RAG2

gene
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Summary

RAG2 (recombination activating 2, HGNC:9832) is a protein-coding gene on chromosome 11p12, encoding V(D)J recombination-activating protein 2 (P55895). Core component of the RAG complex, a multiprotein complex that mediates the DNA cleavage phase during V(D)J recombination.

This gene encodes a protein that is involved in the initiation of V(D)J recombination during B and T cell development. This protein forms a complex with the product of the adjacent recombination activating gene 1, and this complex can form double-strand breaks by cleaving DNA at conserved recombination signal sequences. The recombination activating gene 1 component is thought to contain most of the catalytic activity, while the N-terminal of the recombination activating gene 2 component is thought to form a six-bladed propeller in the active core that serves as a binding scaffold for the tight association of the complex with DNA. A C-terminal plant homeodomain finger-like motif in this protein is necessary for interactions with chromatin components, specifically with histone H3 that is trimethylated at lysine 4. Mutations in this gene cause Omenn syndrome, a form of severe combined immunodeficiency associated with autoimmune-like symptoms.

Source: NCBI Gene 5897 — RefSeq curated summary.

At a glance

  • Gene–disease (curated): recombinase activating gene 2 deficiency (Definitive, ClinGen) — +2 more curated relationships
  • GWAS associations: 2
  • Clinical variants (ClinVar): 624 total — 47 pathogenic, 83 likely-pathogenic
  • Phenotypes (HPO): 120
  • Dosage sensitivity (ClinGen): haploinsufficiency autosomal recessive, triplosensitivity unscored
  • MANE Select transcript: NM_000536

Identifiers

Gene identifiers

FieldValue
HGNC IDHGNC:9832
Approved symbolRAG2
Namerecombination activating 2
Location11p12
Locus typegene with protein product
StatusApproved
Ensembl geneENSG00000175097
Ensembl biotypeprotein_coding
OMIM179616
Entrez5897

Gene structure

Transcript identifiers

Ensembl transcripts: 8 — 4 protein_coding, 4 protein_coding_CDS_not_defined

ENST00000311485, ENST00000524423, ENST00000527033, ENST00000528428, ENST00000529083, ENST00000530276, ENST00000532616, ENST00000534379

RefSeq mRNA: 3 — MANE Select: NM_000536 NM_000536, NM_001243785, NM_001243786

CCDS: CCDS7903

Canonical transcript exons

ENST00000311485 — 2 exons

ExonStartEnd
ENSE000011852053659194336594195
ENSE000039019373659810236598236

Expression profiles

Bgee: expression breadth ubiquitous, 119 present calls, max score 80.65.

FANTOM5 (CAGE): breadth tissue_specific, TPM avg 1.0960 / max 767.4834, expressed in 28 samples.

FANTOM5 promoters (1 alternative TSS)

Promoter IDTPM avgSamples expressed
1193951.096028

Top tissues by expression

251 total, by Bgee expression score (0-100, higher = more expressed):

TissueAnatomy IDExpression scoreQuality
thymusUBERON:000237080.65gold quality
bone marrowUBERON:000237165.59gold quality
left lobe of thyroid glandUBERON:000112065.19gold quality
right lobe of thyroid glandUBERON:000111964.35gold quality
thyroid glandUBERON:000204664.35gold quality
endometrium epitheliumUBERON:000481164.18gold quality
frontal poleUBERON:000279563.00gold quality
middle frontal gyrusUBERON:000270262.91gold quality
paraflocculusUBERON:000535162.41gold quality
bone marrow cellCL:000209262.02silver quality
lower lobe of lungUBERON:000894957.50silver quality
adrenal tissueUBERON:001830352.32gold quality
corpus callosumUBERON:000233651.41gold quality
Brodmann (1909) area 10UBERON:001354151.02gold quality
granulocyteCL:000009450.43silver quality
quadriceps femorisUBERON:000137749.73gold quality
metanephric glomerulusUBERON:000473649.61gold quality
Brodmann (1909) area 46UBERON:000648349.30gold quality
cerebellar vermisUBERON:000472049.25gold quality
vastus lateralisUBERON:000137949.21gold quality
cervix squamous epitheliumUBERON:000692249.20gold quality
hair follicleUBERON:000207349.18gold quality
olfactory bulbUBERON:000226448.92gold quality
myocardiumUBERON:000234948.87gold quality
type B pancreatic cellCL:000016948.83gold quality
epithelial cell of pancreasCL:000008348.81gold quality
oviduct epitheliumUBERON:000480448.66gold quality
cardiac muscle of right atriumUBERON:000337948.55gold quality
CA1 field of hippocampusUBERON:000388148.50gold quality
left ventricle myocardiumUBERON:000656648.24gold quality

Single-cell (SCXA)

Detected in 2 experiment(s), a significant marker in 2.

