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| Gene | FBXW7 |
| Variant | R505C |
| Impact List | missense |
| Protein Effect | loss of function |
| Gene Variant Descriptions | FBXW7 R505C lies within WD repeat 4 of the Fbxw7 protein (UniProt.org). R505C results in ubiquitination and degradation of Braf similar to wild-type Fbxw7 in cultured cells (PMID: 32907612), but confers a loss of function to Fbxw7 as indicated by a loss of binding to NICD in cell culture (PMID: 17646409), impaired degradation of NICD, resulting in increased activity in a luciferase assay (PMID: 27247421), failure to degrade cyclin E, c-Myc, and Mcl1 in cell culture (PMID: 32907612), aberrant subnuclear localization (PMID: 30510140), and impaired degradation of Klf5 in cell culture (PMID: 28963353). |
| Associated Drug Resistance | |
| Category Variants Paths |
FBXW7 mutant FBXW7 inact mut FBXW7 R505C |
| Transcript | NM_001349798.2 |
| gDNA | chr4:g.152326137G>A |
| cDNA | c.1513C>T |
| Protein | p.R505C |
| Source Database | RefSeq |
| Genome Build | GRCh38/hg38 |
| Transcript | gDNA | cDNA | Protein | Source Database | Genome Build |
|---|---|---|---|---|---|
| XM_011532085 | chr4:g.152326137G>A | c.1513C>T | p.R505C | RefSeq | GRCh38/hg38 |
| XM_011532083 | chr4:g.152326137G>A | c.1513C>T | p.R505C | RefSeq | GRCh38/hg38 |
| XM_017008362 | chr4:g.152326137G>A | c.1513C>T | p.R505C | RefSeq | GRCh38/hg38 |
| XM_011532085.2 | chr4:g.152326137G>A | c.1513C>T | p.R505C | RefSeq | GRCh38/hg38 |
| XM_047415898.1 | chr4:g.152326137G>A | c.1513C>T | p.R505C | RefSeq | GRCh38/hg38 |
| NM_033632.3 | chr4:g.152326137G>A | c.1513C>T | p.R505C | RefSeq | GRCh38/hg38 |
| XM_024454123.2 | chr4:g.152326137G>A | c.1513C>T | p.R505C | RefSeq | GRCh38/hg38 |
| XM_024454122.1 | chr4:g.152326137G>A | c.1513C>T | p.R505C | RefSeq | GRCh38/hg38 |
| XM_024454123.1 | chr4:g.152326137G>A | c.1513C>T | p.R505C | RefSeq | GRCh38/hg38 |
| XM_047415900.1 | chr4:g.152326137G>A | c.1513C>T | p.R505C | RefSeq | GRCh38/hg38 |
| NM_033632 | chr4:g.152326137G>A | c.1513C>T | p.R505C | RefSeq | GRCh38/hg38 |
| NM_033632.3 | chr4:g.152326137G>A | c.1513C>T | p.R505C | RefSeq | GRCh38/hg38 |
| XM_011532085.3 | chr4:g.152326137G>A | c.1513C>T | p.R505C | RefSeq | GRCh38/hg38 |
| XM_024454124.1 | chr4:g.152326137G>A | c.1513C>T | p.R505C | RefSeq | GRCh38/hg38 |
| XM_011532084.3 | chr4:g.152326137G>A | c.1513C>T | p.R505C | RefSeq | GRCh38/hg38 |
| XM_011532084 | chr4:g.152326137G>A | c.1513C>T | p.R505C | RefSeq | GRCh38/hg38 |
| XM_024454121.1 | chr4:g.152326137G>A | c.1513C>T | p.R505C | RefSeq | GRCh38/hg38 |
| XM_047415899.1 | chr4:g.152326137G>A | c.1513C>T | p.R505C | RefSeq | GRCh38/hg38 |
| XM_011532084.2 | chr4:g.152326137G>A | c.1513C>T | p.R505C | RefSeq | GRCh38/hg38 |
| XM_047415897.1 | chr4:g.152326137G>A | c.1513C>T | p.R505C | RefSeq | GRCh38/hg38 |
| XM_047415901.1 | chr4:g.152326137G>A | c.1513C>T | p.R505C | RefSeq | GRCh38/hg38 |
| NM_001349798.2 | chr4:g.152326137G>A | c.1513C>T | p.R505C | RefSeq | GRCh38/hg38 |
| NM_001349798.1 | chr4:g.152326137G>A | c.1513C>T | p.R505C | RefSeq | GRCh38/hg38 |
| Molecular Profile | Indication/Tumor Type | Response Type | Therapy Name | Approval Status | Evidence Type | Efficacy Evidence | References |
|---|---|---|---|---|---|---|---|
| FBXW7 R505C | T-cell adult acute lymphocytic leukemia | resistant | MRK-003 | Preclinical | Actionable | In a preclinical study, FBXW7 R505C conferred resistance to gamma secretase inhibitor, MRK-003, by activation of the NOTCH pathway and stablization of MYC as demonstrated in T cell acute lymphoblastic leukemia (T-ALL) cell lines (PMID: 17646409). | 17646409 |
| FBXW7 R505C | head and neck squamous cell carcinoma | sensitive | Vorinostat | Preclinical | Actionable | In a preclinical study, Zolinza (vorinostat) inhibited growth of a head and neck squamous cell carcinoma cell line harboring FBXW7 R505C in culture (PMID: 23274910). | 23274910 |
| FBXW7 R505C | colorectal cancer | resistant | Regorafenib | Preclinical - Cell culture | Actionable | In a preclinical study, colorectal cell lines with FBXW7 R505C demonstrated acquired resistance in regorafenib (PMID: 27399335). | 27399335 |
| FBXW7 R505C | melanoma | predicted - resistant | unspecified PD-1 antibody | Preclinical | Actionable | In a preclinical study, a melanoma cell line expressing FBXW7 R505C in a mouse model conferred resistance to treatment with an unspecified PD-1 antibody, demonstrating increased tumor volume and decreased survival compared to models with wild-type FBXW7 (PMID: 32371478). | 32371478 |
| FBXW7 R505C | melanoma | predicted - resistant | Pembrolizumab | Case Reports/Case Series | Actionable | In a clinical case study, a melanoma patient treated with Keytruda (pembrolizumab) demonstrated a response in all lesions except one, which was found to harbor FBXW7 R505C (PMID: 32371478). | 32371478 |