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Marginal zone lymphoma mutation landscape

How often each gene is altered in marginal zone lymphoma, in each sequenced cohort, over the patients on whom it could have been called. Copy number is its own row. Nothing is pooled.

Retrieved 2026-09-26 · Reference cohort: heme_msk_impact_2022 · JSON: /disease/marginal-zone-lymphoma/mutations.json · Back to the briefing

Answer block

In MSK-IMPACT Heme, marginal zone lymphoma subset (2022) (43 sequenced patients, targeted panel), the most frequently altered of the 40 genes shown are TNFAIP3 30.23%, KMT2D 18.6%, NOTCH2 13.95%, TNFRSF14 11.63%, CCND3 11.63%. Each figure divides by the patients on whom that gene could be called.

Of the briefing's 12 curated targets, 3 are altered in under 2% of this cohort (MYD88, MALT1, BTK): targets by expression, dependency or drug label, not by mutation. Frequency is not targetability, in either direction.

1 cohorts are shown and none are pooled; overlap between them has not been checked and there is no disease-wide percentage.

Evidence boundary: frequency here is a count in a named cohort. Whether an alteration is a driver, is actionable, or has a drug is the briefing's question and is not inferred from these numbers.

What is altered, by cohort

One row per alteration, not per gene: a gene that is amplified and rarely mutated (ERBB2, MYCN, EGFR) gets a row for each. Every cell divides by its own denominator — the patients in that cohort on whom that gene could be called. Copy-number rows are shown only where at least one cohort reaches 2%.

Alterationheme_msk_impact_2022
43 pts · targeted panel
MYD88 SNV / small indel0%
KLF2 SNV / small indel·
NOTCH2 SNV / small indel13.95%6/43
TNFAIP3 SNV / small indel30.23%13/43
TNFAIP3 deep deletion6.98%3/43
BIRC3 SNV / small indel4.65%2/43
MALT1 SNV / small indel0%
CARD11 SNV / small indel4.65%2/43
KMT2D SNV / small indel18.6%8/43
PTPRD SNV / small indel·
TP53 SNV / small indel6.98%3/43
BTK SNV / small indel0%
MS4A1 SNV / small indel·
TNFRSF14 SNV / small indel11.63%5/43
TNFRSF14 deep deletion2.33%1/43
CCND3 SNV / small indel11.63%5/43
BCL10 SNV / small indel11.63%5/43
IRF8 SNV / small indel9.3%4/43
CREBBP SNV / small indel9.3%4/43
ARID1A SNV / small indel9.3%4/43
ARID1A deep deletion2.33%1/43
XPO1 SNV / small indel6.98%3/43
XPO1 amplification2.33%1/43
MEF2B SNV / small indel6.98%3/43
EP300 SNV / small indel6.98%3/43
ARID5B SNV / small indel6.98%3/43
ACTG1 SNV / small indel6.98%3/43
TBL1XR1 SNV / small indel4.65%2/43
STAG2 SNV / small indel4.65%2/43
RRAGC SNV / small indel4.65%2/43
PAX5 SNV / small indel4.65%2/43
PAX5 amplification2.33%1/43
MTOR SNV / small indel4.65%2/43
MPEG1 SNV / small indel4.65%2/43
MPEG1 amplification2.33%1/43
MED12 SNV / small indel4.65%2/43
ID3 SNV / small indel4.65%2/43
HLA-A SNV / small indel4.65%2/43
H1-4 SNV / small indel4.65%2/43
H1-4 amplification2.33%1/43
FAS SNV / small indel4.65%2/43
FAS deep deletion2.33%1/43
EPHA7 SNV / small indel4.65%2/43
EP400 SNV / small indel4.65%2/43
DTX1 SNV / small indel4.65%2/43
CD79B SNV / small indel4.65%2/43
BCR SNV / small indel4.65%2/43
ATRX SNV / small indel4.65%2/43

observed — shade scales with frequency, full at 30% assayed, none found not on this cohort's panel cohort not readable

