Table 3.

Utility of molecular alterations in lymphoid diseases

GeneDiseaseDrug
Diagnosis BRAF V600E Hairy cell leukemia, Langerhans cell histiocytosis  
 MAP2K1 Variant hairy cell leukemia  
 MVD88 L265P Waldenstrom macroglobulinemia  
 STAT3, STAT5B T-cell large granular lymphocyte leukemia  
 RHOAG17V Angioimmunoblastic T-cell lymphoma  
 TCF3, ID8 Burkitt Lymphoma  
Prognosis IKZF1 deletion B-cell ALL (poor)  
 ERG deletion B-cell ALL (good)  
 TP53 Most (poor)  
 NOTCH 1 CLL  
 SF3B1 CLL  
 EZH2; ARID1A; EP300; FOX 01; MEF2B; CREBBP; CARDl1 Follicular lymphoma (M7-FLIPI)  
 NOTCH 2 Splenic marginal zone lymphoma  
Therapeutic target BRAF V600E Hairy cell leukemia, Langerhans cell histiocytosis BRAF inhibitors 
 BCR-ABL B-cell ALL Tyrosine kinase inhibitors 
 ABL1 class Ph+-like fusions B-cell ALL Tyrosine kinase inhibitors 
 JAK2; CRLF2 B-cell ALL Ruxolitinib (trials) 
 ABL1 kinase mutations  Tyrosine kinase inhibitors 
 BTK C451S; PCLG2; CXCR4  Ibrutinib 
Other recurrent alterations with unclear clinical utility ATM; BCL2; BCL6; PIMl; S0CS1; STAT6; PTEN; S1PR2; CD28; GNA13; CD79B; TNFAIP3; PRDM1; CDKN1B; CDKN2A/B;NT5C2; PAZ5; PHF6; PLCG1; JAK1; JAK3; NRAS; KRAS; PTPN11; PRKCB; DDX3X; SETD2; WHSC1   
GeneDiseaseDrug
Diagnosis BRAF V600E Hairy cell leukemia, Langerhans cell histiocytosis  
 MAP2K1 Variant hairy cell leukemia  
 MVD88 L265P Waldenstrom macroglobulinemia  
 STAT3, STAT5B T-cell large granular lymphocyte leukemia  
 RHOAG17V Angioimmunoblastic T-cell lymphoma  
 TCF3, ID8 Burkitt Lymphoma  
Prognosis IKZF1 deletion B-cell ALL (poor)  
 ERG deletion B-cell ALL (good)  
 TP53 Most (poor)  
 NOTCH 1 CLL  
 SF3B1 CLL  
 EZH2; ARID1A; EP300; FOX 01; MEF2B; CREBBP; CARDl1 Follicular lymphoma (M7-FLIPI)  
 NOTCH 2 Splenic marginal zone lymphoma  
Therapeutic target BRAF V600E Hairy cell leukemia, Langerhans cell histiocytosis BRAF inhibitors 
 BCR-ABL B-cell ALL Tyrosine kinase inhibitors 
 ABL1 class Ph+-like fusions B-cell ALL Tyrosine kinase inhibitors 
 JAK2; CRLF2 B-cell ALL Ruxolitinib (trials) 
 ABL1 kinase mutations  Tyrosine kinase inhibitors 
 BTK C451S; PCLG2; CXCR4  Ibrutinib 
Other recurrent alterations with unclear clinical utility ATM; BCL2; BCL6; PIMl; S0CS1; STAT6; PTEN; S1PR2; CD28; GNA13; CD79B; TNFAIP3; PRDM1; CDKN1B; CDKN2A/B;NT5C2; PAZ5; PHF6; PLCG1; JAK1; JAK3; NRAS; KRAS; PTPN11; PRKCB; DDX3X; SETD2; WHSC1   
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