ABL1

Chr 9ADSomatic

ABL proto-oncogene 1, non-receptor tyrosine kinase

The ABL1 protein is a non-receptor tyrosine kinase that regulates cytoskeleton remodeling, cell motility, DNA damage response, and apoptosis through phosphorylation of multiple substrate proteins. Germline mutations cause congenital heart defects and skeletal malformations syndrome with autosomal dominant inheritance, while somatic mutations lead to Philadelphia chromosome-positive leukemia resistant to imatinib. ABL1 is highly constrained against loss-of-function variants (pLI = 1.0, LOEUF = 0.18), reflecting its essential cellular functions.

OMIMResearchSummary from OMIM, UniProt
GOFmechanismAD/SomaticLOEUF 0.182 OMIM phenotypes
Clinical SummaryABL1
Population Constraint (gnomAD)
Highly constrained gene — heterozygous loss-of-function variants are very rare in the population (pLI 1.00). One damaged copy is likely sufficient to cause disease.
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Clinical Trials
12 active or recruiting trials — potential therapeutic options may be available
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Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

LoF intolerant — likely haploinsufficient
LoF Constraint
0.18LOEUF
pLI 1.000
Z-score 5.74
OE 0.07 (0.030.18)
Highly constrained

Highly LoF-intolerant (top ~10% of genes)

Missense Constraint
2.56Z-score
OE missense 0.73 (0.680.79)
523 obs / 715.6 exp
Mild constraint

Moderately missense-constrained (top ~2.5%)

Observed / Expected Ratios
LoF OE0.07 (0.030.18)
00.351.4
Missense OE0.73 (0.680.79)
00.61.4
Synonymous OE1.03
01.21.6
LoF obs/exp: 3 / 44.1Missense obs/exp: 523 / 715.6Syn Z: -0.47
Curated Mechanism (G2P)Gene2Phenotype (DDG2P) ↗
strongABL1-related congenital heart defects and skeletal malformationsGOFAD
DN
0.4587th %ile
GOF
0.5563th %ile
LOF
0.73top 10%

This gene has evidence for multiple mechanisms of pathogenicity (loss-of-function and gain-of-function). Both the Badonyi & Marsh prediction and the broader genomic evidence point to loss-of-function as the predominant mechanism. Different variants in this gene may act through different mechanisms — interpret in context of the specific variant.

LOFprediction above median · LOEUF 0.18
GOF1 literature citation

Note: In-silico variant effect predictors (SIFT, PolyPhen, REVEL, CADD) may underestimate pathogenicity of missense variants in genes with GOF or DN mechanisms. Consider functional evidence and clinical context.

Literature Evidence

GOFA gain-of-function mutation in germline ABL1 causes a syndrome including congenital heart defects.PMID:33075386

Predictions from Badonyi M, Marsh JA. PLoS ONE. 2024;19(8):e0307312. Mechanism ranking also informed by gnomAD constraint, ClinVar, and ClinGen data.

ClinVar Variant Classifications

0 submitted variants in ClinVar

Protein Context — Lollipop Plot

ABL1 · protein map & ClinVar variants

Showing all ClinVar variants across the protein. Search a specific variant to highlight its position.

3D Protein StructureAlphaFold

Clinical Trials

Active and recruiting trials from ClinicalTrials.gov

Lymphoma, Non-HodgkinMultiple MyelomaAdvanced Solid Tumors

Canadian Profiling and Targeted Agent Utilization Trial (CAPTUR)

RECRUITING
NCT03297606Phase PHASE2Canadian Cancer Trials GroupStarted 2018-03-23
OlaparibDasatinibNivolumab plus Ipilimumab
Chronic Myeloid Leukemia, Chronic PhaseAdult CMLLeukemia, Myeloid

Asciminib as Initial Therapy for Patients With Chronic Myeloid Leukemia in Chronic Phase

RECRUITING
NCT05143840Phase PHASE2Augusta UniversityStarted 2022-04-22
Single Agent AsciminibLow TKIElective Free Treatment
Blast Phase Chronic Myeloid Leukemia, BCR-ABL1 PositiveRecurrent Acute Lymphoblastic LeukemiaRecurrent Chronic Lymphocytic Leukemia

Anti-CD19/20/22 Chimeric Antigen Receptor T Cells (TriCAR19.20.22 T Cells) for the Treatment of Relapsed or Refractory Non-Hodgkin Lymphoma, Acute Lymphoblastic Leukemia, and Chronic Lymphocytic Leukemia

RECRUITING
NCT07166419Phase PHASE1Ohio State University Comprehensive Cancer CenterStarted 2026-01-14
Autologous Anti-CD19/CD20/CD22 CAR T-cellsBiospecimen CollectionBone Marrow Aspiration
Chronic Phase Chronic Myelogenous Leukemia, BCR-ABL1 PositiveMinimal Residual Disease

