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Disease intelligence · mutation landscape

Mesothelioma mutation landscape

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

Retrieved 2026-09-18 · Reference cohort: meso_tcga_pan_can_atlas_2018 · JSON: /disease/mesothelioma/mutations.json · Back to the briefing

Answer block

In Mesothelioma (TCGA, PanCancer Atlas) (86 sequenced patients, exome or genome), the most frequently altered of the 47 genes shown are CDKN2A 44.83% (deep deletion), NF2 23.26%, BAP1 20.93%, TP53 16.28%, SETD2 9.3%. Each figure divides by the patients on whom that gene could be called.

Of the briefing's 12 curated targets, 6 are altered in under 2% of this cohort (MSLN, CD274, PDCD1, CTLA4, VEGFA, ALK): 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%.

Alterationmeso_tcga_pan_can_atlas_2018
86 pts · exome or genome
BAP1 SNV / small indel20.93%18/86
BAP1 deep deletion11.49%10/87
CDKN2A SNV / small indel0%
CDKN2A deep deletion44.83%39/87
NF2 SNV / small indel23.26%20/86
NF2 deep deletion8.05%7/87
TP53 SNV / small indel16.28%14/86
SETD2 SNV / small indel9.3%8/86
SETD2 deep deletion3.45%3/87
LATS2 SNV / small indel9.3%8/86
MSLN SNV / small indel0%
CD274 SNV / small indel1.16%1/86
PDCD1 SNV / small indel0%
CTLA4 SNV / small indel0%
VEGFA SNV / small indel0%
ALK SNV / small indel1.16%1/86
WWP2 SNV / small indel3.49%3/86
VWF SNV / small indel3.49%3/86
TDRD6 SNV / small indel3.49%3/86
SRGAP3 SNV / small indel3.49%3/86
SHROOM1 SNV / small indel3.49%3/86
SETDB1 SNV / small indel3.49%3/86
SDK1 SNV / small indel3.49%3/86
PTCH1 SNV / small indel3.49%3/86
PHRF1 SNV / small indel3.49%3/86
OGDHL SNV / small indel3.49%3/86
NLRP9 SNV / small indel3.49%3/86
NLRP9 amplification2.3%2/87
NLRP7 SNV / small indel3.49%3/86
NEXMIF SNV / small indel3.49%3/86
NDST2 SNV / small indel3.49%3/86
NCOR1 SNV / small indel3.49%3/86
MROH2B SNV / small indel3.49%3/86
MGA SNV / small indel3.49%3/86
MGA deep deletion4.6%4/87
LRP4 SNV / small indel3.49%3/86
FRY SNV / small indel3.49%3/86
DNHD1 SNV / small indel3.49%3/86
CRACD SNV / small indel3.49%3/86
CNTNAP2 SNV / small indel3.49%3/86
ALPK3 SNV / small indel3.49%3/86
ALPK3 amplification4.6%4/87
ZC3H4 SNV / small indel2.33%2/86
ZBTB20 SNV / small indel2.33%2/86
WDR89 SNV / small indel2.33%2/86
VWA3B SNV / small indel2.33%2/86
VPS13C SNV / small indel2.33%2/86
VPS13C amplification2.3%2/87
VEPH1 SNV / small indel2.33%2/86
UTP20 SNV / small indel2.33%2/86
USP9X SNV / small indel2.33%2/86
USP9X deep deletion2.3%2/87
TMEM132C SNV / small indel2.33%2/86
TMEM132A SNV / small indel2.33%2/86
TM9SF2 SNV / small indel2.33%2/86
TLN2 SNV / small indel2.33%2/86
TLN2 amplification2.3%2/87

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

Key findings

CDKN2A is deleted in 39 of 87 patients in Mesothelioma (TCGA, PanCancer Atlas).
Numerator: 39 · Denominator: 87 · Frequency: 44.83% · Observed in 0 cohorts · Confidence: moderate · Source: meso_tcga_pan_can_atlas_2018 · Retrieved: 2026-09-18

