov

Non-small Cell Lung CancerALK Gene Rearrangement Positive

Analysis of Biological Characteristics of Advanced ALK-rearranged NSCLC

RECRUITING
NCT05122806Phase NAGroupe Francais De Pneumo-CancerologieStarted 2021-09-22
RNAseq
Epileptic Encephalopathy

Creation of a Register of Patients With Neonatal-onset Epileptic Encephalopathy

RECRUITING
NCT04802135Assistance Publique Hopitaux De MarseilleStarted 2021-03-06
Survey
Coronavirus Infections

French COVID Cohort

ACTIVE NOT RECRUITING
NCT04262921Institut National de la Santé Et de la Recherche Médicale, FranceStarted 2020-02-08
Spinal Muscular Atrophy

Outcome Measures and Biomarkers in a Cohort of Spinal Muscular Atrophy Type III/ IV Patients

ACTIVE NOT RECRUITING
NCT04690998Phase NAAssistance Publique Hopitaux De MarseilleStarted 2021-07-13
Blood SamplesMRI
Cystic Fibrosis

Correction of Nonsense Mutations in Cystic Fibrosis

RECRUITING
NCT03670472University Hospital, LilleStarted 2016-02-03
smear of nasal fossae
Pigmentary; Dermatosis

Genomic Study of Cutis Tricolor

RECRUITING
NCT06073171Phase NAUniversity Hospital, MontpellierStarted 2024-06-05
Blood sampleCutaneous biopsyHigh troughput sequencing of human's exome
IGF1 Deficiency

Global Patient Registry to Monitor Long-term Safety and Effectiveness of Increlex® in Children and Adolescents With Severe Primary Insulin-like Growth Factor-1 Deficiency (SPIGFD).

RECRUITING
NCT00903110Esteve Pharmaceuticals, S.A.Started 2008-12-09
Increlex®
Metastatic Triple Negative Breast Cancer

To Assess Safety and Efficacy of Agents Targeting DNA Damage Repair With Olaparib Versus Olaparib Monotherapy.

ACTIVE NOT RECRUITING
NCT03330847Phase PHASE2AstraZenecaStarted 2018-03-07
Olaparib Continuous (28-Day cycle) 300 mg BD.Ceralasertib 160 mg OD + olaparib continuous 300 mg BD (28-day cycle).Adavosertib 150 mg BD + olaparib 200 mg BD (21-day cycle).
Polycythemia Vera

Pegylated Interferon α-2b in Combination With Ruxolitinib for Treating Hydroxyurea-resistant/Intolerant PV

RECRUITING
NCT05870475Phase PHASE2Institute of Hematology & Blood Diseases Hospital, ChinaStarted 2023-06-30
RuxolitinibPegylated interferon α-2b
Huntington Disease

Study of BDNF Pathway Biomarkers in the Cerebrospinal Fluid in Patients With Huntington's Disease

RECRUITING
NCT04012411Phase NAUniversity Hospital, MontpellierStarted 2020-03-03
Brain MRILumbar PunctionBlood sample
Metastatic Colorectal Cancer

A Study of Encorafenib Plus Cetuximab Taken Together With Pembrolizumab Compared to Pembrolizumab Alone in People With Previously Untreated Metastatic Colorectal Cancer

ACTIVE NOT RECRUITING
NCT05217446Phase PHASE2PfizerStarted 2022-07-11
EncorafenibCetuximabPembrolizumab
Myelofibrosis,MF

Pacritinib For Bone Marrow Fibrosis In Patients With Myelofibrosis Who Have Thrombocytopenia

NOT YET RECRUITING
NCT07394153Phase PHASE2Grupo Español de Enfermedades Mieloproliferativas Crónicas PH NegativasStarted 2026-03
Pacritinib