Description
The R140Q pathogenic variant in the IDH2 gene has been reported previously as a de novo variant in the heterozygous state in multiple individuals with D-2 hydroxyglutaric aciduria type 2 (Kranendijk et al., 2010). R140Q has also been reported as de novo in the mosaic state in an individual with D-2HGA type 2. In addition, R140Q was also reported as mosaic in the unaffected mother of an individual with D-2HGA type 2 (Kranendijk et al., 2010; Nota et al., 2013). The R140Q variant was not observed at any significant frequency in approximately 6,500 individuals of European and African American ancestry in the NHLBI Exome Sequencing Project, indicating it is not a common benign variant in these populations. The R140Q variant is a semi-conservative amino acid substitution, which occurs as a position that is conserved across species. An enzyme assay which determines IDH2 activity in lymphoblast extracts was created, and confirmed that R140Q results in gain of function in D-2 hydroxyglutaric aciduria type 2 (Kranendijk et al., 2011). We interpret R140Q as a pathogenic variant.
# | Sample | Method | Observation |
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Origin | Affected | Number tested | Tissue | Purpose | Method | Individuals | Allele frequency | Families | Co-occurrences |
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1 | germline | yes | not provided | not provided | not provided | | not provided | not provided | not provided | not provided |