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
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Variant: NM_000536.4(RAG2):c.1247G>T (p.Trp416Leu)

CA214212

36717 (ClinVar)

Gene: RAG2
Condition: recombinase activating gene 2 deficiency
Inheritance Mode: Autosomal recessive inheritance
UUID: 89f43e11-beb2-4647-8c50-9150c12f172e

HGVS expressions

NM_000536.4:c.1247G>T
NM_000536.4(RAG2):c.1247G>T (p.Trp416Leu)
NC_000011.10:g.36592922C>A
CM000673.2:g.36592922C>A
NC_000011.9:g.36614472C>A
CM000673.1:g.36614472C>A
NC_000011.8:g.36571048C>A
NG_007573.1:g.10315G>T
NG_033154.1:g.3430C>A
ENST00000527033.6:c.1247G>T
ENST00000529083.2:c.1247G>T
ENST00000532616.2:c.1247G>T
ENST00000311485.8:c.1247G>T
ENST00000311485.7:c.1247G>T
ENST00000524423.1:n.131+5180G>T
ENST00000534663.1:c.*86-45C>A
ENST00000618712.4:c.1247G>T
NM_000536.3:c.1247G>T
NM_001243785.1:c.1247G>T
NM_001243786.1:c.1247G>T
NM_001243785.2:c.1247G>T
NM_001243786.2:c.1247G>T

Likely Pathogenic

Met criteria codes 4
PM3 PM1 PS3_Moderate PP4
Not Met criteria codes 4
PM2 BA1 BS2 BS1

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.1247G>T (NM_000536.4) variant in RAG2 is a missense variant predicted to cause the substitution of Tryptophan by Leucine at amino acid 416 (p.Trp416Leu). The Popmax Filtering AF (95% confidence) in gnomAD v.4 is 0.0002998, based on 36/91078 alleles in the South Asian population. PM2_Supporting (<0.0000588), BS1 (>0.00195), and BA1 (>0.00872) are not met. No homozygotes have been observed in gnomAD (BS2 is not met). This variant is located in the PHD domain, amino acids 414-487 of RAG2, which is defined as a critical functional domain by the ClinGen SCID VCEP (PMID: 26996199); PM1. The variant was found in at least four individuals in the literature, with diagnostic criteria for SCID/Leaky SCID/Omenn syndrome met. All of them are homozygous, reaching 1 point for homozygous occurrence. PM3_Moderate (PMID: 17572155). Diagnostic criteria for SCID/Leaky SCID/Omenn syndrome met 0.5pts + T-B-NK+ lymphocyte subset profile 0.5pts; the total is 1 point, PP4 is met (PMID: 29772310). The recombination activity assay showed activity of this variant compared to wildtype RAG2 is 1.4% (SEM 0.2), which is lower than the SCID VCEP threshold (<25%) for PS3_Moderate, meeting this criterion (PS3_Moderate, PMID 29772310). In summary, this variant meets the criteria to be classified as Likely 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: PM1, PM3, PP4, and PS3_Moderate (VCEP specifications version 1.0).
Met criteria codes
PM3
The variant was found in at least four individuals in the literature, with diagnostic criteria for SCID/Leaky SCID/Omenn syndrome met. All of them are homozygous, reaching 1 point for homozygous occurrence. PM3_Moderate (PMID: 17572155).
PM1
This variant is located in the PHD domain, amino acids 414-487 of RAG2, which is defined as a critical functional domain by the ClinGen SCID VCEP (PMID: 26996199); PM1_Moderate.
PS3_Moderate
The recombination activity assay showed activity of this variant compared to wildtype RAG2 is 1.4% (SEM 0.2), which is lower than the SCID VCEP threshold (<25%) for PS3_Moderate, meeting this criterion (PS3_Moderate, PMID 29772310).
PP4
Diagnostic criteria for SCID/Leaky SCID/Omenn syndrome met 0.5pts + T-B-NK+ lymphocyte subset profile 0.5pts, the total is 1 point, PP4 is met (P33, PMID: 29772310).
Not Met criteria codes
PM2
The Popmax Filtering AF (95% confidence) in gnomAD v.4 is 0.0002998, based on 36/91078 alleles in the South Asian population. PM2_Supporting (<0.0000588), BS1 (>0.00195), and BA1 (>0.00872) are not met. No homozygotes have been observed in gnomAD.
BA1
No code specific comments provided, please refer to the summary above or general recommendations provided in the guideline
BS2
No code specific comments provided, please refer to the summary above or general recommendations provided in the guideline
BS1
No code specific comments provided, please refer to the summary above or general recommendations provided in the guideline
Approved on: 2024-04-01
Published on: 2024-04-01
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