Key findings

TNFAIP3 is mutated in 13 of 43 patients in MSK-IMPACT Heme, marginal zone lymphoma subset (2022).
Numerator: 13 · Denominator: 43 · Frequency: 30.23% · Observed in 1 cohorts · Confidence: low · Source: heme_msk_impact_2022 · Retrieved: 2026-09-26

KMT2D is mutated in 8 of 43 patients in MSK-IMPACT Heme, marginal zone lymphoma subset (2022).
Numerator: 8 · Denominator: 43 · Frequency: 18.6% · Observed in 1 cohorts · Confidence: low · Source: heme_msk_impact_2022 · Retrieved: 2026-09-26

NOTCH2 is mutated in 6 of 43 patients in MSK-IMPACT Heme, marginal zone lymphoma subset (2022).
Numerator: 6 · Denominator: 43 · Frequency: 13.95% · Observed in 1 cohorts · Confidence: low · Source: heme_msk_impact_2022 · Retrieved: 2026-09-26

Gene table — reference cohort

Headline values are from the reference cohort, heme_msk_impact_2022; the matrix above keeps every cohort separate. "Curated" marks a gene the disease briefing lists as a target; the rest are here because they are among the most frequently mutated genes in the reference cohort. Recurrent changes are the reference cohort's commonest protein changes.

FDA biomarker marks a gene the FDA recognises as a biomarker of response to an approved drug; FDA, tumour-agnostic marks the five that apply whatever the primary site. Hover for the drug, the tumour type and the year. This is level 1 only, United States only, and frozen at November 2022 — a dash means the gene was not FDA-recognised on that date, not that it is undruggable, and not that no trial exists. The frequency beside it is how often the gene is altered in this disease, which is a different question from whether these patients are eligible for the drug. Source: Quantifying the Expanding Landscape of Clinical Actionability for Patients with Cancer. Cancer Discovery 2024;14(1):49-65. doi:10.1158/2159-8290.CD-23-0467, Table 1

