RAG2
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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
| Field | Value |
|---|---|
| HGNC ID | HGNC:9832 |
| Approved symbol | RAG2 |
| Name | recombination activating 2 |
| Location | 11p12 |
| Locus type | gene with protein product |
| Status | Approved |
| Ensembl gene | ENSG00000175097 |
| Ensembl biotype | protein_coding |
| OMIM | 179616 |
| Entrez | 5897 |
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
| Exon | Start | End |
|---|---|---|
| ENSE00001185205 | 36591943 | 36594195 |
| ENSE00003901937 | 36598102 | 36598236 |
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 ID | TPM avg | Samples expressed |
|---|---|---|
| 119395 | 1.0960 | 28 |
Top tissues by expression
251 total, by Bgee expression score (0-100, higher = more expressed):
| Tissue | Anatomy ID | Expression score | Quality |
|---|---|---|---|
| thymus | UBERON:0002370 | 80.65 | gold quality |
| bone marrow | UBERON:0002371 | 65.59 | gold quality |
| left lobe of thyroid gland | UBERON:0001120 | 65.19 | gold quality |
| right lobe of thyroid gland | UBERON:0001119 | 64.35 | gold quality |
| thyroid gland | UBERON:0002046 | 64.35 | gold quality |
| endometrium epithelium | UBERON:0004811 | 64.18 | gold quality |
| frontal pole | UBERON:0002795 | 63.00 | gold quality |
| middle frontal gyrus | UBERON:0002702 | 62.91 | gold quality |
| paraflocculus | UBERON:0005351 | 62.41 | gold quality |
| bone marrow cell | CL:0002092 | 62.02 | silver quality |
| lower lobe of lung | UBERON:0008949 | 57.50 | silver quality |
| adrenal tissue | UBERON:0018303 | 52.32 | gold quality |
| corpus callosum | UBERON:0002336 | 51.41 | gold quality |
| Brodmann (1909) area 10 | UBERON:0013541 | 51.02 | gold quality |
| granulocyte | CL:0000094 | 50.43 | silver quality |
| quadriceps femoris | UBERON:0001377 | 49.73 | gold quality |
| metanephric glomerulus | UBERON:0004736 | 49.61 | gold quality |
| Brodmann (1909) area 46 | UBERON:0006483 | 49.30 | gold quality |
| cerebellar vermis | UBERON:0004720 | 49.25 | gold quality |
| vastus lateralis | UBERON:0001379 | 49.21 | gold quality |
| cervix squamous epithelium | UBERON:0006922 | 49.20 | gold quality |
| hair follicle | UBERON:0002073 | 49.18 | gold quality |
| olfactory bulb | UBERON:0002264 | 48.92 | gold quality |
| myocardium | UBERON:0002349 | 48.87 | gold quality |
| type B pancreatic cell | CL:0000169 | 48.83 | gold quality |
| epithelial cell of pancreas | CL:0000083 | 48.81 | gold quality |
| oviduct epithelium | UBERON:0004804 | 48.66 | gold quality |
| cardiac muscle of right atrium | UBERON:0003379 | 48.55 | gold quality |
| CA1 field of hippocampus | UBERON:0003881 | 48.50 | gold quality |
| left ventricle myocardium | UBERON:0006566 | 48.24 | gold quality |
Single-cell (SCXA)
Detected in 2 experiment(s), a significant marker in 2.
