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Nasopharyngeal carcinoma mutation landscape

How often each gene is altered in nasopharyngeal carcinoma, 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: npc_nusingapore · JSON: /disease/nasopharyngeal-carcinoma/mutations.json · Back to the briefing

Answer block

In Nasopharyngeal Carcinoma (Singapore, Nat Genet 2014) (56 sequenced patients, exome or genome), the most frequently altered of the 50 genes shown are TP53 12.5%, KMT2D 5.36%, TFAP2D 5.36%, TET2 5.36%, SRCAP 5.36%. Each figure divides by the patients on whom that gene could be called.

1 of 56 patients are hypermutated (more than 165 non-silent mutations, ten times the cohort median of 16); every gene's frequency without them is beside the headline.

Of the briefing's 12 curated targets, 10 are altered in under 2% of this cohort (CD274, PDCD1, EGFR, CDKN2A, NFKBIA, CYLD, TRAF3, PIK3CA, VEGFA, MTOR): 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%.

Alterationnpc_nusingapore
56 pts · exome or genome
CD274 SNV / small indel0%
PDCD1 SNV / small indel0%
EGFR SNV / small indel0%
CDKN2A SNV / small indel0%
NFKBIA SNV / small indel1.79%1/56
CYLD SNV / small indel0%
TRAF3 SNV / small indel1.79%1/56
PIK3CA SNV / small indel1.79%1/56
TP53 SNV / small indel12.5%7/56
KMT2D SNV / small indel5.36%3/56
VEGFA SNV / small indel0%
MTOR SNV / small indel1.79%1/56
TFAP2D SNV / small indel5.36%3/56
TET2 SNV / small indel5.36%3/56
SRCAP SNV / small indel5.36%3/56
PTPRS SNV / small indel5.36%3/56
IGFN1 SNV / small indel5.36%3/56
FRY SNV / small indel5.36%3/56
FAT2 SNV / small indel5.36%3/56
BAP1 SNV / small indel5.36%3/56
AQP7 SNV / small indel5.36%3/56
ZNHIT2 SNV / small indel3.57%2/56
ZFPM2 SNV / small indel3.57%2/56
WDFY3 SNV / small indel3.57%2/56
USP43 SNV / small indel3.57%2/56
USP34 SNV / small indel3.57%2/56
USP29 SNV / small indel3.57%2/56
UNC13A SNV / small indel3.57%2/56
TSHZ3 SNV / small indel3.57%2/56
TNXB SNV / small indel3.57%2/56
TNKS SNV / small indel3.57%2/56
TET1 SNV / small indel3.57%2/56
SVIL SNV / small indel3.57%2/56
STXBP6 SNV / small indel3.57%2/56
STAB1 SNV / small indel3.57%2/56
SPTBN1 SNV / small indel3.57%2/56
SPG11 SNV / small indel3.57%2/56
SEMA6C SNV / small indel3.57%2/56
SEMA6A SNV / small indel3.57%2/56
SEC16A SNV / small indel3.57%2/56
SATB1 SNV / small indel3.57%2/56
RPTN SNV / small indel3.57%2/56
PSIP1 SNV / small indel3.57%2/56
PRUNE2 SNV / small indel3.57%2/56
PRSS3 SNV / small indel3.57%2/56
PRG4 SNV / small indel3.57%2/56
PHIP SNV / small indel3.57%2/56
PHF3 SNV / small indel3.57%2/56
PEG3 SNV / small indel3.57%2/56
PEAK1 SNV / small indel3.57%2/56

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

Key findings

TP53 is mutated in 7 of 56 patients in Nasopharyngeal Carcinoma (Singapore, Nat Genet 2014).
Numerator: 7 · Denominator: 56 · Frequency: 12.5% · Observed in 1 cohorts · Confidence: moderate · Source: npc_nusingapore · Retrieved: 2026-09-18

KMT2D is mutated in 3 of 56 patients in Nasopharyngeal Carcinoma (Singapore, Nat Genet 2014).
Numerator: 3 · Denominator: 56 · Frequency: 5.36% · Observed in 1 cohorts · Confidence: moderate · Source: npc_nusingapore · Retrieved: 2026-09-18

TFAP2D is mutated in 3 of 56 patients in Nasopharyngeal Carcinoma (Singapore, Nat Genet 2014).
Numerator: 3 · Denominator: 56 · Frequency: 5.36% · Observed in 1 cohorts · Confidence: moderate · Source: npc_nusingapore · Retrieved: 2026-09-18