ExperimentMarker?Max mean expression
E-MTAB-9067yes15.86
E-ANND-3yes3.28

Regulation

Is transcription factor: no

Upstream regulators (CollecTRI, top): EGR1, FOXO1, FOXP1, GATA3, HMGA1, ID3, LEF1, MAZ, MYB, NFATC1, PAX5, PREB, SP1, SPI1, TCF3

miRNA regulators (miRDB)

44 targeting RAG2, top 30 by miRDB confidence (max_score; target_count = how many genes the miRNA targets in total — lower means more specific):

miRNAMax scoreAvg scoremiRNA target_count
HSA-MIR-5692A100.0074.406850
HSA-MIR-3924100.0072.092394
HSA-MIR-4455100.0065.481587
HSA-MIR-548C-3P99.9974.017587
HSA-MIR-318599.9968.121959
HSA-MIR-9-3P99.9670.882068
HSA-MIR-4760-3P99.9370.502385
HSA-MIR-130599.9171.433443
HSA-MIR-368699.9070.532432
HSA-MIR-374A-5P99.9071.342923
HSA-MIR-374B-5P99.9069.982734
HSA-MIR-3140-3P99.8868.472069
HSA-MIR-469899.8471.414303
HSA-MIR-60999.8264.26505
HSA-MIR-313399.8170.923506
HSA-MIR-4659A-3P99.8072.624248
HSA-MIR-4659B-3P99.8072.624248
HSA-MIR-6516-3P99.6568.571238
HSA-MIR-612699.6268.09996
HSA-MIR-211399.5871.221521
HSA-MIR-608399.4768.732393
HSA-MIR-653-5P99.4667.351300
HSA-MIR-3140-5P99.3969.041136
HSA-MIR-10522-5P99.2668.502087
HSA-MIR-154-5P98.9266.65733
HSA-MIR-1288-5P98.8567.01734
HSA-MIR-394598.6864.21553
HSA-MIR-49698.6669.80931
HSA-MIR-6776-5P98.5467.431304
HSA-MIR-366898.5268.76951

Functional genomics

ClinGen dosage: haploinsufficiency 30 (autosomal recessive), triplosensitivity Not yet evaluated (unscored). ClinGen Gene Dosage Map

Literature-anchored findings (GeneRIF, showing 40)

  • RAG expression is up-regulated in peripheral IgD+ and VpreB+ B cells of patients with active SLE. (PMID:12115231)
  • No sequence changes in RAG2 were found in a series of hematologic leukemias or their cell lines. (PMID:12145704)
  • B-cell differentiation arrest in bone marrow of RAG-deficient SCID patients corresponds to residual recombination activities of mutated RAG1 and RAG2 proteins. (PMID:12200379)
  • RAG2 expression and non-functional TCR rearrangements continuously take place in peripheral mature T cells of all activation/differentiation stages (PMID:12355431)
  • Data show that a mature nonmalignant human B cell clone producing IgMlambda-ICA can express RAG-1/RAG-2 transcripts (PMID:12757263)
  • intrinsic RAG-2 NLS functions in the nuclear uptake of RAG-2 following its reexpression in cycling cells (PMID:12861017)
  • DNA methylation inhibits the cleavage activity of the RAG1/RAG2 complex by two different mechanisms, depending on the position of the mCpG around the recombination signal sequences (PMID:12897800)
  • Erk and Abl kinases suppress RAG-1 and -2 gene expression through T cell receptor-independent basal signaling (PMID:14624253)
  • RAG1 and RAG2 interact with recombination signal sequence DNA in the coding region in pre-and post-cleavage type synaptic complexes (PMID:15249552)
  • expressed in peripheral blood mononuclear cells (PBMCs) from 42% of patients with infectious mononucleosis but not from health control subjects. (PMID:15295705)
  • Activated mature CD5-positive human tonsil B cells coexpress both RAG2 and RAG1 mRNA and protein, and display DNA cleavage resulting from their recombinase activity. (PMID:15843554)
  • SKP2 mediates ubiquitylation of RAG-2 in vitro and degradation of RAG-2 in vivo. (PMID:15949444)
  • The carboxyl terminus of Rag2 plays a unique role as a direct bridge between chromatin and recombinase during chromosomal V(D)J recombination (PMID:16111638)
  • Ths review focusses on the variation of inherited hypomorphic mutations of recombination activating genes either 1 or 2 (RAG1/2) that have been detected in most Omenn syndrome patients. (PMID:17075247)
  • A knockin murine model carrying the Rag2 R229Q mutation previously described in several patients with Omenn syndrome (OS)supports the notion that impaired immune tolerance and defective immune regulation are involved in the pathophysiology of OS. (PMID:17476358)
  • IL-6 initiates the expression of RAG2 in circulating B cells, and extends those in tonsil B cells. (PMID:17982069)
  • a conserved tryptophan residue (W453) that constitutes a key structural component of the K4me3-binding surface and is essential for RAG2’s recognition of H3K4me3 is mutated in patients with immunodeficiency syndromes (PMID:18033247)
  • the RAG-7-mer interaction is a critical step for coding DNA distortion and hairpin formation in the context of the 12/23 rule. (PMID:18089566)
  • We describe three girls with a primary immunodeficiency disease associated with hypomorphic mutations in one of the two recombinase activating genes (RAG1 and RAG2). (PMID:18463379)
  • Studies in B and T lymphocytes demonstrate that the reduction in RAG expression at the immature B and double-positive (DP) T cell stages is mediated through tonic (foreign antigen independent) receptor signaling. (PMID:19359154)
  • Two independent signals are required for the induction of RAG gene expression in B cells that infiltrate the synovium of patients with RA. (PMID:19404965)
  • Analysis of mutations from SCID and Omenn syndrome patients reveals the central role of the Rag2 PHD domain in regulating V(D)J recombination. (PMID:20234091)
  • study reports 5 cases of RAG deficiency; genetic defects were heterogeneous and included 6 novel RAG mutations; all missense mutations except for Met443Ile in RAG2 were located in active core regions of RAG1 or RAG2 (PMID:21131235)
  • study demonstrates that exogenous TCR alpha and beta chains transferred into the human immature RAG(+) T cell line Sup-T1 by lentiviral transduction inhibit RAG expression through tonic signaling (PMID:21481940)
  • In the RAG1 gene we detected two novel mutations: L454Q and 469 fs-4bpdel. In the RAG 2 gene: 3 novel mutations: D65Y, G157V, and E480X. One T-B- SCID patient had a compound heterozygote for new mutations in the adenosine deaminase gene: W264X and R235W. (PMID:21624848)
  • IL7R and RAG1/2 genes mutations/polymorphisms in patients with SCID. (PMID:21625022)
  • The results indicate that in cancer cells E2A, FOXO1 and FOXP1 regulate RAG1 and RAG2 expression, which initiates Ig gene rearrangement much in the way similar to B lymphocytes. (PMID:21655267)
  • USF-1 but not USF-2 is strongly enriched at Dbeta2 in chromatin from either Rag2-/- deficient thymocytes or Rag2-/- deficient thymocytes that express a rearranged Tcrb transgene. (PMID:22287717)
  • Homozygous mutation of p.R394Q/p.R394Q and p.R776Q, 3047-3049 del GCC mutations are novel and they are causing serious T-B-NK + SCID. (PMID:22424479)
  • analysis of multiorgan metastasis of human HER-2+ breast cancer in Rag2-/-;Il2rg-/- mice and treatment with PI3K inhibitor (PMID:22737248)
  • A novel homozygous mutation with different clinical phenotypes: Omenn syndrome and hyper-IgM syndrome (PMID:22841008)
  • Bidirectional activity of the NWC promoter is responsible for RAG-2 transcription in non-lymphoid cells (PMID:22984564)
  • The results indicate that the contribution of immune dysregulatory disease due to RAG2 mutations present in the general population may be much higher than previously estimated. (PMID:24472623)
  • Observations indicate that the RAG proteins exert fine control over every step of V(D)J cleavage. (PMID:24797073)
  • found that Ikaros, a lymphocyte-specific transcription factor, acts as a repressor of NWC promoter–thus identifying a new Ikaros target–but is insufficient for inducing methylation which depends on the antisense transcription driven by RAG-2 promoter (PMID:25198102)
  • Investigate the factors that regulate RAG1 and RAG2 cleavage on non-B DNA structures. We find that RAG binding and cleavage on heteroduplex DNA is dependent on the length of the double-stranded flanking region. (PMID:25327637)
  • DNA damage triggers relocalization of RAG2 from the nucleus to centrosomes, suggesting a novel mechanism for modulating cellular responses to double strand breaks in developing lymphocytes. (PMID:25625798)
  • analysis of regions of RAG1 necessary for interaction with RAG2 and measurement of the RAG1-RAG2 binding affinity (PMID:25745109)
  • analysis of individual molecular events of RAG-mediated V(D)J DNA cleavage (PMID:25831509)
  • This study reports on the prevalence of RAG1 and RAG2 mutations in ten severe combined immunodeficiency disorder patients in Egypt. (PMID:25869295)