GeneFDA statusWhy listedLargest alterationAltered / testedFrequencyWithout hypermutatedCohorts observedRange across cohortsRecurrent changes
MYD88 — curated target SNV / small indel 0 / 43 0.0% — 0 / 1 0.0–0.0% none recurrent
KLF2 — curated target SNV / small indel 0 / null 0.0% — 0 / 1 null–null% none recurrent
NOTCH2 — curated target SNV / small indel 6 / 43 13.95% — 1 / 1 13.95–13.95% L2301Cfs*9 (n=1), Q2285* (n=1), I2304Hfs*9 (n=1), I2304Mfs*2 (n=1), S2134* (n=1)
TNFAIP3 — curated target SNV / small indel 13 / 43 30.23% — 1 / 1 30.23–30.23% L120Ffs*20 (n=2), Q503* (n=1), F395Lfs*4 (n=1), D134Rfs*6 (n=1), R271* (n=1)
BIRC3 — curated target SNV / small indel 2 / 43 4.65% — 1 / 1 4.65–4.65% C557* (n=1), E518* (n=1)
MALT1 — curated target SNV / small indel 0 / 43 0.0% — 0 / 1 0.0–0.0% none recurrent
CARD11 — curated target SNV / small indel 2 / 43 4.65% — 1 / 1 4.65–4.65% M360V (n=1), D357E (n=1)
KMT2D — curated target SNV / small indel 8 / 43 18.6% — 1 / 1 18.6–18.6% R5340* (n=2), Q3930* (n=1), R1252* (n=1), Q3974* (n=1), Q2033* (n=1)
PTPRD — curated target SNV / small indel 0 / null 0.0% — 0 / 1 null–null% none recurrent
TP53 — curated target SNV / small indel 3 / 43 6.98% — 1 / 1 6.98–6.98% R290Cfs*18 (n=1), T256K (n=1), C275Y (n=1), N263S (n=1)
BTK — curated target SNV / small indel 0 / 43 0.0% — 0 / 1 0.0–0.0% none recurrent
MS4A1 — curated target SNV / small indel 0 / null 0.0% — 0 / 1 null–null% none recurrent
TNFRSF14 — by frequency SNV / small indel 5 / 43 11.63% — 1 / 1 11.63–11.63% W12* (n=2), Q182* (n=2), C96G (n=1), T18Pfs*4 (n=1)
CCND3 — by frequency SNV / small indel 5 / 43 11.63% — 1 / 1 11.63–11.63% Q276* (n=2), P270Lfs*54 (n=1), D286G (n=1), P284S (n=1)
BCL10 — by frequency SNV / small indel 5 / 43 11.63% — 1 / 1 11.63–11.63% E140* (n=2), D139Efs*2 (n=1), N137I (n=1), I46Nfs*4 (n=1), Y154* (n=1)
IRF8 — by frequency SNV / small indel 4 / 43 9.3% — 1 / 1 9.3–9.3% E94K (n=1), Q46P (n=1), S416* (n=1), T80A (n=1)
CREBBP — by frequency SNV / small indel 4 / 43 9.3% — 1 / 1 9.3–9.3% R1446H (n=1), N1604Tfs*31 (n=1), R1169C (n=1), C1421Y (n=1)
ARID1A — by frequency SNV / small indel 4 / 43 9.3% — 1 / 1 9.3–9.3% L299Gfs*65 (n=1), K1094M (n=1), P1897Afs*4 (n=1), R1950W (n=1), Q802Sfs*15 (n=1)
XPO1 — by frequency SNV / small indel 3 / 43 6.98% — 1 / 1 6.98–6.98% E571K (n=2), K88R (n=1)
MEF2B — by frequency SNV / small indel 3 / 43 6.98% — 1 / 1 6.98–6.98% X257_splice (n=1), P325L (n=1), Q7_S9delinsH (n=1)
EP300 — by frequency SNV / small indel 3 / 43 6.98% — 1 / 1 6.98–6.98% L415P (n=1), L1463P (n=1), Y1414S (n=1)
ARID5B — by frequency SNV / small indel 3 / 43 6.98% — 1 / 1 6.98–6.98% A618Pfs*11 (n=1), L59V (n=1), Y500Rfs*29 (n=1)
ACTG1 — by frequency SNV / small indel 3 / 43 6.98% — 1 / 1 6.98–6.98% T203P (n=1), R62C (n=1), T249A (n=1)
TBL1XR1 — by frequency SNV / small indel 2 / 43 4.65% — 1 / 1 4.65–4.65% C334R (n=1), D369E (n=1)
STAG2 — by frequency SNV / small indel 2 / 43 4.65% — 1 / 1 4.65–4.65% X925_splice (n=1), D116E (n=1)
RRAGC — by frequency SNV / small indel 2 / 43 4.65% — 1 / 1 4.65–4.65% W115L (n=1), G73D (n=1)
PAX5 — by frequency SNV / small indel 2 / 43 4.65% — 1 / 1 4.65–4.65% D2N (n=1), P8S (n=1)
MTOR — by frequency SNV / small indel 2 / 43 4.65% — 1 / 1 4.65–4.65% E1766K (n=1), C1483Y (n=1)
MPEG1 — by frequency SNV / small indel 2 / 43 4.65% — 1 / 1 4.65–4.65% C534Y (n=1), N608K (n=1), Q604R (n=1), A145T (n=1)
MED12 — by frequency SNV / small indel 2 / 43 4.65% — 1 / 1 4.65–4.65% A560T (n=1), V417D (n=1)
ID3 — by frequency SNV / small indel 2 / 43 4.65% — 1 / 1 4.65–4.65% E107Nfs*19 (n=1), A102P (n=1), E53* (n=1), L40_D43delinsPHEPLLL (n=1), Q81H (n=1)
HLA-A — by frequency SNV / small indel 2 / 43 4.65% — 1 / 1 4.65–4.65% H27R (n=1), V52G (n=1), L17Q (n=1)
H1-4 — by frequency SNV / small indel 2 / 43 4.65% — 1 / 1 4.65–4.65% A178P (n=1), P181S (n=1)
FAS — by frequency SNV / small indel 2 / 43 4.65% — 1 / 1 4.65–4.65% L294* (n=1), T241Kfs*4 (n=1)
EPHA7 — by frequency SNV / small indel 2 / 43 4.65% — 1 / 1 4.65–4.65% V662L (n=1), T156M (n=1)
EP400 — by frequency SNV / small indel 2 / 43 4.65% — 1 / 1 4.65–4.65% G1612D (n=1), R1235Sfs*4 (n=1)
DTX1 — by frequency SNV / small indel 2 / 43 4.65% — 1 / 1 4.65–4.65% Y72S (n=1), G16C (n=1), H80R (n=1), K53T (n=1), L69V (n=1)
CD79B — by frequency SNV / small indel 2 / 43 4.65% — 1 / 1 4.65–4.65% Y197N (n=1), Y197C (n=1)
BCR — by frequency SNV / small indel 2 / 43 4.65% — 1 / 1 4.65–4.65% E181D (n=1), E66K (n=1)
ATRX — by frequency SNV / small indel 2 / 43 4.65% — 1 / 1 4.65–4.65% K487Q (n=1), T662A (n=1)

