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Variant interpretation report

JAK2 c.1849G>T, p.Val617Phe

NM_004972.4:c.1849G>T NP_004963.1:p.(Val617Phe) Missense · exon 14 View identifiers
Classification
Pathogenic

Variant description:

The JAK2 NM_004972.4:c.1849G>T (NP_004963.1:p.(Val617Phe)) missense variant has previously been reported in somatic cancers (COSMIC; COSV67569051, n = 42916 times). Experimental evidence: Independent cellular, recombinant-protein, and murine assays show constitutive signaling, approximately threefold higher kinase activity (493±19 vs 150±9), and disease phenotypes. Based on available guidelines, this variant is considered to be Pathogenic.

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.

In plain language

Gene-level background from the recorded interpretation.

About JAK2

JAK2 encodes a signaling protein that helps cells respond to cytokines and growth factors, including signals that regulate the production of blood cells. Abnormal JAK2 activity is associated with inflammatory diseases and blood disorders such as polycythemia vera, essential thrombocythemia, and myelofibrosis. JAK2 acts as an oncogene and contributes to some leukemias, lymphomas, and other cancers by driving persistent cell-growth signaling.

LYFE Sciences is an AI system, and it can make mistakes. Criteria may be applied incorrectly, sources may be misread, and a confident-looking classification can still be wrong. Double-check every criterion and its underlying evidence before relying on any call.
01The reasoning

How it was classified

The recorded framework is Generic ACMG/AMP 2015 with ClinGen SVI recommendations. The criteria and strengths shown below come from the saved assessment; this page does not recalculate the classification.

Recorded applied criteria

The applied criteria and their strengths are shown as assessed under the stated framework.

Pathogenic evidence criteria: 3 Benign evidence criteria: 0
Pathogenic criteria applied · 3
PS3Strong
PS3 · strong

Met at strong strength: independent cellular, recombinant-protein, and murine assays show constitutive signaling, approximately threefold higher kinase activity (493±19 vs 150±9), and disease phenotypes.

PS4Strong
PS4 · strong

Met: 40/45 cases versus 0/15 controls gives a continuity-corrected OR 228.27 (95% CI 11.90-4377.56), exceeding the >5.0 threshold with the CI excluding 1.0.

PP3Moderate
PP3 · moderate

Met at moderate strength: REVEL 0.881 meets the >=0.773 PP3 moderate threshold but remains below the >=0.932 strong threshold.

Benign criteria applied · 0

No benign criterion marked as applied in the recorded assessment.

Recorded classification: Pathogenic

Pathogenic: PS3 strong and PS4 strong satisfy the generic ACMG/AMP rule for two strong pathogenic criteria, with PP3 moderate additional support.

02The sources

Evidence at a glance

Evidence summaries and captured source records, where available. Missing entries should not be interpreted as negative findings.

gnomAD v4.1
gnomAD v2.1
Population frequency
471 / 1,605,918 alleles

gnomAD v4.1: 471 / 1,605,918 alleles. Recorded AF 0.00029329. Recorded homozygote count 17.

gnomAD v2.1

This variant is present in gnomAD v2.1 (AF= 0.000344428; MAF= 0.03444%, 97/281626 alleles, homozygotes = 5) and has highest observed frequency in the Ashkenazi Jewish population (AF= 0.000579934; MAF= 0.05799%, 6/10346 alleles, homozygotes = 0); grpmax FAF= 0.00030518.

gnomAD-Canada

This variant is present in gnomAD-Canada v1.0 (AF= 0.0005979560774081322, 11/18396 alleles, homozygotes = 0).

No screenshot for this evidence
REVEL score
0.881 recorded score

Recorded REVEL score: 0.881. Refer to the recorded PP3/BP4 rationale for interpretation.

ClinVar submissions
22 reported laboratory submissions

17 Pathogenic · 4 Likely pathogenic · 1 pathogenic. ClinVar API review status: criteria provided, multiple submitters, no conflicts.

Context only ClinVar ↗
Functional evidence
Statement recorded

OncoKB identified variant-specific curated literature and context relevant to functional review; biological-effect context: Gain-of-function; curated oncogenicity label: Oncogenic.

COSMIC
Cancer Hotspots
Somatic evidence
42916 recorded samples

This variant has previously been reported in somatic cancers (COSMIC; COSV67569051, n = 42916 times).

Cancer Hotspots

This variant does not lie in a statistically significant hotspot.

For specialists

Technical detail

ACMG/AMP criteria under Generic ACMG/AMP 2015 with ClinGen SVI recommendations, with the data and sources behind each one.

