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Rhabdomyosarcoma mutation landscape

How often each gene is altered in rhabdomyosarcoma, 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: rms_nih_2014 · JSON: /disease/rhabdomyosarcoma/mutations.json · Back to the briefing

Answer block

In Rhabdomyosarcoma (NIH, Cancer Discov 2014) (43 sequenced patients, exome or genome), the most frequently altered of the 37 genes shown are NRAS 9.3%, FGFR4 6.98%, KRAS 6.98%, SLC6A17 6.98%, PIK3CA 6.98%. Each figure divides by the patients on whom that gene could be called.

Of the briefing's 12 curated targets, 7 are altered in under 2% of this cohort (PAX3, FOXO1, MYOD1, CDK4, IGF1R, MYCN, MDM2): targets by expression, dependency or drug label, not by mutation. Frequency is not targetability, in either direction.

2 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%.

Alterationrms_nih_2014
43 pts · exome or genome
rms_msk_2023
24 pts · targeted panel
PAX3 SNV / small indel0%·
FOXO1 SNV / small indel0%0%
FOXO1 amplification·12.5%3/24
MYOD1 SNV / small indel0%8.33%2/24
FGFR4 SNV / small indel6.98%3/430%
FGFR4 amplification·4.17%1/24
FGFR4 deep deletion·4.17%1/24
NRAS SNV / small indel9.3%4/430%
NRAS amplification·4.17%1/24
KRAS SNV / small indel6.98%3/430%
HRAS SNV / small indel4.65%2/434.17%1/24
TP53 SNV / small indel2.33%1/430%
TP53 deep deletion·4.17%1/24
CDK4 SNV / small indel0%0%
CDK4 amplification·12.5%3/24
IGF1R SNV / small indel0%0%
MYCN SNV / small indel0%0%
MYCN amplification·4.17%1/24
MDM2 SNV / small indel0%0%
MDM2 amplification·8.33%2/24
SLC6A17 SNV / small indel6.98%3/43·
PIK3CA SNV / small indel6.98%3/434.17%1/24
NPHS1 SNV / small indel6.98%3/43·
NF1 SNV / small indel6.98%3/434.17%1/24
FBXW7 SNV / small indel6.98%3/430%
BCOR SNV / small indel6.98%3/434.17%1/24
ZFP37 SNV / small indel4.65%2/43·
ZAN SNV / small indel4.65%2/43·
SNUPN SNV / small indel4.65%2/43·
SEC14L5 SNV / small indel4.65%2/43·
SASH1 SNV / small indel4.65%2/43·
PKN1 SNV / small indel4.65%2/43·
PIP5K1A SNV / small indel4.65%2/43·
PER3 SNV / small indel4.65%2/43·
PDGFRA SNV / small indel4.65%2/430%
LGI1 SNV / small indel4.65%2/43·
DYSF SNV / small indel4.65%2/43·
DGKQ SNV / small indel4.65%2/43·
COL12A1 SNV / small indel4.65%2/43·
CHST5 SNV / small indel4.65%2/43·
CFAP44 SNV / small indel4.65%2/43·
CELSR3 SNV / small indel4.65%2/43·
CDK12 SNV / small indel4.65%2/430%
CACNA1A SNV / small indel4.65%2/43·
C1GALT1C1 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

NRAS is mutated in 4 of 43 patients in Rhabdomyosarcoma (NIH, Cancer Discov 2014).
Numerator: 4 · Denominator: 43 · Frequency: 9.3% · Observed in 1 cohorts · Confidence: moderate · Source: rms_nih_2014 · Retrieved: 2026-09-18

FGFR4 is mutated in 3 of 43 patients in Rhabdomyosarcoma (NIH, Cancer Discov 2014).
Numerator: 3 · Denominator: 43 · Frequency: 6.98% · Observed in 1 cohorts · Confidence: moderate · Source: rms_nih_2014 · Retrieved: 2026-09-18