| Experiment | Marker? | Max mean expression |
|---|---|---|
| E-MTAB-9067 | yes | 15.86 |
| E-ANND-3 | yes | 3.28 |
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):
| miRNA | Max score | Avg score | miRNA target_count |
|---|---|---|---|
| HSA-MIR-5692A | 100.00 | 74.40 | 6850 |
| HSA-MIR-3924 | 100.00 | 72.09 | 2394 |
| HSA-MIR-4455 | 100.00 | 65.48 | 1587 |
| HSA-MIR-548C-3P | 99.99 | 74.01 | 7587 |
| HSA-MIR-3185 | 99.99 | 68.12 | 1959 |
| HSA-MIR-9-3P | 99.96 | 70.88 | 2068 |
| HSA-MIR-4760-3P | 99.93 | 70.50 | 2385 |
| HSA-MIR-1305 | 99.91 | 71.43 | 3443 |
| HSA-MIR-3686 | 99.90 | 70.53 | 2432 |
| HSA-MIR-374A-5P | 99.90 | 71.34 | 2923 |
| HSA-MIR-374B-5P | 99.90 | 69.98 | 2734 |
| HSA-MIR-3140-3P | 99.88 | 68.47 | 2069 |
| HSA-MIR-4698 | 99.84 | 71.41 | 4303 |
| HSA-MIR-609 | 99.82 | 64.26 | 505 |
| HSA-MIR-3133 | 99.81 | 70.92 | 3506 |
| HSA-MIR-4659A-3P | 99.80 | 72.62 | 4248 |
| HSA-MIR-4659B-3P | 99.80 | 72.62 | 4248 |
| HSA-MIR-6516-3P | 99.65 | 68.57 | 1238 |
| HSA-MIR-6126 | 99.62 | 68.09 | 996 |
| HSA-MIR-2113 | 99.58 | 71.22 | 1521 |
| HSA-MIR-6083 | 99.47 | 68.73 | 2393 |
| HSA-MIR-653-5P | 99.46 | 67.35 | 1300 |
| HSA-MIR-3140-5P | 99.39 | 69.04 | 1136 |
| HSA-MIR-10522-5P | 99.26 | 68.50 | 2087 |
| HSA-MIR-154-5P | 98.92 | 66.65 | 733 |
| HSA-MIR-1288-5P | 98.85 | 67.01 | 734 |
| HSA-MIR-3945 | 98.68 | 64.21 | 553 |
| HSA-MIR-496 | 98.66 | 69.80 | 931 |
| HSA-MIR-6776-5P | 98.54 | 67.43 | 1304 |
| HSA-MIR-3668 | 98.52 | 68.76 | 951 |
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
| Organism | Symbol | Gene ID |
|---|---|---|
| danio_rerio | rag2 | ENSDARG00000052121 |
| mus_musculus | Rag2 | ENSMUSG00000032864 |
| rattus_norvegicus | Rag2 | ENSRNOG00000004623 |
Protein
Protein identifiers
V(D)J recombination-activating protein 2 — P55895 (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)
| ID | Name | Type |
|---|---|---|
| IPR004321 | RAG2 | Family |
| IPR011011 | Znf_FYVE_PHD | Homologous_superfamily |
| IPR011043 | Gal_Oxase/kelch_b-propeller | Homologous_superfamily |
| IPR015915 | Kelch-typ_b-propeller | Homologous_superfamily |
| IPR025162 | RAG2_PHD | Domain |
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.
| PDB | Method | Resolution (Å) |
|---|---|---|
| 8T4R | X-RAY DIFFRACTION | 1.2 |
Predicted structure (AlphaFold)
| Model | pLDDT | Fraction very-high |
|---|---|---|
| AF-P55895-F1 | 75.98 | 0.52 |
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
| ID | Pathway |
|---|---|
| R-HSA-1266695 | Interleukin-7 signaling |
| R-HSA-5687128 | MAPK6/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:
| Category | Pathways |
|---|---|
| Signaling by Interleukins | 1 |
| MAPK family signaling cascades | 1 |
GO top-level categories
Rollup of top GO terms by namespace:
| Category | Terms |
|---|---|
| phosphatidylinositol phosphate binding | 3 |
| phosphatidylinositol bisphosphate binding | 3 |
| cell fate commitment | 2 |
| T cell differentiation | 2 |
| lymphocyte differentiation | 2 |
| T cell differentiation in thymus | 2 |
| binding | 2 |
| anion binding | 2 |
| B cell activation involved in immune response | 1 |
| mature B cell differentiation | 1 |
| immune response | 1 |
| B cell differentiation | 1 |
