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Multiple myeloma mutation landscape

How often each gene is altered in multiple myeloma, 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: mm_broad · JSON: /disease/multiple-myeloma/mutations.json · Back to the briefing

Answer block

In Multiple Myeloma (Broad, Cancer Cell 2014) (205 sequenced patients, exome or genome), the most frequently altered of the 50 genes shown are KRAS 21.95%, NRAS 18.05%, DIS3 9.27%, TP53 7.32%, TENT5C 7.32%. Each figure divides by the patients on whom that gene could be called.

1 of 205 patients are hypermutated (more than 340 non-silent mutations, ten times the cohort median of 34); every gene's frequency without them is beside the headline.

Of the briefing's 14 curated targets, 9 are altered in under 2% of this cohort (TNFRSF17, GPRC5D, FCRL5, CD38, SLAMF7, CRBN, PSMB5, XPO1, MYC): 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%.

Alterationmm_broad
205 pts · exome or genome
TNFRSF17 SNV / small indel0%
GPRC5D SNV / small indel0%
FCRL5 SNV / small indel0%
CD38 SNV / small indel0%
SLAMF7 SNV / small indel0%
CRBN SNV / small indel0.49%1/205
PSMB5 SNV / small indel0%
XPO1 SNV / small indel0%
KRAS SNV / small indel21.95%45/205
NRAS SNV / small indel18.05%37/205
TP53 SNV / small indel7.32%15/205
NSD2 SNV / small indel2.44%5/205
CCND1 SNV / small indel3.41%7/205
MYC SNV / small indel0.98%2/205
DIS3 SNV / small indel9.27%19/205
TENT5C SNV / small indel7.32%15/205
BRAF SNV / small indel6.34%13/205
TRIO SNV / small indel4.39%9/205
SVIL SNV / small indel3.9%8/205
KALRN SNV / small indel3.9%8/205
GRIA2 SNV / small indel3.9%8/205
TRAF3 SNV / small indel3.41%7/205
SI SNV / small indel3.41%7/205
EGR1 SNV / small indel3.41%7/205
COL21A1 SNV / small indel3.41%7/205
CHD3 SNV / small indel3.41%7/205
ADAMTS9 SNV / small indel3.41%7/205
VCAN SNV / small indel2.93%6/205
TRIP12 SNV / small indel2.93%6/205
SEMA3E SNV / small indel2.93%6/205
SCN2A SNV / small indel2.93%6/205
PTPRD SNV / small indel2.93%6/205
PTCHD4 SNV / small indel2.93%6/205
PRDM1 SNV / small indel2.93%6/205
NRXN1 SNV / small indel2.93%6/205
MPDZ SNV / small indel2.93%6/205
FRYL SNV / small indel2.93%6/205
FAT1 SNV / small indel2.93%6/205
FAM135B SNV / small indel2.93%6/205
CMYA5 SNV / small indel2.93%6/205
BSN SNV / small indel2.93%6/205
ACTG1 SNV / small indel2.93%6/205
ZZEF1 SNV / small indel2.44%5/205
ZFHX3 SNV / small indel2.44%5/205
WDR33 SNV / small indel2.44%5/205
TIAM1 SNV / small indel2.44%5/205
SPATA31E1 SNV / small indel2.44%5/205
SP140 SNV / small indel2.44%5/205
SCN10A SNV / small indel2.44%5/205
RPRD1B SNV / small indel2.44%5/205

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

Key findings

KRAS is mutated in 45 of 205 patients in Multiple Myeloma (Broad, Cancer Cell 2014).
Numerator: 45 · Denominator: 205 · Frequency: 21.95% · Observed in 1 cohorts · Confidence: moderate · Source: mm_broad · Retrieved: 2026-09-18

NRAS is mutated in 37 of 205 patients in Multiple Myeloma (Broad, Cancer Cell 2014).
Numerator: 37 · Denominator: 205 · Frequency: 18.05% · Observed in 1 cohorts · Confidence: moderate · Source: mm_broad · Retrieved: 2026-09-18

DIS3 is mutated in 19 of 205 patients in Multiple Myeloma (Broad, Cancer Cell 2014).
Numerator: 19 · Denominator: 205 · Frequency: 9.27% · Observed in 1 cohorts · Confidence: moderate · Source: mm_broad · Retrieved: 2026-09-18

