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Gene | TSC1 |
Variant | F216A |
Impact List | missense |
Protein Effect | unknown |
Gene Variant Descriptions | TSC1 F216A does not lie within any known functional domains of the Tsc1 protein (UniProt.org). F216A results in altered subcellular localization but interaction with Tsc2 similar to wild-type Tsc1 and attenuates mTor signaling in cultured cells (PMID: 18397877), and therefore, its effect on Tsc1 protein function is unknown. |
Associated Drug Resistance | |
Category Variants Paths |
TSC1 mutant TSC1 F216A |
Transcript | NM_000368.5 |
gDNA | chr9:g.132921835_132921836delTTinsGC |
cDNA | c.646_647delTTinsGC |
Protein | p.F216A |
Source Database | RefSeq |
Genome Build | GRCh38/hg38 |
Transcript | gDNA | cDNA | Protein | Source Database | Genome Build |
---|---|---|---|---|---|
NM_001406597.1 | chr9:g.132921835_132921836delTTinsGC | c.646_647delTTinsGC | p.F216A | RefSeq | GRCh38/hg38 |
NM_000368.4 | chr9:g.132921835_132921836delTTinsGC | c.646_647delTTinsGC | p.F216A | RefSeq | GRCh38/hg38 |
XM_011518979.2 | chr9:g.132921835_132921836delTTinsGC | c.646_647delTTinsGC | p.F216A | RefSeq | GRCh38/hg38 |
NM_001162426.2 | chr9:g.132921835_132921836delTTinsGC | c.646_647delTTinsGC | p.F216A | RefSeq | GRCh38/hg38 |
NM_001406599.1 | chr9:g.132921835_132921836delTTinsGC | c.646_647delTTinsGC | p.F216A | RefSeq | GRCh38/hg38 |
NM_001406600.1 | chr9:g.132921835_132921836delTTinsGC | c.646_647delTTinsGC | p.F216A | RefSeq | GRCh38/hg38 |
NM_001406592.1 | chr9:g.132921835_132921836delTTinsGC | c.646_647delTTinsGC | p.F216A | RefSeq | GRCh38/hg38 |
NM_001406605.1 | chr9:g.132921835_132921836delTTinsGC | c.646_647delTTinsGC | p.F216A | RefSeq | GRCh38/hg38 |
NM_001406594.1 | chr9:g.132921835_132921836delTTinsGC | c.646_647delTTinsGC | p.F216A | RefSeq | GRCh38/hg38 |
XM_005272211.1 | chr9:g.132921835_132921836delTTinsGC | c.646_647delTTinsGC | p.F216A | RefSeq | GRCh38/hg38 |
NM_001406607.1 | chr9:g.132921835_132921836delTTinsGC | c.646_647delTTinsGC | p.F216A | RefSeq | GRCh38/hg38 |
NM_001406603.1 | chr9:g.132921835_132921836delTTinsGC | c.646_647delTTinsGC | p.F216A | RefSeq | GRCh38/hg38 |
NM_001406609.1 | chr9:g.132921835_132921836delTTinsGC | c.646_647delTTinsGC | p.F216A | RefSeq | GRCh38/hg38 |
XM_011518979.3 | chr9:g.132921835_132921836delTTinsGC | c.646_647delTTinsGC | p.F216A | RefSeq | GRCh38/hg38 |
NM_001406598.1 | chr9:g.132921835_132921836delTTinsGC | c.646_647delTTinsGC | p.F216A | RefSeq | GRCh38/hg38 |
XM_006717271.1 | chr9:g.132921835_132921836delTTinsGC | c.646_647delTTinsGC | p.F216A | RefSeq | GRCh38/hg38 |
NM_001406602.1 | chr9:g.132921835_132921836delTTinsGC | c.646_647delTTinsGC | p.F216A | RefSeq | GRCh38/hg38 |
NM_001406608.1 | chr9:g.132921835_132921836delTTinsGC | c.646_647delTTinsGC | p.F216A | RefSeq | GRCh38/hg38 |
NM_001406596.1 | chr9:g.132921835_132921836delTTinsGC | c.646_647delTTinsGC | p.F216A | RefSeq | GRCh38/hg38 |
XM_017015097.1 | chr9:g.132921835_132921836delTTinsGC | c.646_647delTTinsGC | p.F216A | RefSeq | GRCh38/hg38 |
XM_017015098.1 | chr9:g.132921835_132921836delTTinsGC | c.646_647delTTinsGC | p.F216A | RefSeq | GRCh38/hg38 |
NM_001406593.1 | chr9:g.132921835_132921836delTTinsGC | c.646_647delTTinsGC | p.F216A | RefSeq | GRCh38/hg38 |
NM_000368.5 | chr9:g.132921835_132921836delTTinsGC | c.646_647delTTinsGC | p.F216A | RefSeq | GRCh38/hg38 |
NM_001406601.1 | chr9:g.132921835_132921836delTTinsGC | c.646_647delTTinsGC | p.F216A | RefSeq | GRCh38/hg38 |
NM_001162426.1 | chr9:g.132921835_132921836delTTinsGC | c.646_647delTTinsGC | p.F216A | RefSeq | GRCh38/hg38 |
