diffuse large B-cell lymphoma activated B-cell type
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Summary
diffuse large B-cell lymphoma activated B-cell type (MONDO:0850418) is a cancer with 1 cohort gene (1 CIViC-evidence somatic driver) and 6 clinical trials. Molecularly, PIM1 L2V is associated with resistance to Ibrutinib in Diffuse Large B-cell Lymphoma Activated B-cell Type (CIViC Level D); 2 further subtype–drug associations are mapped below. Top therapeutic interventions include cyclophosphamide anhydrous, azacitidine, and carmustine.
At a glance
- Classification: Cancer
- Cohort genes: 1
- Clinical trials: 6
- Precision-medicine evidence (CIViC): 3 subtype–drug associations
Clinical features
No curated clinical features (Orphanet) for this disease.
Identifiers
Disease identifiers
| Field | Value |
|---|---|
| Canonical name | diffuse large B-cell lymphoma activated B-cell type |
| Mondo ID | MONDO:0850418 |
| DOID | DOID:0080996 |
| NCIT | C36081 |
| UMLS | C1333296 |
| MedGen | 272545 |
| GARD | 0026614 |
| Is cancer (heuristic) | yes |
Data availability: 35 cell lines.
Disease family
Classification path: disease › human disease › disease by body system or component › immune system disorder › leukocyte disorder › B-cell neoplasm › neoplasm of mature B-cells › diffuse large B-cell lymphoma › diffuse large B-cell lymphoma activated B-cell type
Related subtypes (29): relapsed/refractory diffuse large B-cell lymphoma, breast diffuse large B-cell lymphoma, colorectal diffuse large B-cell lymphoma, gastric diffuse large B-cell lymphoma, liver diffuse large B-cell lymphoma, primary cutaneous diffuse large B-cell lymphoma, Leg type, primary pulmonary diffuse large B-cell lymphoma, small intestinal diffuse large B-cell lymphoma, splenic diffuse large B-cell lymphoma, thyroid gland diffuse large B-cell lymphoma, Epstein-Barr virus-positive diffuse large B-cell lymphoma of the elderly, plasmablastic lymphoma, diffuse large B-cell lymphoma of the central nervous system, T-cell/histiocyte rich large B cell lymphoma, diffuse large B-cell lymphoma with chronic inflammation, ALK-positive large B-cell lymphoma, primary effusion lymphoma, lymphomatoid granulomatosis, primary mediastinal large B-cell lymphoma, intravascular large B-cell lymphoma, high grade B-cell lymphoma, diffuse large B-cell lymphoma germinal center B-cell type, BN2 diffuse large B-cell lymphoma, EZB diffuse large B-cell lymphoma, MCD diffuse large B-cell lymphoma, N1 diffuse large B-cell lymphoma, ST2 diffuse large B-cell lymphoma, A53 diffuse large B-cell lymphoma, primary vitreoretinal large b-cell lymphoma
Genetics & variants
GWAS landscape
No GWAS associations recorded — common-variant (GWAS) studies don’t cover this disease (typical for Mendelian / rare diseases). See the curated gene cohort and Mendelian overlap below.
Variant details and genetic-evidence tiers
No tiered GWAS variants or ClinVar records for this disease.
Genes & proteins
Mendelian disease overlap and somatic drivers
GenCC: 0 · Orphanet: 0 · OMIM-shared: 0 · Dual-evidence (GWAS+Mendelian): 0
Somatic driver evidence (intOGen + CIViC, cohort fanout)
| Gene | intOGen role | Cancer types | CIViC |
|---|---|---|---|
| PIM1 | Act | DLBCLNOS,NHL,PCM | CIViC #4286 |
Cohort genes → proteins
1 cohort genes, 1 distinct canonical proteins.
Evidence partition
| Subset | Genes |
|---|---|
| civic_only | 1 |
Cohort genes (full)
| Symbol | HGNC | Ensembl | UniProt | Name | Evidence |
|---|---|---|---|---|---|
| PIM1 | HGNC:8986 | ENSG00000137193 | P11309 | Serine/threonine-protein kinase pim-1 | civic_evidence |
Cohort function summary
Lead sentence per gene, UniProt-curated.
| Symbol | Protein name | Function (lead sentence) |
|---|---|---|
| PIM1 | Serine/threonine-protein kinase pim-1 | Proto-oncogene with serine/threonine kinase activity involved in cell survival and cell proliferation and thus providing a selective advantage in tumorigenesis. |
Protein-family classification
Druggable: 1 · Difficult: 0 · Unknown: 0 · Druggable fraction: 1.0
Family distribution
Cohort families vs a genome-wide background (hypergeometric, BH-FDR; fold = observed/expected). Counts kept; sorted by enrichment, so the catch-all Other/Unknown bucket no longer leads.
| Family | Genes | Fold | FDR |
|---|---|---|---|
| Kinase | 1 | 27.7× | 0.036 |
Per-gene assignment
| Symbol | Family | Druggable? | EC | InterPro (top 3) |
|---|---|---|---|---|
| PIM1 | Kinase | yes | 2.7.11.1 | Prot_kinase_dom, Ser/Thr_kinase_AS, Kinase-like_dom_sf |
Expression context
Cohort genes with no expression data: 0.
