The ClinGen Evidence Repository is an FDA-recognized human genetic variant database containing expert-curated assertions regarding variants' pathogenicity and supporting evidence summaries. [Disclaimer]
  • Gene obtained from curated document aligns with the Allele Registry but not with ClinVar data
  • No CSPEC computer assertion could be determined for this classification!


Variant: NM_000536.4(RAG2):c.685C>T (p.Arg229Trp)

CA5950542

496624 (ClinVar)

Gene: RAG2
Condition: recombinase activating gene 2 deficiency
Inheritance Mode: Autosomal recessive inheritance
UUID: 425dc324-2478-4987-b039-5a6755df655e
Approved on: 2024-04-01
Published on: 2024-04-01

HGVS expressions

NM_000536.4:c.685C>T
NM_000536.4(RAG2):c.685C>T (p.Arg229Trp)
NC_000011.10:g.36593484G>A
CM000673.2:g.36593484G>A
NC_000011.9:g.36615034G>A
CM000673.1:g.36615034G>A
NC_000011.8:g.36571610G>A
NG_007573.1:g.9753C>T
NG_033154.1:g.3992G>A
ENST00000527033.6:c.685C>T
ENST00000529083.2:c.685C>T
ENST00000532616.2:c.685C>T
ENST00000311485.8:c.685C>T
ENST00000311485.7:c.685C>T
ENST00000524423.1:n.131+4618C>T
ENST00000618712.4:c.685C>T
NM_000536.3:c.685C>T
NM_001243785.1:c.685C>T
NM_001243786.1:c.685C>T
NM_001243785.2:c.685C>T
NM_001243786.2:c.685C>T

Pathogenic

Met criteria codes 6
PM3_Strong PM1_Supporting PP4 PP1 PM2_Supporting PS3_Moderate
Not Met criteria codes 2
BS2 PM5

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 RAG2 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.685C>T (NM_000536.4) variant in RAG2 is a missense variant predicted to cause the substitution of Arginine by Tryptophan at amino acid 229 (p.Arg229Trp). The filtering allele frequency (the upper threshold of the 95% CI of (11/1180024 alleles) is 0.000005000 in gnomad v4 for the European (non-Finnish) population, which is lower than the ClinGen SCID VCEP threshold (<0.0000588) for PM2_Supporting, meeting this criterion (PM2_Supporting). No homozygous has been described. This variant is located in the core domain, amino acids 1-383 of RAG2, which is defined as a critical functional domain by the ClinGen SCID VCEP (PMID: 26996199); PM1_Supporting. The recombination activity assay showed activity of this variant compared to wildtype RAG2 is 10.5% (SEM 0.5), which is lower than the SCID VCEP threshold (<25%) for PS3_Moderate, meeting this criterion (PS3_Moderate, PMID 29772310). The variant has been reported to segregate in two affected family members (Proband + 1) (PP1); (Proband 30a and 30b, PMID: 11133745). At least 9 probands were reported in the literature carrying this variant. 8 of them were homozygous, reaching the maximum of 1 point for homozygous occurrence. Also, 1 proband is compound heterozygous for paternal Arg229Trp and maternal Gly95Arg, which is likely pathogenic according to SCID VCEP specifications, as phase is confirmed; 1 point—a total of 2 points, PM3_Strong. Proband 24 presents: *Diagnostic criteria for SCID/Leaky SCID/Omenn syndrome met 0.5pts + *T-B-NK+ lymphocyte subset profile 0.5pts; total 1pt, PP4 is met (PMID: 11133745). In summary, this variant meets the criteria to be classified as Pathogenic for autosomal recessive recombinase activating gene 2 deficiency based on the ACMG/AMP criteria applied, as specified by the ClinGen SCID VCEP. Criteria applied: PM2_Supporting, PM1_Supporting, PS3_Moderate, PP1, PM3_Strong, and PP4 (VCEP specifications version 1.0).
Met criteria codes
PM3_Strong
At least 9 probands were reported in the literature carrying this variant. 8 of them were homozygous, reaching the maximum of 1 point for homozygous occurrence. Also, 1 proband is compound heterozygous for paternal Arg229Trp and maternal Gly95Arg, which is likely pathogenic according to SCID VCEP specifications, as phase is confirmed; 1 point—a total of 2 points, PM3_Strong.
PM1_Supporting
This variant is located in the core domain, amino acids 1-383 of RAG2, which is defined as a critical functional domain by the ClinGen SCID VCEP (PMID: 26996199); PM1_Supporting.
PP4
Proband 24: Diagnostic criteria for SCID/Leaky SCID/Omenn syndrome met 0.5pts + T-B-NK+ lymphocyte subset profile 0.5pts; total 1pt, PP4 is met (PMID: 11133745).
PP1
The variant has been reported to segregate in 02 affected family members (Proband + 1) (PP1_Supporting); (Proband 30a and 30b, PMID: 11133745).
PM2_Supporting
The filtering allele frequency (the upper threshold of the 95% CI of (11/1180024 alleles) is 0.000005000 in gnomad v4 for the European (non-Finnish) population, which is lower than the ClinGen SCID VCEP threshold (<0.0000588) for PM2_Supporting, meeting this criterion (PM2_Supporting). No homozygous has been described.
PS3_Moderate
The recombination activity assay showed activity of this variant compared to wildtype RAG2 is 10.5% (SEM 0.5), which is lower than the SCID VCEP threshold (<25%) for PS3_Moderate, meeting this criterion (PS3_Moderate, PMID 29772310).
Not Met criteria codes
BS2
No code specific comments provided, please refer to the summary above or general recommendations provided in the guideline
PM5
At least three other missense variants are described in the same codon: NM_000536.4(RAG2):c.686G>A (p.Arg229Gln) NM_000536.4(RAG2):c.686G>C (p.Arg229Pro), and NM_000536.4(RAG2):c.686G>T (p.Arg229Leu) Despite being classified in ClinVar as Conflicting interpretations of pathogenicity, Pathogenic/Likely pathogenic, and Likely pathogenic, respectively, they have not yet been evaluated according to the SCID VCEP specifications. PM5 is not met at this time.
The information on this website is not intended for direct diagnostic use or medical decision-making without review by a genetics professional. Individuals should not change their health behavior solely on the basis of information contained on this website. If you have questions about the information contained on this website, please see a health care professional.
¤ Powered by BCM's Genboree.