NF2 is mutated in 20 of 86 patients in Mesothelioma (TCGA, PanCancer Atlas).
Numerator: 20 · Denominator: 86 · Frequency: 23.26% · Observed in 1 cohorts · Confidence: moderate · Source: meso_tcga_pan_can_atlas_2018 · Retrieved: 2026-09-18

BAP1 is mutated in 18 of 86 patients in Mesothelioma (TCGA, PanCancer Atlas).
Numerator: 18 · Denominator: 86 · Frequency: 20.93% · Observed in 1 cohorts · Confidence: moderate · Source: meso_tcga_pan_can_atlas_2018 · Retrieved: 2026-09-18

Gene table — reference cohort

Headline values are from the reference cohort, meso_tcga_pan_can_atlas_2018; 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.

GeneWhy listedLargest alterationAltered / testedFrequencyWithout hypermutatedCohorts observedRange across cohortsRecurrent changes
BAP1 curated target SNV / small indel 18 / 86 20.93% 1 / 1 20.93–20.93% I47Lfs*21 (n=1), E284* (n=1), Y418Wfs*9 (n=1), H169Tfs*18 (n=1), E182K (n=1)
CDKN2A curated target deep deletion 39 / 87 44.83% mutation 0.0% 0 / 1 0.0–0.0% none recurrent
NF2 curated target SNV / small indel 20 / 86 23.26% 1 / 1 23.26–23.26% R57* (n=1), X333_splice (n=1), W184* (n=1), Y144* (n=1), K449Rfs*45 (n=1)
TP53 curated target SNV / small indel 14 / 86 16.28% 1 / 1 16.28–16.28% K132N (n=1), A276D (n=1), R196* (n=1), R273C (n=1), Q331* (n=1)
SETD2 curated target SNV / small indel 8 / 86 9.3% 1 / 1 9.3–9.3% Q1998Rfs*3 (n=1), Q1287* (n=1), V1656F (n=1), T1753Nfs*36 (n=1), Q2142* (n=1)
LATS2 curated target SNV / small indel 8 / 86 9.3% 1 / 1 9.3–9.3% N654Lfs*40 (n=1), R593Afs*63 (n=1), K697* (n=1), E541* (n=1), R717W (n=1)
MSLN curated target SNV / small indel 0 / 86 0.0% 0 / 1 0.0–0.0% none recurrent
CD274 curated target SNV / small indel 1 / 86 1.16% 1 / 1 1.16–1.16% L224F (n=1)
PDCD1 curated target SNV / small indel 0 / 86 0.0% 0 / 1 0.0–0.0% none recurrent
CTLA4 curated target SNV / small indel 0 / 86 0.0% 0 / 1 0.0–0.0% none recurrent
VEGFA curated target amplification 1 / 87 1.15% mutation 0.0% 0 / 1 0.0–0.0% none recurrent
ALK curated target SNV / small indel 1 / 86 1.16% 1 / 1 1.16–1.16% G955W (n=1)
WWP2 by frequency SNV / small indel 3 / 86 3.49% 1 / 1 3.49–3.49% H385L (n=1), W336G (n=1), E551K (n=1)
VWF by frequency SNV / small indel 3 / 86 3.49% 1 / 1 3.49–3.49% K2621E (n=1), V43I (n=1), Q322Rfs*135 (n=1)
TDRD6 by frequency SNV / small indel 3 / 86 3.49% 1 / 1 3.49–3.49% L1588F (n=1), A1990T (n=1), Q662R (n=1)
SRGAP3 by frequency SNV / small indel 3 / 86 3.49% 1 / 1 3.49–3.49% S837F (n=1), R65H (n=1), D270N (n=1)
SHROOM1 by frequency SNV / small indel 3 / 86 3.49% 1 / 1 3.49–3.49% A205V (n=1), D9N (n=1), W679* (n=1)
SETDB1 by frequency SNV / small indel 3 / 86 3.49% 1 / 1 3.49–3.49% K674Sfs*73 (n=1), R1059Sfs*13 (n=1), R668* (n=1)
SDK1 by frequency SNV / small indel 3 / 86 3.49% 1 / 1 3.49–3.49% H1926Y (n=1), P579_H583del (n=1), R444C (n=1)
PTCH1 by frequency SNV / small indel 3 / 86 3.49% 1 / 1 3.49–3.49% E836G (n=1), X535_splice (n=1), Q576* (n=1), Q1020Sfs*29 (n=1)
