Evidence map›Paper›PMID 41104538›Full record

ArticleGenetics in medicine : official journal of the American College of Medical Genetics2026

The ClinGen Severe Combined Immunodeficiency Disease Variant Curation Expert Panel: Specifications for classification of variants in ADA, DCLRE1C, IL2RG, IL7R, JAK3, RAG1, and RAG2.

Vanessa C Jacovas, Michelle Zelnick, Shannon McNulty, Justyne E Ross, Namrata Khurana, Xueyang Pan, Alejandro Nieto, Shiloh Martin, Benjamin McLean, Marwa A Elnagheeb and 15 more

Abstract read
In one paragraph

Article in Genetics in medicine : official journal of the American College of Medical Genetics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Article
  6. Informed clinical decisions by outfoxing human FOXN1 variants.The Journal of allergy and clinical immunology · 2025
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

25 authors.

Vanessa C JacovasBaylor College of Medicine, Houston, TX; Division of Pediatric Immunology, Allergy, and Retrovirology, Texas Children's Hospital, Houston, TX.
Michelle ZelnickBaylor College of Medicine, Houston, TX; Division of Pediatric Immunology, Allergy, and Retrovirology, Texas Children's Hospital, Houston, TX.
Shannon McNultyDepartment of Genetics, University of North Carolina, Chapel Hill, NC.
Justyne E RossDepartment of Genetics, University of North Carolina, Chapel Hill, NC.
Namrata KhuranaBaylor College of Medicine, Houston, TX.
Xueyang PanBaylor College of Medicine, Houston, TX.
Alejandro NietoBaylor College of Medicine, Houston, TX; Division of Pediatric Immunology, Allergy, and Retrovirology, Texas Children's Hospital, Houston, TX.
Shiloh MartinInvitae Corporation, San Francisco, CA.
Benjamin McLeanDepartment of Genetics, University of North Carolina, Chapel Hill, NC.
Marwa A ElnagheebDepartment of Genetics, University of North Carolina, Chapel Hill, NC.
Morton J CowanDepartment of Pediatrics, Division of Pediatric Allergy, Immunology and Bone Marrow Transplantation, University of California San Francisco Benioff Children's Hospital, San Francisco, CA.
Jennifer M PuckDepartment of Pediatrics, Division of Pediatric Allergy, Immunology and Bone Marrow Transplantation, University of California San Francisco Benioff Children's Hospital, San Francisco, CA.
Mike S HershfieldDepartment of Medicine and Biochemistry, Duke University School of Medicine, Durham, NC.
James VerbskyDivision of Rheumatology, Department of Pediatrics, Medical College of Wisconsin and Children's Wisconsin, Milwaukee, WI.
Jolan WalterDivision of Pediatric Allergy/Immunology, University of South Florida at Johns Hopkins All Children's Hospital, St. Petersburg, FL.
Eric J AllenspachDivision of Immunology, Department of Pediatrics, University of Washington and Seattle Children's Research Institute, Seattle, WA.
Alice Y ChanDepartment of Pediatrics, Division of Pediatric Allergy, Immunology and Bone Marrow Transplantation, University of California San Francisco Benioff Children's Hospital, San Francisco, CA.
Nicolai S C van OersDepartment of Immunology, Pediatrics and Microbiology, University of Texas Southwestern Medical Center, Dallas, TX.
Rajarshi GhoshDivision of Intramural Research, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD.
Megan PiazzaPreventionGenetics, Part of Exact Sciences, Marshfield, WI.
Bo YuanBaylor College of Medicine, Houston, TX; Human Genome Sequencing Center, Baylor College of Medicine, Houston, TX.
Luigi D NotarangeloDivision of Intramural Research, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD.
Britt A JohnsonInvitae Corporation, San Francisco, CA. Electronic address: britt.johnson@genedx.com.
Ivan K ChinnBaylor College of Medicine, Houston, TX; Division of Pediatric Immunology, Allergy, and Retrovirology, Texas Children's Hospital, Houston, TX. Electronic address: ivan.chinn@bcm.edu.
Severe Combined Immunodeficiency Variant Curation Expert Panel

Funding

The Clinical Genome Resource – Advancing genomic medicine through biocuration and expert assessment of genes and variants at scaleU24HG009650 · NHGRI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI JONATHAN S BERG, Jessica Ezzell Hunter · 2021 to 2026
$30.0M
Curation of genetic defects causing combined immunodeficiency and infections in childrenU24HD104590 · NICHD · BAYLOR COLLEGE OF MEDICINE · PI CHINN, IVAN KINGYUE, TORGERSON, TROY R · 2021 to 2025
$2.1M
NHGRI NIH HHS U24 HG009650NICHD NIH HHS U24 HD104590
6 · The paper itself

Abstract

purposeThis collaborative study, led by the Clinical Genome Resource Severe Combined Immunodeficiency Disease Variant Curation Expert Panel (ClinGen SCID-VCEP), implemented and adapted the American College of Medical Genetics and Genomics/Association for Molecular Pathology (ACMG/AMP) guidelines for interpreting germline variants in genes with established relationships to SCID. The effort focused on the 7 most common SCID-related genes identified by SCID newborn screening in North America: ADA, DCLRE1C, IL2RG, IL7R, JAK3, RAG1, and RAG2.

methodsThe SCID-VCEP conducted a rigorous review of variants that involved database analyses, literature review, and expert feedback to derive gene-specific modifications to the ACMG/AMP guidelines. These specifications were validated using a pilot set of 90 variants.

resultsOf these 90 variants, 25 were classified as pathogenic, 21 as likely pathogenic, 14 as variants of uncertain significance, 18 as likely benign, and 12 as benign. Seventeen variants with conflicting classifications in ClinVar were successfully resolved. The criteria included modifications to 20 of the 28 original ACMG/AMP criteria specific to SCID-related genes.

conclusionThe SCID-specific variant curation guidelines developed by the SCID-VCEP will enhance the precision of SCID genetic diagnosis and provide a robust framework for interpreting variants in SCID-related genes, contributing to appropriate treatment of SCID.

Indexed as

Severe Combined ImmunodeficiencyAdenosine DeaminaseDatabases, GeneticDNA-Binding ProteinsGenetic TestingGenetic VariationHomeodomain ProteinsHumansInfant, NewbornInterleukin-7 Receptor alpha SubunitInterleukin Receptor Common gamma SubunitJanus Kinase 3Neonatal ScreeningNuclear ProteinsReceptors, Interleukin-7Adenosine DeaminaseDNA-Binding ProteinsHomeodomain ProteinsIL2RG protein, humanIL7R protein, humanInterleukin-7 Receptor alpha SubunitInterleukin Receptor Common gamma SubunitJAK3 protein, humanJanus Kinase 3Nuclear ProteinsRAG-1 proteinRAG2 protein, humanReceptors, Interleukin-7ACMG/AMP guidelinesClinGenSCID

Identifiers

PMID41104538
PMCPMC13175239

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.