1 cohort gene are a single-cell marker in ≥1 SCXA experiment.
Breadth distribution (Bgee present_calls)
| Bucket | Genes |
|---|---|
| narrow (1-5 tissues) | 0 |
| moderate (6-20) | 0 |
| broad (>20) | 1 |
| unknown | 0 |
Top tissues across cohort
| Tissue | Cohort genes |
|---|---|
| esophagus mucosa | 1 |
| left uterine tube | 1 |
| lower esophagus mucosa | 1 |
Per-gene tissue summary (top 30)
| Symbol | Bgee breadth | FANTOM5 breadth | SCXA | Top tissues |
|---|---|---|---|---|
| PIM1 | 263 | ubiquitous | marker | lower esophagus mucosa, left uterine tube, esophagus mucosa |
Protein interactions among cohort
Intra-cohort edges: 0.
Hub genes (top 10 by interactor count)
| Symbol | Interactor count |
|---|---|
| PIM1 | 1,602 |
Structural data
PDB: 1 · AlphaFold-only: 0 · No structure: 0
Cohort genes with PDB structures (top 30)
| Symbol | UniProt | PDB entries |
|---|---|---|
| PIM1 | P11309 | 191 |
Function
Pathway analysis
Distinct Reactome pathways touched by cohort: 4. Enrichment computed across 1 evidence-associated genes (1 with Reactome annotation).
Pathways by enrichment
Over-representation of cohort genes vs the genome-wide background (hypergeometric test, Benjamini-Hochberg FDR; fold = observed/expected over 1 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.
| Pathway | Cohort genes | Fold | FDR | Sample cohort genes |
|---|---|---|---|---|
| Regulation of GBP-mediated host defense | 1 | 2855.0× | 0.001 | PIM1 |
| STAT5 activation downstream of FLT3 ITD mutants | 1 | 1142.0× | 0.002 | PIM1 |
| Signaling by FLT3 fusion proteins | 1 | 571.0× | 0.002 | PIM1 |
| Interleukin-4 and Interleukin-13 signaling | 1 | 102.9× | 0.010 | PIM1 |
GO biological processes by enrichment
Over-representation of cohort genes vs the genome-wide background (hypergeometric test, Benjamini-Hochberg FDR; fold = observed/expected over 1 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.
| GO term | Cohort genes | Fold | FDR | Sample cohort genes |
|---|---|---|---|---|
| regulation of transmembrane transporter activity | 1 | 16852.0× | 6e-04 | PIM1 |
| positive regulation of cardioblast proliferation | 1 | 16852.0× | 6e-04 | PIM1 |
| positive regulation of cyclin-dependent protein serine/threonine kinase activity | 1 | 5617.3× | 9e-04 | PIM1 |
| regulation of hematopoietic stem cell proliferation | 1 | 5617.3× | 9e-04 | PIM1 |
| vitamin D receptor signaling pathway | 1 | 2808.7× | 0.001 | PIM1 |
| positive regulation of protein serine/threonine kinase activity | 1 | 1296.3× | 0.003 | PIM1 |
| cellular detoxification | 1 | 1123.5× | 0.003 | PIM1 |
| positive regulation of brown fat cell differentiation | 1 | 991.3× | 0.003 | PIM1 |
| obsolete negative regulation of DNA-binding transcription factor activity | 1 | 732.7× | 0.003 | PIM1 |
| positive regulation of cardiac muscle cell proliferation | 1 | 624.1× | 0.003 | PIM1 |
| negative regulation of innate immune response | 1 | 510.7× | 0.004 | PIM1 |
| positive regulation of TORC1 signaling | 1 | 295.6× | 0.006 | PIM1 |
| regulation of mitotic cell cycle | 1 | 240.7× | 0.006 | PIM1 |
| cellular response to type II interferon | 1 | 208.1× | 0.007 | PIM1 |
| protein autophosphorylation | 1 | 145.3× | 0.009 | PIM1 |
| protein phosphorylation | 1 | 68.0× | 0.018 | PIM1 |
| protein stabilization | 1 | 66.9× | 0.018 | PIM1 |
| negative regulation of apoptotic process | 1 | 34.8× | 0.032 | PIM1 |
| apoptotic process | 1 | 28.7× | 0.036 | PIM1 |
| positive regulation of DNA-templated transcription | 1 | 27.9× | 0.036 | PIM1 |
Therapeutics
Drug target analysis
Approved (phase 4): 1 · Phase ≥3: 1 · Phased (≥1): 1 · Undrugged: 0
Druggability breadth: 1 of 1 evidence-associated genes (100%) have a ChEMBL target (buckets above are over the deeply-mined display cohort).