28 criteria with recorded statuses: 3 met · 9 not met · 11 not assessed · 5 not applicable. Open any row for the full reasoning, the rule and the evidence behind it.

Met Not met Not assessed Not applicable

PS4 is met at strong strength because multiple full-text studies report substantial enrichment of exact JAK2 p.Val617Phe among affected myeloproliferative-neoplasm patients versus controls, including a computed OR 228.27 (95% CI 11.90-4377.56).

PP4, BP5 are not assessed because the bundle lacks the required patient-specific phenotype/family-history or alternate-molecular-basis evidence.

PP5 and BP6 are not met because the exact ClinVar audit reports zero expert-panel submissions; ordinary laboratory and aggregate classifications are excluded by the specified rule.

The missense consequence determines the REVEL-only path for both criteria; the same prediction is not double-counted across PP3 and BP4.

REVEL 0.881 supports PP3 at moderate strength and does not support BP4; SpliceAI is excluded for this missense variant.

Met · 3

PS3 StrongACMG_2015Met at strong strength: independent cellular, recombinant-protein, and murine assays show constitutive signaling, approximately threefold higher kinase activity (493±19 vs 150±9), and disease phenotypes. Details ▾Hide ▴
Reasoning

PS3 is met at strong strength. Multiple independent, variant-specific functional studies provide concordant evidence across recombinant protein, engineered cell, patient-derived cell, hematopoietic colony, and murine systems. JAK2 V617F shows approximately threefold higher catalytic activity than wild-type JAK2 JH1-JH2 (493±19 versus 150±9 relative activity per pmol protein) in a recombinant kinase assay; constitutive phosphorylation of STAT5, STAT3, STAT1, ERK1/2, and p38 is observed in patient-derived HEL cells; cytokine-independent proliferation/survival and increased STAT5 phosphorylation are demonstrated in BaF3 and UT-7/TPO cells with appropriate cytokine-dependent controls; and expression in a mouse transplantation model produces erythrocytosis. These orthogonal assays directly test the specified variant and include wild-type, cytokine-stimulation, cytokine-withdrawal, inhibitor, or disease-model comparisons, supporting a reproducible gain-of-function/damaging effect on JAK2 function.

Rule
Well-established in vitro or in vivo functional studies supportive of a damaging effect on the gene or gene product.
Evidence considered
  • Analysis of Jak2 catalytic function by peptide microarrays (PMID:21533163): recombinant JAK2 JH1-JH2 V617F had approximately threefold higher catalytic activity than JH1-JH2 wild type, 493±19 versus 150±9 relative activity per pmol protein; the assay used wild-type, V617F, and JH1 constructs and 144 peptide substrates.
  • SOCS-mediated downregulation of mutant Jak2 (PMID:19543316): patient-derived HEL cells naturally carrying V617F showed constitutive phosphorylation of STAT5, STAT3, STAT1, ERK1/2, and p38; inducible HEK models demonstrated constitutive signaling and SOCS-dependent regulation of the mutant.
  • Acquired mutation of the tyrosine kinase JAK2 (PMID:15781101): the exact Val617Phe variant was found in erythroid and granulocyte-macrophage colonies and in all examined erythropoietin-independent erythroid colonies, with dysregulated kinase activity in a cohort including 90 controls.
  • A gain-of-function mutation of JAK2 (PMID:15858187): BaF3 and UT-7/TPO cell assays showed V617F-associated cytokine hypersensitivity, proliferation, survival, and STAT5 phosphorylation, including growth and survival without interleukin-3.
  • A unique clonal JAK2 mutation (PMID:15793561): variant-specific cell assays showed STAT5 activation without erythropoietin, constitutive JAK2/STAT5 signaling, growth-factor-independent growth, and erythropoietin hypersensitivity; a mouse bone-marrow transplantation model produced erythrocytosis.
  • JAK2/IDH-mutant-driven myeloproliferative neoplasm (PMID:29355841): conditional murine Jak2V617F models and patient-derived samples demonstrated disease-promoting effects and impaired hematopoietic differentiation in vivo; this is supportive functional context, although the exact cDNA notation was not stated in the paper.
Sources
PS4 StrongACMG_2015Met: 40/45 cases versus 0/15 controls gives a continuity-corrected OR 228.27 (95% CI 11.90-4377.56), exceeding the >5.0 threshold with the CI excluding 1.0. Details ▾Hide ▴
Reasoning

The exact JAK2 c.1849G>T (p.Val617Phe) variant was found in 40/45 polycythemia vera patients and 0/15 controls in PMID:15793561. Treating the zero control cell with the Haldane-Anscombe 0.5 correction, the computed OR is 228.27 with a 95% CI of 11.90-4377.56; the required comparison is OR > 5.0 and the CI excludes 1.0 (228.27 > 5.0? yes; 11.90-4377.56 includes 1.0? no). Independent full-text extracts also report 71/73, 29/51, and 8/16 affected patients versus 90 controls in PMID:15781101, and 117/244 affected patients with absence from healthy controls in PMID:15858187. These are case-control prevalence comparisons even where an odds ratio was not printed, and the exact variant was verified in the full-text extracts.