| pre-B cell differentiation | 1 |
| regulation of gene expression | 1 |
| B cell proliferation | 1 |
| homeostatic process | 1 |
| B cell activation | 1 |
| regulation of T cell differentiation in thymus | 1 |
| negative regulation of T cell differentiation | 1 |
| somatic diversification of immune receptors via germline recombination within a single locus | 1 |
| multicellular organismal process | 1 |
| developmental growth | 1 |
| defense response | 1 |
| response to bacterium | 1 |
| organ growth | 1 |
| regulation of organ growth | 1 |
| positive regulation of developmental growth | 1 |
| positive regulation of multicellular organismal process | 1 |
| DNA metabolic process | 1 |
| cellular component organization | 1 |
| T cell activation | 1 |
| transition metal ion binding | 1 |
| DNA binding | 1 |
| histone H3 reader activity | 1 |
| nucleic acid binding | 1 |
| cation binding | 1 |
| nuclear lumen | 1 |
| cellular anatomical structure | 1 |
| protein-DNA complex | 1 |
| intracellular membrane-bounded organelle | 1 |
Protein interactions and networks
STRING
2298 interactions, top by confidence (×1000):
| Protein A | Protein B | Partner UniProt | Score |
|---|---|---|---|
| RAG2 | RAG1 | P15918 | 999 |
| RAG2 | H3-3A | P06351 | 978 |
| RAG2 | H3-5 | Q6NXT2 | 978 |
| RAG2 | H3-4 | Q16695 | 978 |
| RAG2 | H3C14 | Q71DI3 | 977 |
| RAG2 | H3C1 | P02295 | 977 |
| RAG2 | H3-7 | Q5TEC6 | 977 |
| RAG2 | IL2RG | P31785 | 878 |
| RAG2 | CD4 | P01730 | 865 |
| RAG2 | PRKDC | P78527 | 854 |
| RAG2 | CD8A | P01732 | 818 |
| RAG2 | DCLRE1C | Q96SD1 | 814 |
| RAG2 | IFNG | P01579 | 805 |
| RAG2 | IGHV4-38-2 | P0DP08 | 777 |
| RAG2 | PTPRC | P08575 | 763 |
IntAct
2 interactions, top by confidence:
| A | B | Type | Score |
|---|---|---|---|
| RAG2 | CRNN | psi-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.
| A | Effect | B | Mechanism |
|---|---|---|---|
| AminoAcids | up-regulates | RAG2 | |
| RAG2 | up-regulates | MTOR | relocalization |
Disease & clinical
Clinical variants and AI predictions
ClinVar
624 variants total. Per-class counts are floors (≥ shown; pagination cap):
| Classification | Count (floor) |
|---|---|
| Pathogenic | 47 |
| Likely pathogenic | 83 |
| Uncertain significance | 247 |
| Likely benign | 194 |
| Benign | 9 |
Top pathogenic / likely-pathogenic (30)
| Variant ID | HGVS | Classification |
|---|---|---|
| 1014836 | NM_000536.4(RAG2):c.826G>A (p.Gly276Ser) | Pathogenic |
| 1069162 | NC_000011.9:g.(?36614125)(36615728_?)del | Pathogenic |
| 1073477 | NM_000536.4(RAG2):c.442C>T (p.Arg148Ter) | Pathogenic |
| 1075543 | NM_000536.4(RAG2):c.1275_1278dup (p.Ile427fs) | Pathogenic |
| 1075544 | NM_000536.4(RAG2):c.829dup (p.Tyr277fs) | Pathogenic |
| 1076086 | NM_000536.4(RAG2):c.895del (p.Ile299fs) | Pathogenic |
| 13130 | NM_000536.4(RAG2):c.686G>A (p.Arg229Gln) | Pathogenic |
| 13134 | NM_000536.4(RAG2):c.817_819del (p.Ile273del) | Pathogenic |
| 13136 | NM_000536.4(RAG2):c.115A>G (p.Arg39Gly) | Pathogenic |
| 13138 | NM_000536.4(RAG2):c.1352G>C (p.Gly451Ala) | Pathogenic |
| 1360692 | NM_000536.4(RAG2):c.47_57del (p.Gln16fs) | Pathogenic |
| 1412375 | NM_000536.4(RAG2):c.130G>T (p.Gly44Ter) | Pathogenic |
| 1438791 | NM_000536.4(RAG2):c.724del (p.Leu242fs) | Pathogenic |
