Background/Aim. Accumulating evidence suggests that discoidin domain receptor tyrosine kinase 1 (DDR1) has an oncogenic role. Therefore, the aim of this study was to evaluate the potential utility of DDR1 and its posttranscriptional repressors, miR-199a-5p and miR-199b-5p, as prognostic factors in clear cell renal cell carcinoma (ccRCC). Patients and Methods. The expression of DDR1 in tumor and normal renal tissues of 56 patients with ccRCC was assessed by reverse transcription quantitative polymerase chain reaction, western blotting and immunohistochemistry. Renal cancer cells were transfected with specific RNA sequences to validate DDR1 as a putative miR-199a/b-5p target. Results. Decreased DDR1 mRNA and protein, as well as miR-199a/b-5p levels were found in ccRCC. Low DDR1 protein was associated with higher nuclear grade and shorter overall survival. DDR1 immunoreactivity was elevated in the nuclei and unchanged in the membrane/cytoplasmic compartment of tumor cells. DDR1 levels correlated with those of miR-199a/b-5p. In addition, we validated DDR1 as a target gene for miR-199a/b-5p in renal cancer cell lines. Conclusion. DDR1 expression is altered in ccRCC, but our findings do not support its oncogenic role. Indepth investigation will be necessary to elucidate the exact role and potential utility of miR-199a/b-5p in ccRCC. Renal cell carcinoma (RCC) is considered one of the most lethal urological malignancies representing the sixth and tenth most frequently diagnosed cancers in men and women, respectively (1). The most prevalent histological subtype of RCC, clear cell renal cell carcinoma (ccRCC) comprises 70-80% of renal tumors (2). It is believed that clear cell tumors originate in the proximal convoluted tubule (PCT) (3, 4). The majority of ccRCC sporadic cases are characteristically associated with the loss of function of von Hippel-Lindau (VHL) tumor-suppressor gene by somatic mutations, chromosomal loss or promoter hypermethylation (5). Loss or inactivation of VHL results in a sequence of events comprising accumulation of hypoxia inducible factors (HIFs), overexpression of HIF-driven genes such as vascular endothelial growth factor (VEGF), promotion of angiogenesis, cell proliferation and tumor growth (5). Surgical resection is the mainstay of treatment of localized renal tumors, although a significant number of these patients will eventually develop recurrent or metastatic disease (2). Better understanding of ccRCC molecular background allowed for introduction of new therapeutics that target VEGF and mammalian target of rapamycin (mTOR) pathways and can be applied in the adjuvant pharmacotherapy of advanced or metastatic tumors. However, the benefits of ccRCC adjuvant therapies are still far below expectations and complete and durable responses are rare (4). At present, RCC recurrence risk stratification models are primarily based on the American Joint Committee on Cancer (AJCC) pathological tumor-node-metastasis (TNM) classification and histopathological features (2, 4, 6). To date, 179 This article i...