About IDH2
No gene-level summary was recorded for this case.
No variant summary was recorded for this case.
Five-step scale from benign to pathogenic. This variant is pathogenic. Select a step to read what it means.
Pathogenic.A pathogenic classification under the recorded framework.
Gene-level background from the recorded interpretation.
Words with a dotted underline have a short definition. Hover or tap them.No gene-level summary was recorded for this case.
The recorded framework is Not recorded. The criteria and strengths shown below come from the saved assessment; this page does not recalculate the classification.
The applied criteria and their strengths are shown as assessed under the stated framework.
Two independent publications directly tested the exact IDH2 R172G variant in cell line models, demonstrating loss of wild-type enzymatic activity and gain of neomorphic oncogenic function. PMID:21641335 showed that IDH2 R172G diminishes NADPH production and alters cellular proliferation. PMID:22309944 showed that IDH2 R172G overexpression induces HIF-1α upregulation and β-catenin nuclear accumulation. The neomorphic gain-of-function (2-hydroxyglutarate production) is a well-established consequence of IDH2 R172 mutations, corroborated by PMID:21326614 for the broader R172 class.
Variant is located at arginine 172, the catalytic active-site residue in IDH2 (analogous to IDH1 R132). This is a well-established critical functional domain in the enzyme active site and a statistically significant mutational hotspot (cancerhotspots.org). ClinVar submission SCV005902248 independently cites PM1 for this variant.
Variant is absent from gnomAD v2.1, v4.1, and gnomAD-Canada v1.0 (allele frequency = 0.0). Meets PM2 threshold of <0.1% for non-VCEP generic ACMG application.
REVEL score 0.669 predicts a deleterious effect on protein function (>0.5 threshold). SpliceAI predicts no splice impact (max delta 0.03). Multiple in silico tools support a deleterious effect, though BayesDel (0.383) is borderline. Overall evidence supports a damaging in silico prediction.
Reported as Likely pathogenic in ClinVar (Variation ID: 376439) by Clinical Genomics Laboratory, Washington University in St. Louis (SCV005902248, criteria provided, single submitter). A reputable clinical laboratory has classified this variant as likely pathogenic with supporting criteria; while a single-submitter submission without expert panel review carries less weight than a 3-star classification, the criteria-provided submission from a clinical diagnostic laboratory satisfies PP5 at supporting strength under generic ACMG.
No benign criterion marked as applied in the recorded assessment.
gene-specific framework lacked a usable explicit final combination framework, so generic ACMG/AMP 2015 final-combination rules were applied as fallback; applied criteria: PS3 strong, PM1 moderate, PM2 moderate, PP3 supporting, PP5 supporting; combination = 1 strong + 2 moderate + 2 supporting, which maps to Pathogenic.
Evidence summaries and captured source records, where available. Missing entries should not be interpreted as negative findings.
gnomAD v4.1 allele counts were not recorded for this variant.
Absent from gnomAD v2.1.
Absent from gnomAD-Canada v1.0.
Recorded SpliceAI maximum delta score: 0.030. Refer to the recorded PP3/BP4 rationale for interpretation.
1 Likely pathogenic. ClinVar API review status: criteria provided, single submitter.
OncoKB identified variant-specific curated literature and context relevant to functional review; curated oncogenicity label: Likely Oncogenic.
This variant has previously been reported in somatic cancers (COSMIC; COSV57468989, n = 48 times).
This variant lies in a statistically significant hotspot.
ACMG/AMP criteria under Not recorded, with the data and sources behind each one.
29 criteria with recorded statuses: 5 met · 18 not met · 0 not assessed · 6 not applicable. Open any row for the full reasoning, the rule and the evidence behind it.
PS3 (strong): Two independent publications (PMID:21641335, PMID:22309944) directly tested the exact IDH2 R172G variant, demonstrating loss of wild-type enzymatic activity and gain of neomorphic 2-hydroxyglutarate production.
PM1 (moderate): Variant is located at arginine 172, the catalytic active-site residue in IDH2 and a statistically significant mutational hotspot (cancerhotspots.org).
PM2 (moderate): Variant is absent from gnomAD v2.1, v4.1, and gnomAD-Canada (allele frequency = 0.0).
PP3 (supporting): REVEL score 0.669 predicts a deleterious effect on protein function.
PP5 (supporting): Reported as Likely pathogenic in ClinVar by a clinical diagnostic laboratory with criteria provided (Variation ID: 376439).
Overall classification: Pathogenic. The combination of 1 strong criterion (PS3), 2 moderate criteria (PM1, PM2), and 2 supporting criteria (PP3, PP5) satisfies the generic ACMG/AMP 2015 pathogenic threshold (1 Strong + 2 Moderate + 2 Supporting).
No criteria match.
No further detail was recorded.
No further detail was recorded.
No further detail was recorded.
No further detail was recorded.
Every interpreted variant in IDH2, mapped onto the exon structure of NM_002168.3. Select a row to find it on the plot.
| Protein | Location | Classification | Link |
|---|
Absent from gnomAD v4.1.
Absent from gnomAD v2.1.
Absent from gnomAD-Canada v1.0.
SpliceAI predicts no significant splice impact for this variant (max delta score = 0.03). REVEL score = 0.669. BayesDel score = 0.382927.
8 paper records listed. 2 cited in the classification.
exogenous expression of IDH2R172G reduces the generation of NADPH, which denotes that IDH2R172G mutation diminishes IDH2 activity
Location Results sections 3.2-3.5; Figures 3B, 3C, 4F-J
Context Rat C6 glioma cell line, site-directed mutagenesis, pEGFP-N1-IDH2R172G plasmid, MTT proliferation assay, NADPH enzymatic spectrophotometric assay, chemotherapy sensitivity assay
C6 glioma cells transiently over-expressing IDH2R172G induced nuclear accumulation of β-catenin, up-regulation of HIF-1α signaling and corresponding proteins expression that were closely related with tumor invasion and chemo-resistance.
Location Results sections 3.1-3.4; Figures 1-6
Context Rat C6 glioma cell line, pEGFP-N1-IDH2R172G transient overexpression, western blot, gelatin zymography, Matrigel invasion assays
Both IDH1 R132 and IDH2 R172 mutants lack the wild-type enzyme's ability to convert isocitrate to α-ketoglutarate
Results; all functional experiments used IDH2 R172K.
R172K, R172M, and R172G are the IDH2 substitions observed in gliomas.
Introduction (sole mention of R172G); all experimental figures used IDH2 R172K
Screenshots represent source records captured during evidence collection. Select one to view the recorded source content.
The evidence statements recorded by the interpretation pipeline. They have not been reinterpreted by the page.
Absent from gnomAD v4.1.
Absent from gnomAD v2.1.
Absent from gnomAD-Canada v1.0.
This variant has been reported in ClinVar as Likely pathogenic (1 clinical laboratory). (ClinVarID = 376439)
SpliceAI predicts no significant splice impact for this variant (max delta score = 0.03). REVEL score = 0.669. BayesDel score = 0.382927.
OncoKB identified variant-specific curated literature and context relevant to functional review; curated oncogenicity label: Likely Oncogenic.
This variant lies in a statistically significant hotspot. This variant has previously been reported in somatic cancers (COSMIC; COSV57468989, n = 48 times).
This variant lies in a statistically significant hotspot.