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Disease intelligence · mutation landscape

Osteosarcoma mutation landscape

How often each gene is altered in osteosarcoma, 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: os_target_gdc · JSON: /disease/osteosarcoma/mutations.json · Back to the briefing

Answer block

In Osteosarcoma (TARGET GDC, 2025) (137 sequenced patients, exome or genome), the most frequently altered of the 49 genes shown are MYC 35.8% (amplification), TP53 22.63%, VEGFA 18.52% (amplification), IGF1R 17.28% (amplification), KDR 11.11% (amplification). Each figure divides by the patients on whom that gene could be called.

Of the briefing's 12 curated targets, 4 are altered in under 2% of this cohort (ERBB2, CD276, PTHLH, CDK6): 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%.

Alterationos_target_gdc
137 pts · exome or genome
TP53 SNV / small indel22.63%31/137
TP53 deep deletion6.17%5/81
RB1 SNV / small indel5.84%8/137
RB1 deep deletion3.7%3/81
MYC SNV / small indel0%
MYC amplification35.8%29/81
CDK4 SNV / small indel0%
CDK4 amplification3.7%3/81
MDM2 SNV / small indel0%
MDM2 amplification2.47%2/81
VEGFA SNV / small indel0%
VEGFA amplification18.52%15/81
KDR SNV / small indel2.19%3/137
KDR amplification11.11%9/81
ERBB2 SNV / small indel0%
IGF1R SNV / small indel0.73%1/137
IGF1R amplification17.28%14/81
CD276 SNV / small indel0%
PTHLH SNV / small indel0%
CDK6 SNV / small indel0%
ATRX SNV / small indel8.03%11/137
ZFHX3 SNV / small indel2.92%4/137
LAMA2 SNV / small indel2.92%4/137
HECTD4 SNV / small indel2.92%4/137
GRM5 SNV / small indel2.92%4/137
GRM5 amplification3.7%3/81
DNAI4 SNV / small indel2.92%4/137
DNAI4 amplification11.11%9/81
CMYA5 SNV / small indel2.92%4/137
ALMS1 SNV / small indel2.92%4/137
VWF SNV / small indel2.19%3/137
VPS13A SNV / small indel2.19%3/137
UNC79 SNV / small indel2.19%3/137
UNC79 amplification2.47%2/81
TMEM132D SNV / small indel2.19%3/137
SIGLEC10 SNV / small indel2.19%3/137
SETD2 SNV / small indel2.19%3/137
PXDN SNV / small indel2.19%3/137
PTPRH SNV / small indel2.19%3/137
PTEN SNV / small indel2.19%3/137
PTEN deep deletion2.47%2/81
PKD1 SNV / small indel2.19%3/137
PCDH15 SNV / small indel2.19%3/137
MYH7 SNV / small indel2.19%3/137
MYH7 amplification11.11%9/81
MICAL3 SNV / small indel2.19%3/137
MICAL3 amplification6.17%5/81
MAPRE3 SNV / small indel2.19%3/137
MAPRE3 amplification2.47%2/81
LRRK2 SNV / small indel2.19%3/137
LRRK2 amplification3.7%3/81
LAMA1 SNV / small indel2.19%3/137
LAMA1 amplification3.7%3/81
HELZ2 SNV / small indel2.19%3/137
FCGBP SNV / small indel2.19%3/137
FCGBP amplification3.7%3/81
FAT1 SNV / small indel2.19%3/137
FAT1 amplification2.47%2/81
DGKG SNV / small indel2.19%3/137
DCLK2 SNV / small indel2.19%3/137
DCLK2 amplification4.94%4/81
CNTNAP2 SNV / small indel2.19%3/137
CARMIL1 SNV / small indel2.19%3/137
CARMIL1 amplification2.47%2/81
CACNA1B SNV / small indel2.19%3/137
ZMAT1 SNV / small indel1.46%2/137
ZIC2 SNV / small indel1.46%2/137
ZIC2 amplification6.17%5/81
ZDHHC5 SNV / small indel1.46%2/137
XPO4 SNV / small indel1.46%2/137
WBP2NL SNV / small indel1.46%2/137
WBP2NL amplification2.47%2/81

