OPCML

Chr 11

opioid binding protein/cell adhesion molecule like

Also known as: IGLON1, OBCAM, OPCM

The protein encoded by this gene is a GPI-anchored cell adhesion molecule that binds opioids in the presence of acidic lipids and exhibits selectivity for mu opioid ligands. Mutations in OPCML are associated with somatic ovarian cancer. The gene shows moderate constraint against loss-of-function variants (LOEUF 0.575), suggesting some intolerance to complete protein loss.

Summary from RefSeq, OMIM, UniProt
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Primary Disease Associations & Inheritance

Ovarian cancer, somaticMIM #167000
0
Active trials
10
Pubs (1 yr)
0
P/LP submissions
P/LP missense
0.57
LOEUF
DN
Mechanism· predicted
Clinical SummaryOPCML
Population Constraint (gnomAD)
Constrained for loss-of-function variants (OE-LoF 0.25) despite low pLI — interpret in context.

Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

Moderate LoF intolerance
LoF Constraint
0.57LOEUF
pLI 0.228
Z-score 2.77
OE 0.25 (0.120.57)
Moderately constrained

More LoF-intolerant than ~75% of genes

Missense Constraint
1.82Z-score
OE missense 0.64 (0.560.74)
133 obs / 206.5 exp
Tolerant

Mild missense constraint

Observed / Expected Ratios
LoF OE0.25 (0.120.57)
00.351.4
Missense OE0.64 (0.560.74)
00.61.4
Synonymous OE1.12
01.21.6
LoF obs/exp: 4 / 15.9Missense obs/exp: 133 / 206.5Syn Z: -0.89
DN
0.7034th %ile
GOF
0.6248th %ile
LOF
0.4234th %ile

The highest-scoring mechanism for this gene is dominant-negative.

DNprediction above median

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.

Predictions from Badonyi M, Marsh JA. PLoS ONE. 2024;19(8):e0307312.

ClinVar Variant Classifications

0 submitted variants in ClinVar

Protein Context — Lollipop Plot

OPCML · protein map & ClinVar variants

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

Clinical Trials

Active and recruiting trials from ClinicalTrials.gov

No active trials found for this gene.

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Clinical Literature
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