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BCOR
Final classification
Likely Benign
BCOR c.519C>T · p.Ser173=
BCOR

NM_017745.5:c.519C>T is a synonymous variant (p.Ser173=) in exon 4 of BCOR that does not alter the protein sequence.

Gene
BCOR
Transcript
NM_017745.5
HGVS · transcript:coding
NM_017745.5:c.519C>T
Consequence
N/A
GRCh38
chrX:40074827 G>A
GRCh37
chrX:39934080 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: BP6 supporting benign, BP7 supporting benign; combination = 2 supporting benign, which maps to Likely Benign.
gene-specific framework lacked a usable explicit final combination framework, so generic ACMG/AMP 2015 final-combination rules were applied as fallback; applied criteria: BP6 supporting benign, BP7 supporting benign; combination = 2 supporting benign, which maps to Likely Benign.
Classification rationale
BP6BP7 Likely Benign
BCOR c.519C>T

NM_017745.5:c.519C>T is a synonymous variant (p.Ser173=) in exon 4 of BCOR that does not alter the protein sequence. SpliceAI predicts no impact on splicing (max delta score 0.00), consistent with BP7 (Supporting Benign).1 Three clinical laboratories in ClinVar classify this variant as Likely Benign, consistent with BP6 (Supporting Benign).2 The variant is observed in gnomAD at 0.035% in v4.1 (424 alleles) with no homozygotes, which is below the PM2 threshold of 0.1% but also below the BS1 threshold of 0.3%; population frequency is uninformative for this synonymous variant.3 No pathogenic or likely pathogenic ClinVar submissions, no functional evidence of damaging effect, and no segregation, de novo, or case-control data were identified to support a pathogenic classification.4

BP6 + BP7 Likely Benign
Gene diagram · NM_017745.5 · variants mapped to exon structure
BCOR NM_017745.5
Fetching transcript structure from UCSC…
Applied criteria · 2 applied · 19 assessed
Applied · 2
Strength Supporting Moderate Strong Very strong
BP6 supporting Benign
Three independent clinical laboratories classify this variant as Likely Benign in ClinVar (Labcorp/Invitae SCV002392005, PreventionGenetics SCV004781451, CeGaT SCV004164852). While these are single-submitter assertions without expert panel review, the consistent direction across multiple clinical testing laboratories provides supporting evidence for a benign assessment.
Labcorp/Invitae (SCV002392005): Likely Benigncriteria providedPreventionGenetics (SCV004781451): Likely Benign
BP7 supporting Benign
Synonymous variant (p.Ser173=) with SpliceAI delta score of 0.00 across all categories (donor gain 0.00, donor loss 0.00, acceptor gain 0.00, acceptor loss 0.00), predicting no impact on splicing. The variant does not affect the splice consensus sequence nor create a novel splice site.
Synonymous substitution c.519C>T → p.(Ser173=)SpliceAI max delta 0.00 — no predicted donor/acceptor gain or lossNo alteration to canonical splice site motifs
Assessed · not applied
Pathogenic
PS2 No de novo evidence identified in ClinVar submissions, literature review, or population data.
PS3 No functional studies demonstrating a damaging effect on the gene or gene product have been identified.
PS4 No case-control enrichment data or statistically significant excess of variant in affected individuals versus controls.
PM1 This synonymous variant is located in exon 4 of BCOR (c.519).
PM2 The variant is present in gnomAD with 34 alleles in v2.1 (AF 0.017%) and 424 alleles in v4.1 (AF 0.035%).
PM6 No de novo occurrence (with maternity and paternity confirmed) has been reported for this variant in the reviewed literature or ClinVar submissions.
PP1 No cosegregation data available.
PP2 BCOR is not established as a gene with a low rate of benign missense variation where missense changes are a common mechanism of disease.
PP3 No in silico evidence supports a pathogenic effect.
PP4 No patient phenotype data specific to a BCOR-related disorder is available for review.
PP5 No reputable source classifies this variant as pathogenic.
Benign
BA1 Maximum population allele frequency is 0.043% (NFE in gnomAD v4.1), well below the 1% BA1 threshold.
BS1 Maximum population allele frequency is 0.043% (NFE in gnomAD v4.1), below the 0.3% BS1 threshold for non-VCEP assessment.
BS2 No homozygous observations in gnomAD (0 homozygotes across v2.1 and v4.1).
BS3 No functional studies demonstrating no deleterious effect have been identified.
BS4 No segregation data demonstrating lack of cosegregation with disease in affected family members.
BP2 No evidence of this variant observed in trans with a known pathogenic BCOR variant.
BP4 Insufficient multiple lines of computational evidence to classify as benign.
BP5 No case reports identifying this variant in an individual with an alternative molecular basis for disease have been identified.
N/A · 4 PVS1 · PS1 · PM5 · BP1
Research & evidence
Population frequency · supports benign
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= 0.000350447; MAF= 0.03504%, 424/1209884 alleles, homozygotes = 0) and has highest observed frequency in the European (non-Finnish) population (AF= 0.000430098; MAF= 0.04301%, 385/895144 alleles, homozygotes = 0); grpmax FAF= 0.00039444.
v2.1
This variant is present in gnomAD v2.1 (AF= 0.000165827; MAF= 0.01658%, 34/205033 alleles, homozygotes = 0) and has highest observed frequency in the European (non-Finnish) population (AF= 0.000281187; MAF= 0.02812%, 26/92465 alleles, homozygotes = 0); grpmax FAF= 0.00021222.
🇨🇦 CA
Not available in gnomAD-Canada v1.0.
Allele frequency by ancestry
three datasets · side by side
gnomAD v4.1
0.035% · 424 / 1,209,884
0 hom · FAF 0.039%
European (non-Finnish)
385 / 895,144
0.043%
Remaining individuals
17 / 47,603
0.036%
South Asian
16 / 56,768
0.028%
Admixed American
3 / 45,821
0.0065%
African/African American
2 / 57,063
0.0035%
East Asian
1 / 33,762
0.003%
+ 4 not observed (European (Finnish), Amish, Middle Eastern, Ashkenazi Jewish)
gnomAD v2.1
0.017% · 34 / 205,033
0 hom · FAF 0.021%
European (non-Finnish)
26 / 92,465
0.028%
South Asian
4 / 19,080
0.021%
Admixed American
3 / 28,048
0.011%
East Asian
1 / 14,844
0.0067%
+ 4 not observed (African/African American, Ashkenazi Jewish, European (Finnish), Remaining individuals)
gnomAD Canada 🇨🇦
Absent · 0 / ?
0 hom
Not observed in any ancestry group.
ClinVar screenshot
ClinVar
This variant is present in ClinVar (Variation ID: 210524); submission details unavailable.
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 previously been reported in somatic cancers (COSMIC; COSV60708452, 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
Triaged references · 2 PMIDs not cited in assessment
25741868 ↗ Standards and guidelines for the interpretation of sequence variants: a joint consensus recommendation of the American College of Medical Genetics and Genomics and the Association for Molecular Pathology. CLINVAR
28492532 ↗ Sherloc: a comprehensive refinement of the ACMG-AMP variant classification criteria. CLINVAR