Predicting the occurrence of variants in RAG1 and RAG2

Abstract

13While widespread genome sequencing ushers in a new era of preventive medicine, the tools for predictive genomics are still lacking. The greatest hurdle in diagnosis of rare disease is validation for variants of unknown significance. RAG deficiency presents at an early age with a distinct phenotype of combined immunodeficiency with granuloma and/or autoimmunity. Allele frequency of a SNV in the general population is an indicator of the functional or structural importance of a particular amino acid residue. However, rare diseases are often attributable to variants in genes which are highly conserved. Mutation of a conserved residue does not confirm pathogenicity and functional validation must be confirmed to correctly identify a monogenic disorders such as RAG deficiency. We present protein variants in RAG1 and RAG2 which are most likely to be seen clinically as disease-causing. Our method of mutation rate residue fre- *