Overview

CD79B mutations significantly contribute to the pathogenesis of DLBCL by enhancing BCR signaling and promoting tumor survival. These mutations, especially when co-occurring with MYD88 mutations, define a unique molecular subtype.1 This has clinical and therapeutic implications as it may contribute sensitivity to BTK inhibitors. In an inducible mouse model of MYD88-driven DLBCL, CD79B mutations did not accelerate lymphomagenesis but demonstrated an increased sensitivity to pharmacological BTK inhibition.2 In a retrospective analysis, younger patients with MCD DLBCL that were treated with ibrutinib had significantly better outcomes.3 The most common hotspot mutation in CD79B is at the tyrosine residue 196 (Y196). This and other common mutations primarily occur in the immunoreceptor tyrosine-based activation motif (ITAM) domain and prevent the negative regulatory feedback provided by Lyn kinase thereby enhancing BCR signaling.4,5

Experimental Evidence

Driver mutations affecting this gene in DLBCL have been experimentally demonstrated to cause a gain of function (GOF).5

Relevance tier by entity

Entity Tier Description
BL 3 Mutations are unlikely to be relevant to BL
DLBCL 1 High-confidence DLBCL gene
FL 2 Role of CD79B mutations in FL requires confirmation

Mutation incidence in large patient cohorts (GAMBL reanalysis)

DLBCL

Entity Collection N mutated Incidence 95% CI
DLBCL GAMBL without Reddy 1,089 143 0.1313 [0.1113,0.1514]
DLBCL GAMBL with Reddy 2,088 226 0.1082 [0.0949,0.1216]
DLBCL BC 231 21 0.0909 [0.0538,0.128]
DLBCL Dana-Farber 303 44 0.1452 [0.1055,0.1849]
DLBCL NCI 470 70 0.1489 [0.1167,0.1811]
DLBCL Reddy 999 83 0.0831 [0.066,0.1002]
DLBCL DLBCL_ICGC 85 8 0.0941 [0.032,0.1562]

FL

pathology Collection N mutated Incidence CI
FL GAMBL without Crouch 642 14 0.0218 [0.0105,0.0331]
FL GAMBL with Crouch 1,189 33 0.0278 [0.0184,0.0371]
FL BC 379 7 0.0185 [0.0049,0.032]
FL Kalmbach 164 3 0.0183 [0,0.0388]
FL Crouch 547 19 0.0347 [0.0194,0.0501]
FL FL_ICGC 99 4 0.0404 [0.0016,0.0792]

Mutation pattern and selective pressure estimates

Entity Missense dN/dS Nonsense dN/dS Q value
BL 4.0629 0.0000 1
FL 1.7998 12.4220 0
DLBCL 2.6876 5.5426 0

CD79B Hotspots

Mutations at Y196 enhance B-cell receptor (BCR) signaling by preventing the negative regulatory feedback provided by Lyn kinase, a feedback inhibitor of BCR signaling. This results in continuous activation of the NF-κB pathway, promoting tumor cell survival and proliferation.4

Chromosome Coordinate (hg19) ref>alt HGVSp
chr17 62007234 C>G A150P
chr17 62007234 C>T A150T
chr17 62007233 G>A A150V
chr17 62007140 A>G L181P
chr17 62007129 C>T X184_splice
chr17 62006798 T>A Y197F
chr17 62006798 T>C Y197C
chr17 62006799 A>C Y197D
chr17 62006799 A>G Y197H
chr17 62006798 T>G Y197S
chr17 62006795 T>C E198G
chr17 62006680 A>G L200P
chr17 62006680 A>C L200R
chr17 62006680 A>T L200Q
chr17 62006603 G>A H226Y
chr17 62006603 G>T H226N

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Expression

Representative Mutations

BL

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History

%%{init: { 'logLevel': 'debug', 'theme': 'dark' } }%% timeline title Publication timing 2011-07-27 : Morin : DLBCL 2012-03-06 : Lohr : DLBCL 2013-01-01 : Zhang : DLBCL 2013-08-15 : Morin : DLBCL 2017-05-01 : Albuquerque : DLBCL 2017-10-10 : Reddy : DLBCL 2018-04-12 : Schmitz : DLBCL 2018-05-01 : Chapuy : DLBCL 2018-10-01 : Arthur : DLBCL 2019-09-26 : Panea : BL

References

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Wright GW, Huang DW, Phelan JD, Coulibaly ZA, Roulland S, Young RM, Wang JQ, Schmitz R, Morin RD, Tang J, Jiang A, Bagaev A, Plotnikova O, Kotlov N, Johnson CA, Wilson WH, Scott DW, Staudt LM. A Probabilistic Classification Tool for Genetic Subtypes of Diffuse Large B Cell Lymphoma with Therapeutic Implications. Cancer Cell. 2020 Apr 13;37(4):551–568.e14.
2.
Flümann R, Hansen J, Meinel J, Pfeiffer P, Goldfarb Wittkopf H, Lütz A, Wirtz J, Möllmann M, Zhou T, Tabatabai A, Lohmann T, Jauch M, Beleggia F, Pelzer B, Ullrich F, Höfmann S, Arora A, Persigehl T, Büttner R, von Tresckow B, Klein S, Jachimowicz RD, Reinhardt HC, Knittel G. An inducible Cd79b mutation confers ibrutinib sensitivity in mouse models of Myd88-driven diffuse large B-cell lymphoma. Blood Adv. 2024 Mar 12;8(5):1063–1074. PMCID: PMC10907402
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Wilson WH, Wright GW, Huang DW, Hodkinson B, Balasubramanian S, Fan Y, Vermeulen J, Shreeve M, Staudt LM. Effect of ibrutinib with R-CHOP chemotherapy in genetic subtypes of DLBCL. Cancer Cell. 2021 Dec 13;39(12):1643–1653.e3. PMCID: PMC8722194
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