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BCORL1
Final classification
VUS
BCORL1 c.3143G>A · p.Arg1048Gln
BCORL1

BCORL1 c.3143G>A (p.Arg1048Gln) is a missense variant in exon 3 of this X-linked transcriptional corepressor gene.

Gene
BCORL1
Transcript
NM_021946.4
HGVS · transcript:coding
NM_021946.4:c.3143G>A
Consequence
N/A
GRCh38
chrX:130015915 G>A
GRCh37
chrX:129149891 G>A
Basis gene-specific framework lacked a usable explicit final combination framework, so generic ACMG/AMP 2015 final-combination rules were applied as fallback; applied criteria: PM2 supporting, BP4 supporting; combination = 1 supporting + 1 supporting benign, which maps to VUS.
gene-specific framework lacked a usable explicit final combination framework, so generic ACMG/AMP 2015 final-combination rules were applied as fallback; applied criteria: PM2 supporting, BP4 supporting; combination = 1 supporting + 1 supporting benign, which maps to VUS.
Classification rationale
PM2 BP4 VUS
BCORL1 c.3143G>A

BCORL1 c.3143G>A (p.Arg1048Gln) is a missense variant in exon 3 of this X-linked transcriptional corepressor gene. This variant is present in gnomAD v4.1 at an overall allele frequency of 0.038% (464/1,210,072 alleles) and in v2.1 at 0.019% (39/205,240 alleles), with zero homozygotes observed (PM2_Supporting).1 Multiple in silico tools predict a benign effect: BayesDel score -0.289255 is in the benign range, and SpliceAI predicts no splicing alteration (max delta 0.00) (BP4_Supporting).2 No functional studies, de novo observations, case-control data, cosegregation evidence, or ClinVar classifications are available for this variant.3 With one pathogenic supporting criterion (PM2_Supporting) and one benign supporting criterion (BP4_Supporting), the evidence is insufficient to classify this variant as either likely pathogenic or likely benign. This variant is classified as a Variant of Uncertain Significance (VUS) per ACMG/AMP 2015 guidelines (PMID:25741868).4

