Ror2 is an orphan receptor tyrosine kinase with expression normally restricted to early stages of development. However, emerging evidence has placed aberrantly expressed Ror2, leading to an invasive phenotype, in several cancers including renal cell carcinoma (RCC). Although Ror2 is currently identified as up-regulated in an assortment of cancers, neither the regulatory role or mechanism of action have been delineated. We sought to place Ror2 in the most commonly mutated pathway of RCC, the loss of the tumor suppressor von Hippel-Lindau (VHL), which causes hypoxia-inducible factor (HIF)-1␣ and -2␣ stabilization and the transcriptional activation of a broad repertoire of response genes. We found that Ror2 was indeed associated with the pVHL loss in RCC as well as with VHL somatic mutations tightly coordinated with the induction of RCC. Additionally, knockdown and rescue analysis of HIF expression suggests that Ror2 is dependent on pathologic stabilization of either HIF-1␣ or HIF-2␣. Subsequent evaluation of the ROR2 promoter suggests that HIF-2␣ and its dimerization partner, aryl hydrocarbon nuclear transferase localize to the ROR2 promoter via a cryptic transcriptional element. This data substantiates a unique regulation pattern for Ror2 in the VHL-HIF axis that has the potential to be applied to other cancer etiologies.The tyrosine kinase Ror2 was initially identified as a homologue of the Trk neurotrophin receptors (1) and later as a member of the receptor tyrosine kinase superfamily (2). Ror2 is an orphan receptor with expression in the developing embryo identified in the embryonic limb buds, heart, primitive genitalia, developing somites, and mesenchymal cells in the developing lung, kidney, and cephalic regions (3-5). In the adult organism, Ror2 expression is present as a part of osteoblast differentiation, highly induced in the preosteoblast stage (6), and is suppressed as these cells terminally differentiate as osteocytes. This pattern of expression is inversely related to that of secreted frizzled related protein 1 (sFRP1), and can be transcriptionally suppressed by ectopic expression of sFRP1 in this cell type, but further insights into the major elements of Ror2 regulation are not known.Aside from developmental programs regulating bone morphogenesis and primitive organ development, Ror2 has only recently been recognized to play a role in the adult organism. We have identified Ror2 expression as a characteristic of many renal cell carcinoma (RCC) 2 cell lines and human tumors (7), where its expression is associated with increased cell migration and anchorage-independent growth. Ror2 also plays a prominent role in osteosarcoma (8) and has recently been identified in squamous cell carcinoma of the head and neck, where expression parallels the development of invasive features of these tumors (9). Furthermore, in a tumor genomic analysis of invasive gastric cancers, Ror2 was identified as a frequent target of mutagenesis (10). These findings place Ror2 as a frequently up-regulated feature of human cancers, ...