11-36573607-G-A

Variant summary

Our verdict is Benign. Variant got -10 ACMG points: 0P and 10B. BP7BS2_SupportingBA1

This summary comes from the ClinGen Evidence Repository: The c.303G>A (p.Ala101=) variant (NM_000022.4) is a synonymous (silent) variant that is not predicted by SpliceAI and varSEAK to impact splicing (BP7).The filtering allele frequency (the lower threshold of the 95% CI of 799/30614) of the c.303G>A variant in RAG1 is 0.02460 for South Asian chromosomes by gnomAD v2.1.1 which is higher than the ClinGen SCID VCEP threshold (>0.00872) for BA1 and therefore meets this criterion (BA1). Additionally, 76 homozygous individuals were reported (BS2_Supporting is met). In summary, this variant is classified as a Benign for autosomal recessive SCID based on ACMG/AMP criteria applied, as specified by the ClinGen SCID VCEP (specification version 1.0): BA1, BS2_Supporting, and BP7. LINK:https://erepo.genome.network/evrepo/ui/classification/CA293046/MONDO:0000572/123

Frequency

Genomes: 𝑓 0.016 ( 37 hom., cov: 32)
Exomes 𝑓: 0.022 ( 440 hom. )

Consequence

RAG1
NM_000448.3 synonymous

Scores

2

Clinical Significance

Benign reviewed by expert panel B:8

Conservation

PhyloP100: -0.753
Variant links:
Genes affected
RAG1 (HGNC:9831): (recombination activating 1) The protein encoded by this gene is involved in activation of immunoglobulin V-D-J recombination. The encoded protein is involved in recognition of the DNA substrate, but stable binding and cleavage activity also requires RAG2. Defects in this gene can be the cause of several diseases. [provided by RefSeq, Jul 2008]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -10 ACMG points.

BP7
For more information check the summary or visit ClinGen Evidence Repository.
BS2
For more information check the summary or visit ClinGen Evidence Repository.
BA1
For more information check the summary or visit ClinGen Evidence Repository.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
RAG1NM_000448.3 linkuse as main transcriptc.303G>A p.Ala101= synonymous_variant 2/2 ENST00000299440.6 NP_000439.2

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
RAG1ENST00000299440.6 linkuse as main transcriptc.303G>A p.Ala101= synonymous_variant 2/21 NM_000448.3 ENSP00000299440 P1P15918-1

Frequencies

GnomAD3 genomes
AF:
0.0161
AC:
2456
AN:
152130
Hom.:
37
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00406
Gnomad AMI
AF:
0.0154
Gnomad AMR
AF:
0.0132
Gnomad ASJ
AF:
0.0127
Gnomad EAS
AF:
0.000385
Gnomad SAS
AF:
0.0266
Gnomad FIN
AF:
0.0103
Gnomad MID
AF:
0.0316
Gnomad NFE
AF:
0.0257
Gnomad OTH
AF:
0.0144
GnomAD3 exomes
AF:
0.0169
AC:
4249
AN:
251226
Hom.:
67
AF XY:
0.0179
AC XY:
2433
AN XY:
135764
show subpopulations
Gnomad AFR exome
AF:
0.00332
Gnomad AMR exome
AF:
0.00850
Gnomad ASJ exome
AF:
0.00933
Gnomad EAS exome
AF:
0.000163
Gnomad SAS exome
AF:
0.0261
Gnomad FIN exome
AF:
0.00998
Gnomad NFE exome
AF:
0.0236
Gnomad OTH exome
AF:
0.0173
GnomAD4 exome
AF:
0.0222
AC:
32435
AN:
1461888
Hom.:
440
Cov.:
31
AF XY:
0.0225
AC XY:
16332
AN XY:
727248
show subpopulations
Gnomad4 AFR exome
AF:
0.00317
Gnomad4 AMR exome
AF:
0.00908
Gnomad4 ASJ exome
AF:
0.0103
Gnomad4 EAS exome
AF:
0.000277
Gnomad4 SAS exome
AF:
0.0266
Gnomad4 FIN exome
AF:
0.0110
Gnomad4 NFE exome
AF:
0.0247
Gnomad4 OTH exome
AF:
0.0201
GnomAD4 genome
AF:
0.0161
AC:
2451
AN:
152248
Hom.:
37
Cov.:
32
AF XY:
0.0155
AC XY:
1153
AN XY:
74438
show subpopulations
Gnomad4 AFR
AF:
0.00404
Gnomad4 AMR
AF:
0.0131
Gnomad4 ASJ
AF:
0.0127
Gnomad4 EAS
AF:
0.000386
Gnomad4 SAS
AF:
0.0262
Gnomad4 FIN
AF:
0.0103
Gnomad4 NFE
AF:
0.0257
Gnomad4 OTH
AF:
0.0142
Alfa
AF:
0.0193
Hom.:
28
Bravo
AF:
0.0150
Asia WGS
AF:
0.0130
AC:
46
AN:
3478
EpiCase
AF:
0.0282
EpiControl
AF:
0.0277