Gene table — reference cohort

Headline values are from the reference cohort, mm_broad; 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
TNFRSF17 curated target SNV / small indel 0 / 205 0.0% 0.0% 0 / 1 0.0–0.0% none recurrent
GPRC5D curated target SNV / small indel 0 / 205 0.0% 0.0% 0 / 1 0.0–0.0% none recurrent
FCRL5 curated target SNV / small indel 0 / 205 0.0% 0.0% 0 / 1 0.0–0.0% none recurrent
CD38 curated target SNV / small indel 0 / 205 0.0% 0.0% 0 / 1 0.0–0.0% none recurrent
SLAMF7 curated target SNV / small indel 0 / 205 0.0% 0.0% 0 / 1 0.0–0.0% none recurrent
CRBN curated target SNV / small indel 1 / 205 0.49% 0.49% 1 / 1 0.49–0.49% R111Q (n=1)
PSMB5 curated target SNV / small indel 0 / 205 0.0% 0.0% 0 / 1 0.0–0.0% none recurrent
XPO1 curated target SNV / small indel 0 / 205 0.0% 0.0% 0 / 1 0.0–0.0% none recurrent
KRAS curated target SNV / small indel 45 / 205 21.95% 22.06% 1 / 1 21.95–21.95% Q61H (n=10), G13D (n=9), A146T (n=3), G12A (n=3), G12D (n=3)
NRAS curated target SNV / small indel 37 / 205 18.05% 18.14% 1 / 1 18.05–18.05% Q61R (n=11), Q61K (n=9), Q61H (n=5), G13R (n=4), Q61L (n=2)
TP53 curated target SNV / small indel 15 / 205 7.32% 7.35% 1 / 1 7.32–7.32% E51* (n=1), D281V (n=1), C275S (n=1), Y205D (n=1), R196* (n=1)
NSD2 curated target SNV / small indel 5 / 205 2.44% 2.45% 1 / 1 2.44–2.44% C1191F (n=1), A332D (n=1), E1099K (n=1), R1138G (n=1), S1314C (n=1)
CCND1 curated target SNV / small indel 7 / 205 3.41% 3.43% 1 / 1 3.41–3.41% Q4R (n=1), K46N (n=1), P54A (n=1), C8Y (n=1), E135D (n=1)
MYC curated target SNV / small indel 2 / 205 0.98% 0.49% 1 / 1 0.98–0.98% Q35E (n=1), V160I (n=1), S218T (n=1), S217N (n=1), D32N (n=1)
DIS3 by frequency SNV / small indel 19 / 205 9.27% 9.31% 1 / 1 9.27–9.27% R780K (n=2), R351K (n=1), F775L (n=1), S477R (n=1), V504G (n=1)
TENT5C by frequency SNV / small indel 15 / 205 7.32% 7.35% 1 / 1 7.32–7.32% S203C (n=1), D90H (n=1), D182Y (n=1), I187del (n=1), V314G (n=1)
BRAF by frequency SNV / small indel 13 / 205 6.34% 5.88% 1 / 1 6.34–6.34% V600E (n=5), G469A (n=2), G469V (n=1), N581S (n=1), G466E (n=1)
TRIO by frequency SNV / small indel 9 / 205 4.39% 4.41% 1 / 1 4.39–4.39% X2155_splice (n=1), E1216D (n=1), I957T (n=1), V727M (n=1), V534M (n=1)
SVIL by frequency SNV / small indel 8 / 205 3.9% 3.43% 1 / 1 3.9–3.9% A1661V (n=1), R541H (n=1), K454* (n=1), E1521K (n=1), D462N (n=1)
KALRN by frequency SNV / small indel 8 / 205 3.9% 3.92% 1 / 1 3.9–3.9% Y1153S (n=1), F603V (n=1), S1632Y (n=1), X1306_splice (n=1), R370H (n=1)
GRIA2 by frequency SNV / small indel 8 / 205 3.9% 3.92% 1 / 1 3.9–3.9% K272T (n=1), A698E (n=1), E487* (n=1), G382R (n=1), I480F (n=1)
TRAF3 by frequency SNV / small indel 7 / 205 3.41% 2.94% 1 / 1 3.41–3.41% D551V (n=1), F474V (n=1), C124F (n=1), W420* (n=1), W266* (n=1)
SI by frequency SNV / small indel 7 / 205 3.41% 3.43% 1 / 1 3.41–3.41% T850I (n=1), I1293M (n=1), M1395L (n=1), T1753S (n=1), Q225K (n=1)
EGR1 by frequency SNV / small indel 7 / 205 3.41% 3.43% 1 / 1 3.41–3.41% Q9H (n=2), L35V (n=1), M29V (n=1), S66T (n=1), N78H (n=1)
COL21A1 by frequency SNV / small indel 7 / 205 3.41% 3.43% 1 / 1 3.41–3.41% V259I (n=1), L16F (n=1), V282L (n=1), G840A (n=1), L809R (n=1)
CHD3 by frequency SNV / small indel 7 / 205 3.41% 3.43% 1 / 1 3.41–3.41% P770S (n=1), G1755V (n=1), P2049S (n=1), V1462I (n=1), P990S (n=1)
ADAMTS9 by frequency SNV / small indel 7 / 205 3.41% 2.94% 1 / 1 3.41–3.41% R1547H (n=1), R1810H (n=1), R1431H (n=1), N663T (n=1), N201K (n=1)
