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| Gene | FBXW7 |
| Variant | W425R |
| Impact List | missense |
| Protein Effect | loss of function |
| Gene Variant Descriptions | FBXW7 W425R lies within WD repeat 2 of the Fbxw7 protein (UniProt.org). W425R results in degradation of Mcl1, but confers a loss of function to the Fbxw7 protein as demonstrated by impaired degradation of cyclin E, c-Myc, and Braf in cultured cells (PMID: 32907612) and leads to dimerization with wild-type Fbxw7 in cultured cells, thereby preventing degradation of NICD and potentially resulting in increased Notch signaling (PMID: 27247421), and confers resistance to some BET inhibitors in cultured cells (PMID: 32907612). |
| Associated Drug Resistance | Y |
| Category Variants Paths |
FBXW7 mutant FBXW7 inact mut FBXW7 W425R |
| Transcript | NM_001349798.2 |
| gDNA | chr4:g.152328353A>T |
| cDNA | c.1273T>A |
| Protein | p.W425R |
| Source Database | RefSeq |
| Genome Build | GRCh38/hg38 |
| Transcript | gDNA | cDNA | Protein | Source Database | Genome Build |
|---|---|---|---|---|---|
| XM_047415900.1 | chr4:g.152328353A>T | c.1273T>A | p.W425R | RefSeq | GRCh38/hg38 |
| XM_024454121.1 | chr4:g.152328353A>T | c.1273T>A | p.W425R | RefSeq | GRCh38/hg38 |
| XM_011532085.2 | chr4:g.152328353A>T | c.1273T>A | p.W425R | RefSeq | GRCh38/hg38 |
| XM_024454122.1 | chr4:g.152328353A>T | c.1273T>A | p.W425R | RefSeq | GRCh38/hg38 |
| NM_001349798.1 | chr4:g.152328353A>T | c.1273T>A | p.W425R | RefSeq | GRCh38/hg38 |
| XM_047415898.1 | chr4:g.152328353A>T | c.1273T>A | p.W425R | RefSeq | GRCh38/hg38 |
| XM_011532084.2 | chr4:g.152328353A>T | c.1273T>A | p.W425R | RefSeq | GRCh38/hg38 |
| XM_047415899.1 | chr4:g.152328353A>T | c.1273T>A | p.W425R | RefSeq | GRCh38/hg38 |
| NM_033632.3 | chr4:g.152328353A>T | c.1273T>A | p.W425R | RefSeq | GRCh38/hg38 |
| XM_047415901.1 | chr4:g.152328353A>T | c.1273T>A | p.W425R | RefSeq | GRCh38/hg38 |
| NM_033632.3 | chr4:g.152328353A>T | c.1273T>A | p.W425R | RefSeq | GRCh38/hg38 |
| XM_011532085.3 | chr4:g.152328353A>T | c.1273T>A | p.W425R | RefSeq | GRCh38/hg38 |
| XM_024454123.2 | chr4:g.152328353A>T | c.1273T>A | p.W425R | RefSeq | GRCh38/hg38 |
| XM_024454124.1 | chr4:g.152328353A>T | c.1273T>A | p.W425R | RefSeq | GRCh38/hg38 |
| XM_011532084.3 | chr4:g.152328353A>T | c.1273T>A | p.W425R | RefSeq | GRCh38/hg38 |
| XM_047415897.1 | chr4:g.152328353A>T | c.1273T>A | p.W425R | RefSeq | GRCh38/hg38 |
| XM_024454123.1 | chr4:g.152328353A>T | c.1273T>A | p.W425R | RefSeq | GRCh38/hg38 |
| NM_001349798.2 | chr4:g.152328353A>T | c.1273T>A | p.W425R | RefSeq | GRCh38/hg38 |
| Molecular Profile | Indication/Tumor Type | Response Type | Therapy Name | Approval Status | Evidence Type | Efficacy Evidence | References |
|---|---|---|---|---|---|---|---|
| FBXW7 inact mut | hematologic cancer | sensitive | Entinostat | Preclinical | Actionable | In a preclinical study, entinostat (MS-275) inhibited cancer cells from advanced solid tumors and hematological cells harboring FBXW7 inactivating mutations in culture (PMID: 23274910). | 23274910 |
| FBXW7 inact mut | endometrial cancer | predicted - sensitive | RP-3500 + RP-6306 | Phase I | Actionable | In a Phase I trial (MYTHIC), treatment with the combination of RP-6306 and RP-3500 in ovarian or endometrial cancer patients harboring CCNE1 amplification, FBXW7 mutations, and/or PPP2R1A mutations resulted in a clinical benefit rate (CBR) of 79%, a median progression-free survival (mPFS) of 21 weeks, and a response rate of 38% in ovarian cancer (n=24), and a CBR of 48%, mPFS of 17 weeks, and a response rate of 26% in endometrial cancer (n=27) (Cancer Res (2025) 85 (8_Supplement_2): CT262; NCT04855656). | detail... |
| FBXW7 inact mut | Advanced Solid Tumor | sensitive | Belinostat | Preclinical | Actionable | In a preclinical study, Beleodaq (belinostat) inhibited human cancer cell lines harboring FBXW7 inactivating mutations in culture (PMID: 23274910). | 23274910 |
| FBXW7 inact mut | Advanced Solid Tumor | sensitive | Entinostat | Preclinical | Actionable | In a preclinical study, entinostat (MS-275) inhibited cancer cells from advanced solid tumors and hematological cells harboring FBXW7 inactivating mutations in culture (PMID: 23274910). | 23274910 |
| FBXW7 inact mut | breast cancer | sensitive | Sirolimus | Preclinical - Cell line xenograft | Actionable | In a preclinical study, breast cancer cells harboring a FBXW7 mutation demonstrated sensitivity to Rapamune (sirolimus) in culture and in cell line xenograft models (PMID: 18787170). | 18787170 |
| FBXW7 inact mut | Advanced Solid Tumor | resistant | Docetaxel | Preclinical | Actionable | In a preclinical study, human cancer cell lines harboring FBXW7 inactivating mutations were resistant to docetaxel in culture (PMID: 23274910). | 23274910 |
| FBXW7 inact mut | hematologic cancer | sensitive | REC-2282 | Preclinical | Actionable | In a preclinical study, REC-2282 (AR-42) inhibited human hematologic cancer cell lines harboring FBXW7 inactivating mutations in culture (PMID: 23274910). | 23274910 |
| FBXW7 inact mut | hematologic cancer | sensitive | Belinostat | Preclinical | Actionable | In a preclinical study, Beleodaq (belinostat) inhibited human hematologic cancer cell lines harboring FBXW7 inactivating mutations in culture (PMID: 23274910). | 23274910 |
| FBXW7 inact mut | Advanced Solid Tumor | sensitive | REC-2282 | Preclinical | Actionable | In a preclinical study, REC-2282 (AR-42) inhibited human cancer cell lines harboring FBXW7 inactivating mutations in culture (PMID: 23274910). | 23274910 |
| FBXW7 mutant | Her2-receptor negative breast cancer | predicted - sensitive | LY3039478 | Case Reports/Case Series | Actionable | In a Phase I trial, LY3039478 treatment resulted in partial response lasted 9.5 months in a patient with hormone receptor-positive, Erbb2 (Her2)-negative breast cancer harboring FBXW7 mutation (PMID: 30060061; NCT01695005). | 30060061 |