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_000022.4(ADA):c.631C>T (p.Arg211Cys)

CA115285

1966 (ClinVar)

Gene: ADA
Condition: adenosine deaminase deficiency
Inheritance Mode: Autosomal recessive inheritance
UUID: 4f92adc5-3431-4f25-8298-d4cd9bfea5a6

HGVS expressions

NM_000022.4:c.631C>T
NM_000022.4(ADA):c.631C>T (p.Arg211Cys)
NC_000020.11:g.44623054G>A
CM000682.2:g.44623054G>A
NC_000020.10:g.43251695G>A
CM000682.1:g.43251695G>A
NC_000020.9:g.42685109G>A
NG_007385.1:g.33682C>T
ENST00000372874.9:c.631C>T
ENST00000372874.8:c.631C>T
ENST00000372887.5:c.152-879G>A
ENST00000464097.5:n.305C>T
ENST00000492931.5:n.715C>T
ENST00000536532.5:c.631C>T
ENST00000537820.1:c.607-124C>T
ENST00000539235.5:c.*15C>T
NM_000022.2:c.631C>T
NM_000022.3:c.631C>T
NM_001322050.1:c.226C>T
NM_001322051.1:c.607-124C>T
NR_136160.1:n.782C>T
NM_001322050.2:c.226C>T
NM_001322051.2:c.607-124C>T
NR_136160.2:n.723C>T

Likely Pathogenic

Met criteria codes 3
PP1_Moderate PM3 PM5
Not Met criteria codes 1
PM2

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 ADA Version 1.0.0

Criteria Specification Approval History
Criteria Specifications for this VCEP
Evidence submitted by expert panel
Severe Combined Immunodeficiency Disease VCEP
NM_000022.4:c.631C>T is a missense variant predicted to cause substitution of Arginine by Cysteine at amino acid 211 (p. Arg211Cys). The highest population minor allele frequency in gnomAD v4 is 0.0005167 (31/60000) in Admixed American population (PM2_Supporting, BS1, and BA1 are not met). The variant has been reported to segregate with SCID in 2 affected family members from 1 family (PP1_moderate; PMID :8051429). Patient was found heterozygous for R211C & L107P which is classified as likely pathogenic by SCID VCEP (1 pt.) (PM3) (PMID: 2166947).Another missense variant [c.632G>A, p.Arg211His)] in the same codon has been classified as pathogenic for SCID by the ClinGen SCID VCEP (PM5). In summary, this variant meets the criteria to be classified as a Likely Pathogenic variant for autosomal recessive severe combined immunodeficiency due to ADA deficiency based on the ACMG/AMP criteria applied, as specified by the ClinGen SCID VCEP: PP1_moderate,PM3,PM5(VCEP specifications version 1).
Met criteria codes
PP1_Moderate
The variant has been reported to segregate with SCID in 2 affected family members from 1 family (PP1_moderate; PMID: 8051429)
PM3
Patient was found heterozygous for R211C & L107P which is classified as likely pathogenic by SCID VCEP (1 pt.) (PM3) (PMID: 2166947)
PM5
Another missense variant [c.632G>A, p.Arg211His)] in the same codon has been classified as pathogenic for SCID by the ClinGen SCID VCEP (PM5).
Not Met criteria codes
PM2
The highest population minor allele frequency in gnomAD v4 is 0.0005167 (31/60000) in Admixed American population. (PM2_Supporting, BS1, and BA1 are not met)
Approved on: 2024-01-10
Published on: 2024-01-10
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