Genes with an approved drug
The molecule shown is one approved compound that hits the gene — not necessarily a drug of choice or one indicated for this disease.
| Symbol | Example approved molecule |
|---|---|
| PIM1 | COLCHICINE |
Top cohort targets by molecule count
| Symbol | Molecules | Max phase |
|---|---|---|
| PIM1 | 29 | 4 |
Drugs targeting cohort genes (top 30)
| Molecule | Max phase | Targets in cohort |
|---|---|---|
| COLCHICINE | 4 | PIM1 |
| RUCAPARIB | 4 | PIM1 |
| MITOXANTRONE HYDROCHLORIDE | 4 | PIM1 |
| ABEMACICLIB | 4 | PIM1 |
| THIORIDAZINE | 4 | PIM1 |
| MIDOSTAURIN | 4 | PIM1 |
| GEFITINIB | 4 | PIM1 |
| LEFLUNOMIDE | 4 | PIM1 |
| RESVERATROL | 3 | PIM1 |
| MASITINIB | 3 | PIM1 |
| ENZASTAURIN | 3 | PIM1 |
| ALVOCIDIB | 3 | PIM1 |
| QUERCETIN | 3 | PIM1 |
| LESTAURTINIB | 3 | PIM1 |
| RUBOXISTAURIN | 3 | PIM1 |
| SILMITASERTIB | 2 | PIM1 |
| LAUROGUADINE | 2 | PIM1 |
| SCH-900776 | 2 | PIM1 |
| LY-2090314 | 2 | PIM1 |
| NUVISERTIB | 2 | PIM1 |
| CROZBACICLIB | 2 | PIM1 |
| DAPOLSERTIB | 2 | PIM1 |
| MONZOSERTIB | 2 | PIM1 |
| SOTRASTAURIN | 2 | PIM1 |
| GSK-461364 | 1 | PIM1 |
| SGI-1776 | 1 | PIM1 |
| GSK-1059615 | 1 | PIM1 |
| LGH-447 | 1 | PIM1 |
| GSK-690693 | 1 | PIM1 |
Bioactivity and enzyme data
Enzyme cohort genes (≥1 EC): 1.
Cohort genes with ChEMBL bioactivity (full, sorted by assay count)
| Symbol | Assays | Type breakdown |
|---|---|---|
| PIM1 | 1,008 | Binding:971, Functional:30, ADMET:4, Toxicity:3 |
Cohort enzymes (BRENDA EC)
| Symbol | EC numbers | Names |
|---|---|---|
| PIM1 | 2.7.11.1 | non-specific serine/threonine protein kinase |
Cohort genes with high screening signal
≥100 ChEMBL assays — a studied-ness signal; see Therapeutics for approved-drug status.
| Symbol | ChEMBL assays |
|---|---|
| PIM1 | 1,008 |
Pharmacogenomics
Cohort genes with a PharmGKB record: 1; with CPIC/DPWG dosing guidelines: 0.
No cohort gene has a CPIC/DPWG genotype-guided dosing guideline (PharmGKB).
Drug repurposing candidates
29 approved/phased drugs hit cohort targets but don’t yet appear in disease-level clinical trials. Target-inhibition rationale is strongest for cancer driver genes; a bioactivity hit is a screening signal, not a treatment claim.