Gene table — reference cohort

Headline values are from the reference cohort, npc_nusingapore; 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
CD274 curated target SNV / small indel 0 / 56 0.0% 0.0% 0 / 1 0.0–0.0% none recurrent
PDCD1 curated target SNV / small indel 0 / 56 0.0% 0.0% 0 / 1 0.0–0.0% none recurrent
EGFR curated target SNV / small indel 0 / 56 0.0% 0.0% 0 / 1 0.0–0.0% none recurrent
CDKN2A curated target SNV / small indel 0 / 56 0.0% 0.0% 0 / 1 0.0–0.0% none recurrent
NFKBIA curated target SNV / small indel 1 / 56 1.79% 1.82% 1 / 1 1.79–1.79% L148P (n=1)
CYLD curated target SNV / small indel 0 / 56 0.0% 0.0% 0 / 1 0.0–0.0% none recurrent
TRAF3 curated target SNV / small indel 1 / 56 1.79% 1.82% 1 / 1 1.79–1.79% L440R (n=1)
PIK3CA curated target SNV / small indel 1 / 56 1.79% 1.82% 1 / 1 1.79–1.79% E545K (n=1)
TP53 curated target SNV / small indel 7 / 56 12.5% 10.91% 1 / 1 12.5–12.5% R175H (n=1), A161T (n=1), E285K (n=1), S314C (n=1), R280T (n=1)
KMT2D curated target SNV / small indel 3 / 56 5.36% 3.64% 1 / 1 5.36–5.36% R598H (n=1), G5295R (n=1), Q3608* (n=1), S633L (n=1)
VEGFA curated target SNV / small indel 0 / 56 0.0% 0.0% 0 / 1 0.0–0.0% none recurrent
MTOR curated target SNV / small indel 1 / 56 1.79% 1.82% 1 / 1 1.79–1.79% A1778S (n=1)
TFAP2D by frequency SNV / small indel 3 / 56 5.36% 5.45% 1 / 1 5.36–5.36% C212F (n=1), G418S (n=1), A428D (n=1)
TET2 by frequency SNV / small indel 3 / 56 5.36% 5.45% 1 / 1 5.36–5.36% Q1138* (n=1), S1591R (n=1), S835* (n=1), S657* (n=1)
SRCAP by frequency SNV / small indel 3 / 56 5.36% 3.64% 1 / 1 5.36–5.36% R2723H (n=1), R362Efs*18 (n=1), T2994N (n=1)
PTPRS by frequency SNV / small indel 3 / 56 5.36% 3.64% 1 / 1 5.36–5.36% T1491M (n=1), R1162C (n=1), G1861V (n=1)
IGFN1 by frequency SNV / small indel 3 / 56 5.36% 5.45% 1 / 1 5.36–5.36% D2249G (n=2), K1289R (n=1), K1563E (n=1)
FRY by frequency SNV / small indel 3 / 56 5.36% 3.64% 1 / 1 5.36–5.36% P49S (n=1), R1197* (n=1), E942Q (n=1)
FAT2 by frequency SNV / small indel 3 / 56 5.36% 5.45% 1 / 1 5.36–5.36% T212I (n=1), G3472V (n=1), T2515S (n=1)
BAP1 by frequency SNV / small indel 3 / 56 5.36% 5.45% 1 / 1 5.36–5.36% H169Y (n=1), X577_splice (n=1), N78S (n=1)
AQP7 by frequency SNV / small indel 3 / 56 5.36% 5.45% 1 / 1 5.36–5.36% L231P (n=2), G180R (n=1)
ZNHIT2 by frequency SNV / small indel 2 / 56 3.57% 3.64% 1 / 1 3.57–3.57% N348I (n=1), E261K (n=1)
ZFPM2 by frequency SNV / small indel 2 / 56 3.57% 1.82% 1 / 1 3.57–3.57% P637S (n=1), D906N (n=1)
WDFY3 by frequency SNV / small indel 2 / 56 3.57% 1.82% 1 / 1 3.57–3.57% R2541H (n=1), Y494H (n=1), V1569D (n=1)
USP43 by frequency SNV / small indel 2 / 56 3.57% 1.82% 1 / 1 3.57–3.57% P564S (n=1), S1121C (n=1)