Cross-species orthologs

3 orthologs

OrganismSymbolGene ID
danio_reriorag2ENSDARG00000052121
mus_musculusRag2ENSMUSG00000032864
rattus_norvegicusRag2ENSRNOG00000004623

Protein

Protein identifiers

V(D)J recombination-activating protein 2P55895 (reviewed: P55895)

All UniProt accessions (3): E9PPU5, E9PQB9, P55895

UniProt curated annotations — full annotation on UniProt →

Function. Core component of the RAG complex, a multiprotein complex that mediates the DNA cleavage phase during V(D)J recombination. V(D)J recombination assembles a diverse repertoire of immunoglobulin and T-cell receptor genes in developing B and T-lymphocytes through rearrangement of different V (variable), in some cases D (diversity), and J (joining) gene segments. DNA cleavage by the RAG complex occurs in 2 steps: a first nick is introduced in the top strand immediately upstream of the heptamer, generating a 3’-hydroxyl group that can attack the phosphodiester bond on the opposite strand in a direct transesterification reaction, thereby creating 4 DNA ends: 2 hairpin coding ends and 2 blunt, 5’-phosphorylated ends. The chromatin structure plays an essential role in the V(D)J recombination reactions and the presence of histone H3 trimethylated at ‘Lys-4’ (H3K4me3) stimulates both the nicking and haipinning steps. The RAG complex also plays a role in pre-B cell allelic exclusion, a process leading to expression of a single immunoglobulin heavy chain allele to enforce clonality and monospecific recognition by the B-cell antigen receptor (BCR) expressed on individual B-lymphocytes. The introduction of DNA breaks by the RAG complex on one immunoglobulin allele induces ATM-dependent repositioning of the other allele to pericentromeric heterochromatin, preventing accessibility to the RAG complex and recombination of the second allele. In the RAG complex, RAG2 is not the catalytic component but is required for all known catalytic activities mediated by RAG1. It probably acts as a sensor of chromatin state that recruits the RAG complex to H3K4me3.

Subunit / interactions. Component of the RAG complex composed of core components RAG1 and RAG2, and associated component HMGB1 or HMGB2.

Subcellular location. Nucleus.

Tissue specificity. Cells of the B- and T-lymphocyte lineages.

Disease relevance. Combined cellular and humoral immune defects with granulomas (CHIDG) [MIM:233650] Immunodeficiency disease with granulomas in the skin, mucous membranes, and internal organs. Other characteristics include hypogammaglobulinemia, a diminished number of T and B-cells, and sparse thymic tissue on ultrasonography. The disease is caused by variants affecting the gene represented in this entry. Severe combined immunodeficiency autosomal recessive T-cell-negative/B-cell-negative/NK-cell-positive (T(-)B(-)NK(+) SCID) [MIM:601457] 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. The disease is caused by variants affecting the gene represented in this entry. Omenn syndrome (OS) [MIM:603554] Severe immunodeficiency characterized by the presence of activated, anergic, oligoclonal T-cells, hypereosinophilia, and high IgE levels. The disease is caused by variants affecting the gene represented in this entry.

