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
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Mutation incidence in large patient cohorts (GAMBL reanalysis)
DLBCL
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FL
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Mutation pattern and selective pressure estimates
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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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