| Compound | Max phase | Cohort target (bioactivity) |
|---|---|---|
| COLCHICINE | 4 | PIM1 |
| RUCAPARIB | 4 | PIM1 |
| MITOXANTRONE HYDROCHLORIDE | 4 | PIM1 |
| ABEMACICLIB | 4 | PIM1 |
| THIORIDAZINE | 4 | PIM1 |
| MIDOSTAURIN | 4 | PIM1 |
| GEFITINIB | 4 | PIM1 |
| LEFLUNOMIDE | 4 | PIM1 |
| RESVERATROL | 3 | PIM1 |
| MASITINIB | 3 | PIM1 |
| ENZASTAURIN | 3 | PIM1 |
| ALVOCIDIB | 3 | PIM1 |
| QUERCETIN | 3 | PIM1 |
| LESTAURTINIB | 3 | PIM1 |
| RUBOXISTAURIN | 3 | PIM1 |
| SILMITASERTIB | 2 | PIM1 |
| LAUROGUADINE | 2 | PIM1 |
| SCH-900776 | 2 | PIM1 |
| LY-2090314 | 2 | PIM1 |
| NUVISERTIB | 2 | PIM1 |
| CROZBACICLIB | 2 | PIM1 |
| DAPOLSERTIB | 2 | PIM1 |
| MONZOSERTIB | 2 | PIM1 |
| SOTRASTAURIN | 2 | PIM1 |
| GSK-461364 | 1 | PIM1 |
| SGI-1776 | 1 | PIM1 |
| GSK-1059615 | 1 | PIM1 |
| LGH-447 | 1 | PIM1 |
| GSK-690693 | 1 | PIM1 |
Druggability pyramid
Cohort genes binned by druggability tier (high → low):
| Tier | Definition | Genes | Symbols |
|---|---|---|---|
| A | Approved (phase 4 drug) | 1 | PIM1 |
| B | Phased (≥1) drug, not yet approved | 0 | |
| C | Druggable family + PDB, no drug | 0 | |
| D | Druggable family + AlphaFold only, no drug | 0 | |
| E | Difficult family or no structure, no drug | 0 |
Undrugged target profiles
0 cohort genes are undrugged. Ranked by ‘starting-point quality’ (assay depth + drugged-partner adjacency).
Clinical trials & evidence
Clinical trials
Clinical trials: 6.
Phase distribution (across all retrieved trials)
| Phase | Trials |
|---|---|
| PHASE2 | 2 |
| PHASE1 | 2 |
| PHASE3 | 1 |
| PHASE2/PHASE3 | 1 |
Top trials by phase / activity
| NCT | Phase | Status | Title |
|---|---|---|---|
| NCT02443077 | PHASE3 | ACTIVE_NOT_RECRUITING | Ibrutinib Before and After Stem Cell Transplant in Treating Patients With Relapsed or Refractory Diffuse Large B-cell Lymphoma |
| NCT04799275 | PHASE2/PHASE3 | ACTIVE_NOT_RECRUITING | Testing CC-486 (Oral Azacitidine) Plus the Standard Drug Therapy in Patients 75 Years or Older With Newly Diagnosed Diffuse Large B Cell Lymphoma |
| NCT03038672 | PHASE2 | ACTIVE_NOT_RECRUITING | Nivolumab With or Without Varlilumab in Treating Patients With Relapsed or Refractory Aggressive B-cell Lymphomas |
| NCT06834373 | PHASE2 | RECRUITING | Golcadomide and Rituximab as Bridging Therapy for Relapsed or Refractory Aggressive B-cell Non-Hodgkin Lymphoma Before CAR T-cell Therapy |
| NCT05755087 | PHASE1 | RECRUITING | Tegavivint for Treating Patients With Relapsed or Refractory Large B-Cell Lymphoma |
| NCT03742258 | PHASE1 | COMPLETED | Combination Chemotherapy and TAK-659 as Front-Line Treatment in Treating Patients With High-Risk Diffuse Large B Cell Lymphoma |
Drugs tested across these trials (top 30)
| Molecule | Max phase | Trials referencing |
|---|---|---|
| CYCLOPHOSPHAMIDE ANHYDROUS | 4 | 3 |
| AZACITIDINE | 4 | 1 |
| CARMUSTINE | 4 | 1 |
| IBRUTINIB | 4 | 1 |
| MELPHALAN | 4 | 1 |
| GOLCADOMIDE | 3 | 1 |
| TEGAVIVINT | 2 | 1 |
| VARLILUMAB | 2 | 1 |
| CHEMBL3647964 | 0 | 1 |
| CHEMBL4466205 | 0 | 1 |
| CHEMBL6083129 | 0 | 1 |
Precision-medicine subtype map (CIViC)
Drug × molecular subtype: 3 predictive associations from 3 curated evidence items.
| Molecular subtype | Therapy | Effect | Level | CIViC |
|---|---|---|---|---|
| PIM1 L2V | Ibrutinib | Resistance | CIViC D | EID9945 |
| PIM1 P81S | Ibrutinib | Resistance | CIViC D | EID9946 |
| PIM1 S97N | Ibrutinib | Resistance | CIViC D | EID9947 |
Related Atlas pages
- Cohort genes: PIM1
- Drugs: Cyclophosphamide, Azacitidine, Carmustine, Ibrutinib, Melphalan, Golcadomide