Domain organisation. The atypical PHD-type zinc finger recognizes and binds histone H3 trimethylated on ‘Lys-4’ (H3K4me3). The presence Tyr-445 instead of a carboxylate in classical PHD-type zinc fingers results in an enhanced binding to H3K4me3 in presence of dimethylated on ‘Arg-2’ (H3R2me2) rather than inhibited. The atypical PHD-type zinc finger also binds various phosphoinositides, such as phosphatidylinositol 3,4-bisphosphate binding (PtdIns(3,4)P2), phosphatidylinositol 3,5-bisphosphate binding (PtdIns(3,5)P2), phosphatidylinositol 4,5-bisphosphate (PtdIns(4,5)P2) and phosphatidylinositol 3,4,5-trisphosphate binding (PtdIns(3,4,5)P3).

Similarity. Belongs to the RAG2 family.

RefSeq proteins (3): NP_000527, NP_001230714, NP_001230715 (=MANE)

Domains & families (InterPro)

IDNameType
IPR004321RAG2Family
IPR011011Znf_FYVE_PHDHomologous_superfamily
IPR011043Gal_Oxase/kelch_b-propellerHomologous_superfamily
IPR015915Kelch-typ_b-propellerHomologous_superfamily
IPR025162RAG2_PHDDomain

Pfam: PF03089, PF13341

UniProt features (22 total): binding site 8, sequence variant 7, sequence conflict 2, compositionally biased region 2, chain 1, zinc finger region 1, region of interest 1

Structure

Experimental structures (PDB)

1 structures.

PDBMethodResolution (Å)
8T4RX-RAY DIFFRACTION1.2

Predicted structure (AlphaFold)

ModelpLDDTFraction very-high
AF-P55895-F175.980.52

Functional residue map

Curated UniProt residues grouped by drug-discovery relevance — catalytic, ligand-binding, modification, and mutation-validated positions. Source: UniProtKB sequence features.

Ligand- & substrate-binding residues (8): 458; 478; 481; 419; 423; 446; 452; 455

Function

Pathways and Gene Ontology

Reactome pathways

2 pathways

IDPathway
R-HSA-1266695Interleukin-7 signaling
R-HSA-5687128MAPK6/MAPK4 signaling

MSigDB gene sets: 339 (showing top): BROWNE_HCMV_INFECTION_30MIN_DN, GOBP_REGULATION_OF_CELL_ACTIVATION, GOBP_NEGATIVE_REGULATION_OF_CELL_DEVELOPMENT, HOFFMANN_SMALL_PRE_BII_TO_IMMATURE_B_LYMPHOCYTE_DN, REACTOME_CYTOKINE_SIGNALING_IN_IMMUNE_SYSTEM, GOBP_B_CELL_ACTIVATION, GOBP_REGULATION_OF_DEVELOPMENTAL_GROWTH, GOBP_GROWTH, GOBP_B_CELL_PROLIFERATION, GOBP_NEGATIVE_REGULATION_OF_CELL_CELL_ADHESION, TAL1ALPHAE47_01, GOBP_CELL_ACTIVATION_INVOLVED_IN_IMMUNE_RESPONSE, GOBP_CELL_CELL_ADHESION, BROWNE_HCMV_INFECTION_48HR_DN, GOBP_REGULATION_OF_LEUKOCYTE_DIFFERENTIATION

GO Biological Process (16): mature B cell differentiation involved in immune response (GO:0002313), B cell lineage commitment (GO:0002326), pre-B cell allelic exclusion (GO:0002331), B cell homeostatic proliferation (GO:0002358), T cell lineage commitment (GO:0002360), B cell differentiation (GO:0030183), T cell differentiation in thymus (GO:0033077), negative regulation of T cell differentiation in thymus (GO:0033085), V(D)J recombination (GO:0033151), organ growth (GO:0035265), defense response to bacterium (GO:0042742), positive regulation of organ growth (GO:0046622), DN2 thymocyte differentiation (GO:1904155), DNA recombination (GO:0006310), chromatin organization (GO:0006325), T cell differentiation (GO:0030217)

GO Molecular Function (12): chromatin binding (GO:0003682), phosphatidylinositol-4,5-bisphosphate binding (GO:0005546), phosphatidylinositol-3,4,5-trisphosphate binding (GO:0005547), zinc ion binding (GO:0008270), phosphatidylinositol binding (GO:0035091), phosphatidylinositol-3,4-bisphosphate binding (GO:0043325), sequence-specific DNA binding (GO:0043565), phosphatidylinositol-3,5-bisphosphate binding (GO:0080025), histone H3K4me3 reader activity (GO:0140002), DNA binding (GO:0003677), protein binding (GO:0005515), metal ion binding (GO:0046872)

GO Cellular Component (3): nucleoplasm (GO:0005654), DNA recombinase complex (GO:0097519), nucleus (GO:0005634)

Reactome top-level categories

Rollup of top-2 pathways:

CategoryPathways
Signaling by Interleukins1
MAPK family signaling cascades1

GO top-level categories

Rollup of top GO terms by namespace:

CategoryTerms
phosphatidylinositol phosphate binding3
phosphatidylinositol bisphosphate binding3
cell fate commitment2
T cell differentiation2
lymphocyte differentiation2
T cell differentiation in thymus2
binding2
anion binding2
B cell activation involved in immune response1
mature B cell differentiation1
immune response1
B cell differentiation1
pre-B cell differentiation1
regulation of gene expression1
B cell proliferation1
homeostatic process1
B cell activation1
regulation of T cell differentiation in thymus1
negative regulation of T cell differentiation1
somatic diversification of immune receptors via germline recombination within a single locus1
multicellular organismal process1
developmental growth1
defense response1
response to bacterium1
organ growth1
regulation of organ growth1
positive regulation of developmental growth1
positive regulation of multicellular organismal process1
DNA metabolic process1
cellular component organization1
T cell activation1
transition metal ion binding1
DNA binding1
histone H3 reader activity1
nucleic acid binding1
cation binding1
nuclear lumen1
cellular anatomical structure1
protein-DNA complex1
intracellular membrane-bounded organelle1

Protein interactions and networks

STRING

2298 interactions, top by confidence (×1000):

Protein AProtein BPartner UniProtScore
RAG2RAG1P15918999
RAG2H3-3AP06351978
RAG2H3-5Q6NXT2978
RAG2H3-4Q16695978
RAG2H3C14Q71DI3977
RAG2H3C1P02295977
RAG2H3-7Q5TEC6977
RAG2IL2RGP31785878
RAG2CD4P01730865
RAG2PRKDCP78527854
RAG2CD8AP01732818
RAG2DCLRE1CQ96SD1814
RAG2IFNGP01579805
RAG2IGHV4-38-2P0DP08777
RAG2PTPRCP08575763

IntAct

2 interactions, top by confidence:

ABTypeScore
RAG2CRNNpsi-mi:“MI:0915”(physical association)0.400

BioGRID (19): RAG2 (Biochemical Activity), RAG1 (Reconstituted Complex), IPO5 (Affinity Capture-Western), RAG1 (Affinity Capture-Western), RAG1 (Reconstituted Complex), RAG2 (Co-purification), RAG2 (Synthetic Lethality), RAG2 (Affinity Capture-Western), CRNN (Affinity Capture-MS), RAG2 (Co-localization), RAG2 (Reconstituted Complex), RAG2 (Affinity Capture-RNA), RAG2 (Protein-peptide), VPRBP (Co-purification), DDB1 (Co-purification)

ESM2 similar proteins: A0A2R8VHF7, A0JM23, A2QRA0, A4IIA7, A4IIV4, A6NFN9, A6NHR9, A7MBF6, F4IG73, F4JSE7, O17482, O95876, P12540, P21784, P34089, P38899, P55895, P56696, Q08AW4, Q0D2D7, Q12789, Q13829, Q28DC9, Q2WGJ8, Q3E7Y5, Q3UUE9, Q4R907, Q4VXA5, Q5BK83, Q5EA90, Q5F476, Q5HZS2, Q5M9F0, Q5RAX4, Q5RBH4, Q5RD21, Q6AYL6, Q6DGA7, Q6PIY5, Q70XZ2

Diamond homologs: O13034, P21784, P25022, P34089, P55895, Q91193, Q91830

SIGNOR signaling

2 interactions.

AEffectBMechanism
AminoAcidsup-regulatesRAG2
RAG2up-regulatesMTORrelocalization

Disease & clinical

Clinical variants and AI predictions

ClinVar

624 variants total. Per-class counts are floors (≥ shown; pagination cap):

ClassificationCount (floor)
Pathogenic47
Likely pathogenic83
Uncertain significance247
Likely benign194
Benign9

Top pathogenic / likely-pathogenic (30)

Variant IDHGVSClassification
1014836NM_000536.4(RAG2):c.826G>A (p.Gly276Ser)Pathogenic
1069162NC_000011.9:g.(?36614125)(36615728_?)delPathogenic
1073477NM_000536.4(RAG2):c.442C>T (p.Arg148Ter)Pathogenic
1075543NM_000536.4(RAG2):c.1275_1278dup (p.Ile427fs)Pathogenic
1075544NM_000536.4(RAG2):c.829dup (p.Tyr277fs)Pathogenic
1076086NM_000536.4(RAG2):c.895del (p.Ile299fs)Pathogenic
13130NM_000536.4(RAG2):c.686G>A (p.Arg229Gln)Pathogenic
13134NM_000536.4(RAG2):c.817_819del (p.Ile273del)Pathogenic
13136NM_000536.4(RAG2):c.115A>G (p.Arg39Gly)Pathogenic
13138NM_000536.4(RAG2):c.1352G>C (p.Gly451Ala)Pathogenic
1360692NM_000536.4(RAG2):c.47_57del (p.Gln16fs)Pathogenic
1412375NM_000536.4(RAG2):c.130G>T (p.Gly44Ter)Pathogenic
1438791NM_000536.4(RAG2):c.724del (p.Leu242fs)Pathogenic
1441601NM_000536.4(RAG2):c.743del (p.Asn248fs)Pathogenic
1452768NM_000536.4(RAG2):c.859del (p.Cys287fs)Pathogenic
1456090NM_000536.4(RAG2):c.770_771del (p.Ser257fs)Pathogenic
1457376NM_000536.4(RAG2):c.535del (p.Leu179fs)Pathogenic
1457563NM_000536.4(RAG2):c.863del (p.Asn288fs)Pathogenic
1459767NM_000536.4(RAG2):c.1053dup (p.Glu352Ter)Pathogenic
1460395NM_000536.4(RAG2):c.358del (p.Val120fs)Pathogenic
2018007NM_000536.4(RAG2):c.1491_1506A[6]GCCTCCAATGGGCCGGGCGCGGTGGCTCACGCCTGTAATCCCAGCACTTAGGGAGGCCGAGGCGGGTGGATCATGAGGTCAGGNNNNNNNNNNAAAAAAAAAAAAAAAAAAAAAAAAAAGCCTCCAATG[1] (p.Lys503delinsGlyArgAlaArgTrpLeuThrProValIleProAlaLeuArgGluAlaGluAlaGlyGlySerTer)Pathogenic
2020432NM_000536.4(RAG2):c.1348del (p.Asp450fs)Pathogenic
2029414NM_000536.4(RAG2):c.1024G>T (p.Gly342Ter)Pathogenic
2030370NM_000536.4(RAG2):c.1334dup (p.Tyr445Ter)Pathogenic
2090696NM_000536.4(RAG2):c.189dup (p.Lys64Ter)Pathogenic
2678215NM_000536.4(RAG2):c.171del (p.Lys58fs)Pathogenic
2928095NM_000536.4(RAG2):c.1257C>G (p.Cys419Trp)Pathogenic
2933346NM_000536.4(RAG2):c.1210G>T (p.Glu404Ter)Pathogenic
2935560NM_000536.4(RAG2):c.1441C>G (p.His481Asp)Pathogenic
2938106NM_000536.4(RAG2):c.1442A>G (p.His481Arg)Pathogenic