USP34 by frequency SNV / small indel 2 / 56 3.57% 3.64% 1 / 1 3.57–3.57% S1283L (n=1), D3140N (n=1)
USP29 by frequency SNV / small indel 2 / 56 3.57% 3.64% 1 / 1 3.57–3.57% I742V (n=1), R348K (n=1)
UNC13A by frequency SNV / small indel 2 / 56 3.57% 3.64% 1 / 1 3.57–3.57% G870D (n=1), R120H (n=1)
TSHZ3 by frequency SNV / small indel 2 / 56 3.57% 3.64% 1 / 1 3.57–3.57% C391R (n=1), P900S (n=1)
TNXB by frequency SNV / small indel 2 / 56 3.57% 1.82% 1 / 1 3.57–3.57% R294C (n=1), G561W (n=1)
TNKS by frequency SNV / small indel 2 / 56 3.57% 1.82% 1 / 1 3.57–3.57% A903V (n=1), E633* (n=1)
TET1 by frequency SNV / small indel 2 / 56 3.57% 3.64% 1 / 1 3.57–3.57% D1977G (n=1), S1976Y (n=1)
SVIL by frequency SNV / small indel 2 / 56 3.57% 3.64% 1 / 1 3.57–3.57% E1416G (n=1), Q2043K (n=1)
STXBP6 by frequency SNV / small indel 2 / 56 3.57% 1.82% 1 / 1 3.57–3.57% R179* (n=1), E105Q (n=1)
STAB1 by frequency SNV / small indel 2 / 56 3.57% 1.82% 1 / 1 3.57–3.57% R2141H (n=1), L2342I (n=1)
SPTBN1 by frequency SNV / small indel 2 / 56 3.57% 1.82% 1 / 1 3.57–3.57% A207S (n=1), L488F (n=1)
SPG11 by frequency SNV / small indel 2 / 56 3.57% 3.64% 1 / 1 3.57–3.57% R1992L (n=1), S1509* (n=1)
SEMA6C by frequency SNV / small indel 2 / 56 3.57% 3.64% 1 / 1 3.57–3.57% G560R (n=1), V331I (n=1)
SEMA6A by frequency SNV / small indel 2 / 56 3.57% 1.82% 1 / 1 3.57–3.57% R308C (n=1), L281F (n=1)
SEC16A by frequency SNV / small indel 2 / 56 3.57% 1.82% 1 / 1 3.57–3.57% A1089T (n=1), R1115W (n=1)
SATB1 by frequency SNV / small indel 2 / 56 3.57% 3.64% 1 / 1 3.57–3.57% Q35H (n=1), K232Q (n=1)
RPTN by frequency SNV / small indel 2 / 56 3.57% 3.64% 1 / 1 3.57–3.57% S328G (n=1), N371D (n=1), R154G (n=1)
PSIP1 by frequency SNV / small indel 2 / 56 3.57% 3.64% 1 / 1 3.57–3.57% R404G (n=1), A357G (n=1)
PRUNE2 by frequency SNV / small indel 2 / 56 3.57% 1.82% 1 / 1 3.57–3.57% R2799Q (n=1), P1012H (n=1)
PRSS3 by frequency SNV / small indel 2 / 56 3.57% 3.64% 1 / 1 3.57–3.57% G265R (n=1), S239N (n=1)
PRG4 by frequency SNV / small indel 2 / 56 3.57% 3.64% 1 / 1 3.57–3.57% G1238R (n=1), S312N (n=1)
PHIP by frequency SNV / small indel 2 / 56 3.57% 1.82% 1 / 1 3.57–3.57% S645N (n=1), S1689C (n=1)
PHF3 by frequency SNV / small indel 2 / 56 3.57% 3.64% 1 / 1 3.57–3.57% L375S (n=1), C735W (n=1)
PEG3 by frequency SNV / small indel 2 / 56 3.57% 3.64% 1 / 1 3.57–3.57% P1324T (n=1), R301W (n=1)
PEAK1 by frequency SNV / small indel 2 / 56 3.57% 1.82% 1 / 1 3.57–3.57% T449I (n=1), S370C (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
Nasopharyngeal Carcinoma (Singapore, Nat Genet 2014) reference
Nasopharyngeal Carcinoma (Singapore, Nat Genet 2014)
npc_nusingapore56 observed56 / 56exome or genomeWES (56)hg19SNV, small indel116.5

