IL2RG

protein-coding

interleukin 2 receptor subunit gamma, the group of CD molecules|Interleukin receptors|Fibronectin type III domain containing

Gene summary

The protein encoded by this gene is an important signaling component of many interleukin receptors, including those of interleukin -2, -4, -7 and -21, and is thus referred to as the common gamma chain. Mutations in this gene cause X-linked severe combined immunodeficiency (XSCID), as well as X-linked combined immunodeficiency (XCID), a less severe immunodeficiency disorder. [provided by RefSeq, Mar 2010]

Previous symbols:
  • SCIDX1
  • IMD4
  • CIDX

MANE transcript

NM_000206.3

Inheritance

XL, AR, XLR

ClinVar variants

P:167U:162B:134

Top phenotype

Combined immunodeficiency, X-linked

gnomAD constraint

pLI —, LoF o/e 0

Max pathogenic AF

—

Genomic locus

chrX:71,107,404-71,112,108

External References & Databases

Transcript & Mutation Effects

hg38 • Region Span ~4.7 kb
Loading mutation effect viewer...

GenCC Phenotypes & Disease Associations

Curated gene-disease validity assertions and inheritance patterns

T-B+ severe combined immunodeficiency due to gamma chain deficiencySTRONG

Inheritance Pattern: XL

Disease ID:MONDO:0010315

Submitter: Labcorp Genetics (formerly Invitae)

Omenn syndromeSUPPORTIVE

Inheritance Pattern: AR

Disease ID:MONDO:0011338

Submitter: Orphanet

T-B+ severe combined immunodeficiency due to gamma chain deficiencyDEFINITIVE

Inheritance Pattern: XL

Disease ID:MONDO:0010315

Submitter: Ambry Genetics

T-B+ severe combined immunodeficiency due to gamma chain deficiencySUPPORTIVE

Inheritance Pattern: XL

Disease ID:MONDO:0010315

Submitter: Orphanet

T-B+ severe combined immunodeficiency due to gamma chain deficiencySTRONG

Inheritance Pattern: XL

Disease ID:MONDO:0010315

Submitter: PanelApp Australia

T-B+ severe combined immunodeficiency due to gamma chain deficiencyDEFINITIVE

Inheritance Pattern: XL

Disease ID:MONDO:0010315

Submitter: ClinGen

IL2RG was first reported in relation to X-linked T-B+ severe combined immunodeficiency due to gamma chain deficiency in 1993 (Puck et al. PMID:8401490). T-B+ severe combined immunodeficiency due to gamma chain deficiency is a form of SCID characterized by severe and recurrent infections, associated with diarrhea and failure to thrive. This disease differs from the Bruton type of agammaglobulinemia by the additional presence of lymphocytopenia, earlier age at death, vulnerability to viral and fungal as well as bacterial infections, lack of delayed hypersensitivity, atrophy of the thymus, and lack of benefit from gamma globulin administration. X-linked combined immunodeficiency is a less severe form of the disorder that is also caused by mutation in the IL2RG gene. At least 11 unique variants (missense, nonsense, splice donor) have been reported in humans. Evidence supporting this gene-disease relationship includes case-level data and experimental data. IL2RG has been noted to be associated with the following disease entities: Combined immunodeficiency, X-linked (moderate) and Severe combined immunodeficiency, X-linked. Per criteria outlined by the ClinGen Lumping and Splitting Working Group, we found no difference in molecular mechanism, or inheritance pattern or phenotypic variability. Therefore, the two disease assertions have been lumped into one disease entity: T-B+ severe combined immunodeficiency due to gamma chain deficiency (MONDO:0010315). Summary of Case Level Data – 11.3 POINTS: Variants in this gene have been reported in at least 14 probands in 7 publications (PMID: 7883965, PMID: 9399950, PMID: 8317482, PMID: 8462096, PMID: 7632950, PMID: 23790094, PMID: 9058718). T-B+ severe combined immunodeficiency due to gamma chain deficiency is caused by a hemizygous pathogenic variant in IL2RG. In typical X-SCID, lack of IL2RG function results in near-complete absence of T and natural killer (NK) lymphocytes and nonfunctional B lymphocytes. This gene-disease association is supported by animal models, functional alteration studies, and protein interaction studies (PMID: 7632950, PMID: 7697543, PMID: 29606506, PMID: 8266078, PMID: 7973659). IL2RG is the gamma subunit of the interleukin-2 receptor. Stimulation with IL-2 induces the tyrosine phosphorylation and activation of the Janus kinases Jak1 and Jak3. IL2RG is also a functional component of the IL-4 receptor and associates with the IL-7 receptor. Cao et al. (1995) showed defective lymphoid development in mice lacking expression of the common cytokine receptor gamma chain. Experimental evidence demonstrates why deficiency of this common gamma chain has a profound effect on lymphoid function and development, as seen in X-linked severe combined immunodeficiency. In summary, there is definitive evidence to support the relationship between IL2RG and X-linked, T-B+ severe combined immunodeficiency due to gamma chain deficiency. This has been repeatedly demonstrated in both the research and clinical diagnostic settings, and has been upheld over time. This classification was approved by the ClinGen SCID-CID GCEP on the meeting date March 18, 2021 (SOP Version 8).