PM2 + BP4 VUS
2 bayesdelspliceai ↗
4 generic_acmg_combination_rules
Gene diagram · NM_021946.4 · variants mapped to exon structure
BCORL1 NM_021946.4
Fetching transcript structure from UCSC…
Applied criteria · 2 applied · 20 assessed
Applied · 2
Strength Supporting Moderate Strong Very strong
PM2 supporting Pathogenic
This variant is present in gnomAD at extremely low frequency: v2.1 AF=0.019% (39/205,240 alleles), v4.1 AF=0.038% (464/1,210,072 alleles), grpmax FAF=0.045%. All frequencies are below the 0.1% PM2 threshold. Zero homozygotes observed in both datasets. Absent from gnomAD-Canada.
gnomAD v2.1: 39/205240 alleles (AF=0.019%). gnomAD v4.1: 464/1210072 alleles (AF=0.038%). Both below PM2 0.1% threshold. Zero homozygotes.
BP4 supporting Benign
Multiple lines of computational evidence suggest no impact on gene product or splicing. BayesDel score is -0.289255 (benign range; damaging threshold approximately >+0.07). SpliceAI max delta score is 0.00 (no predicted splicing alteration). REVEL score is unavailable but the concordance of BayesDel and SpliceAI supports a benign computational profile.
BayesDel: -0.289255 (benign). SpliceAI: max delta 0.00 (no splice impact).
Assessed · not applied
Pathogenic
PS2 No de novo observation has been reported for NM_021946.4:c.3143G>A in the available literature or databases.
PS3 No well-established in vitro or in vivo functional studies demonstrate a damaging effect for this variant.
PS4 No case-control studies or statistically significant enrichment of this variant in affected individuals versus controls has been reported.
PM1 This variant does not lie in a statistically significant somatic mutational hotspot, and there is no evidence that residue 1048 resides in a well-established critical functional domain where pathogenic missense variation clusters without benign variation.
PM5 No pathogenic or likely pathogenic missense variant at the same amino acid residue (Arg1048) with a different amino acid change was identified.
PM6 No de novo observation has been reported for this variant.
PP1 No cosegregation data are available for this variant in affected families.
PP2 Insufficient gene-level constraint data to determine whether BCORL1 has a low rate of benign missense variation.
PP3 In silico tools do not support a damaging effect.
PP4 No patient phenotype or family history information is available for the individual carrying this variant.
PP5 This variant has not been reported as pathogenic by a reputable source.
Benign
BA1 Allele frequency in gnomAD v4.1 is 0.038% (464/1,210,072 alleles), well below the 1% BA1 threshold.
BS1 Allele frequency in gnomAD v4.1 is 0.038% (464/1,210,072 alleles), below the 0.3% BS1 threshold.
BS2 Although the variant is observed in 464 alleles in gnomAD v4.1, a population database enriched for ostensibly healthy individuals, specific evidence confirming that hemizygous male carriers are unaffected is not available.
BS3 No well-established in vitro or in vivo functional studies demonstrate no damaging effect on protein function or splicing for this variant.
BS4 No non-segregation data are available for this variant in affected families.
BP1 BCORL1 missense variants have been established as a disease mechanism.
BP2 No data are available regarding observation of this variant in trans with a known pathogenic variant in BCORL1.
BP5 No case has been reported in which this variant is present alongside an alternate molecular basis for disease.
BP6 This variant has not been reported as benign by a reputable source.
N/A · 6 PVS1 · PS1 · PM3 · PM4 · BP3 · BP7
Research & evidence
Population frequency
gnomAD v4.1 screenshot
gnomAD v4.1
gnomAD v2.1 screenshot
gnomAD v2.1
v4.1
This variant is present in gnomAD v4.1 (AF= 0.000383448; MAF= 0.03834%, 464/1210072 alleles, homozygotes = 0) and has highest observed frequency in the European (non-Finnish) population (AF= 0.000483637; MAF= 0.04836%, 433/895300 alleles, homozygotes = 0); grpmax FAF= 0.0004457.
v2.1
This variant is present in gnomAD v2.1 (AF= 0.000190021; MAF= 0.01900%, 39/205240 alleles, homozygotes = 0) and has highest observed frequency in the Remaining individuals population (AF= 0.000750047; MAF= 0.07500%, 4/5333 alleles, homozygotes = 0); grpmax FAF= 0.00022236.
🇨🇦 CA
Not available in gnomAD-Canada v1.0.
Allele frequency by ancestry
three datasets · side by side
gnomAD v4.1
0.038% · 464 / 1,210,072
0 hom · FAF 0.045%
European (non-Finnish)
433 / 895,300
0.048%
Remaining individuals
17 / 47,604
0.036%
European (Finnish)
7 / 46,506
0.015%
Admixed American
5 / 45,744
0.011%
South Asian
1 / 56,867
0.0018%
African/African American
1 / 57,189
0.0017%
+ 4 not observed (Amish, East Asian, Middle Eastern, Ashkenazi Jewish)
gnomAD v2.1
0.019% · 39 / 205,240
0 hom · FAF 0.022%
Remaining individuals
4 / 5,333
0.075%
European (non-Finnish)
27 / 92,592
0.029%
European (Finnish)
3 / 18,629
0.016%
Admixed American
4 / 28,054
0.014%
South Asian
1 / 19,080
0.0052%
+ 3 not observed (African/African American, Ashkenazi Jewish, East Asian)
gnomAD Canada 🇨🇦
Absent · 0 / ?
0 hom
Not observed in any ancestry group.
ClinVar screenshot
ClinVar
This variant is absent from ClinVar.
SpliceAI screenshot
In silico
SpliceAI predicts no significant splice impact for this variant (max delta score = 0.00). BayesDel score = -0.289255.
Functional / OncoKB screenshot
Functional Unknown Oncogenic Effect
OncoKB did not identify variant-specific reviewed functional evidence for this variant; gene-level curated context is available for reviewer follow-up. BCORL1, a transcriptional repressor, is recurrently mutated in hematopoietic malignancies, astrocytomas, and intracranial germ cell tumors.
OncoKB ↗
COSMIC screenshot
COSMIC
Cancer hotspots screenshot
Cancer hotspots
Somatic evidence Not in COSMIC / hotspots
COSMIC
This variant does not lie in a statistically significant hotspot. This variant has previously been reported in somatic cancers (COSMIC; COSV106354134, n = 1 times).
Hotspots
This variant does not lie in a statistically significant hotspot.
Sources & reference links
8Sources
ClinVar
gnomAD v2.1
gnomAD v4.1
gnomAD-Canada
SpliceAI
OncoKB
COSMIC
Cancer hotspots