Pembrolizumab and Dasatinib, Imatinib Mesylate, or Nilotinib in Treating Patients With Chronic Myeloid Leukemia and Persistently Detectable Minimal Residual Disease

ACTIVE NOT RECRUITING
NCT03516279Phase PHASE2ECOG-ACRIN Cancer Research GroupStarted 2019-06-26
DasatinibImatinib MesylateLaboratory Biomarker Analysis
Acute Lymphoblastic LeukemiaPhiladelphia ChromosomePhiladelphia-Positive ALL

A Single-arm, Open-label Study of Olverembatinib, CD3/CD19 Bispecific T-cell Engager, and Chidamide in Patients With Newly Diagnosed Ph+ALL

RECRUITING
NCT06220487Phase PHASE2Nanfang Hospital, Southern Medical UniversityStarted 2024-02-01
Prednisone, Olverembatinib, Blinatumomab, Chidamide
Chronic Myeloid Leukemia (CML)

Evaluation of CD47, "Do Not Eat Me" Signal Expression in Chronic Myeloid Leukemia

NOT YET RECRUITING
NCT06865443Assiut UniversityStarted 2025-05-01
Malignant Solid Neoplasms

Adapting Treatment to the Tumor Molecular Alterations for Patients With Advanced Solid Tumors: MyOwnSpecificTreatment

RECRUITING
NCT02029001Phase PHASE2Centre Leon BerardStarted 2014-03
Nilotinib (400 mg BID)Everolimus (10 mg QD)Sorafenib (400 mg BID)
Juvenile Myelomonocytic LeukemiaRecurrent Acute Biphenotypic LeukemiaRecurrent Acute Undifferentiated Leukemia

HA-1 T TCR T Cell Immunotherapy for the Treatment of Patients With Relapsed or Refractory Acute Leukemia After Donor Stem Cell Transplant

RECRUITING
NCT03326921Phase PHASE1Fred Hutchinson Cancer CenterStarted 2018-02-23
CD8+ and CD4+ Donor Memory T-cells-expressing HA1-Specific TCRBone Marrow AspirationBiospecimen Collection
Acute Lymphoblastic Leukemia

Adding Ruxolitinib to a Combination of Dasatinib Plus Dexamethasone in Remission Induction Therapy in Newly Diagnosed Philadelphia Chromosome-Positive Acute Lymphoblastic Leukemia Patients Aged 40 Years or Older

ACTIVE NOT RECRUITING
NCT02494882Phase PHASE1Memorial Sloan Kettering Cancer CenterStarted 2015-06-29
RuxolitinibDasatinibDexamethasone
Philadelphia Chromosome-Positive Chronic Myeloid Leukemia

A Study to Investigate Tolerability and Efficacy of Asciminib (Oral) Versus Nilotinib (Oral) in Adult Participants (≥18 Years of Age) With Newly Diagnosed Philadelphia Chromosome Positive Chronic Myelogenous Leukemia in Chronic Phase (Ph+ CML-CP)

ACTIVE NOT RECRUITING
NCT05456191Phase PHASE3Novartis PharmaceuticalsStarted 2022-11-21
AsciminibNilotinib
Chronic Myelogenous Leukemia

A Clinical Trial to Evaluate the Safety and Tolerability of TQB3911 Tablets in Patients With BCR::ABL Fusion Gene Positive Leukemia

NOT YET RECRUITING
NCT06672263Phase PHASE1Chia Tai Tianqing Pharmaceutical Group Nanjing Shunxin Pharmaceutical Co., Ltd.Started 2024-11
TQB3911 tablets
Chronic Myeloid Leukemia (CML)

Open-label Study of Asciminib for CML-CP or CML-AP Patients With T315I Mutation Who Are Resistant, Intolerant or Ineligible to Ponatinib.

RECRUITING
NCT06514534Phase PHASE2Novartis PharmaceuticalsStarted 2025-02-18
ABL001/Asciminib
Clinical Literature
Open Research Assistant →
Full-Text Mentions
NLP-detected gene mentions in article bodies · via PubTator3
PubTator3
ETV6::ABL1 / 1
Li WW et al.·Zhonghua Xue Ye Xue Za Zhi
2025
BCR::ABL1 B
Yan YC et al.·Zhonghua Xue Ye Xue Za Zhi
2024
BCR::ABL1 7
Hao MZ et al.·Zhonghua Xue Ye Xue Za Zhi
2023
BCR::ABL1 e6a2 1
Li JJ et al.·Zhonghua Xue Ye Xue Za Zhi
2024
Top 5 full-text resultsSearch PubTator3 ↗