SpliceAI

821 predictions. Top by Δscore:

VariantEffectΔscore
11:36594774:G:GTdonor_gain0.9900
11:36594913:G:GTdonor_gain0.9900
11:36598097:CCTA:Cdonor_loss0.9900
11:36598099:TACC:Tdonor_loss0.9900
11:36598101:CCTG:Cdonor_loss0.9900
11:36595450:CAAA:Cacceptor_gain0.9800
11:36594620:G:GTdonor_gain0.9700
11:36595014:G:Tdonor_gain0.9700
11:36595059:A:AGdonor_gain0.9700
11:36576083:TTC:Tdonor_gain0.9500
11:36595453:A:Cacceptor_gain0.9500
11:36594845:T:TAdonor_gain0.9300
11:36595456:T:TCacceptor_gain0.9300
11:36598100:A:ACdonor_gain0.9300
11:36598101:C:CCdonor_gain0.9300
11:36594196:C:CCacceptor_gain0.9100
11:36594933:TTG:Tdonor_gain0.9100
11:36594192:TTGT:Tacceptor_gain0.8900
11:36597641:A:Gacceptor_gain0.8900
11:36598098:CTACC:Cdonor_gain0.8900
11:36598099:TACCT:Tdonor_gain0.8900
11:36576036:A:AGdonor_gain0.8800
11:36576037:G:GGdonor_gain0.8800
11:36594191:TTTGT:Tacceptor_gain0.8800
11:36594929:G:GTdonor_gain0.8800
11:36575986:A:AGdonor_gain0.8700
11:36575987:G:GGdonor_gain0.8700
11:36594681:G:GTdonor_gain0.8700
11:36594879:A:Tdonor_gain0.8700
11:36576079:G:GTdonor_gain0.8600

AlphaMissense

3515 scored. Top likely-pathogenic:

VariantProtein changeam_pathogenicity
11:36593250:A:GW307R0.997
11:36593250:A:TW307R0.997
11:36594063:A:GW36R0.997
11:36594063:A:TW36R0.997
11:36593220:A:GW317R0.996
11:36593220:A:TW317R0.996
11:36592881:A:GW430R0.995
11:36592881:A:TW430R0.995
11:36592879:C:AW430C0.994
11:36592879:C:GW430C0.994
11:36594061:C:AW36C0.994
11:36594061:C:GW36C0.994
11:36594074:C:TG32E0.994
11:36594031:G:CF46L0.993
11:36594031:G:TF46L0.993
11:36594033:A:GF46L0.993
11:36592812:A:GW453R0.992
11:36592812:A:TW453R0.992
11:36592810:C:AW453C0.991
11:36592810:C:GW453C0.991
11:36593655:A:GW172R0.991
11:36593655:A:TW172R0.991
11:36593551:A:CF206L0.990
11:36593551:A:TF206L0.990
11:36593553:A:GF206L0.990
11:36593389:A:CS260R0.989
11:36593389:A:TS260R0.989
11:36593391:T:GS260R0.989
11:36593693:C:GR159P0.989
11:36594052:T:AR39S0.989

dbSNP variants (sampled 300 via entrez): RS1000616544 (11:36595746 A>T), RS1000707417 (11:36597896 C>G,T), RS1000988323 (11:36598197 C>G), RS1001392507 (11:36595985 C>A), RS1001444700 (11:36596318 G>A), RS1001788600 (11:36591694 C>T), RS1002138395 (11:36597034 T>G), RS1002169469 (11:36597373 T>A), RS1002434424 (11:36594834 C>A,T), RS1003119954 (11:36598010 A>G), RS1003132911 (11:36595383 T>C), RS1003225714 (11:36591127 A>T), RS1003769068 (11:36591422 A>G), RS1004333803 (11:36598539 C>T), RS1004691065 (11:36594939 G>C)

Disease associations

OMIM: gene MIM:179616 | disease phenotypes: MIM:233650, MIM:601457, MIM:603554, MIM:607594, MIM:604369, MIM:608971

GenCC curated gene-disease

DiseaseClassificationInheritance
recombinase activating gene 2 deficiencyDefinitiveAutosomal recessive
Omenn syndromeDefinitiveAutosomal recessive
severe combined immunodeficiency, autosomal recessive, T cell-negative, B cell-negative, NK cell-positiveStrongAutosomal recessive

ClinGen Gene-Disease Validity (1)

Expert-panel classifications — Definitive > Strong > Moderate > Limited > Disputed > Refuted.

