Annotation Detail

Information
Associated Genes
MTOR
Associated Variants
MTOR p.Phe2108Leu (p.F2108L) ( ENST00000361445.9, ENST00000703140.1 )
MTOR p.Phe2108Leu (p.F2108L) ( ENST00000361445.9, ENST00000703140.1 )
Associated Disease
thyroid gland carcinoma
Source Database
CIViC Evidence
Description
The pretreatment tumor contained a somatic nonsense mutation (Q1178*) in the tumor-suppressor gene TSC2 that inactivates the gene, allowing for activation of the mTOR pathway and resulting in sensitivity to mTOR inhibition by everolimus. The patient received a sustained response to everolimus for 18 months, after which time resistance developed. The resistant tumor had a somatic mutation in MTOR (F2108L), that was not detected in the pretreatment tumor.
Variant Origin
somatic
Variant Origin
Somatic
Evidence URL
https://civic.genome.wustl.edu/links/evidence_items/1110
Gene URL
https://civic.genome.wustl.edu/links/genes/2073
Variant URL
https://civic.genome.wustl.edu/links/variants/470
Rating
5
Evidence Type
Predictive
Disease
Thyroid Gland Carcinoma
Evidence Direction
Supports
Drug
Everolimus
Evidence Level
C
Clinical Significance
Resistance
Pubmed
25295501
Drugs
Drug NameSensitivitySupported
EverolimusResitance or Non-Reponsetrue