KRAS is mutated in 3 of 43 patients in Rhabdomyosarcoma (NIH, Cancer Discov 2014).
Numerator: 3 · Denominator: 43 · Frequency: 6.98% · Observed in 1 cohorts · Confidence: moderate · Source: rms_nih_2014 · Retrieved: 2026-09-18

Gene table — reference cohort

Headline values are from the reference cohort, rms_nih_2014; 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
PAX3 curated target SNV / small indel 0 / 43 0.0% 0 / 2 0.0–0.0% none recurrent
FOXO1 curated target SNV / small indel 0 / 43 0.0% 0 / 2 0.0–0.0% none recurrent
MYOD1 curated target SNV / small indel 0 / 43 0.0% 1 / 2 0.0–8.33% none recurrent
FGFR4 curated target SNV / small indel 3 / 43 6.98% 1 / 2 0.0–6.98% V550L (n=2), V550M (n=1)
NRAS curated target SNV / small indel 4 / 43 9.3% 1 / 2 0.0–9.3% Q61K (n=4)
KRAS curated target SNV / small indel 3 / 43 6.98% 1 / 2 0.0–6.98% G12A (n=1), G12D (n=1), G13D (n=1)
HRAS curated target SNV / small indel 2 / 43 4.65% 2 / 2 4.17–4.65% G12C (n=1), Q61L (n=1)
TP53 curated target SNV / small indel 1 / 43 2.33% 1 / 2 0.0–2.33% T155N (n=1)
CDK4 curated target SNV / small indel 0 / 43 0.0% 0 / 2 0.0–0.0% none recurrent
IGF1R curated target SNV / small indel 0 / 43 0.0% 0 / 2 0.0–0.0% none recurrent
MYCN curated target SNV / small indel 0 / 43 0.0% 0 / 2 0.0–0.0% none recurrent
MDM2 curated target SNV / small indel 0 / 43 0.0% 0 / 2 0.0–0.0% none recurrent
SLC6A17 by frequency SNV / small indel 3 / 43 6.98% 1 / 2 6.98–6.98% A684S (n=1), R299Q (n=1), Q91* (n=1)
PIK3CA by frequency SNV / small indel 3 / 43 6.98% 2 / 2 4.17–6.98% H1047Y (n=1), Q546H (n=1), Q546K (n=1)
NPHS1 by frequency SNV / small indel 3 / 43 6.98% 1 / 2 6.98–6.98% R866* (n=1), T294I (n=1), L1073M (n=1)
NF1 by frequency SNV / small indel 3 / 43 6.98% 2 / 2 4.17–6.98% A1555T (n=1), X1870_splice (n=1), T2200A (n=1)
FBXW7 by frequency SNV / small indel 3 / 43 6.98% 1 / 2 0.0–6.98% R367P (n=1), R441G (n=1), R505P (n=1)
BCOR by frequency SNV / small indel 3 / 43 6.98% 2 / 2 4.17–6.98% G139Rfs*49 (n=1), A568Sfs*43 (n=1), E1518* (n=1)
ZFP37 by frequency SNV / small indel 2 / 43 4.65% 1 / 2 4.65–4.65% N196I (n=1), K224N (n=1)
