The ClinGen Evidence Repository is an FDA-recognized human genetic variant database containing expert-curated assertions regarding variants' pathogenicity and supporting evidence summaries. [Disclaimer]


Variant: NM_000448.3(RAG1):c.725A>G (p.Gln242Arg)

CA5950037

536967 (ClinVar)

Gene: RAG1
Condition: recombinase activating gene 1 deficiency
Inheritance Mode: Autosomal recessive inheritance
UUID: 07d176d5-ddf5-44ec-92a9-3ec307660eb2
Approved on: 2024-01-17
Published on: 2024-01-17

HGVS expressions

NM_000448.3:c.725A>G
NM_000448.3(RAG1):c.725A>G (p.Gln242Arg)
NC_000011.10:g.36574029A>G
CM000673.2:g.36574029A>G
NC_000011.9:g.36595579A>G
CM000673.1:g.36595579A>G
NC_000011.8:g.36552155A>G
NG_007528.1:g.11017A>G
ENST00000299440.6:c.725A>G
ENST00000299440.5:c.725A>G
ENST00000534663.1:c.725A>G
NM_000448.2:c.725A>G
NM_001377277.1:c.725A>G
NM_001377278.1:c.725A>G
NM_001377279.1:c.725A>G
NM_001377280.1:c.725A>G
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Likely Benign

Met criteria codes 1
BS1
Not Met criteria codes 8
PS3 PS1 PP4 PP1 PM3 PM1 PM5 BS2

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 RAG1 Version 1.0.0

Criteria Specification Approval History
Criteria Specifications for this VCEP
Evidence submitted by expert panel
Severe Combined Immunodeficiency Disease VCEP
The c.725A>G, NM_000448.3, variant in RAG1 is a missense variant predicted to cause substitution of Glutamine by Arginine at amino acid 242 (p.Gln242Arg). The filtering allele frequency (the lower threshold of the 95% CI of 477/128678) of the c.725A>G variant in RAG1 is 0.003627 for European (non-Finnish) chromosomes by gnomAD v2.1.1, which is higher than the ClinGen SCID VCEP threshold (0.00195) for BS1, and therefore meets this criterion (BS1). This variant has been detected in at least one individual with Omenn syndrome. The patient is compound heterozygous for the variant R404Q and also carries another variant in RAG1: N766I. There is no information about family segregation. Phase unknown. (PMID: 32311393). No homozygous are found. This patient displays Diagnostic criteria for Omenn syndrome, which reaches 0.5pt, not enough to apply PP4 in any strength (PMID: 32311393, PP4 Not_Met). In summary, this variant meets the criteria to be classified as Likely Benign for autosomal recessive SCID based on the ACMG/AMP criteria applied, BS1, as specified by the ClinGen SCID VCEP (VCEP specifications version 1).
Met criteria codes
BS1
The filtering allele frequency (the lower threshold of the 95% CI of 477/128678) of the c.725A>G variant in RAG1 is 0.003627 for European (non-Finnish) chromosomes by gnomAD v2.1.1, which is higher than the ClinGen SCID VCEP threshold (0.00195) for BS1, and therefore meets this criterion (BS1).
Not Met criteria codes
PS3
No code specific comments provided, please refer to the summary above or general recommendations provided in the guideline
PS1
No code specific comments provided, please refer to the summary above or general recommendations provided in the guideline
PP4
At least one patient with this variant displayed Diagnostic criteria for Omenn syndrome, which reaches 0.5pt, not enough to apply PP4 in any strength (PMID: 32311393, PP4 Not_Met).
PP1
No code specific comments provided, please refer to the summary above or general recommendations provided in the guideline
PM3
This variant has been detected in at least one individual with Omenn syndrome. The patient is compound heterozygous for the variant R404Q and also carries another variant in RAG1: N766I. There is no information about family segregation. Phase unknown. (PMID: 32311393). No homozygous are found.
PM1
No code specific comments provided, please refer to the summary above or general recommendations provided in the guideline
PM5
No code specific comments provided, please refer to the summary above or general recommendations provided in the guideline
BS2
There is one homozygous individual reported on gnomAD v2.1.1; however, there is one warming regarding this individual, so we will not consider it here.
Curation History
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