Cohorts

Listed in the disease profile, not searched: a name search returns the same patients under several accessions. Patients are unique patient ids in the study's sequenced sample list. Hypermutated: more than ten times the cohort's median non-silent mutations per sample, and at least 100.

CohortAccessionPatientsSamples sequenced / in studyAssayPanels (samples)BuildProfiles readHypermutated patientsMedian mutations / sample
MSK-IMPACT Heme, marginal zone lymphoma subset (2022) reference
MSK-IMPACT Heme Tumors (MSK, 2022)
heme_msk_impact_202243 observed44 / 2383targeted panelIMPACT-HEME-400 (44)hg19SNV, small indel, amplification, deep deletion03.0

Copy-number events

Discrete calls from each study's copy-number profile: 2 is high-level amplification, −2 deep deletion. Gains and shallow losses are not counted. Denominators are the cohort's copy-number sample list, which differs from its sequenced list. Rows at 2% or more.

GeneEventObserved patientsTested patientsFrequencyCohortProfile
TNFAIP3deep deletion3436.98%heme_msk_impact_2022heme_msk_impact_2022_cna
TNFRSF14deep deletion1432.33%heme_msk_impact_2022heme_msk_impact_2022_cna
ARID1Adeep deletion1432.33%heme_msk_impact_2022heme_msk_impact_2022_cna
XPO1amplification1432.33%heme_msk_impact_2022heme_msk_impact_2022_cna
PAX5amplification1432.33%heme_msk_impact_2022heme_msk_impact_2022_cna
MPEG1amplification1432.33%heme_msk_impact_2022heme_msk_impact_2022_cna
H1-4amplification1432.33%heme_msk_impact_2022heme_msk_impact_2022_cna
FASdeep deletion1432.33%heme_msk_impact_2022heme_msk_impact_2022_cna

Cohort-aware frequencies

Each row is calculated from unique patients in that study's sequenced sample list. The range is descriptive; no pooled estimate is shown because cross-study overlap and assay comparability have not been checked.

