DDX3X.md
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+---
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+bibliography: 'morinlab.bib'
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+csl: 'NLM.csl'
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+link-citations: true
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+---
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# DDX3X
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## Overview
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-Mutations in the DDX3X gene, which encodes an RNA helicase involved in various aspects of RNA metabolism, have significant implications in B-cell lymphomas, including BL, DLBCL, and other related malignancies and are particularly enriched within MYC-translocated tumors and those expressing the dark zone signature (DZsig).<sup>1</sup> These mutations are predominantly loss-of-function (LOF) mutations, affecting the helicase domain of the protein.<sup>2</sup> Missense mutations are predominantly found in male patients and rarely in females, hence showing a sex-specific pattern.<sup>3</sup>
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+Mutations in the DDX3X gene, which encodes an RNA helicase involved in various aspects of RNA metabolism, have significant implications in B-cell lymphomas, including BL, DLBCL, and other related malignancies and are particularly enriched within MYC-translocated tumors and those expressing the dark zone signature (DZsig).[@ennishiDoubleHitGeneExpression2019]
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+These mutations are predominantly loss-of-function (LOF) mutations, affecting the helicase domain of the protein.<sup>2</sup> Missense mutations are predominantly found in male patients and rarely in females, hence showing a sex-specific pattern.<sup>3</sup>
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## History
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```mermaid
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%%{init: { 'logLevel': 'debug', 'theme': 'dark' } }%%
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|Entity|Tier|Description |
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|:------:|:----:|--------------------------------------|
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-|![PMBL](images/icons/PMBL_tier1.png)|1|high-confidence PMBL/cHL/GZL gene|
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-|![BL](images/icons/BL_tier1.png) |1 | high-confidence BL gene |
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-|![DLBCL](images/icons/DLBCL_tier1.png) |1 | high-confidence DLBCL gene |
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+|![PMBL](images/icons/PMBL_tier1.png)|1|high-confidence PMBL/cHL/GZL gene[@mottokIntegrativeGenomicAnalysis2019b]|
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+|![BL](images/icons/BL_tier1.png) |1 | high-confidence BL gene [@schmitzBurkittLymphomaPathogenesis2012]|
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+|![DLBCL](images/icons/DLBCL_tier1.png) |1 | high-confidence DLBCL gene [@schmitzGeneticsPathogenesisDiffuse2018a]|
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|![FL](images/icons/FL_tier2.png) |2 | Although recurrent, the relevance of mutations in FL is tenuous |
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## Mutation incidence in large patient cohorts (GAMBL reanalysis)