ClinVar

Significance: Benign
Submissions summary: Benign:8
Revision: reviewed by expert panel
LINK: link

Submissions by phenotype

not specified Benign:2
Benign, criteria provided, single submitterclinical testingPreventionGenetics, part of Exact Sciences-- -
Benign, criteria provided, single submitterclinical testingGeneDxAug 05, 2013This variant is considered likely benign or benign based on one or more of the following criteria: it is a conservative change, it occurs at a poorly conserved position in the protein, it is predicted to be benign by multiple in silico algorithms, and/or has population frequency not consistent with disease. -
not provided Benign:2
Benign, criteria provided, single submitterclinical testingARUP Laboratories, Molecular Genetics and Genomics, ARUP LaboratoriesSep 12, 2023- -
Benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -
Recombinase activating gene 1 deficiency Benign:1
Benign, reviewed by expert panelcurationClinGen Severe Combined Immunodeficiency Variant Curation Expert Panel, ClinGenNov 14, 2023The c.303G>A (p.Ala101=) variant (NM_000022.4) is a synonymous (silent) variant that is not predicted by SpliceAI and varSEAK to impact splicing (BP7). The filtering allele frequency (the lower threshold of the 95% CI of 799/30614) of the c.303G>A variant in RAG1 is 0.02460 for South Asian chromosomes by gnomAD v2.1.1 which is higher than the ClinGen SCID VCEP threshold (>0.00872) for BA1 and therefore meets this criterion (BA1). Additionally, 76 homozygous individuals were reported (BS2_Supporting is met). In summary, this variant is classified as a Benign for autosomal recessive SCID based on ACMG/AMP criteria applied, as specified by the ClinGen SCID VCEP (specification version 1.0): BA1, BS2_Supporting, and BP7. -
Severe combined immunodeficiency, autosomal recessive, T cell-negative, B cell-negative, NK cell-positive Benign:1
Benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaJan 13, 2018This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score and internal cut-off values, a variant classified as benign is not then subjected to further curation. The score for this variant resulted in a classification of benign for this disease. -
Histiocytic medullary reticulosis Benign:1
Benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaJan 13, 2018This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score and internal cut-off values, a variant classified as benign is not then subjected to further curation. The score for this variant resulted in a classification of benign for this disease. -
Severe combined immunodeficiency, autosomal recessive, T cell-negative, B cell-negative, NK cell-positive;C2673536:Combined immunodeficiency with skin granulomas Benign:1
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpFeb 01, 2024- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.94
CADD
Benign
0.67
DANN
Benign
0.84

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.0
Details are displayed if max score is > 0.2

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

Publications

LitVar

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs4151025; hg19: chr11-36595157; COSMIC: COSV104408578; COSMIC: COSV104408578; API