PHRF1 by frequency SNV / small indel 3 / 86 3.49% 1 / 1 3.49–3.49% L510Q (n=1), M1438R (n=1), A429D (n=1)
OGDHL by frequency SNV / small indel 3 / 86 3.49% 1 / 1 3.49–3.49% L926P (n=1), A464S (n=1), G668D (n=1)
NLRP9 by frequency SNV / small indel 3 / 86 3.49% 1 / 1 3.49–3.49% R662Q (n=1), D414Y (n=1), R899H (n=1)
NLRP7 by frequency SNV / small indel 3 / 86 3.49% 1 / 1 3.49–3.49% R829H (n=1), R289K (n=1), R302W (n=1)
NEXMIF by frequency SNV / small indel 3 / 86 3.49% 1 / 1 3.49–3.49% A801P (n=1), Q1263L (n=1), D381E (n=1)
NDST2 by frequency SNV / small indel 3 / 86 3.49% 1 / 1 3.49–3.49% E202V (n=1), K22Q (n=1), L66F (n=1)
NCOR1 by frequency SNV / small indel 3 / 86 3.49% 1 / 1 3.49–3.49% A1979V (n=1), K215* (n=1), S1970R (n=1)
MROH2B by frequency SNV / small indel 3 / 86 3.49% 1 / 1 3.49–3.49% M11I (n=1), D32N (n=1), A307D (n=1)
MGA by frequency deep deletion 4 / 87 4.6% mutation 3.49% 1 / 1 3.49–3.49% E1337* (n=1), E2974K (n=1), R819H (n=1)
LRP4 by frequency SNV / small indel 3 / 86 3.49% 1 / 1 3.49–3.49% W1568* (n=1), P1336S (n=1), R589C (n=1)
FRY by frequency SNV / small indel 3 / 86 3.49% 1 / 1 3.49–3.49% Q1543* (n=1), Y556* (n=1), A1727P (n=1)
DNHD1 by frequency SNV / small indel 3 / 86 3.49% 1 / 1 3.49–3.49% E3607K (n=1), I361S (n=1), Q1716H (n=1)
CRACD by frequency SNV / small indel 3 / 86 3.49% 1 / 1 3.49–3.49% R246* (n=1), S663F (n=1), E391K (n=1)
CNTNAP2 by frequency SNV / small indel 3 / 86 3.49% 1 / 1 3.49–3.49% P38T (n=1), R286Q (n=1), A135E (n=1)
ALPK3 by frequency amplification 4 / 87 4.6% mutation 3.49% 1 / 1 3.49–3.49% I1503N (n=1), G1793V (n=1), R1516C (n=1)
ZC3H4 by frequency SNV / small indel 2 / 86 2.33% 1 / 1 2.33–2.33% V998Cfs*146 (n=1), D846V (n=1)
ZBTB20 by frequency SNV / small indel 2 / 86 2.33% 1 / 1 2.33–2.33% R613P (n=1), R109H (n=1)
WDR89 by frequency SNV / small indel 2 / 86 2.33% 1 / 1 2.33–2.33% L142W (n=2)
VWA3B by frequency SNV / small indel 2 / 86 2.33% 1 / 1 2.33–2.33% G276D (n=1), A80G (n=1)
VPS13C by frequency SNV / small indel 2 / 86 2.33% 1 / 1 2.33–2.33% K2304* (n=1), L3204F (n=1)
VEPH1 by frequency SNV / small indel 2 / 86 2.33% 1 / 1 2.33–2.33% Q118K (n=1), V58A (n=1)
UTP20 by frequency SNV / small indel 2 / 86 2.33% 1 / 1 2.33–2.33% G1919R (n=1), V784A (n=1)
USP9X by frequency SNV / small indel 2 / 86 2.33% 1 / 1 2.33–2.33% P2202R (n=1), S646Vfs*20 (n=1)
TMEM132C by frequency SNV / small indel 2 / 86 2.33% 1 / 1 2.33–2.33% R580W (n=1), R635* (n=1)
TMEM132A by frequency SNV / small indel 2 / 86 2.33% 1 / 1 2.33–2.33% R535L (n=1), E994K (n=1)
TM9SF2 by frequency SNV / small indel 2 / 86 2.33% 1 / 1 2.33–2.33% G556Yfs*47 (n=1), R31H (n=1)
TLN2 by frequency SNV / small indel 2 / 86 2.33% 1 / 1 2.33–2.33% N1625S (n=1), G1094E (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
Mesothelioma (TCGA, PanCancer Atlas) reference
Mesothelioma (TCGA, PanCancer Atlas)
meso_tcga_pan_can_atlas_201886 observed86 / 87exome or genomeWES (86)hg19SNV, small indel, amplification, deep deletion, structural variant (profile present, not read)026.0