VCAN by frequency SNV / small indel 6 / 205 2.93% 2.94% 1 / 1 2.93–2.93% Q2317* (n=1), T1142R (n=1), R1125H (n=1), E1757K (n=1), P2062L (n=1)
TRIP12 by frequency SNV / small indel 6 / 205 2.93% 2.94% 1 / 1 2.93–2.93% L1727P (n=2), L1862P (n=1), D1737E (n=1), H1887Q (n=1), S1447A (n=1)
SEMA3E by frequency SNV / small indel 6 / 205 2.93% 2.45% 1 / 1 2.93–2.93% F172L (n=1), R45T (n=1), S80F (n=1), I491M (n=1), G372E (n=1)
SCN2A by frequency SNV / small indel 6 / 205 2.93% 2.94% 1 / 1 2.93–2.93% I1640M (n=1), L983F (n=1), L1818F (n=1), X1133_splice (n=1), T1575I (n=1)
PTPRD by frequency SNV / small indel 6 / 205 2.93% 2.94% 1 / 1 2.93–2.93% D1908N (n=1), R1730Q (n=1), G105R (n=1), R1098K (n=1), N347K (n=1)
PTCHD4 by frequency SNV / small indel 6 / 205 2.93% 2.94% 1 / 1 2.93–2.93% K200_L201delinsNI (n=1), S118F (n=1), R400H (n=1), N123D (n=1), E621* (n=1)
PRDM1 by frequency SNV / small indel 6 / 205 2.93% 2.94% 1 / 1 2.93–2.93% S588C (n=2), S641R (n=1), I697T (n=1), X222_splice (n=1), S642I (n=1)
NRXN1 by frequency SNV / small indel 6 / 205 2.93% 2.94% 1 / 1 2.93–2.93% N1317H (n=1), S1169C (n=1), D651Y (n=1), H617Y (n=1), A1521S (n=1)
MPDZ by frequency SNV / small indel 6 / 205 2.93% 2.45% 1 / 1 2.93–2.93% G1384V (n=1), V321G (n=1), E1354Q (n=1), E1290A (n=1), E1137K (n=1)
FRYL by frequency SNV / small indel 6 / 205 2.93% 2.94% 1 / 1 2.93–2.93% Y234S (n=1), V619F (n=1), Y1171S (n=1), I2950L (n=1), S1992Y (n=1)
FAT1 by frequency SNV / small indel 6 / 205 2.93% 2.94% 1 / 1 2.93–2.93% E3467K (n=1), T2347P (n=1), P1814Q (n=1), Q725L (n=1), K1335N (n=1)
FAM135B by frequency SNV / small indel 6 / 205 2.93% 2.94% 1 / 1 2.93–2.93% L648P (n=1), L937W (n=1), K1107T (n=1), L246R (n=1), E275* (n=1)
CMYA5 by frequency SNV / small indel 6 / 205 2.93% 2.94% 1 / 1 2.93–2.93% I2113V (n=1), P1797Q (n=1), P2164L (n=1), S929P (n=1), S820F (n=1)
BSN by frequency SNV / small indel 6 / 205 2.93% 2.94% 1 / 1 2.93–2.93% V3232I (n=1), E795* (n=1), T1590P (n=1), Q3748H (n=1), T2614M (n=1)
ACTG1 by frequency SNV / small indel 6 / 205 2.93% 2.94% 1 / 1 2.93–2.93% A22P (n=2), E3A (n=1), L8V (n=1), F21V (n=1), E4K (n=1)
ZZEF1 by frequency SNV / small indel 5 / 205 2.44% 2.45% 1 / 1 2.44–2.44% H1877P (n=1), D2773H (n=1), T2924N (n=1), D327V (n=1), T1094M (n=1)
ZFHX3 by frequency SNV / small indel 5 / 205 2.44% 2.45% 1 / 1 2.44–2.44% E1928K (n=1), K2299* (n=1), R3073H (n=1), P1145A (n=1), L1333V (n=1)
WDR33 by frequency SNV / small indel 5 / 205 2.44% 2.45% 1 / 1 2.44–2.44% G600V (n=1), D85H (n=1), S7Y (n=1), D1012N (n=1), N299S (n=1)
TIAM1 by frequency SNV / small indel 5 / 205 2.44% 2.45% 1 / 1 2.44–2.44% H554N (n=1), A650T (n=1), Q227R (n=1), A1004V (n=1), Q775_P776delinsHS (n=1)
SPATA31E1 by frequency SNV / small indel 5 / 205 2.44% 1.96% 1 / 1 2.44–2.44% G1362C (n=1), N137D (n=1), E1341K (n=1), R1218S (n=1), P797L (n=1)
SP140 by frequency SNV / small indel 5 / 205 2.44% 2.45% 1 / 1 2.44–2.44% S474T (n=1), F712L (n=1), Q4* (n=1), S196Y (n=1), X500_splice (n=1)
SCN10A by frequency SNV / small indel 5 / 205 2.44% 2.45% 1 / 1 2.44–2.44% R1142H (n=2), C144F (n=1), V196I (n=1), S970I (n=1)
RPRD1B by frequency SNV / small indel 5 / 205 2.44% 2.45% 1 / 1 2.44–2.44% L236F (n=1), A233V (n=1), L276R (n=1), Y240C (n=1), K272R (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
Multiple Myeloma (Broad, Cancer Cell 2014) reference
Multiple Myeloma (Broad, Cancer Cell 2014)
mm_broad205 observed205 / 211exome or genomeWES (205)hg19SNV, small indel134