ZAN by frequency SNV / small indel 2 / 43 4.65% 1 / 2 4.65–4.65% P724_K730dup (n=1), S650Y (n=1)
SNUPN by frequency SNV / small indel 2 / 43 4.65% 1 / 2 4.65–4.65% R46dup (n=1), M189T (n=1)
SEC14L5 by frequency SNV / small indel 2 / 43 4.65% 1 / 2 4.65–4.65% R395Q (n=1), P396Q (n=1)
SASH1 by frequency SNV / small indel 2 / 43 4.65% 1 / 2 4.65–4.65% X172_splice (n=2)
PKN1 by frequency SNV / small indel 2 / 43 4.65% 1 / 2 4.65–4.65% A304T (n=1), E222K (n=1)
PIP5K1A by frequency SNV / small indel 2 / 43 4.65% 1 / 2 4.65–4.65% A388S (n=1), I171T (n=1)
PER3 by frequency SNV / small indel 2 / 43 4.65% 1 / 2 4.65–4.65% D892Y (n=1), L1071H (n=1)
PDGFRA by frequency SNV / small indel 2 / 43 4.65% 1 / 2 0.0–4.65% K369N (n=1), L641I (n=1)
LGI1 by frequency SNV / small indel 2 / 43 4.65% 1 / 2 4.65–4.65% A490E (n=1), S216L (n=1)
DYSF by frequency SNV / small indel 2 / 43 4.65% 1 / 2 4.65–4.65% X1849_splice (n=1), E1512D (n=1)
DGKQ by frequency SNV / small indel 2 / 43 4.65% 1 / 2 4.65–4.65% S511P (n=2)
COL12A1 by frequency SNV / small indel 2 / 43 4.65% 1 / 2 4.65–4.65% R486P (n=1), P2862R (n=1)
CHST5 by frequency SNV / small indel 2 / 43 4.65% 1 / 2 4.65–4.65% R265H (n=1), R366H (n=1)
CFAP44 by frequency SNV / small indel 2 / 43 4.65% 1 / 2 4.65–4.65% I882S (n=1), D1506N (n=1)
CELSR3 by frequency SNV / small indel 2 / 43 4.65% 1 / 2 4.65–4.65% R716H (n=1), A2552S (n=1)
CDK12 by frequency SNV / small indel 2 / 43 4.65% 1 / 2 0.0–4.65% E431K (n=1), T542A (n=1)
CACNA1A by frequency SNV / small indel 2 / 43 4.65% 1 / 2 4.65–4.65% V1183I (n=1), F146L (n=1)
C1GALT1C1 by frequency SNV / small indel 2 / 43 4.65% 1 / 2 4.65–4.65% G33V (n=1), Q285K (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
Rhabdomyosarcoma (NIH, Cancer Discov 2014) reference
Rhabdomyosarcoma (NIH, Cancer Discov 2014)
rms_nih_201443 observed43 / 43exome or genomeWES (43)hg19SNV, small indel09
Pediatric Rhabdomyosarcomas (MSK, JCO Precis Oncol 2023)
Pediatric Rhabdomyosarcomas (MSK, JCO Precis Oncol 2023)
rms_msk_202324 observed24 / 24targeted panelIMPACT468 (11), IMPACT505 (8), IMPACT410 (3), IMPACT341 (2)hg19SNV, small indel, amplification, deep deletion, structural variant (profile present, not read)00.5