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
CDKN2Adeep deletion398744.83%meso_tcga_pan_can_atlas_2018meso_tcga_pan_can_atlas_2018_gistic
BAP1deep deletion108711.49%meso_tcga_pan_can_atlas_2018meso_tcga_pan_can_atlas_2018_gistic
NF2deep deletion7878.05%meso_tcga_pan_can_atlas_2018meso_tcga_pan_can_atlas_2018_gistic
MGAdeep deletion4874.6%meso_tcga_pan_can_atlas_2018meso_tcga_pan_can_atlas_2018_gistic
ALPK3amplification4874.6%meso_tcga_pan_can_atlas_2018meso_tcga_pan_can_atlas_2018_gistic
SETD2deep deletion3873.45%meso_tcga_pan_can_atlas_2018meso_tcga_pan_can_atlas_2018_gistic
NLRP9amplification2872.3%meso_tcga_pan_can_atlas_2018meso_tcga_pan_can_atlas_2018_gistic
VPS13Camplification2872.3%meso_tcga_pan_can_atlas_2018meso_tcga_pan_can_atlas_2018_gistic
USP9Xdeep deletion2872.3%meso_tcga_pan_can_atlas_2018meso_tcga_pan_can_atlas_2018_gistic
TLN2amplification2872.3%meso_tcga_pan_can_atlas_2018meso_tcga_pan_can_atlas_2018_gistic