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)
CD2740.0–0.0%npc_nusingapore: 0/56 (0.0%)
PDCD10.0–0.0%npc_nusingapore: 0/56 (0.0%)
EGFR0.0–0.0%npc_nusingapore: 0/56 (0.0%)
CDKN2A0.0–0.0%npc_nusingapore: 0/56 (0.0%)
NFKBIA1.79–1.79%npc_nusingapore: 1/56 (1.79%)
CYLD0.0–0.0%npc_nusingapore: 0/56 (0.0%)
TRAF31.79–1.79%npc_nusingapore: 1/56 (1.79%)
PIK3CA1.79–1.79%npc_nusingapore: 1/56 (1.79%)
TP5312.5–12.5%npc_nusingapore: 7/56 (12.5%)
KMT2D5.36–5.36%npc_nusingapore: 3/56 (5.36%)
VEGFA0.0–0.0%npc_nusingapore: 0/56 (0.0%)
MTOR1.79–1.79%npc_nusingapore: 1/56 (1.79%)
TFAP2D5.36–5.36%npc_nusingapore: 3/56 (5.36%)
TET25.36–5.36%npc_nusingapore: 3/56 (5.36%)
SRCAP5.36–5.36%npc_nusingapore: 3/56 (5.36%)
PTPRS5.36–5.36%npc_nusingapore: 3/56 (5.36%)
IGFN15.36–5.36%npc_nusingapore: 3/56 (5.36%)
FRY5.36–5.36%npc_nusingapore: 3/56 (5.36%)
FAT25.36–5.36%npc_nusingapore: 3/56 (5.36%)
BAP15.36–5.36%npc_nusingapore: 3/56 (5.36%)
AQP75.36–5.36%npc_nusingapore: 3/56 (5.36%)
ZNHIT23.57–3.57%npc_nusingapore: 2/56 (3.57%)
ZFPM23.57–3.57%npc_nusingapore: 2/56 (3.57%)
WDFY33.57–3.57%npc_nusingapore: 2/56 (3.57%)
USP433.57–3.57%npc_nusingapore: 2/56 (3.57%)
USP343.57–3.57%npc_nusingapore: 2/56 (3.57%)
USP293.57–3.57%npc_nusingapore: 2/56 (3.57%)
UNC13A3.57–3.57%npc_nusingapore: 2/56 (3.57%)
TSHZ33.57–3.57%npc_nusingapore: 2/56 (3.57%)
TNXB3.57–3.57%npc_nusingapore: 2/56 (3.57%)
TNKS3.57–3.57%npc_nusingapore: 2/56 (3.57%)
TET13.57–3.57%npc_nusingapore: 2/56 (3.57%)
SVIL3.57–3.57%npc_nusingapore: 2/56 (3.57%)
STXBP63.57–3.57%npc_nusingapore: 2/56 (3.57%)
STAB13.57–3.57%npc_nusingapore: 2/56 (3.57%)
SPTBN13.57–3.57%npc_nusingapore: 2/56 (3.57%)
SPG113.57–3.57%npc_nusingapore: 2/56 (3.57%)
SEMA6C3.57–3.57%npc_nusingapore: 2/56 (3.57%)
SEMA6A3.57–3.57%npc_nusingapore: 2/56 (3.57%)
SEC16A3.57–3.57%npc_nusingapore: 2/56 (3.57%)
SATB13.57–3.57%npc_nusingapore: 2/56 (3.57%)
RPTN3.57–3.57%npc_nusingapore: 2/56 (3.57%)
PSIP13.57–3.57%npc_nusingapore: 2/56 (3.57%)
PRUNE23.57–3.57%npc_nusingapore: 2/56 (3.57%)
PRSS33.57–3.57%npc_nusingapore: 2/56 (3.57%)
PRG43.57–3.57%npc_nusingapore: 2/56 (3.57%)
PHIP3.57–3.57%npc_nusingapore: 2/56 (3.57%)
PHF33.57–3.57%npc_nusingapore: 2/56 (3.57%)
PEG33.57–3.57%npc_nusingapore: 2/56 (3.57%)
PEAK13.57–3.57%npc_nusingapore: 2/56 (3.57%)

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/nasopharyngeal-carcinoma.json.

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