| 1441601 | NM_000536.4(RAG2):c.743del (p.Asn248fs) | Pathogenic |
| 1452768 | NM_000536.4(RAG2):c.859del (p.Cys287fs) | Pathogenic |
| 1456090 | NM_000536.4(RAG2):c.770_771del (p.Ser257fs) | Pathogenic |
| 1457376 | NM_000536.4(RAG2):c.535del (p.Leu179fs) | Pathogenic |
| 1457563 | NM_000536.4(RAG2):c.863del (p.Asn288fs) | Pathogenic |
| 1459767 | NM_000536.4(RAG2):c.1053dup (p.Glu352Ter) | Pathogenic |
| 1460395 | NM_000536.4(RAG2):c.358del (p.Val120fs) | Pathogenic |
| 2018007 | NM_000536.4(RAG2):c.1491_1506A[6]GCCTCCAATGGGCCGGGCGCGGTGGCTCACGCCTGTAATCCCAGCACTTAGGGAGGCCGAGGCGGGTGGATCATGAGGTCAGGNNNNNNNNNNAAAAAAAAAAAAAAAAAAAAAAAAAAGCCTCCAATG[1] (p.Lys503delinsGlyArgAlaArgTrpLeuThrProValIleProAlaLeuArgGluAlaGluAlaGlyGlySerTer) | Pathogenic |
| 2020432 | NM_000536.4(RAG2):c.1348del (p.Asp450fs) | Pathogenic |
| 2029414 | NM_000536.4(RAG2):c.1024G>T (p.Gly342Ter) | Pathogenic |
| 2030370 | NM_000536.4(RAG2):c.1334dup (p.Tyr445Ter) | Pathogenic |
| 2090696 | NM_000536.4(RAG2):c.189dup (p.Lys64Ter) | Pathogenic |
| 2678215 | NM_000536.4(RAG2):c.171del (p.Lys58fs) | Pathogenic |
| 2928095 | NM_000536.4(RAG2):c.1257C>G (p.Cys419Trp) | Pathogenic |
| 2933346 | NM_000536.4(RAG2):c.1210G>T (p.Glu404Ter) | Pathogenic |
| 2935560 | NM_000536.4(RAG2):c.1441C>G (p.His481Asp) | Pathogenic |
| 2938106 | NM_000536.4(RAG2):c.1442A>G (p.His481Arg) | Pathogenic |
SpliceAI
821 predictions. Top by Δscore:
| Variant | Effect | Δscore |
|---|---|---|
| 11:36594774:G:GT | donor_gain | 0.9900 |
| 11:36594913:G:GT | donor_gain | 0.9900 |
| 11:36598097:CCTA:C | donor_loss | 0.9900 |
| 11:36598099:TACC:T | donor_loss | 0.9900 |
| 11:36598101:CCTG:C | donor_loss | 0.9900 |
| 11:36595450:CAAA:C | acceptor_gain | 0.9800 |
| 11:36594620:G:GT | donor_gain | 0.9700 |
| 11:36595014:G:T | donor_gain | 0.9700 |
| 11:36595059:A:AG | donor_gain | 0.9700 |
| 11:36576083:TTC:T | donor_gain | 0.9500 |
| 11:36595453:A:C | acceptor_gain | 0.9500 |
| 11:36594845:T:TA | donor_gain | 0.9300 |
| 11:36595456:T:TC | acceptor_gain | 0.9300 |
| 11:36598100:A:AC | donor_gain | 0.9300 |
| 11:36598101:C:CC | donor_gain | 0.9300 |
| 11:36594196:C:CC | acceptor_gain | 0.9100 |
| 11:36594933:TTG:T | donor_gain | 0.9100 |
| 11:36594192:TTGT:T | acceptor_gain | 0.8900 |
| 11:36597641:A:G | acceptor_gain | 0.8900 |
| 11:36598098:CTACC:C | donor_gain | 0.8900 |
| 11:36598099:TACCT:T | donor_gain | 0.8900 |
| 11:36576036:A:AG | donor_gain | 0.8800 |
| 11:36576037:G:GG | donor_gain | 0.8800 |
| 11:36594191:TTTGT:T | acceptor_gain | 0.8800 |
| 11:36594929:G:GT | donor_gain | 0.8800 |
| 11:36575986:A:AG | donor_gain | 0.8700 |
| 11:36575987:G:GG | donor_gain | 0.8700 |
| 11:36594681:G:GT | donor_gain | 0.8700 |
| 11:36594879:A:T | donor_gain | 0.8700 |
| 11:36576079:G:GT | donor_gain | 0.8600 |
AlphaMissense
3515 scored. Top likely-pathogenic:
| Variant | Protein change | am_pathogenicity |
|---|---|---|
| 11:36593250:A:G | W307R | 0.997 |
| 11:36593250:A:T | W307R | 0.997 |
| 11:36594063:A:G | W36R | 0.997 |
| 11:36594063:A:T | W36R | 0.997 |
| 11:36593220:A:G | W317R | 0.996 |
| 11:36593220:A:T | W317R | 0.996 |
| 11:36592881:A:G | W430R | 0.995 |
| 11:36592881:A:T | W430R | 0.995 |
| 11:36592879:C:A | W430C | 0.994 |