DiseaseClassificationInheritance
recombinase activating gene 2 deficiencyDefinitiveAR

Mondo (9): combined immunodeficiency with skin granulomas (MONDO:0009306), severe combined immunodeficiency, autosomal recessive, T cell-negative, B cell-negative, NK cell-positive (MONDO:0011086), Omenn syndrome (MONDO:0011338), recombinase activating gene 2 deficiency (MONDO:0000573), inborn error of immunity (MONDO:0003778), severe combined immunodeficiency (MONDO:0015974), common variable immunodeficiency (MONDO:0015517), Salla disease (MONDO:0011449), immunodeficiency 104 (MONDO:0012163)

Orphanet (8): Combined immunodeficiency with granulomatosis (Orphanet:157949), Severe combined immunodeficiency due to complete RAG1/2 deficiency (Orphanet:331206), Omenn syndrome (Orphanet:39041), Primary immunodeficiency (Orphanet:101997), Severe combined immunodeficiency (Orphanet:183660), OBSOLETE: Common variable immunodeficiency (Orphanet:1572), Salla disease (Orphanet:309334), Free sialic acid storage disease (Orphanet:834)

HPO phenotypes

120 total (30 of 120 shown, HPO-id order):

HPOTerm
HP:0000007Autosomal recessive inheritance
HP:0000100Nephrotic syndrome
HP:0000265Mastoiditis
HP:0000388Otitis media
HP:0000509Conjunctivitis
HP:0000561Absent eyelashes
HP:0000778Hypoplasia of the thymus
HP:0000821Hypothyroidism
HP:0000944Abnormal metaphysis morphology
HP:0000958Dry skin
HP:0000962Hyperkeratosis
HP:0000964Eczematoid dermatitis
HP:0000969Edema
HP:0000980Pallor
HP:0000988Skin rash
HP:0000989Pruritus
HP:0001019Erythroderma
HP:0001036Parakeratosis
HP:0001072Thickened skin
HP:0001250Seizure
HP:0001287Meningitis
HP:0001369Arthritis
HP:0001433Hepatosplenomegaly
HP:0001508Failure to thrive
HP:0001581Recurrent skin infections
HP:0001596Alopecia
HP:0001744Splenomegaly
HP:0001831Short toe
HP:0001873Thrombocytopenia
HP:0001875Decreased total neutrophil count

GWAS associations

2 associations (top):

StudyTraitp-value
GCST002318_161Rheumatoid arthritis1.000000e-07
GCST002318_35Rheumatoid arthritis3.000000e-07

MeSH disease descriptors (6)

DescriptorNameTree numbers
D017074Common Variable ImmunodeficiencyC20.673.330
D007153Immunologic Deficiency SyndromesC20.673
D016511Severe Combined ImmunodeficiencyC16.320.798.750; C16.614.815; C18.452.284.800; C20.673.795.750
C567115Combined Cellular And Humoral Immune Defects With Granulomas (supp.)
C563822Severe Combined Immunodeficiency, Autosomal Recessive, T Cell Negative, B Cell Positive, NK Cell Positive (supp.)
C563311Severe Combined Immunodeficiency, Autosomal Recessive, T Cell-Negative, B Cell-Negative, NK Cell-Positive (supp.)

Drugs & pharmacology

Drug and pharmacology data

Is drug target: no

PharmGKB: 1 entry (VIP=true, CPIC=false)

CTD chemical–gene interactions

14 total (human), top 14 by PubMed support.

ChemicalActions (top 5)PubMed papers
perfluorooctanoic aciddecreases expression2
perfluorooctane sulfonic aciddecreases expression2
perfluoro-n-nonanoic aciddecreases expression2
perfluorohexanesulfonic aciddecreases expression2
5-amino-7-(cyclohexylamino)-1-ethyl-6-fluoro-4-oxo-1,4-dihydroquinoline-3-carboxylic aciddecreases expression2
ammonium 2,3,3,3-tetrafluoro-2-(heptafluoropropoxy)-propanoatedecreases expression1
deoxynivalenolincreases expression1
perfluorodecanoic aciddecreases expression1
perfluorohexanoic aciddecreases expression1
perfluorobutanesulfonic aciddecreases expression1
bisphenol Sincreases expression1
(+)-JQ1 compounddecreases expression1
Aflatoxin B1decreases methylation1
Antirheumatic Agentsdecreases expression1

Clinical trials (associated diseases)

128 trials via MONDO — disease-level, not drug-specific.

