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 uncertain. Select a step to read what it means.
Uncertain.The recorded classification is uncertain significance.
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.
p.Arg172 is the critical active site residue of IDH2, analogous to IDH1 R132. This residue is a well-characterized functional domain where somatic missense mutations (R172K, R172M, R172W, R172G, R172S) produce neomorphic enzyme activity converting α-ketoglutarate to the oncometabolite 2-hydroxyglutarate. The residue is in a statistically significant mutational hotspot (cancerhotspots.org), OncoKB classifies R172S as oncogenic, and PMID:24403254 confirmed R172S as a recurrent somatic mutation in osteosarcoma (3/12 patients).
NM_002168.3:c.516G>C is absent from gnomAD v2.1 and extremely rare in gnomAD v4.1 (AF = 6.19 × 10⁻⁷; 1/1,614,224 alleles; 0 homozygotes). The highest subpopulation frequency is in Ashkenazi Jewish (AF = 3.38 × 10⁻⁵; 1/29,606 alleles). Allele frequency is far below the PM2 threshold of <0.1% in all populations, consistent with a rare variant.
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: PM1 supporting, PM2 supporting; combination = 2 supporting, which maps to VUS.
Evidence summaries and captured source records, where available. Missing entries should not be interpreted as negative findings.
gnomAD v4.1: 1 / 1,614,224 alleles. Recorded AF 6.19493e-07. Recorded homozygote count 0.
Absent from gnomAD v2.1.
Absent from gnomAD-Canada v1.0.
Recorded SpliceAI maximum delta score: 0.010. Refer to the recorded PP3/BP4 rationale for interpretation.
A ClinVar laboratory submission summary was not recorded. ClinVar API review status: no assertion criteria provided.
OncoKB identified variant-specific curated literature and context relevant to functional review; curated oncogenicity label: Oncogenic.
This variant has previously been reported in somatic cancers (COSMIC; COSV57468772, n = 35 times).
This variant lies in a statistically significant hotspot.
ACMG/AMP criteria under Not recorded, with the data and sources behind each one.
27 criteria with recorded statuses: 2 met · 21 not met · 0 not assessed · 4 not applicable. Open any row for the full reasoning, the rule and the evidence behind it.
PM1 (supporting): p.Arg172 is the critical active site residue of IDH2, a well-characterized functional domain and statistically significant mutational hotspot where somatic missense mutations produce neomorphic enzyme activity converting α-ketoglutarate to 2-hydroxyglutarate. OncoKB classifies R172S as oncogenic, and PMID:24403254 confirmed R172S as a recurrent somatic mutation in 3/12 osteosarcoma patients.
PM2 (supporting): NM_002168.3:c.516G>C is absent from gnomAD v2.1 and extremely rare in gnomAD v4.1 (AF = 6.19 × 10⁻⁷; 1/1,614,224 alleles; 0 homozygotes), far below the PM2 threshold of <0.1%.
Two supporting criteria for pathogenicity (PM1_supporting + PM2_supporting) are met with no benign criteria met. Per the generic ACMG/AMP 2015 classification combination rules (PMID:25741868), this combination does not reach the threshold for Likely Pathogenic (minimum requires ≥1 moderate and ≥4 supporting, or ≥2 moderate and ≥2 supporting, or ≥1 strong and ≥2 supporting). The variant is classified as a Variant of Uncertain Significance (VUS).
No criteria match.
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 |
|---|
| Ashkenazi Jewish1 / 29,606 | 3.4e-05 |
This variant is present in gnomAD v4.1 (AF= 6.19493e-07; MAF= 0.00006%, 1/1614224 alleles, homozygotes = 0) and has highest observed frequency in the Ashkenazi Jewish population (AF= 3.37769e-05; MAF= 0.00338%, 1/29606 alleles, homozygotes = 0).
Absent from gnomAD v2.1.
Absent from gnomAD-Canada v1.0.
No further detail was recorded.
SpliceAI predicts no significant splice impact for this variant (max delta score = 0.01). REVEL score = 0.567. BayesDel score = 0.31655.
5 paper records listed. 1 cited in the classification.
This article describes the IDH2-R172S mutation in 3 of 12 (25%) osteosarcoma patients, which was detected by direct DNA sequencing. Furthermore, MsMab-1 stained nine of 32 (28.1%) osteosarcomas in a tissue microarray.
Location Introduction (describes R172S in osteosarcoma); Results, Mutational analysis section (3/12 patients, Fig 1); Results, Specificity of MsMab-1 section (ELISA Tables 3-4, Western blot Fig 2); Results, Immunohistochemical analysis (Fig 3); Discussion paragraphs 1-3.
Context Direct DNA sequencing of osteosarcoma FFPE tissue; ELISA with synthetic IDH2 peptides; Western blot using CHO and U-2 OS cells transfected with IDH2-R172S; immunohistochemistry on osteosarcoma tissue microarray
The IDH2 mutations which have been identified in gliomas occur at the analogous residue to IDH1 R132, IDH2 R172. Both IDH1 R132 and IDH2 R172 mutants lack the wild-type enzyme's ability to convert isocitrate to α-ketoglutarate.
Introduction paragraph 1; describes IDH2 R172 as the analogous residue to IDH1 R132. Results tested R172K specifically.
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.
This variant is present in gnomAD v4.1 (AF= 6.19493e-07; MAF= 0.00006%, 1/1614224 alleles, homozygotes = 0) and has highest observed frequency in the Ashkenazi Jewish population (AF= 3.37769e-05; MAF= 0.00338%, 1/29606 alleles, homozygotes = 0).
Absent from gnomAD v2.1.
Absent from gnomAD-Canada v1.0.
This variant has been reported in ClinVar but submission details could not be extracted. (ClinVarID = 375985)
SpliceAI predicts no significant splice impact for this variant (max delta score = 0.01). REVEL score = 0.567. BayesDel score = 0.31655.
OncoKB identified variant-specific curated literature and context relevant to functional review; curated oncogenicity label: Oncogenic.
This variant lies in a statistically significant hotspot. This variant has previously been reported in somatic cancers (COSMIC; COSV57468772, n = 35 times).
This variant lies in a statistically significant hotspot.