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

Key findings

MYC is amplified in 29 of 81 patients in Osteosarcoma (TARGET GDC, 2025).
Numerator: 29 · Denominator: 81 · Frequency: 35.8% · Observed in 0 cohorts · Confidence: moderate · Source: os_target_gdc · Retrieved: 2026-09-18

TP53 is mutated in 31 of 137 patients in Osteosarcoma (TARGET GDC, 2025).
Numerator: 31 · Denominator: 137 · Frequency: 22.63% · Observed in 1 cohorts · Confidence: moderate · Source: os_target_gdc · Retrieved: 2026-09-18

VEGFA is amplified in 15 of 81 patients in Osteosarcoma (TARGET GDC, 2025).
Numerator: 15 · Denominator: 81 · Frequency: 18.52% · Observed in 0 cohorts · Confidence: moderate · Source: os_target_gdc · Retrieved: 2026-09-18

Gene table — reference cohort

Headline values are from the reference cohort, os_target_gdc; 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
TP53 curated target SNV / small indel 31 / 137 22.63% 1 / 1 22.63–22.63% R282W (n=3), X187_splice (n=2), M133K (n=2), G266R (n=2), C135W (n=2)
RB1 curated target SNV / small indel 8 / 137 5.84% 1 / 1 5.84–5.84% L64Ffs*46 (n=1), A74Efs*4 (n=1), Y749* (n=1), L719del (n=1), K574Ifs*11 (n=1)
MYC curated target amplification 29 / 81 35.8% mutation 0.0% 0 / 1 0.0–0.0% none recurrent
CDK4 curated target amplification 3 / 81 3.7% mutation 0.0% 0 / 1 0.0–0.0% none recurrent
MDM2 curated target amplification 2 / 81 2.47% mutation 0.0% 0 / 1 0.0–0.0% none recurrent
VEGFA curated target amplification 15 / 81 18.52% mutation 0.0% 0 / 1 0.0–0.0% none recurrent
KDR curated target amplification 9 / 81 11.11% mutation 2.19% 1 / 1 2.19–2.19% G1284A (n=1), R1066H (n=1), D1171N (n=1)
ERBB2 curated target SNV / small indel 0 / 137 0.0% 0 / 1 0.0–0.0% none recurrent
IGF1R curated target amplification 14 / 81 17.28% mutation 0.73% 1 / 1 0.73–0.73% R406H (n=1)
CD276 curated target amplification 1 / 81 1.23% mutation 0.0% 0 / 1 0.0–0.0% none recurrent
PTHLH curated target SNV / small indel 0 / 137 0.0% 0 / 1 0.0–0.0% none recurrent
CDK6 curated target amplification 1 / 81 1.23% mutation 0.0% 0 / 1 0.0–0.0% none recurrent
ATRX by frequency SNV / small indel 11 / 137 8.03% 1 / 1 8.03–8.03% R781* (n=1), V277D (n=1), E723Dfs*9 (n=1), H236Ifs*21 (n=1), P36A (n=1)