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)
BAP120.93–20.93%meso_tcga_pan_can_atlas_2018: 18/86 (20.93%)
CDKN2A0.0–0.0%meso_tcga_pan_can_atlas_2018: 0/86 (0.0%)
NF223.26–23.26%meso_tcga_pan_can_atlas_2018: 20/86 (23.26%)
TP5316.28–16.28%meso_tcga_pan_can_atlas_2018: 14/86 (16.28%)
SETD29.3–9.3%meso_tcga_pan_can_atlas_2018: 8/86 (9.3%)
LATS29.3–9.3%meso_tcga_pan_can_atlas_2018: 8/86 (9.3%)
MSLN0.0–0.0%meso_tcga_pan_can_atlas_2018: 0/86 (0.0%)
CD2741.16–1.16%meso_tcga_pan_can_atlas_2018: 1/86 (1.16%)
PDCD10.0–0.0%meso_tcga_pan_can_atlas_2018: 0/86 (0.0%)
CTLA40.0–0.0%meso_tcga_pan_can_atlas_2018: 0/86 (0.0%)
VEGFA0.0–0.0%meso_tcga_pan_can_atlas_2018: 0/86 (0.0%)
ALK1.16–1.16%meso_tcga_pan_can_atlas_2018: 1/86 (1.16%)
WWP23.49–3.49%meso_tcga_pan_can_atlas_2018: 3/86 (3.49%)
VWF3.49–3.49%meso_tcga_pan_can_atlas_2018: 3/86 (3.49%)
TDRD63.49–3.49%meso_tcga_pan_can_atlas_2018: 3/86 (3.49%)
SRGAP33.49–3.49%meso_tcga_pan_can_atlas_2018: 3/86 (3.49%)
SHROOM13.49–3.49%meso_tcga_pan_can_atlas_2018: 3/86 (3.49%)
SETDB13.49–3.49%meso_tcga_pan_can_atlas_2018: 3/86 (3.49%)
SDK13.49–3.49%meso_tcga_pan_can_atlas_2018: 3/86 (3.49%)
PTCH13.49–3.49%meso_tcga_pan_can_atlas_2018: 3/86 (3.49%)
PHRF13.49–3.49%meso_tcga_pan_can_atlas_2018: 3/86 (3.49%)
OGDHL3.49–3.49%meso_tcga_pan_can_atlas_2018: 3/86 (3.49%)
NLRP93.49–3.49%meso_tcga_pan_can_atlas_2018: 3/86 (3.49%)
NLRP73.49–3.49%meso_tcga_pan_can_atlas_2018: 3/86 (3.49%)
NEXMIF3.49–3.49%meso_tcga_pan_can_atlas_2018: 3/86 (3.49%)
NDST23.49–3.49%meso_tcga_pan_can_atlas_2018: 3/86 (3.49%)
NCOR13.49–3.49%meso_tcga_pan_can_atlas_2018: 3/86 (3.49%)
MROH2B3.49–3.49%meso_tcga_pan_can_atlas_2018: 3/86 (3.49%)
MGA3.49–3.49%meso_tcga_pan_can_atlas_2018: 3/86 (3.49%)
LRP43.49–3.49%meso_tcga_pan_can_atlas_2018: 3/86 (3.49%)
FRY3.49–3.49%meso_tcga_pan_can_atlas_2018: 3/86 (3.49%)
DNHD13.49–3.49%meso_tcga_pan_can_atlas_2018: 3/86 (3.49%)
CRACD3.49–3.49%meso_tcga_pan_can_atlas_2018: 3/86 (3.49%)
CNTNAP23.49–3.49%meso_tcga_pan_can_atlas_2018: 3/86 (3.49%)
ALPK33.49–3.49%meso_tcga_pan_can_atlas_2018: 3/86 (3.49%)
ZC3H42.33–2.33%meso_tcga_pan_can_atlas_2018: 2/86 (2.33%)
ZBTB202.33–2.33%meso_tcga_pan_can_atlas_2018: 2/86 (2.33%)
WDR892.33–2.33%meso_tcga_pan_can_atlas_2018: 2/86 (2.33%)
VWA3B2.33–2.33%meso_tcga_pan_can_atlas_2018: 2/86 (2.33%)
VPS13C2.33–2.33%meso_tcga_pan_can_atlas_2018: 2/86 (2.33%)
VEPH12.33–2.33%meso_tcga_pan_can_atlas_2018: 2/86 (2.33%)
UTP202.33–2.33%meso_tcga_pan_can_atlas_2018: 2/86 (2.33%)
USP9X2.33–2.33%meso_tcga_pan_can_atlas_2018: 2/86 (2.33%)
TMEM132C2.33–2.33%meso_tcga_pan_can_atlas_2018: 2/86 (2.33%)
TMEM132A2.33–2.33%meso_tcga_pan_can_atlas_2018: 2/86 (2.33%)
TM9SF22.33–2.33%meso_tcga_pan_can_atlas_2018: 2/86 (2.33%)
TLN22.33–2.33%meso_tcga_pan_can_atlas_2018: 2/86 (2.33%)

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/mesothelioma.json.

Built by the BioTransfer briefings pipeline from the cBioPortal public API. The neuroblastoma page was assembled by hand and set the rules this page follows; how these are built.