| 11:36592879:C:G | W430C | 0.994 |
| 11:36594061:C:A | W36C | 0.994 |
| 11:36594061:C:G | W36C | 0.994 |
| 11:36594074:C:T | G32E | 0.994 |
| 11:36594031:G:C | F46L | 0.993 |
| 11:36594031:G:T | F46L | 0.993 |
| 11:36594033:A:G | F46L | 0.993 |
| 11:36592812:A:G | W453R | 0.992 |
| 11:36592812:A:T | W453R | 0.992 |
| 11:36592810:C:A | W453C | 0.991 |
| 11:36592810:C:G | W453C | 0.991 |
| 11:36593655:A:G | W172R | 0.991 |
| 11:36593655:A:T | W172R | 0.991 |
| 11:36593551:A:C | F206L | 0.990 |
| 11:36593551:A:T | F206L | 0.990 |
| 11:36593553:A:G | F206L | 0.990 |
| 11:36593389:A:C | S260R | 0.989 |
| 11:36593389:A:T | S260R | 0.989 |
| 11:36593391:T:G | S260R | 0.989 |
| 11:36593693:C:G | R159P | 0.989 |
| 11:36594052:T:A | R39S | 0.989 |
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
| Disease | Classification | Inheritance |
|---|---|---|
| recombinase activating gene 2 deficiency | Definitive | Autosomal recessive |
| Omenn syndrome | Definitive | Autosomal recessive |
| severe combined immunodeficiency, autosomal recessive, T cell-negative, B cell-negative, NK cell-positive | Strong | Autosomal recessive |
ClinGen Gene-Disease Validity (1)
Expert-panel classifications — Definitive > Strong > Moderate > Limited > Disputed > Refuted.
| Disease | Classification | Inheritance |
|---|---|---|
| recombinase activating gene 2 deficiency | Definitive | AR |
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):
| HPO | Term |
|---|---|
| HP:0000007 | Autosomal recessive inheritance |
| HP:0000100 | Nephrotic syndrome |
| HP:0000265 | Mastoiditis |
| HP:0000388 | Otitis media |
| HP:0000509 | Conjunctivitis |
| HP:0000561 | Absent eyelashes |
| HP:0000778 | Hypoplasia of the thymus |
| HP:0000821 | Hypothyroidism |
| HP:0000944 | Abnormal metaphysis morphology |
| HP:0000958 | Dry skin |
| HP:0000962 | Hyperkeratosis |
| HP:0000964 | Eczematoid dermatitis |
| HP:0000969 | Edema |
| HP:0000980 | Pallor |
| HP:0000988 | Skin rash |
| HP:0000989 | Pruritus |
| HP:0001019 | Erythroderma |
| HP:0001036 | Parakeratosis |
| HP:0001072 | Thickened skin |
| HP:0001250 | Seizure |
| HP:0001287 | Meningitis |
| HP:0001369 | Arthritis |
| HP:0001433 | Hepatosplenomegaly |
| HP:0001508 | Failure to thrive |
| HP:0001581 | Recurrent skin infections |
| HP:0001596 | Alopecia |
| HP:0001744 | Splenomegaly |
| HP:0001831 | Short toe |
| HP:0001873 | Thrombocytopenia |
| HP:0001875 | Decreased total neutrophil count |
GWAS associations
2 associations (top):
| Study | Trait | p-value |
|---|---|---|
| GCST002318_161 | Rheumatoid arthritis | 1.000000e-07 |
| GCST002318_35 | Rheumatoid arthritis | 3.000000e-07 |
MeSH disease descriptors (6)
| Descriptor | Name | Tree numbers |
|---|---|---|
| D017074 | Common Variable Immunodeficiency | C20.673.330 |
| D007153 | Immunologic Deficiency Syndromes | C20.673 |
| D016511 | Severe Combined Immunodeficiency | C16.320.798.750; C16.614.815; C18.452.284.800; C20.673.795.750 |
| C567115 | Combined Cellular And Humoral Immune Defects With Granulomas (supp.) | |
| C563822 | Severe Combined Immunodeficiency, Autosomal Recessive, T Cell Negative, B Cell Positive, NK Cell Positive (supp.) | |
| C563311 | Severe 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.