GeneRangePer cohort (altered / tested)
MYD880.0–0.0%heme_msk_impact_2022: 0/43 (0.0%)
KLF2null–null%heme_msk_impact_2022: not assayed
NOTCH213.95–13.95%heme_msk_impact_2022: 6/43 (13.95%)
TNFAIP330.23–30.23%heme_msk_impact_2022: 13/43 (30.23%)
BIRC34.65–4.65%heme_msk_impact_2022: 2/43 (4.65%)
MALT10.0–0.0%heme_msk_impact_2022: 0/43 (0.0%)
CARD114.65–4.65%heme_msk_impact_2022: 2/43 (4.65%)
KMT2D18.6–18.6%heme_msk_impact_2022: 8/43 (18.6%)
PTPRDnull–null%heme_msk_impact_2022: not assayed
TP536.98–6.98%heme_msk_impact_2022: 3/43 (6.98%)
BTK0.0–0.0%heme_msk_impact_2022: 0/43 (0.0%)
MS4A1null–null%heme_msk_impact_2022: not assayed
TNFRSF1411.63–11.63%heme_msk_impact_2022: 5/43 (11.63%)
CCND311.63–11.63%heme_msk_impact_2022: 5/43 (11.63%)
BCL1011.63–11.63%heme_msk_impact_2022: 5/43 (11.63%)
IRF89.3–9.3%heme_msk_impact_2022: 4/43 (9.3%)
CREBBP9.3–9.3%heme_msk_impact_2022: 4/43 (9.3%)
ARID1A9.3–9.3%heme_msk_impact_2022: 4/43 (9.3%)
XPO16.98–6.98%heme_msk_impact_2022: 3/43 (6.98%)
MEF2B6.98–6.98%heme_msk_impact_2022: 3/43 (6.98%)
EP3006.98–6.98%heme_msk_impact_2022: 3/43 (6.98%)
ARID5B6.98–6.98%heme_msk_impact_2022: 3/43 (6.98%)
ACTG16.98–6.98%heme_msk_impact_2022: 3/43 (6.98%)
TBL1XR14.65–4.65%heme_msk_impact_2022: 2/43 (4.65%)
STAG24.65–4.65%heme_msk_impact_2022: 2/43 (4.65%)
RRAGC4.65–4.65%heme_msk_impact_2022: 2/43 (4.65%)
PAX54.65–4.65%heme_msk_impact_2022: 2/43 (4.65%)
MTOR4.65–4.65%heme_msk_impact_2022: 2/43 (4.65%)
MPEG14.65–4.65%heme_msk_impact_2022: 2/43 (4.65%)
MED124.65–4.65%heme_msk_impact_2022: 2/43 (4.65%)
ID34.65–4.65%heme_msk_impact_2022: 2/43 (4.65%)
HLA-A4.65–4.65%heme_msk_impact_2022: 2/43 (4.65%)
H1-44.65–4.65%heme_msk_impact_2022: 2/43 (4.65%)
FAS4.65–4.65%heme_msk_impact_2022: 2/43 (4.65%)
EPHA74.65–4.65%heme_msk_impact_2022: 2/43 (4.65%)
EP4004.65–4.65%heme_msk_impact_2022: 2/43 (4.65%)
DTX14.65–4.65%heme_msk_impact_2022: 2/43 (4.65%)
CD79B4.65–4.65%heme_msk_impact_2022: 2/43 (4.65%)
BCR4.65–4.65%heme_msk_impact_2022: 2/43 (4.65%)
ATRX4.65–4.65%heme_msk_impact_2022: 2/43 (4.65%)

What this page does not do

Structural variants
Read the structural-variant profiles the studies carry; fusions are the defining event in several of these diseases.

Context
Stage, subtype, age and treatment line are not attached to any count; the cohorts differ on all four.

Interpretation
Activating versus inactivating, actionable versus not, and evidence level are not inferred here; the briefing's target table carries the drug and trial facts.

Limitations

How a machine should read this page

  1. Denominators: every frequency divides by the patients in one named cohort on whom the gene could be called; there is no disease-wide figure.
  2. Missing values: not_assayed (the panel did not carry the gene), not_observed (assayed, none found) and not_evaluable (the cohort could not be read) are three different facts and are never converted to zero.
  3. Counting: patients, not samples; several samples from one patient count once. Non-silent calls only.
  4. Copy number: a separate assay with a separate roster; discrete calls at ±2 only.
  5. Hypermutation: flagged per cohort; the headline keeps all patients and the frequency without them is reported beside it.
  6. Provenance: every value carries the study id, the retrieval date and the processing version; the source is the cBioPortal public API.

Machine endpoints: full landscape · genes · cohorts · the disease's own facts: /disease/marginal-zone-lymphoma.json.

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