Overview
FBXW7 mutations are found in a range of lymphoid malignancies, including B-cell lymphomas. These mutations often include missense mutations, deletions, frameshift mutations and splice-site mutations. Overall, these mutations are relatively rare in DLBCL and occur more frequently in other solid tumors as well as T-cell acute lymphocytic leukemia.1 The most commonly observed mutations in those cancers are the hot spots R465 and R479.1 In leukemias, FBXW7 mutations enhance the activity of leukemia-initiating cells by stabilizing oncogenic MYC.2 Whether they have this role in DLBCL remains to be determined.
Experimental Evidence
Driver mutations affecting this gene in DLBCL have been experimentally demonstrated to cause a reduction or loss of function (LOF).3
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 | 29 | 0.0266 | [0.0171,0.0362] |
| DLBCL | GAMBL with Reddy | 2,088 | 42 | 0.0201 | [0.0141,0.0261] |
| DLBCL | BC | 231 | 7 | 0.0303 | [0.0082,0.0524] |
| DLBCL | Dana-Farber | 303 | 7 | 0.0231 | [0.0062,0.04] |
| DLBCL | NCI | 470 | 14 | 0.0298 | [0.0144,0.0452] |
| DLBCL | Reddy | 999 | 13 | 0.0130 | [0.006,0.02] |
| DLBCL | DLBCL_ICGC | 85 | 1 | 0.0118 | [0,0.0347] |
Mutation pattern and selective pressure estimates
| Entity | Missense dN/dS | Nonsense dN/dS | Q value |
|---|---|---|---|
| BL | 5.3375 | 8.7890 | 1.0000 |
| FL | 6.8799 | 6.6518 | 1.0000 |
| DLBCL | 2.6714 | 4.5617 | 0.0508 |
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