| Chemical | Actions (top 5) | PubMed papers |
|---|---|---|
| perfluorooctanoic acid | decreases expression | 2 |
| perfluorooctane sulfonic acid | decreases expression | 2 |
| perfluoro-n-nonanoic acid | decreases expression | 2 |
| perfluorohexanesulfonic acid | decreases expression | 2 |
| 5-amino-7-(cyclohexylamino)-1-ethyl-6-fluoro-4-oxo-1,4-dihydroquinoline-3-carboxylic acid | decreases expression | 2 |
| ammonium 2,3,3,3-tetrafluoro-2-(heptafluoropropoxy)-propanoate | decreases expression | 1 |
| deoxynivalenol | increases expression | 1 |
| perfluorodecanoic acid | decreases expression | 1 |
| perfluorohexanoic acid | decreases expression | 1 |
| perfluorobutanesulfonic acid | decreases expression | 1 |
| bisphenol S | increases expression | 1 |
| (+)-JQ1 compound | decreases expression | 1 |
| Aflatoxin B1 | decreases methylation | 1 |
| Antirheumatic Agents | decreases expression | 1 |
Clinical trials (associated diseases)
128 trials via MONDO — disease-level, not drug-specific.
| Trial | Phase | Status | Title |
|---|---|---|---|
| NCT03677557 | PHASE4 | UNKNOWN | Safety, Tolerability, Patient Satisfaction and Cost of 16.5% Subcutaneous Immunoglobulin (Cutaquig®) Treatment |
| NCT00520494 | PHASE4 | COMPLETED | Efficacy and Safety of Vivaglobin® in Previously Untreated Patients With Primary Immunodeficiency |
| NCT01289847 | PHASE4 | COMPLETED | A Study to Find Out How Safe and Effective Gammaplex® is in Young People With Primary Immunodeficiency |
| NCT01946906 | PHASE4 | COMPLETED | The Rifaximin Study in CVID |
| NCT05193552 | PHASE4 | RECRUITING | Usage of Spirometry in Managing IgG Therapy in CVID With Airway Disease |
| NCT00001646 | PHASE3 | COMPLETED | Voriconazole vs. Amphotericin B in the Treatment of Invasive Aspergillosis |
| NCT00220766 | PHASE3 | COMPLETED | Rapid Infusion of Immune Globulin Intravenous (Human) In Primary Immunodeficiency Patients |
| NCT00468273 | PHASE3 | COMPLETED | A Clinical Study of Intravenous Immunoglobulin |
| NCT00811174 | PHASE3 | TERMINATED | Efficacy, Safety and Kinetics Study of Octagam 10% in Primary Immunodeficiency Diseases |
| NCT01012323 | PHASE3 | COMPLETED | A Study of NewGam, Human Immunoglobulin 10%, in Patients With Primary Immunodeficiency Diseases |
| NCT01313507 | PHASE3 | COMPLETED | High Infusion Rate Study of Immunoglobulin Intravenous (Human) 10% (NewGam) |
| NCT01406470 | PHASE3 | COMPLETED | Phase 3 Study of Immune Globulin Intravenous (Human)IVIG-SN™ in Subjects With Primary Immunodeficiency |
| NCT02783482 | PHASE3 | COMPLETED | Study of Immune Globulin Intravenous (Human) GC5107 in Subjects With Primary Humoral Immunodeficiency |
| NCT02810444 | PHASE3 | COMPLETED | Study to Investigate Efficacy, Safety and Pharmacokinetics of BT595 in Subjects With PID |
| NCT03961009 | PHASE3 | COMPLETED | Clinical Assessment of Pharmacokinetics, Efficacy, and Safety of 10% IVIg in PID Patients |
| NCT04842643 | PHASE3 | COMPLETED | An Extension Study of TAK-664 for Japanese People With Primary Immunodeficiency Disease |
| NCT04944979 | PHASE3 | ACTIVE_NOT_RECRUITING | Clinical Assessment of Pharmacokinetics, Efficacy, and Safety of 10% IVIg in Pediatric PID Patients (KIDCARES10) |
| NCT06089122 | PHASE3 | UNKNOWN | Efficacy, Safety, and Pharmacokinetics of Shu Yang IVIG |
| NCT06150833 | PHASE3 | UNKNOWN | Efficacy and Safety and Pharmacokinetics of Boya IVIG |
| NCT07346859 | PHASE3 | RECRUITING | Study of BP-SCIG 20% in Patients With Primary Immunodeficiency (PID) |
