Annotation Detail

Information
Associated Genes
GNAS
Associated Variants
GNAS p.Arg844Cys (p.R844C) ( ENST00000470512.6, ENST00000467227.6, ENST00000476935.6, ENST00000485673.6, ENST00000488546.6, ENST00000492907.6, ENST00000371075.7, ENST00000371095.7, ENST00000603546.2, ENST00000481039.6, ENST00000469431.6, ENST00000482112.6, ENST00000371102.8, ENST00000488652.6, ENST00000371100.9, ENST00000480232.6, ENST00000354359.12, ENST00000371085.8, ENST00000480975.5, ENST00000464788.6, ENST00000477931.5, ENST00000604005.6, ENST00000472183.6, ENST00000478585.6, ENST00000419558.7, ENST00000683015.1, ENST00000265620.11, ENST00000306090.12, ENST00000313949.11, ENST00000349036.9, ENST00000453292.7, ENST00000682803.1, ENST00000676826.2, ENST00000462499.6, ENST00000667293.2, ENST00000663479.2, ENST00000657090.1, ENST00000656419.1, ENST00000467321.6, ENST00000468895.6 )
GNAS p.Arg844Cys (p.R844C) ( ENST00000371095.7, ENST00000265620.11, ENST00000306090.12, ENST00000313949.11, ENST00000349036.9, ENST00000354359.12, ENST00000371075.7, ENST00000371085.8, ENST00000480232.6, ENST00000371100.9, ENST00000371102.8, ENST00000419558.7, ENST00000453292.7, ENST00000462499.6, ENST00000464788.6, ENST00000467227.6, ENST00000467321.6, ENST00000468895.6, ENST00000469431.6, ENST00000470512.6, ENST00000472183.6, ENST00000476935.6, ENST00000477931.5, ENST00000683015.1, ENST00000682803.1, ENST00000676826.2, ENST00000667293.2, ENST00000663479.2, ENST00000657090.1, ENST00000656419.1, ENST00000604005.6, ENST00000603546.2, ENST00000492907.6, ENST00000488652.6, ENST00000488546.6, ENST00000485673.6, ENST00000482112.6, ENST00000481039.6, ENST00000480975.5, ENST00000478585.6 )
Associated Disease
colorectal cancer
Source Database
CIViC Evidence
Description
Phase 1b study of vemurafenib, cetuximab and irinotecan in 19 BRAF V600E mutant colorectal cancer patients. cfDNA panel sequencing was performed in 10 patients after disease progression. One patient acquired a novel GNAS1 R201C mutation at disease progression.
Variant Origin
somatic
Variant Origin
Somatic
Evidence URL
https://civic.genome.wustl.edu/links/evidence_items/1906
Gene URL
https://civic.genome.wustl.edu/links/genes/2319
Variant URL
https://civic.genome.wustl.edu/links/variants/826
Rating
2
Evidence Type
Predictive
Disease
Colorectal Cancer
Evidence Direction
Supports
Drug
Irinotecan,Vemurafenib,Cetuximab
Evidence Level
C
Clinical Significance
Resistance
Pubmed
27729313
Drugs
Drug NameSensitivitySupported
CetuximabResitance or Non-Reponsetrue
IrinotecanResitance or Non-Reponsetrue
VemurafenibResitance or Non-Reponsetrue