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BCORL1
Final classification
VUS
BP7
BCORL1
c.1953C>T
p.His651=
synonymous · exon 3

BCORL1 encodes a transcriptional corepressor that is tethered to promoter regions by DNA-binding proteins and interacts with class II histone deacetylases to repress gene expression. It also partners with the CtBP corepressor and components of the Polycomb Repressive Complex 1 to shape chromatin state, including repression of E-Cadherin, a gene involved in epithelial-to-mesenchymal transition. Loss-of-function alterations in BCORL1 are found in acute myeloid leukemia, myelodysplastic syndromes, astrocytomas, intracranial germ cell tumors, and age-related clonal blood disorders that can progress to myeloid malignancies, and BCORL1 acts as a tumor suppressor in these settings. The gene has additionally been implicated in resistance to vemurafenib in melanoma.

This variant

BCORL1 acts as a tumor suppressor, with loss-of-function alterations linked to acute myeloid leukemia, myelodysplastic syndromes, and related clonal blood disorders. This synonymous variant (p.(His651=)) is predicted to leave the protein unchanged with no splicing impact, so it shows none of the loss-of-function features that characterize BCORL1's disease-associated alterations. It remains a VUS because the benign evidence is limited to a single supporting criterion.

Transcript
NM_021946.4
HGVS · transcript:coding
NM_021946.4:c.1953C>T
GRCh38
chrX:130014725 C>T
GRCh37
chrX:129148701 C>T
Basis No BCORL1-specific framework exists, so generic ACMG/AMP 2015 rules applied; with only BP7 (supporting) met, the single supporting benign criterion is insufficient to reach Likely Benign, yielding VUS.
No BCORL1-specific framework exists, so generic ACMG/AMP 2015 rules applied; with only BP7 (supporting) met, the single supporting benign criterion is insufficient to reach Likely Benign, yielding VUS.
Classification rationale
BP7 VUS
BCORL1 c.1953C>T synonymous · exon 3

BP7 (Supporting): synonymous change with no predicted splicing impact, SpliceAI maximum delta 0.001, far below the 0.2 flag threshold. Overall classification VUS: a single supporting benign criterion does not reach the Likely Benign threshold under generic ACMG/AMP 2015 combination rules.

BP7 VUS
Gene diagram · NM_021946.4 · variants mapped to exon structure
BCORL1 NM_021946.4
Fetching transcript structure from UCSC…
Applied criteria · 1 applied · 17 assessed
MetEvidence satisfies this criterion.
Not metEvaluated against available evidence; threshold not reached.
Not assessedApplies in principle, but no evidence was found to evaluate it.
N/ADoesn't apply to this variant type.
Applied · 1
Strength Supporting Moderate Strong Very strong
BP7 supporting Benign
Met (supporting): synonymous change with no predicted splicing impact, SpliceAI maximum delta 0.001, far below the 0.2 flag threshold.
Case compact_evidence.gnomad... normalization shows NM_021946.4:c.1953C>T = NP_068765.3:p.(His651=), confirming a synonymous variant.SpliceAI Lookup evidence_sentence: 'SpliceAI predicts no significant splice impact for this variant (max delta score = 0.00).' with underlying scores DS_AG=0.0, DS_AL=0.001, DS_DG=0.0, DS_DL=0.0 (max_delta=0.001), all well below the commonly used 0.2 splice-altering threshold.
Assessed · not applied · 5 not met · 12 not assessed
Pathogenic
PS2 Not assessed: no parental testing or confirmed de novo occurrence data were available.
PS3 Not assessed: no functional or validated assay evidence was available for this variant.
PS4 Not assessed: no case-control cohort or variant-specific disease association data were available.
PM2 Not met: the variant is observed three times in gnomAD v4.1 (AF 2.5e-06), so it is not absent from population controls.
PM3 Not assessed: no second pathogenic allele or phase data showing the variant in trans with a disease-causing allele was available.
PM6 Not assessed: no unconfirmed de novo report or parental origin information was available.
PP1 Not assessed: no pedigree or segregation data across informative family members was documented.
PP4 Not assessed: no specific patient phenotype matching a BCORL1-associated disorder was documented.
PP5 Not met: the exact variant is absent from ClinVar, with no expert-panel Pathogenic or Likely pathogenic classification.
Benign
BA1 Not met: gnomAD v4.1 AF of 2.5e-06 (3/1,211,524 alleles) is far below a common-variant frequency threshold.
BS1 Not met: the observed population frequency (AF 2.5e-06) does not exceed the maximum credible disease frequency.
BS2 Not assessed: no homozygotes or individual-level carrier health status was available to establish benignity in healthy adults.
BS3 Not assessed: no functional assay evidence showing normal or wild-type function was available.
BS4 Not assessed: no pedigree or non-segregation observations were documented.
BP2 Not assessed: no phase or inheritance data showing the variant in cis or trans with another clinically classified allele was available.
BP5 Not assessed: no alternative molecular diagnosis or phenotype-explaining pathogenic variant was documented.
BP6 Not met: the exact variant is absent from ClinVar, with no expert-panel Benign or Likely benign classification.
N/A · 10 PVS1 · PS1 · PM1 · PM4 · PM5 · PP2 · PP3 · BP1 · BP3 · BP4
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= 2.47622e-06; MAF= 0.00025%, 3/1211524 alleles, homozygotes = 0) and has highest observed frequency in the European (non-Finnish) population (AF= 3.35029e-06; MAF= 0.00034%, 3/895444 alleles, homozygotes = 0); grpmax FAF= 8.9e-07.
v2.1
Absent from gnomAD v2.1.
🇨🇦 CA
Absent from gnomAD-Canada v1.0.
Allele frequency by ancestry
three datasets · side by side
gnomAD v4.1
0.00025% · 3 / 1,211,524
0 hom · FAF 8.9e-05%
European (non-Finnish)
3 / 895,444
0.00034%
+ 9 not observed (Remaining individuals, Admixed American, European (Finnish), Amish, East Asian, Middle Eastern, South Asian, Ashkenazi Jewish, African/African American)
gnomAD v2.1
Absent · 0 / ?
0 hom
Not observed in any ancestry group.
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).
Functional / OncoKB screenshot
Functional Unknown Oncogenic Effect
OncoKB identified curated literature and non-variant-specific oncogenicity context for review; listed oncogenicity label: Unknown Oncogenic Effect.
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 not previously been reported in somatic cancers (COSMIC).
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