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FBXW7
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Interpretation 136
Tier 3
FBXW7
Variants
FBXW7 R479Q
FBXW7 D761N
Primary Sites
Skin
Tumor Types
Melanoma
Interpretation

FBXW7 is a tumor suppressor gene and is responsible for ubiquitination and turnover of several oncoprotiens. Loss-of-function mutations of FBXW7 lead to constitutive NOTCH1 pathway activation via inhibition of ubiquitin-mediated degradation of activated NOTCH1 and MYC. FBXW7 mutations have been reported in ~3-8% of melanomas. Preclinical data suggest that FBXW7 mutations sensitize cells to mTOR inhibitors. However, advanced tumors with somatic FBXW7 mutations and other concurrent molecular alterations might have limited therapeutic response to mTOR inihibitors. Correlation with other clinical and laboratory findings is recommended.

Citations
  1. Hodis E, et al. A landscape of driver mutations in melanoma. Cell 2012;150(2):251-63
  2. Jardim DL, et al. FBXW7 mutations in patients with advanced cancers: clinical and molecular characteristics and outcomes with mTOR inhibitors. PLoS One 2014;9(2):e89388
  3. Aydin IT, et al. FBXW7 mutations in melanoma and a new therapeutic paradigm. J Natl Cancer Inst 2014;106(6):dju107
Last updated: 2017-04-10 18:33:50 UTC
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When using PMKB, please cite: Huang et al., JAMIA 2017


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