Overview
BTG1 is one of a number of genes affected by aberrant somatic hypermutation in B-cell lymphomas, which complicates the interpretation of mutations at this locus. These mutations are a feature of the MCD genetic subgroup of DLBCL.
Experimental Evidence
Mutations in the BTG1 gene have been implicated in the pathogenesis and progression of diffuse large B-cell lymphoma (DLBCL) through functional exploration in vivo. Knock-out of BTG1 did not lead to spontaneous lymphomagenesis but enhanced the lymphoproliferation induced by VavP-BCL2 and promoted lymphoma dissemination in xenotransplantation experiments.1 Another study demonstrated that specific BTG1 mutations afford germinal center (GC) B cells with a fitness advantage relative to un-mutated counterparts.2
Relevance tier by entity
| Entity | Tier | Description |
|---|---|---|
| 2 | Role of BTG1 mutations in BL requires confirmation | |
| 1 | High-confidence DLBCL gene | |
| 2 | Role of BTG1 mutations in FL requires confirmation | |
| 1 | High-confidence MZL gene | |
| 1 | High-confidence PMBL gene |
Mutation incidence in large patient cohorts (GAMBL reanalysis)
DLBCL
| Entity | Collection | N | mutated | Incidence | 95% CI |
|---|---|---|---|---|---|
| DLBCL | GAMBL without Reddy | 1,089 | 137 | 0.1258 | [0.1061,0.1455] |
| DLBCL | GAMBL with Reddy | 2,088 | 212 | 0.1015 | [0.0886,0.1145] |
| DLBCL | BC | 231 | 21 | 0.0909 | [0.0538,0.128] |
| DLBCL | Dana-Farber | 303 | 43 | 0.1419 | [0.1026,0.1812] |
| DLBCL | NCI | 470 | 68 | 0.1447 | [0.1129,0.1765] |
| DLBCL | Reddy | 999 | 75 | 0.0751 | [0.0587,0.0914] |
| DLBCL | DLBCL_ICGC | 85 | 5 | 0.0588 | [0.0088,0.1088] |
FL
| pathology | Collection | N | mutated | Incidence | CI |
|---|---|---|---|---|---|
| FL | GAMBL without Crouch | 642 | 39 | 0.0607 | [0.0423,0.0792] |
| FL | GAMBL with Crouch | 1,189 | 80 | 0.0673 | [0.053,0.0815] |
| FL | BC | 379 | 19 | 0.0501 | [0.0282,0.0721] |
| FL | Kalmbach | 164 | 14 | 0.0854 | [0.0426,0.1281] |
| FL | Crouch | 547 | 41 | 0.0750 | [0.0529,0.097] |
| FL | FL_ICGC | 99 | 6 | 0.0606 | [0.0136,0.1076] |
BL
| pathology | Collection | N | mutated | Incidence | CI |
|---|---|---|---|---|---|
| BL | GAMBL without ICGC/Zhou | 320 | 3 | 0.0007 | [0,0.0035] |
| BL | GAMBL with Panea | 410 | 3 | 0.0007 | [0,0.0033] |
| BL | BLGSP | 219 | 0 | 0.0005 | [0,0.0033] |
| BL | Zhou/ICGC | 90 | 0 | 0.0011 | [0,0.008] |
| BL | Panea | 101 | 3 | 0.0297 | [0,0.0628] |
Mutation pattern and selective pressure estimates
| Entity | Missense dN/dS | Nonsense dN/dS | Q value |
|---|---|---|---|
| BL | 0.0000 | 0.0000 | 1.0000 |
| FL | 2.1621 | 5.0645 | 0.0233 |
| DLBCL | 0.3852 | 0.7149 | 0.0000 |
aSHM regions
| chr_name | hg19_start | hg19_end | region | regulatory_comment |
|---|---|---|---|---|
| chr12 | 92537999 | 92539598 | TSS | active_promoter |
BTG1 Hotspots
Q36H Conditional knock-in mouse models expressing the BTG1 Q36H mutation in B cells have shown that these mutations lead to earlier onset of lymphoma, shorter survival, and dysplastic B cell infiltration into non-lymphoid organs. These findings reinforce the role of BTG1 mutations in enhancing lymphoma aggressiveness.3
L26P, G66D, and I115V Have each been shown to be unable to rescue wild-type BTG1 activity in a xenotransplantation model, suggesting that they impair BTG1 function.2
| Chromosome | Coordinate (hg19) | ref>alt | HGVSp |
|---|---|---|---|
| chr12 | 92539221 | G>A | L31F |
| chr12 | 92539209 | G>A | R35* |
| chr12 | 92539204 | C>G | Q36H |
| chr12 | 92539203 | G>T | L37M |
| chr12 | 92539203 | G>C | L37V |
| chr12 | 92539198 | C>A | Q38H |
| chr12 | 92539195 | GG>CA | T39M |
| chr12 | 92539190 | C>T | S41N |
| chr12 | 92539189 | G>C | S41R |
| chr12 | 92539184 | C>T | S43N |
| chr12 | 92539179 | G>A | Q45* |
| chr12 | 92539174 | C>G | E46D |
| chr12 | 92539173 | G>C | L47V |
| chr12 | 92539167 | C>T | A49T |
| chr12 | 92539164 | C>T | E50K |
| chr12 | 92539164 | C>G | E50Q |
| chr12 | 92538218 | A>C | Y52D |
| chr12 | 92538217 | T>C | Y52C |
| chr12 | 92538215 | T>C | K53E |
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