TrialPhaseStatusTitle
NCT03677557PHASE4UNKNOWNSafety, Tolerability, Patient Satisfaction and Cost of 16.5% Subcutaneous Immunoglobulin (Cutaquig®) Treatment
NCT00520494PHASE4COMPLETEDEfficacy and Safety of Vivaglobin® in Previously Untreated Patients With Primary Immunodeficiency
NCT01289847PHASE4COMPLETEDA Study to Find Out How Safe and Effective Gammaplex® is in Young People With Primary Immunodeficiency
NCT01946906PHASE4COMPLETEDThe Rifaximin Study in CVID
NCT05193552PHASE4RECRUITINGUsage of Spirometry in Managing IgG Therapy in CVID With Airway Disease
NCT00001646PHASE3COMPLETEDVoriconazole vs. Amphotericin B in the Treatment of Invasive Aspergillosis
NCT00220766PHASE3COMPLETEDRapid Infusion of Immune Globulin Intravenous (Human) In Primary Immunodeficiency Patients
NCT00468273PHASE3COMPLETEDA Clinical Study of Intravenous Immunoglobulin
NCT00811174PHASE3TERMINATEDEfficacy, Safety and Kinetics Study of Octagam 10% in Primary Immunodeficiency Diseases
NCT01012323PHASE3COMPLETEDA Study of NewGam, Human Immunoglobulin 10%, in Patients With Primary Immunodeficiency Diseases
NCT01313507PHASE3COMPLETEDHigh Infusion Rate Study of Immunoglobulin Intravenous (Human) 10% (NewGam)
NCT01406470PHASE3COMPLETEDPhase 3 Study of Immune Globulin Intravenous (Human)IVIG-SN™ in Subjects With Primary Immunodeficiency
NCT02783482PHASE3COMPLETEDStudy of Immune Globulin Intravenous (Human) GC5107 in Subjects With Primary Humoral Immunodeficiency
NCT02810444PHASE3COMPLETEDStudy to Investigate Efficacy, Safety and Pharmacokinetics of BT595 in Subjects With PID
NCT03961009PHASE3COMPLETEDClinical Assessment of Pharmacokinetics, Efficacy, and Safety of 10% IVIg in PID Patients
NCT04842643PHASE3COMPLETEDAn Extension Study of TAK-664 for Japanese People With Primary Immunodeficiency Disease
NCT04944979PHASE3ACTIVE_NOT_RECRUITINGClinical Assessment of Pharmacokinetics, Efficacy, and Safety of 10% IVIg in Pediatric PID Patients (KIDCARES10)
NCT06089122PHASE3UNKNOWNEfficacy, Safety, and Pharmacokinetics of Shu Yang IVIG
NCT06150833PHASE3UNKNOWNEfficacy and Safety and Pharmacokinetics of Boya IVIG
NCT07346859PHASE3RECRUITINGStudy of BP-SCIG 20% in Patients With Primary Immunodeficiency (PID)
NCT01420627PHASE3COMPLETEDEZN-2279 in Patients With ADA-SCID
NCT06940570PHASE3SUSPENDEDMethadone as an Alternative Treatment for Children Underdoing HSCT
NCT00168012PHASE3COMPLETEDEfficacy and Safety of Intravenous Immunoglobulin IVIG-F10 in Patients With Primary Immunodeficiencies (PID)
NCT00168025PHASE3COMPLETEDEfficacy and Safety of Intravenous Immunoglobulin IgPro10 in Patients With Primary Immunodeficiencies (PID)
NCT00322556PHASE3COMPLETEDSafety and Efficacy of Intravenous Immunoglobulin IgPro10 in Patients With Primary Immunodeficiencies (PID)
NCT00542997PHASE3COMPLETEDStudy of Subcutaneous Immune Globulin in Patients Requiring IgG Replacement Therapy
NCT01884311PHASE3COMPLETEDPharmacokinetics (PK) and Safety of Subgam-VF in Primary Immunodeficiency Diseases
NCT01963143PHASE3COMPLETEDBioequivalence Study to Evaluate the Pharmacokinetics, Safety, and Tolerability of Gammaplex® 10 and Gammaplex® 5% in Primary Immunodeficiency Diseases
NCT02247141PHASE3COMPLETEDA Multi-centre Open Study to Assess the Safety and Efficacy of Subgam®
NCT07284641PHASE2RECRUITINGHematopoietic Stem Cell Transplantation (HSCT) for Common Variable Immunodeficiency (CVID) and Other Autoimmune Manifestations of Primary Immune Regulatory Disorders (PIRD)
NCT00001438PHASE2COMPLETEDA Pilot Study of the Combination of Retinoic Acid and Interferon-Alpha2a for the Treatment of Lymphoproliferative Disorders in Children With Immunodeficiency Syndromes
NCT00176865PHASE2COMPLETEDStem Cell Transplant for Immunologic or Histiocytic Disorders
NCT00389324PHASE2COMPLETEDA Trial of the Pharmacokinetics, Safety, and Tolerability of Subcutaneous Gamunex® in Primary Immunodeficiency
NCT00598481PHASE2COMPLETEDADA Gene Transfer Into Hematopoietic Stem/Progenitor Cells for the Treatment of ADA-SCID
NCT01856582PHASE2TERMINATEDCD34+ Stem Cell Infusion to Augment Graft Function
NCT06199427PHASE2RECRUITINGPTCy and and Ruxolitinib for GVHD Prophylaxis After HSCT With Thymoglobulin in Conditioning Regimen in Patients With Inborn Errors of Immunity
NCT00000603PHASE2COMPLETEDCord Blood Stem Cell Transplantation Study (COBLT)
NCT00794508PHASE2COMPLETEDMND-ADA Transduction of CD34+ Cells From Children With ADA-SCID
NCT01182675PHASE2TERMINATEDHematopoietic Stem Cell Transplantation (HSCT) for Children With SCID Utilizing Alemtuzumab, Plerixafor & Filgrastim
NCT01529827PHASE2COMPLETEDFludarabine Phosphate, Melphalan, and Low-Dose Total-Body Irradiation Followed by Donor Peripheral Blood Stem Cell Transplant in Treating Patients With Hematologic Malignancies