Background/Aim: Copper metabolism MURR1 domain-containing 5 (COMMD5) is mainly expressed in renal tubules (RTs), where it facilitates re-differentiation of injured RTs. We reported that COMMD5 regulates the expression of epidermal growth factor receptor by participating in its endocytic membrane trafficking, thus inhibiting tumor growth.Here we aimed to determine the role of COMMD5 in malignant phenotypes of renal cell carcinoma (RCC). Materials and Methods: The associations between COMMD5 levels in RTs adjacent to RCC tumors in patients and their clinicopathologic characteristics were evaluated, and the effects of COMMD5 on cancer stemness in RCC cells were investigated. Results: Low COMMD5 levels in RTs correlated with high tumorigenesis and poor patient outcomes. COMMD5 overexpression in RCC cells reduced the proportion of cancer stem cell-like cells and their malignant phenotypes, including proliferation, invasion and sphere formation. Secreted COMMD5 from RT cells also reduced malignant phenotypes. Conclusion: COMMD5 might suppress malignant phenotypes of RCC, thus inhibiting tumor development and improving patient prognosis.Copper metabolism MURR1 domain-containing 5 (COMMD5), also known as hypertension-related, calcium-regulated gene, is characterized by a conserved COMM domain at its carboxyterminal end (1). Its expression is higher in the parathyroid and kidney of spontaneously hypertensive rats than in normotensive rats (2). Functional studies indicated that COMMD5 overexpression in kidney cells facilitates their differentiation, with a lower proliferative capacity (3). Overexpression of COMMD5 in proximal renal tubules (RTs) of mice accelerated tubular repair after acute kidney injury by facilitating redifferentiation of injured RT cells through the induction of P21 CIP1/WAF1 via a p53-independent pathway, resulting in faster recovery of renal function and a superior survival rate (4).Cancer afflicted about 18.1 million new patients worldwide in 2018 and accounted for nearly 9.6 million related deaths (5). Cancer morbidity and mortality are rapidly growing in every region of the world. The high mortality rate often correlates with a lack of clear symptoms, which results in late diagnosis for patients and the development of cancer resistant to chemotherapy and radiotherapy. Recent progress in cancer research has revealed that the presence of cancer stem cells (CSCs) is pivotal for the development of malignant phenotypes of various cancer types, including invasion, metastasis, recurrence and resistance to therapy (6-8). CSCs are small populations of cells that have the potential to reproduce and sustain cancer and the abilities of multiple differentiation and self-renewal (9, 10).Malignant kidney cancers afflict about 350,000 new patients worldwide, and the incidence of renal cell carcinoma (RCC) is increasing annually (11,12). Advanced kidney cancer in adults is resistant to conventional chemotherapy 2805 This article is freely accessible online.