chr19-17837938-G-T

Variant summary

Our verdict is Pathogenic. Variant got 11 ACMG points: 11P and 0B. PP4_ModeratePVS1PM2_Supporting

This summary comes from the ClinGen Evidence Repository: The NM_000215.4(JAK3):c.1695C>A (p.Cys565Ter) variant in exon 11 of JH2 domain of JAK3 results in a disrupted protein product PVS1. The variant is also known as the C1790A variant (PMID 17433830). The filtering allele frequency in gnomAD v4.1.0 is 0.000002470 (7/1179982 alleles) in European (non-Finnish) population, which is lower than the ClinGen SCID VCEP threshold (<0.000115) for PM2_Supporting. Additionally, no homozygotes have been observed in gnomAD. (PM2_Supporting). At least one patient in the literature presents Diagnostic criteria for SCID (0.5pt) + Reduced cytokine-induced phosphorylation of STAT5 in patient-derived T or B cells (1pt) + No kinase activity data for this mutation PMID 14615376 PID v2 panel confirmed this mutation by NGS in Kid_6 (0.5pt). Total 2 points PP4_Moderate (PMID:7481768).In summary, this variant meets the criteria to be classified as a Pathogenic for autosomal recessive T-B+ severe combined immunodeficiency due to JAK3 deficiency based on the ACMG/AMP criteria applied, as specified by the ClinGen SCID VCEP: PVS1, PM2_Supporting, and PP4_Moderate (VCEP specifications version 1). LINK:https://erepo.genome.network/evrepo/ui/classification/CA120303/MONDO:0010938/121

Frequency

Genomes: 𝑓 0.0000066 ( 0 hom., cov: 31)
Exomes 𝑓: 0.0000041 ( 0 hom. )

Consequence

JAK3
NM_000215.4 stop_gained

Scores

2
4
1

Clinical Significance

Pathogenic reviewed by expert panel P:3

Conservation

PhyloP100: 1.52
Variant links:
Genes affected
JAK3 (HGNC:6193): (Janus kinase 3) The protein encoded by this gene is a member of the Janus kinase (JAK) family of tyrosine kinases involved in cytokine receptor-mediated intracellular signal transduction. It is predominantly expressed in immune cells and transduces a signal in response to its activation via tyrosine phosphorylation by interleukin receptors. Mutations in this gene are associated with autosomal SCID (severe combined immunodeficiency disease). [provided by RefSeq, Jul 2008]

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ACMG classification

Classification made for transcript

Verdict is Pathogenic. Variant got 11 ACMG points.

PVS1
PM2
PP4

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
JAK3NM_000215.4 linkuse as main transcriptc.1695C>A p.Cys565Ter stop_gained 12/24 ENST00000458235.7
JAK3XM_047438786.1 linkuse as main transcriptc.1695C>A p.Cys565Ter stop_gained 12/24
JAK3XM_011527991.3 linkuse as main transcriptc.1695C>A p.Cys565Ter stop_gained 12/14
JAK3XR_007066796.1 linkuse as main transcriptn.1745C>A non_coding_transcript_exon_variant 12/20

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
JAK3ENST00000458235.7 linkuse as main transcriptc.1695C>A p.Cys565Ter stop_gained 12/245 NM_000215.4 P1P52333-1

Frequencies

GnomAD3 genomes
AF:
0.00000658
AC:
1
AN:
152060
Hom.:
0
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000147
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.00000398
AC:
1
AN:
251492
Hom.:
0
AF XY:
0.00000736
AC XY:
1
AN XY:
135920
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00000879
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000410
AC:
6
AN:
1461802
Hom.:
0
Cov.:
33
AF XY:
0.00000550
AC XY:
4
AN XY:
727200
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000540
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
AF:
0.00000658
AC:
1
AN:
152060
Hom.:
0
Cov.:
31
AF XY:
0.00
AC XY:
0
AN XY:
74264
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000147
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.0000324
Hom.:
0
Bravo
AF:
0.00000756
ExAC
AF:
0.00000824
AC:
1

ClinVar

Significance: Pathogenic
Submissions summary: Pathogenic:3
Revision: reviewed by expert panel
LINK: link

Submissions by phenotype

T-B+ severe combined immunodeficiency due to JAK3 deficiency Pathogenic:3
Pathogenic, no assertion criteria providedliterature onlyOMIMNov 03, 1995- -
Pathogenic, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpApr 08, 2022This sequence change creates a premature translational stop signal (p.Cys565*) in the JAK3 gene. It is expected to result in an absent or disrupted protein product. Loss-of-function variants in JAK3 are known to be pathogenic (PMID: 7481768, 11668621). This variant is not present in population databases (gnomAD no frequency). This premature translational stop signal has been observed in individual(s) with severe combined immunodeficiency (PMID: 7481768, 27577878). ClinVar contains an entry for this variant (Variation ID: 9363). For these reasons, this variant has been classified as Pathogenic. -
Pathogenic, reviewed by expert panelcurationClinGen Severe Combined Immunodeficiency Variant Curation Expert Panel, ClinGenJun 13, 2024The NM_000215.4(JAK3):c.1695C>A (p.Cys565Ter) variant in exon 11 of JH2 domain of JAK3 results in a disrupted protein product PVS1. The variant is also known as the C1790A variant (PMID 17433830). The filtering allele frequency in gnomAD v4.1.0 is 0.000002470 (7/1179982 alleles) in European (non-Finnish) population, which is lower than the ClinGen SCID VCEP threshold (<0.000115) for PM2_Supporting. Additionally, no homozygotes have been observed in gnomAD. (PM2_Supporting). At least one patient in the literature presents Diagnostic criteria for SCID (0.5pt) + Reduced cytokine-induced phosphorylation of STAT5 in patient-derived T or B cells (1pt) + No kinase activity data for this mutation PMID 14615376 PID v2 panel confirmed this mutation by NGS in Kid_6 (0.5pt). Total 2 points PP4_Moderate (PMID: 7481768). In summary, this variant meets the criteria to be classified as a Pathogenic for autosomal recessive T-B+ severe combined immunodeficiency due to JAK3 deficiency based on the ACMG/AMP criteria applied, as specified by the ClinGen SCID VCEP: PVS1, PM2_Supporting, and PP4_Moderate (VCEP specifications version 1). -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_addAF
Pathogenic
0.63
D
BayesDel_noAF
Pathogenic
0.62
CADD
Pathogenic
36
DANN
Uncertain
0.99
Eigen
Uncertain
0.61
Eigen_PC
Uncertain
0.41
FATHMM_MKL
Uncertain
0.96
D
MutationTaster
Benign
1.0
A;A;A
Vest4
0.87
GERP RS
4.1
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7

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: rs137852625; hg19: chr19-17948747; API