ZFHX3 by frequency SNV / small indel 4 / 137 2.92% 1 / 1 2.92–2.92% D2967N (n=1), G1319V (n=1), Y1960* (n=1), V352L (n=1)
LAMA2 by frequency SNV / small indel 4 / 137 2.92% 1 / 1 2.92–2.92% A912V (n=1), K1932E (n=1), K2874N (n=1), N1781S (n=1)
HECTD4 by frequency SNV / small indel 4 / 137 2.92% 1 / 1 2.92–2.92% F1979Y (n=1), A1775P (n=1), L959S (n=1), Q1735H (n=1)
GRM5 by frequency amplification 3 / 81 3.7% mutation 2.92% 1 / 1 2.92–2.92% P269T (n=1), L162P (n=1), K56T (n=1), S504C (n=1)
DNAI4 by frequency amplification 9 / 81 11.11% mutation 2.92% 1 / 1 2.92–2.92% D672G (n=1), E198D (n=1), M1? (n=1), A444E (n=1)
CMYA5 by frequency SNV / small indel 4 / 137 2.92% 1 / 1 2.92–2.92% G1998V (n=1), E3834V (n=1), C3516R (n=1), L1703M (n=1)
ALMS1 by frequency SNV / small indel 4 / 137 2.92% 1 / 1 2.92–2.92% N3329K (n=1), Q2320P (n=1), R3678* (n=1), I3381S (n=1)
VWF by frequency SNV / small indel 3 / 137 2.19% 1 / 1 2.19–2.19% C2499F (n=1), Q1769K (n=1), A62E (n=1)
VPS13A by frequency SNV / small indel 3 / 137 2.19% 1 / 1 2.19–2.19% G1885R (n=1), E1320Q (n=1), R1297L (n=1), W1538C (n=1)
UNC79 by frequency amplification 2 / 81 2.47% mutation 2.19% 1 / 1 2.19–2.19% L979Q (n=1), P336R (n=1), A2427T (n=1)
TMEM132D by frequency SNV / small indel 3 / 137 2.19% 1 / 1 2.19–2.19% V299L (n=1), D902E (n=1), L906F (n=1)
SIGLEC10 by frequency SNV / small indel 3 / 137 2.19% 1 / 1 2.19–2.19% E660D (n=1), P631Q (n=1), D240N (n=1)
SETD2 by frequency SNV / small indel 3 / 137 2.19% 1 / 1 2.19–2.19% S551R (n=1), Q1931* (n=1), D2400N (n=1)
PXDN by frequency SNV / small indel 3 / 137 2.19% 1 / 1 2.19–2.19% Q308* (n=1), A216V (n=1), P1295H (n=1)
PTPRH by frequency SNV / small indel 3 / 137 2.19% 1 / 1 2.19–2.19% E548* (n=1), G177R (n=1), S710P (n=1)
PTEN by frequency deep deletion 2 / 81 2.47% mutation 2.19% 1 / 1 2.19–2.19% H64P (n=1), T131Mfs*44 (n=1), C250Wfs*2 (n=1)
PKD1 by frequency SNV / small indel 3 / 137 2.19% 1 / 1 2.19–2.19% R3269Q (n=1), A2918T (n=1), H2656Q (n=1)
PCDH15 by frequency SNV / small indel 3 / 137 2.19% 1 / 1 2.19–2.19% P1879Q (n=1), I1058V (n=1), X1239_splice (n=1)