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
FOXO1amplification32412.5%rms_msk_2023rms_msk_2023_cna
CDK4amplification32412.5%rms_msk_2023rms_msk_2023_cna
MDM2amplification2248.33%rms_msk_2023rms_msk_2023_cna
FGFR4amplification1244.17%rms_msk_2023rms_msk_2023_cna
FGFR4deep deletion1244.17%rms_msk_2023rms_msk_2023_cna
NRASamplification1244.17%rms_msk_2023rms_msk_2023_cna
TP53deep deletion1244.17%rms_msk_2023rms_msk_2023_cna
MYCNamplification1244.17%rms_msk_2023rms_msk_2023_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)
PAX30.0–0.0%rms_nih_2014: 0/43 (0.0%) · rms_msk_2023: not assayed
FOXO10.0–0.0%rms_nih_2014: 0/43 (0.0%) · rms_msk_2023: 0/22 (0.0%)
MYOD10.0–8.33%rms_nih_2014: 0/43 (0.0%) · rms_msk_2023: 2/24 (8.33%)
FGFR40.0–6.98%rms_nih_2014: 3/43 (6.98%) · rms_msk_2023: 0/24 (0.0%)
NRAS0.0–9.3%rms_nih_2014: 4/43 (9.3%) · rms_msk_2023: 0/24 (0.0%)
KRAS0.0–6.98%rms_nih_2014: 3/43 (6.98%) · rms_msk_2023: 0/24 (0.0%)
HRAS4.17–4.65%rms_nih_2014: 2/43 (4.65%) · rms_msk_2023: 1/24 (4.17%)
TP530.0–2.33%rms_nih_2014: 1/43 (2.33%) · rms_msk_2023: 0/24 (0.0%)
CDK40.0–0.0%rms_nih_2014: 0/43 (0.0%) · rms_msk_2023: 0/24 (0.0%)
IGF1R0.0–0.0%rms_nih_2014: 0/43 (0.0%) · rms_msk_2023: 0/24 (0.0%)
MYCN0.0–0.0%rms_nih_2014: 0/43 (0.0%) · rms_msk_2023: 0/24 (0.0%)
MDM20.0–0.0%rms_nih_2014: 0/43 (0.0%) · rms_msk_2023: 0/24 (0.0%)
SLC6A176.98–6.98%rms_nih_2014: 3/43 (6.98%) · rms_msk_2023: not assayed
PIK3CA4.17–6.98%rms_nih_2014: 3/43 (6.98%) · rms_msk_2023: 1/24 (4.17%)
NPHS16.98–6.98%rms_nih_2014: 3/43 (6.98%) · rms_msk_2023: not assayed
NF14.17–6.98%rms_nih_2014: 3/43 (6.98%) · rms_msk_2023: 1/24 (4.17%)
FBXW70.0–6.98%rms_nih_2014: 3/43 (6.98%) · rms_msk_2023: 0/24 (0.0%)
BCOR4.17–6.98%rms_nih_2014: 3/43 (6.98%) · rms_msk_2023: 1/24 (4.17%)
ZFP374.65–4.65%rms_nih_2014: 2/43 (4.65%) · rms_msk_2023: not assayed
ZAN4.65–4.65%rms_nih_2014: 2/43 (4.65%) · rms_msk_2023: not assayed
SNUPN4.65–4.65%rms_nih_2014: 2/43 (4.65%) · rms_msk_2023: not assayed
SEC14L54.65–4.65%rms_nih_2014: 2/43 (4.65%) · rms_msk_2023: not assayed
SASH14.65–4.65%rms_nih_2014: 2/43 (4.65%) · rms_msk_2023: not assayed
PKN14.65–4.65%rms_nih_2014: 2/43 (4.65%) · rms_msk_2023: not assayed
PIP5K1A4.65–4.65%rms_nih_2014: 2/43 (4.65%) · rms_msk_2023: not assayed
PER34.65–4.65%rms_nih_2014: 2/43 (4.65%) · rms_msk_2023: not assayed
PDGFRA0.0–4.65%rms_nih_2014: 2/43 (4.65%) · rms_msk_2023: 0/24 (0.0%)
LGI14.65–4.65%rms_nih_2014: 2/43 (4.65%) · rms_msk_2023: not assayed
DYSF4.65–4.65%rms_nih_2014: 2/43 (4.65%) · rms_msk_2023: not assayed
DGKQ4.65–4.65%rms_nih_2014: 2/43 (4.65%) · rms_msk_2023: not assayed
COL12A14.65–4.65%rms_nih_2014: 2/43 (4.65%) · rms_msk_2023: not assayed
CHST54.65–4.65%rms_nih_2014: 2/43 (4.65%) · rms_msk_2023: not assayed
CFAP444.65–4.65%rms_nih_2014: 2/43 (4.65%) · rms_msk_2023: not assayed
CELSR34.65–4.65%rms_nih_2014: 2/43 (4.65%) · rms_msk_2023: not assayed
CDK120.0–4.65%rms_nih_2014: 2/43 (4.65%) · rms_msk_2023: 0/24 (0.0%)
CACNA1A4.65–4.65%rms_nih_2014: 2/43 (4.65%) · rms_msk_2023: not assayed
C1GALT1C14.65–4.65%rms_nih_2014: 2/43 (4.65%) · rms_msk_2023: not assayed

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/rhabdomyosarcoma.json.

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