The ClinGen Evidence Repository is an FDA-recognized human genetic variant database containing expert-curated assertions regarding variants' pathogenicity and supporting evidence summaries. [Disclaimer]
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Variant: NM_000536.4(RAG2):c.501A>C (p.Arg167Ser)

CA380142798

857069 (ClinVar)

Gene: RAG2 (HGNC:5897)
Condition: recombinase activating gene 2 deficiency (MONDO:0000573)
Inheritance Mode: Autosomal recessive inheritance
UUID: eeb69d61-f36f-44f5-bf81-a8d89de0be61
Approved on: 2024-05-14
Published on: 2024-05-14

HGVS expressions

NM_000536.4:c.501A>C
NM_000536.4(RAG2):c.501A>C (p.Arg167Ser)
NC_000011.10:g.36593668T>G
CM000673.2:g.36593668T>G
NC_000011.9:g.36615218T>G
CM000673.1:g.36615218T>G
NC_000011.8:g.36571794T>G
NG_007573.1:g.9569A>C
NG_033154.1:g.4176T>G
ENST00000527033.6:c.501A>C
ENST00000529083.2:c.501A>C
ENST00000532616.2:c.501A>C
ENST00000311485.8:c.501A>C
ENST00000311485.7:c.501A>C
ENST00000524423.1:n.131+4434A>C
ENST00000618712.4:c.501A>C
NM_000536.3:c.501A>C
NM_001243785.1:c.501A>C
NM_001243786.1:c.501A>C
NM_001243785.2:c.501A>C
NM_001243786.2:c.501A>C
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Uncertain Significance

Met criteria codes 3
PM1_Supporting PM3 PM2_Supporting
Not Met criteria codes 1
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 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.501A>C (NM_000536.4) variant in RAG2 is a missense variant predicted to cause the substitution of Arginine by Serine at amino acid 167 (p.Arg167Ser). The highest population minor allele frequency in gnomAD v4 is 0.0001941 (1/5152 alleles) in the Ashkenazi Jewish population. As this is a known bottleneck population, it will not be considered here for PM2_Supporting. As no other alleles have been reported in other populations, PM2 at the supporting level is applied (Absence in GnomAD). 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. This variant has been detected in one individual with SCID, reported by Invitae in ClinVar. This individual is compound heterozygous for p.Gly95Arg, a likely pathogenic variant according to SCID VCEP specifications. Both parents were tested, and the phase is confirmed: 1 point. PM3_Moderate (Internal lab contributor). No clinical features were described; Not possible to evaluate for PP4. In summary, this variant meets the criteria to be classified as a variant of uncertain significance for autosomal recessive recombinase activating gene 2 deficiency based on the ACMG/AMP criteria applied, as specified by the ClinGen SCID VCEP: PM2_Supporting, PM1_Supporting, and PM3_Moderate. (VCEP specifications version 1).
Met criteria codes
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.
PM3
This variant has been detected in one individual with SCID, reported by Invitae in ClinVar. This individual is compound heterozygous for p.Gly95Arg, a likely pathogenic variant according to SCID VCEP specifications; Both parents were tested, phase is confirmed; 1 point. PM3_Moderate. (Internal lab contributor).
PM2_Supporting
The highest population minor allele frequency in gnomAD v4 is 0.0001941 (1/5152 alleles) in the Ashkenazi Jewish population. As this is a known bottleneck population, it will not be considered here for PM2_Supporting. As no other alleles have been reported in other populations, PM2 at the supporting level is applied (Absence in GnomAD).
Not Met criteria codes
PP4
One patient was reported at Invitae carrying this variant - with no clinical features described; Not possible to evaluate for PP4.
Curation History
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