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Variant: NM_000215.4(JAK3):c.2625C>T (p.Leu875=)

CA214091

36419 (ClinVar)

Gene: JAK3
Condition: T-B+ severe combined immunodeficiency due to JAK3 deficiency
Inheritance Mode: Autosomal recessive inheritance
UUID: 0af0fa0b-f55e-4dba-b024-5c01492cdcac
Approved on: 2024-01-17
Published on: 2024-01-17

HGVS expressions

NM_000215.4:c.2625C>T
NM_000215.4(JAK3):c.2625C>T (p.Leu875=)
NC_000019.10:g.17832574G>A
CM000681.2:g.17832574G>A
NC_000019.9:g.17943383G>A
CM000681.1:g.17943383G>A
NC_000019.8:g.17804383G>A
NG_007273.1:g.20418C>T
ENST00000458235.7:c.2625C>T
ENST00000458235.5:c.2625C>T
ENST00000527031.5:n.2278+4153C>T
ENST00000527670.5:c.2625C>T
ENST00000534444.1:c.2625C>T
NM_000215.3:c.2625C>T

Benign

Met criteria codes 3
BP7 BS2_Supporting BA1
Not Met criteria codes 2
PP1 PP4

Evidence Links 0

Expert Panel

Criteria Specification Information

Criteria Specification: ClinGen Severe Combined Immunodeficiency Disease Expert Panel Specifications to the ACMG/AMP Variant Interpretation Guidelines for JAK3 Version 1.0.0

Criteria Specification Approval History
Criteria Specifications for this VCEP
Evidence submitted by expert panel
Severe Combined Immunodeficiency Disease VCEP
The NM_000215.4(JAK3):c.2625C>T (p.Leu875=) synonymous variant occurs at a high allele frequency with a filtering allele frequency based on the European non-Finnish population (upper bound of 95% CI of 1934/129188 observed alleles) is 0.01456 in gnomAD v2.1.1 which is above the SCID-VCEP threshold (>0.00447; BA1). 17 adult homozygous individuals were reported in gnomAD, BS2_Supporting (European non-Finnish n=10, South Asian n=3, European Finnish n=2, and Other n=2). The variant has been reported in one patient in the literature (Patient 17 in PMID: 19203666). Patient 17 has T-B+NK- (0 CD3 T cells, 0.14x10^9 B cells/L, 0.01x10^9 NK cells/L) SCID (0.5pt) and absent IL-2–induced STAT5 phosphorylation (1pt). This combination is specific for T-B+ severe combined immunodeficiency due to JAK3 deficiency (Total 1.5pt; PP4 not considered due to high allele frequency). A confirmed deleterious γc or JAK3 variant was not identified in Patient 17, although a number of sequence variants were identified in his JAK3 gene (IVS13-30c>t/wt, c.2625C>T (L875L)/wt, IVS 20+32T>C/wt). An affected sibling of Patient 17 also carried these same variants, whereas an unaffected sibling did not (PP1 not considered due to high allele frequency). In summary, this variant meets the criteria to be classified as Benign for autosomal recessive T-B+ SCID based on the ACMG/AMP criteria applied, as specified by the ClinGen SCID VCEP. Criteria applied: BA1, BS2_Supporting, and BP7. (VCEP specifications version 1).
Met criteria codes
BP7
The variant is not predicted to impact splicing by SpliceAI or varSEAK.
BS2_Supporting
17 adult homozygous individuals were reported in gnomAD, BS2_Supporting (European non-Finnish n=10, South Asian n=3, European Finnish n=2, and Other n=2).
BA1
The filtering allele frequency based on the European non-Finnish population (upper bound of 95% CI of 1934/129188 observed alleles) is 0.01456 in gnomAD v2.1.1 which is above the SCID-VCEP threshold (>0.00447) and therefore meets this criterion (BA1).
Not Met criteria codes
PP1
Patient 17 (PMID: 19203666) and an affected sibling carried these same variants (IVS13-30c>t/wt, c.2625C>T (L875L)/wt, IVS 20+32T>C/wt), whereas an unaffected sibling did not. Not considered because of high allele frequency.
PP4
Patient 17 (PMID: 19203666) has T-B+NK- (0 CD3 T cells, 0.14x10^9 B cells/L, 0.01x10^9 NK cells/L) SCID (0.5pt) and absent IL-2–induced STAT5 phosphorylation (1pt). This combination is specific for T-B+ severe combined immunodeficiency due to JAK3 deficiency (Total 1.5pt; PP4). Not considered due to high allele frequency.
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