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
No copy-number profile reached 2% for any listed gene, or no cohort carries one.

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)
TNFRSF170.0–0.0%mm_broad: 0/205 (0.0%)
GPRC5D0.0–0.0%mm_broad: 0/205 (0.0%)
FCRL50.0–0.0%mm_broad: 0/205 (0.0%)
CD380.0–0.0%mm_broad: 0/205 (0.0%)
SLAMF70.0–0.0%mm_broad: 0/205 (0.0%)
CRBN0.49–0.49%mm_broad: 1/205 (0.49%)
PSMB50.0–0.0%mm_broad: 0/205 (0.0%)
XPO10.0–0.0%mm_broad: 0/205 (0.0%)
KRAS21.95–21.95%mm_broad: 45/205 (21.95%)
NRAS18.05–18.05%mm_broad: 37/205 (18.05%)
TP537.32–7.32%mm_broad: 15/205 (7.32%)
NSD22.44–2.44%mm_broad: 5/205 (2.44%)
CCND13.41–3.41%mm_broad: 7/205 (3.41%)
MYC0.98–0.98%mm_broad: 2/205 (0.98%)
DIS39.27–9.27%mm_broad: 19/205 (9.27%)
TENT5C7.32–7.32%mm_broad: 15/205 (7.32%)
BRAF6.34–6.34%mm_broad: 13/205 (6.34%)
TRIO4.39–4.39%mm_broad: 9/205 (4.39%)
SVIL3.9–3.9%mm_broad: 8/205 (3.9%)
KALRN3.9–3.9%mm_broad: 8/205 (3.9%)
GRIA23.9–3.9%mm_broad: 8/205 (3.9%)
TRAF33.41–3.41%mm_broad: 7/205 (3.41%)
SI3.41–3.41%mm_broad: 7/205 (3.41%)
EGR13.41–3.41%mm_broad: 7/205 (3.41%)
COL21A13.41–3.41%mm_broad: 7/205 (3.41%)
CHD33.41–3.41%mm_broad: 7/205 (3.41%)
ADAMTS93.41–3.41%mm_broad: 7/205 (3.41%)
VCAN2.93–2.93%mm_broad: 6/205 (2.93%)
TRIP122.93–2.93%mm_broad: 6/205 (2.93%)
SEMA3E2.93–2.93%mm_broad: 6/205 (2.93%)
SCN2A2.93–2.93%mm_broad: 6/205 (2.93%)
PTPRD2.93–2.93%mm_broad: 6/205 (2.93%)
PTCHD42.93–2.93%mm_broad: 6/205 (2.93%)
PRDM12.93–2.93%mm_broad: 6/205 (2.93%)
NRXN12.93–2.93%mm_broad: 6/205 (2.93%)
MPDZ2.93–2.93%mm_broad: 6/205 (2.93%)
FRYL2.93–2.93%mm_broad: 6/205 (2.93%)
FAT12.93–2.93%mm_broad: 6/205 (2.93%)
FAM135B2.93–2.93%mm_broad: 6/205 (2.93%)
CMYA52.93–2.93%mm_broad: 6/205 (2.93%)
BSN2.93–2.93%mm_broad: 6/205 (2.93%)
ACTG12.93–2.93%mm_broad: 6/205 (2.93%)
ZZEF12.44–2.44%mm_broad: 5/205 (2.44%)
ZFHX32.44–2.44%mm_broad: 5/205 (2.44%)
WDR332.44–2.44%mm_broad: 5/205 (2.44%)
TIAM12.44–2.44%mm_broad: 5/205 (2.44%)
SPATA31E12.44–2.44%mm_broad: 5/205 (2.44%)
SP1402.44–2.44%mm_broad: 5/205 (2.44%)
SCN10A2.44–2.44%mm_broad: 5/205 (2.44%)
RPRD1B2.44–2.44%mm_broad: 5/205 (2.44%)

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/multiple-myeloma.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.