| NCT01420627 | PHASE3 | COMPLETED | EZN-2279 in Patients With ADA-SCID |
| NCT06940570 | PHASE3 | SUSPENDED | Methadone as an Alternative Treatment for Children Underdoing HSCT |
| NCT00168012 | PHASE3 | COMPLETED | Efficacy and Safety of Intravenous Immunoglobulin IVIG-F10 in Patients With Primary Immunodeficiencies (PID) |
| NCT00168025 | PHASE3 | COMPLETED | Efficacy and Safety of Intravenous Immunoglobulin IgPro10 in Patients With Primary Immunodeficiencies (PID) |
| NCT00322556 | PHASE3 | COMPLETED | Safety and Efficacy of Intravenous Immunoglobulin IgPro10 in Patients With Primary Immunodeficiencies (PID) |
| NCT00542997 | PHASE3 | COMPLETED | Study of Subcutaneous Immune Globulin in Patients Requiring IgG Replacement Therapy |
| NCT01884311 | PHASE3 | COMPLETED | Pharmacokinetics (PK) and Safety of Subgam-VF in Primary Immunodeficiency Diseases |
| NCT01963143 | PHASE3 | COMPLETED | Bioequivalence Study to Evaluate the Pharmacokinetics, Safety, and Tolerability of Gammaplex® 10 and Gammaplex® 5% in Primary Immunodeficiency Diseases |
| NCT02247141 | PHASE3 | COMPLETED | A Multi-centre Open Study to Assess the Safety and Efficacy of Subgam® |
| NCT07284641 | PHASE2 | RECRUITING | Hematopoietic Stem Cell Transplantation (HSCT) for Common Variable Immunodeficiency (CVID) and Other Autoimmune Manifestations of Primary Immune Regulatory Disorders (PIRD) |
| NCT00001438 | PHASE2 | COMPLETED | A Pilot Study of the Combination of Retinoic Acid and Interferon-Alpha2a for the Treatment of Lymphoproliferative Disorders in Children With Immunodeficiency Syndromes |
| NCT00176865 | PHASE2 | COMPLETED | Stem Cell Transplant for Immunologic or Histiocytic Disorders |
| NCT00389324 | PHASE2 | COMPLETED | A Trial of the Pharmacokinetics, Safety, and Tolerability of Subcutaneous Gamunex® in Primary Immunodeficiency |
| NCT00598481 | PHASE2 | COMPLETED | ADA Gene Transfer Into Hematopoietic Stem/Progenitor Cells for the Treatment of ADA-SCID |
| NCT01856582 | PHASE2 | TERMINATED | CD34+ Stem Cell Infusion to Augment Graft Function |
| NCT06199427 | PHASE2 | RECRUITING | PTCy and and Ruxolitinib for GVHD Prophylaxis After HSCT With Thymoglobulin in Conditioning Regimen in Patients With Inborn Errors of Immunity |
| NCT00000603 | PHASE2 | COMPLETED | Cord Blood Stem Cell Transplantation Study (COBLT) |
| NCT00794508 | PHASE2 | COMPLETED | MND-ADA Transduction of CD34+ Cells From Children With ADA-SCID |
| NCT01182675 | PHASE2 | TERMINATED | Hematopoietic Stem Cell Transplantation (HSCT) for Children With SCID Utilizing Alemtuzumab, Plerixafor & Filgrastim |
| NCT01529827 | PHASE2 | COMPLETED | Fludarabine Phosphate, Melphalan, and Low-Dose Total-Body Irradiation Followed by Donor Peripheral Blood Stem Cell Transplant in Treating Patients With Hematologic Malignancies |
Related Atlas pages
- Associated diseases: recombinase activating gene 2 deficiency, Omenn syndrome, severe combined immunodeficiency, autosomal recessive, T cell-negative, B cell-negative, NK cell-positive
- Disease cohort memberships (association, not causation — diseases whose associated-gene cohort lists this gene; a subset are also under Associated diseases): combined immunodeficiency with skin granulomas, common variable immunodeficiency, immunodeficiency 104, inborn error of immunity, Omenn syndrome, recombinase activating gene 2 deficiency, Salla disease, severe combined immunodeficiency, severe combined immunodeficiency, autosomal recessive, T cell-negative, B cell-negative, NK cell-positive