T-B+ severe combined immunodeficiency due to gamma chain deficiencyDEFINITIVE

Inheritance Pattern: XL

Disease ID:MONDO:0010315

Submitter: Myriad Women's Health

T-B+ severe combined immunodeficiency due to gamma chain deficiencyDEFINITIVE

Inheritance Pattern: XLR

Disease ID:MONDO:0010315

Submitter: Natera

Clinical Genomic Database (CGD)

Combined immunodeficiency, X-linkedXL

Manifestation: Allergy/Immunology/Infectious

Intervention: Allergy/Immunology/Infectious

Rationale: Antiinfectious prophylaxis and early and aggressive treatment of infections is indicated prior to attempts at immune reconstitution; Chronic immunoglobulin therapy may be required even after treatment aimed at immune reconstitution, which is necessary for survival; BMT/HSCT has been described, as has the use of gene therapy in individuals who are not candidates for or who have failed BMT

Refs: 2243135; 7883965; 8462096; 9063412; 11517204; 11806989; 20301584; 21184155; 22460439Source: CGD (NHGRI)

ClinVar Associated Diseases & Phenotypes

Reported disease conditions connected to IL2RG variants in ClinVar

10 Conditions Cataloged
X-linked severe combined immunodeficiencyTotal: 469
not providedTotal: 76
not specifiedTotal: 31
Inborn genetic diseasesTotal: 31
Combined immunodeficiency, X-linkedTotal: 21
IL2RG-related disorderTotal: 18
IL2RG-related disordersTotal: 9
SCID with features of gamma chain deficiencyTotal: 3

ClinVar Variants & Pathogenicity by Type

Statistics based on transcript NM_000206.3. Only rare variants are included.

We include only reliable ClinVar variants with their consequences to MANE Select, MANE Plus Clinical transcripts, or transcripts with TSL equal to 1. Click a count to filter the variants table below.

Slight differences between displayed counts and ClinVar may occur due to a different transcript/consequence chosen by our variant effect predictor, or because we classify Benign/Likely benign as Likely benign and Pathogenic/Likely pathogenic as Likely pathogenic.

EffectPLPVUSLBBSum
synonymous
1
clinvar
1
clinvar
10
clinvar
91
clinvar
8
clinvar
111
missense
19
clinvar
36
clinvar
134
clinvar
29
clinvar
6
clinvar
224
nonsense
31
clinvar
8
clinvar
5
clinvar
44
start loss
1
clinvar
1
frameshift
39
clinvar
10
clinvar
4
clinvar
53
splice donor/acceptor (+/-2bp)
17
clinvar
4
clinvar
9
clinvar
30
Total1085916212014463

Highest pathogenic variant AF is 0.000013253119

Loading ClinVar variants...