XM_017015096.1 | chr9:g.132921835_132921836delTTinsGC | c.646_647delTTinsGC | p.F216A | RefSeq | GRCh38/hg38 |
NM_001406606.1 | chr9:g.132921835_132921836delTTinsGC | c.646_647delTTinsGC | p.F216A | RefSeq | GRCh38/hg38 |
NM_001406595.1 | chr9:g.132921835_132921836delTTinsGC | c.646_647delTTinsGC | p.F216A | RefSeq | GRCh38/hg38 |
NM_001406604.1 | chr9:g.132921835_132921836delTTinsGC | c.646_647delTTinsGC | p.F216A | RefSeq | GRCh38/hg38 |
Molecular Profile | Indication/Tumor Type | Response Type | Therapy Name | Approval Status | Evidence Type | Efficacy Evidence | References |
---|---|---|---|---|---|---|---|
TSC1 mutant | bladder carcinoma | sensitive | Everolimus | Phase II | Actionable | A retrospective study of a Phase II trial correlated increased sensitivity to the mTOR inhibitor Afinitor (everolimus) with TSC1 mutations in bladder cancer patients (PMID: 22923433). | 22923433 |
TSC1 mutant | renal cell carcinoma | conflicting | Everolimus | Clinical Study - Cohort | Actionable | In a retrospective analysis, TSC1, TSC2, or MTOR mutation status was not associated with progression-free survival in renal cell carcinoma patients treated with Afinitor (everolimus) (PMID: 30327302). | 30327302 |
TSC1 mutant | renal cell carcinoma | conflicting | Everolimus | Case Reports/Case Series | Actionable | In a clinical study, treatment with Afinitor (everolimus) or Torisel (temsirolimus) resulted in more partial responses (odds ratio = 0.08, p=0.030) in patients with renal cell carcinoma harboring mTOR pathway mutations, including MTOR (n=8), TSC1 (n=1), and TSC2 (n=2), than those without mutations (n=76) (PMID: 31335987). | 31335987 |
TSC1 mutant | hepatocellular carcinoma | decreased response | Sorafenib | Clinical Study - Cohort | Actionable | In a clinical case study, Nexavar (sorafenib) treatment of patients with hepatocellular carcinoma harboring Mtor pathway mutations in PIK3CA, PTEN, TSC2, or TSC1 (n=12), resulted in a lower disease control rate (8.3% vs. 40.2%), shorter progression-free survival (1.9 months vs. 5.3 months) and shorter overall survival (10.4 months vs. 17.9 months) compared to patients without mutations in this pathway (n=67) (PMID: 30373752; NCT01775072). | 30373752 |
TSC1 mutant | subependymal giant cell astrocytoma | predicted - sensitive | Everolimus | Phase III | Actionable | In a Phase III trial (EXIST-1), Afinitor (everolimus) treatment resulted in a 50% or more tumor reduction in 35% (27/78) of adult and pediatric patients diagnosed with tuberous sclerosis complex and had subependymal giant cell astrocytoma, compared to 0% (0/39) in the placebo group, 85% (99/117) of the patients harbored mutations in TSC1 and/or TSC2 (PMID: 23158522; NCT00789828). | 23158522 |
TSC1 mutant | lung non-small cell carcinoma | no benefit | Vistusertib | Case Reports/Case Series | Actionable | In a Phase II trial (NLMT), Vistusertib (AZD2014) treatment did not result in a confirmed response (0/5) or durable clinical benefit (0/5) in patients with non-small cell lung cancer harboring TSC1 or TSC2 mutations, thus the cohort was closed due to futility (PMID: 32669708, NCT02664935). | 32669708 |
TSC1 mutant | renal cell carcinoma | predicted - sensitive | Temsirolimus | Case Reports/Case Series | Actionable | In a clinical study, treatment with Afinitor (everolimus) or Torisel (temsirolimus) resulted in more partial responses (odds ratio = 0.08, p=0.030) in patients with renal cell carcinoma harboring mTOR pathway mutations, including MTOR (n=8), TSC1 (n=1), and TSC2 (n=2), than those without mutations (n=76) (PMID: 31335987). | 31335987 |