Overview
FAS encodes a cell surface receptor involved in the induction of apoptosis. FAS mutations are common in DLBCL and may be more frequent in primary gastric DLBCL.1,2 Mutations also occur in FL at a lower rate.3 Although reported in one BL study,4 overall the evidence for FAS mutations in BL remains sparse. Mutations in FAS often lead to a loss of function, making lymphoma cells resistant to Fas ligand-induced apoptosis, thereby allowing malignant cells to evade immune surveillance.5 In mouse models, Fas mutations led to a significantly shorter lymphoma-specific survival and reduced sensitivity to chemotherapy.5
Experimental Evidence
Driver mutations affecting this gene in FL/DLBCL have been experimentally demonstrated to cause a reduction or loss of function (LOF).6
Relevance tier by entity
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Mutation incidence in large patient cohorts (GAMBL reanalysis)
DLBCL
| Entity | Collection | N | mutated | Incidence | 95% CI |
|---|---|---|---|---|---|
| DLBCL | GAMBL without Reddy | 1,089 | 101 | 0.0927 | [0.0755,0.11] |
| DLBCL | GAMBL with Reddy | 2,088 | 148 | 0.0709 | [0.0599,0.0819] |
| DLBCL | BC | 231 | 20 | 0.0866 | [0.0503,0.1228] |
| DLBCL | Dana-Farber | 303 | 24 | 0.0792 | [0.0488,0.1096] |
| DLBCL | NCI | 470 | 51 | 0.1085 | [0.0804,0.1366] |
| DLBCL | Reddy | 999 | 47 | 0.0470 | [0.0339,0.0602] |
| DLBCL | DLBCL_ICGC | 85 | 6 | 0.0706 | [0.0161,0.125] |
FL
| pathology | Collection | N | mutated | Incidence | CI |
|---|---|---|---|---|---|
| FL | GAMBL without Crouch | 642 | 27 | 0.0421 | [0.0265,0.0576] |
| FL | GAMBL with Crouch | 1,189 | 47 | 0.0395 | [0.0285,0.0506] |
| FL | BC | 379 | 18 | 0.0475 | [0.0261,0.0689] |
| FL | Kalmbach | 164 | 8 | 0.0488 | [0.0158,0.0817] |
| FL | Crouch | 547 | 20 | 0.0366 | [0.0208,0.0523] |
| FL | FL_ICGC | 99 | 1 | 0.0101 | [0,0.0298] |
Mutation pattern and selective pressure estimates
| Entity | Missense dN/dS | Nonsense dN/dS | Q value |
|---|---|---|---|
| BL | 4.8173 | 0.0000 | 1 |
| FL | 12.3562 | 199.5630 | 0 |
| DLBCL | 7.2337 | 54.9424 | 0 |
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Expression
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