MYH7 by frequency amplification 9 / 81 11.11% mutation 2.19% 1 / 1 2.19–2.19% V1819M (n=1), Q1654H (n=1), R858C (n=1)
MICAL3 by frequency amplification 5 / 81 6.17% mutation 2.19% 1 / 1 2.19–2.19% K1643M (n=1), R226K (n=1), S1792I (n=1)
MAPRE3 by frequency amplification 2 / 81 2.47% mutation 2.19% 1 / 1 2.19–2.19% C182Lfs*16 (n=3)
LRRK2 by frequency amplification 3 / 81 3.7% mutation 2.19% 1 / 1 2.19–2.19% N1391H (n=1), S1593T (n=1), L139S (n=1)
LAMA1 by frequency amplification 3 / 81 3.7% mutation 2.19% 1 / 1 2.19–2.19% T40S (n=2), S650N (n=1), K1738R (n=1)
HELZ2 by frequency SNV / small indel 3 / 137 2.19% 1 / 1 2.19–2.19% P75S (n=1), R564W (n=1), A2344E (n=1)
FCGBP by frequency amplification 3 / 81 3.7% mutation 2.19% 1 / 1 2.19–2.19% L2160P (n=1), C2693F (n=1), D1769N (n=1)
FAT1 by frequency amplification 2 / 81 2.47% mutation 2.19% 1 / 1 2.19–2.19% F4371S (n=1), G1895A (n=1), D2622N (n=1)
DGKG by frequency SNV / small indel 3 / 137 2.19% 1 / 1 2.19–2.19% X304_splice (n=1), A768V (n=1), V148I (n=1)
DCLK2 by frequency amplification 4 / 81 4.94% mutation 2.19% 1 / 1 2.19–2.19% R153C (n=1), K243Q (n=1), S484* (n=1)
CNTNAP2 by frequency SNV / small indel 3 / 137 2.19% 1 / 1 2.19–2.19% K1326N (n=1), K1059M (n=1), K750N (n=1), Q751K (n=1)
CARMIL1 by frequency amplification 2 / 81 2.47% mutation 2.19% 1 / 1 2.19–2.19% A865S (n=1), D909Y (n=1), T434R (n=1)
CACNA1B by frequency SNV / small indel 3 / 137 2.19% 1 / 1 2.19–2.19% Q1814* (n=1), X1650_splice (n=1), S1129P (n=1)
ZMAT1 by frequency SNV / small indel 2 / 137 1.46% 1 / 1 1.46–1.46% M342I (n=1), E93K (n=1)
ZIC2 by frequency amplification 5 / 81 6.17% mutation 1.46% 1 / 1 1.46–1.46% G339V (n=1), Q297H (n=1)
ZDHHC5 by frequency SNV / small indel 2 / 137 1.46% 1 / 1 1.46–1.46% L154H (n=1), S484L (n=1)
XPO4 by frequency SNV / small indel 2 / 137 1.46% 1 / 1 1.46–1.46% T1124S (n=1), P444S (n=1)
WBP2NL by frequency amplification 2 / 81 2.47% mutation 1.46% 1 / 1 1.46–1.46% P179H (n=1), Y224* (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
Osteosarcoma (TARGET GDC, 2025) reference
Osteosarcoma (TARGET GDC, 2025)
os_target_gdc137 observed143 / 159exome or genomeWES (143)hg38SNV, small indel, amplification, deep deletion015