Transcript Catalog

Annotated transcript isoforms across RefSeq and Ensembl databases

Showing 4 of 12 transcripts
Transcript IDSourceProtein IDCoding ExonsMANE Status
NM_000206.3RefSeqNP_000197.18MANE Select
ENST00000374202.7EnsemblENSP00000363318.38MANE Select
NM_001438870.1RefSeqNP_001425799.16Standard
ENST00000464642.5EnsemblENSP00000425233.15Standard

Model Organisms & Knockout Phenotypes

Observed phenotypic effects in mouse and zebrafish models

Gene / ModelOrganismObserved Phenotype
il2rgaDanio rerio

Structure: mature B cell

Quality: decreased amount

abnormal

Gene Ontology (GO) Annotations & Pathways

Biological processes, molecular functions, cellular components and pathways

Pathways ConsensusPathDB

  • PI3K-Akt signaling pathway - Homo sapiens (human)
  • Primary immunodeficiency - Homo sapiens (human)
  • Jak-STAT signaling pathway - Homo sapiens (human)
  • Endocytosis - Homo sapiens (human)
  • Inflammatory bowel disease (IBD) - Homo sapiens (human)

Biological Process

  • MAPK cascade
  • immune response
  • signal transduction
  • viral process
  • cytokine-mediated signaling pathway

Molecular Function

  • cytokine receptor activity
  • interleukin-2 receptor activity
  • interleukin-4 receptor activity
  • interleukin-7 receptor activity
  • Ras guanyl-nucleotide exchange factor activity

Cellular Component

  • endosome
  • cytosol
  • plasma membrane
  • integral component of plasma membrane
  • external side of plasma membrane

gnomAD Constraint

Source: gnomAD

Gene type
protein_coding
Transcript type
protein_coding
Transcript
ENST00000374202
Coding exons
8
Length
4705
Individuals with no LoFs
0
Homozygous LoFs
0
Heterozygous LoFs
0
Defined
0
p
0.00
Z-ScoreObservedExpectedObserved/ExpectedMutation RateTotal Possible
Missense1.49861350.6390.00001022416
Missense (PolyPhen)1439.3180.35607731
Synonymous0.06655353.60.9880.00000393700
Loss of Function3.50014.30.000.00000106221

Population LoF Frequency

PopulationCAFp-valueStatus
African00.0absent
Latino/Admixed American00.0absent
Ashkenazi Jewish00.0absent
East Asian00.0absent
Finnish00.0absent
European (Non-Finnish)00.0absent
South Asian00.0absent
Other00.0absent

dbNSFP Gene Annotations

Source: dbNSFP

Function
FUNCTION: Common subunit for the receptors for a variety of interleukins.;
Disease
DISEASE: Severe combined immunodeficiency X-linked T-cell- negative/B-cell-positive/NK-cell-negative (XSCID) [MIM:300400]: A form of severe combined immunodeficiency (SCID), a genetically and clinically heterogeneous group of rare congenital disorders characterized by impairment of both humoral and cell-mediated immunity, leukopenia, and low or absent antibody levels. Patients present in infancy recurrent, persistent infections by opportunistic organisms. The common characteristic of all types of SCID is absence of T-cell-mediated cellular immunity due to a defect in T-cell development. {ECO:0000269|PubMed:7557965, ECO:0000269|PubMed:7668284, ECO:0000269|PubMed:7860773, ECO:0000269|PubMed:7937790, ECO:0000269|PubMed:8027558, ECO:0000269|PubMed:8088810, ECO:0000269|PubMed:8299698, ECO:0000269|PubMed:8401490, ECO:0000269|PubMed:8900089, ECO:0000269|PubMed:9049783, ECO:0000269|PubMed:9150740}. Note=The disease is caused by mutations affecting the gene represented in this entry.; DISEASE: X-linked combined immunodeficiency (XCID) [MIM:312863]: Less severe form of X-linked immunodeficiency with a less severe degree of deficiency in cellular and humoral immunity than that seen in XSCID. {ECO:0000269|PubMed:7883965, ECO:0000269|PubMed:9399950}. Note=The disease is caused by mutations affecting the gene represented in this entry.;

Recessive Scores

pRec
0.554

Intolerance Scores

LoFtool
0.119
RVIS EVS
-0.23
RVIS percentile EVS
36.86

Essentials

Essential (CRISPR)
N
Essential (CRISPR2)
N
Essential (gene trap)
N
Indispensability pred.
E
Indispensability score
0.927

Gene Damage Prediction

AllRecessiveDominant
MendelianMediumMediumMedium
Primary ImmunodeficiencyMediumMediumMedium
CancerMediumMediumMedium
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