Peripheral T-cell lymphomas (PTCLs) are a heterogeneous group of non-Hodgkin lymphomas frequently associated with poor prognosis and for which genetic mechanisms of transformation remain incompletely understood. Using RNA sequencing and targeted sequencing, here we identify a recurrent in-frame deletion (VAV1 Δ778-786) generated by a focal deletion-driven alternative splicing mechanism as well as novel VAV1 gene fusions (VAV1-THAP4, VAV1-MYO1F, and VAV1-S100A7) in PTCL. Mechanistically these genetic lesions result in increased activation of VAV1 catalytic-dependent (MAPK, JNK) and non-catalytic-dependent (nuclear factor of activated T cells, NFAT) VAV1 effector pathways. These results support a driver oncogenic role for VAV1 signaling in the pathogenesis of PTCL.peripheral T-cell lymphoma | VAV1 | mutation | gene fusion P eripheral T-cell lymphomas (PTCLs) are malignant and highly aggressive hematologic tumors arising from mature postthymic T cells (1). The diagnosis of PTCL includes diverse lymphoma subgroups, altogether accounting for about 15% of all non-Hodgkin lymphomas (2, 3). Despite much effort in developing reliable diagnostic markers, the diagnosis of PTCLs is challenging, and 20 to 30% of cases are diagnosed as PTCL-NOS (not otherwise specified). This heterogeneous and poorly defined group constitutes one of the most aggressive forms of non-Hodgkin lymphoma, in which limited response to intensified chemotherapy and high relapse rates result in a dismal 5-y overall survival rate of 20 to 30% (4, 5). Moreover, a paucity of information on driver oncogenes activated in PTCL-NOS hampers the development of targeted therapies in this aggressive lymphoma subgroup.The VAV1 protooncogene encodes a guanine nucleotide exchange factor (GEF) and adaptor protein with crucial signaling roles in protein tyrosine kinase-regulated pathways (6). Structurally, VAV1 contains a calponin homology domain and an acidic domain in the N terminus followed by a GEF catalytic active core consisting of a central Dbl homology domain, pleckstrin homology domain, and C1 domain (6). Finally, the C-terminal region of VAV1 contains three Src homology domains in an SH3-SH2-SH3 arrangement (6). The GEF activity of VAV1 stimulates the transition of RAC1 and RHOA small GTPases from their inactive (GDP-bound) to the active (GTP-bound) configuration (6-8). In addition, the adaptor function of VAV1 mediates activation of the nuclear factor of activated T cells (NFAT) in synergy with signals from antigenic receptors in lymphoid cells (6,(8)(9)(10)(11)(12)(13). In basal conditions, unphosphorylated VAV1 adopts an inactive closed configuration in which the N-terminal calponin homology and acidic domains and