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
MYCamplification298135.8%os_target_gdcos_target_gdc_cna
VEGFAamplification158118.52%os_target_gdcos_target_gdc_cna
IGF1Ramplification148117.28%os_target_gdcos_target_gdc_cna
KDRamplification98111.11%os_target_gdcos_target_gdc_cna
DNAI4amplification98111.11%os_target_gdcos_target_gdc_cna
MYH7amplification98111.11%os_target_gdcos_target_gdc_cna
TP53deep deletion5816.17%os_target_gdcos_target_gdc_cna
MICAL3amplification5816.17%os_target_gdcos_target_gdc_cna
ZIC2amplification5816.17%os_target_gdcos_target_gdc_cna
DCLK2amplification4814.94%os_target_gdcos_target_gdc_cna
RB1deep deletion3813.7%os_target_gdcos_target_gdc_cna
CDK4amplification3813.7%os_target_gdcos_target_gdc_cna
GRM5amplification3813.7%os_target_gdcos_target_gdc_cna
LRRK2amplification3813.7%os_target_gdcos_target_gdc_cna
LAMA1amplification3813.7%os_target_gdcos_target_gdc_cna
FCGBPamplification3813.7%os_target_gdcos_target_gdc_cna
MDM2amplification2812.47%os_target_gdcos_target_gdc_cna
UNC79amplification2812.47%os_target_gdcos_target_gdc_cna
PTENdeep deletion2812.47%os_target_gdcos_target_gdc_cna
MAPRE3amplification2812.47%os_target_gdcos_target_gdc_cna
FAT1amplification2812.47%os_target_gdcos_target_gdc_cna
CARMIL1amplification2812.47%os_target_gdcos_target_gdc_cna
WBP2NLamplification2812.47%os_target_gdcos_target_gdc_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)
TP5322.63–22.63%os_target_gdc: 31/137 (22.63%)
RB15.84–5.84%os_target_gdc: 8/137 (5.84%)
MYC0.0–0.0%os_target_gdc: 0/137 (0.0%)
CDK40.0–0.0%os_target_gdc: 0/137 (0.0%)
MDM20.0–0.0%os_target_gdc: 0/137 (0.0%)
VEGFA0.0–0.0%os_target_gdc: 0/137 (0.0%)
KDR2.19–2.19%os_target_gdc: 3/137 (2.19%)
ERBB20.0–0.0%os_target_gdc: 0/137 (0.0%)
IGF1R0.73–0.73%os_target_gdc: 1/137 (0.73%)
CD2760.0–0.0%os_target_gdc: 0/137 (0.0%)
PTHLH0.0–0.0%os_target_gdc: 0/137 (0.0%)
CDK60.0–0.0%os_target_gdc: 0/137 (0.0%)
ATRX8.03–8.03%os_target_gdc: 11/137 (8.03%)
ZFHX32.92–2.92%os_target_gdc: 4/137 (2.92%)
LAMA22.92–2.92%os_target_gdc: 4/137 (2.92%)
HECTD42.92–2.92%os_target_gdc: 4/137 (2.92%)
GRM52.92–2.92%os_target_gdc: 4/137 (2.92%)
DNAI42.92–2.92%os_target_gdc: 4/137 (2.92%)
CMYA52.92–2.92%os_target_gdc: 4/137 (2.92%)
ALMS12.92–2.92%os_target_gdc: 4/137 (2.92%)
VWF2.19–2.19%os_target_gdc: 3/137 (2.19%)
VPS13A2.19–2.19%os_target_gdc: 3/137 (2.19%)
UNC792.19–2.19%os_target_gdc: 3/137 (2.19%)
TMEM132D2.19–2.19%os_target_gdc: 3/137 (2.19%)
SIGLEC102.19–2.19%os_target_gdc: 3/137 (2.19%)
SETD22.19–2.19%os_target_gdc: 3/137 (2.19%)
PXDN2.19–2.19%os_target_gdc: 3/137 (2.19%)
PTPRH2.19–2.19%os_target_gdc: 3/137 (2.19%)
PTEN2.19–2.19%os_target_gdc: 3/137 (2.19%)
PKD12.19–2.19%os_target_gdc: 3/137 (2.19%)
PCDH152.19–2.19%os_target_gdc: 3/137 (2.19%)
MYH72.19–2.19%os_target_gdc: 3/137 (2.19%)
MICAL32.19–2.19%os_target_gdc: 3/137 (2.19%)
MAPRE32.19–2.19%os_target_gdc: 3/137 (2.19%)
LRRK22.19–2.19%os_target_gdc: 3/137 (2.19%)
LAMA12.19–2.19%os_target_gdc: 3/137 (2.19%)
HELZ22.19–2.19%os_target_gdc: 3/137 (2.19%)
FCGBP2.19–2.19%os_target_gdc: 3/137 (2.19%)
FAT12.19–2.19%os_target_gdc: 3/137 (2.19%)
DGKG2.19–2.19%os_target_gdc: 3/137 (2.19%)
DCLK22.19–2.19%os_target_gdc: 3/137 (2.19%)
CNTNAP22.19–2.19%os_target_gdc: 3/137 (2.19%)
CARMIL12.19–2.19%os_target_gdc: 3/137 (2.19%)
CACNA1B2.19–2.19%os_target_gdc: 3/137 (2.19%)
ZMAT11.46–1.46%os_target_gdc: 2/137 (1.46%)
ZIC21.46–1.46%os_target_gdc: 2/137 (1.46%)
ZDHHC51.46–1.46%os_target_gdc: 2/137 (1.46%)
XPO41.46–1.46%os_target_gdc: 2/137 (1.46%)
WBP2NL1.46–1.46%os_target_gdc: 2/137 (1.46%)

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/osteosarcoma.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.