Rule
The prevalence of the variant in affected individuals is significantly increased compared to the prevalence in controls. ... Note 1: Relative risk (RR) or odds ratio (OR), as obtained from case-control studies, is >5.0 and the confidence interval around the estimate of RR or OR does not include 1.0.
Evidence considered
  • PMID:15793561, Results/Table 1-2: exact JAK2 Val617Phe was detected in 40/45 polycythemia vera patients and in 0/15 controls; Haldane-Anscombe correction was used for the zero control cell, yielding OR 228.27 and 95% CI 11.90-4377.56.
  • PMID:15781101, Summary/Findings and Table 1-2: exact Val617Phe was detected in 71/73 polycythaemia vera, 29/51 essential thrombocythaemia, and 8/16 idiopathic myelofibrosis patients, with no mutation in 90 controls.
  • PMID:15858187, Abstract/Results/Table 1: V617F was detected in 117/244 patients with myeloproliferative disorders and was absent from healthy controls, secondary erythrocytosis, and chronic myelogenous leukemia controls.
  • The governing operator is '>5.0'; explicit check: OR 228.27 > 5.0? yes. The 95% CI 11.90-4377.56 includes 1.0? no.
Sources
PP3 ModerateACMGMet at moderate strength: REVEL 0.881 meets the >=0.773 PP3 moderate threshold but remains below the >=0.932 strong threshold. Details ▾Hide ▴
Reasoning

The variant is a missense SNV, p.(Val617Phe), so the governing generic rule selects the REVEL path only and excludes SpliceAI from PP3/BP4. REVEL is 0.881, meeting the generic PP3 moderate threshold of >= 0.773 but not the strong threshold of >= 0.932. This supports PP3 at moderate strength. The calibration threshold is from the ClinGen SVI REVEL calibration by Pejaver et al. 2022 (PMID:36413997).

Rule
Missense variant -> REVEL only. ... PP3 (moderate): >= 0.773 — ClinGen SVI REVEL calibration (Pejaver et al. 2022, Am J Hum Genet) (PMID:36413997)
Evidence considered
  • Variant consequence evidence identifies NM_004972.4:c.1849G>T as a missense SNV encoding NP_004963.1:p.(Val617Phe), so REVEL is the applicable computational path.
  • Local REVEL predictor lookup: REVEL score 0.881 for NM_004972.4:c.1849G>T.
  • ClinGen SVI REVEL calibration (Pejaver et al. 2022, PMID:36413997): generic PP3 moderate threshold is >= 0.773 and strong threshold is >= 0.932; 0.881 therefore supports PP3 at moderate strength.
  • SpliceAI max delta 0.013 was not used for PP3 because the governing generic rule assigns missense variants to the REVEL-only path.
Sources
revel

Not met · 9 · evaluated, threshold not reached

PM2 ACMG_2015Not met: gnomAD v4.1 AF is 0.00029329, exceeding the supplied PM2 cutoff of 0.0001. Details ▾Hide ▴
Reasoning

PM2 is not met. The variant is present in population databases at AF 0.00029329 in gnomAD v4.1 (471/1,605,918 alleles), AF 0.000344428 in gnomAD v2.1 all-comers (97/281,626 alleles), AF 0.000335118 in gnomAD v2.1 non-cancer exomes (79/235,738 alleles), and AF 0.000372432 in gnomAD v3.1 non-cancer genomes (55/147,678 alleles). The all-comers and non-cancer frequencies exceed the supplied PM2 supporting cutoff of <=0.0001, so the variant is neither absent nor at an extremely low frequency under the case's generic PM2 rule.

Rule
Absent from controls (or at extremely low frequency if recessive) in Exome Sequencing Project, 1000 Genomes or Exome Aggregation Consortium.
Evidence considered
  • gnomAD v4.1 all-comers: AF=0.00029329, 471/1,605,918 alleles, 17 homozygotes.
  • gnomAD v2.1 all-comers: AF=0.000344428, 97/281,626 alleles, 5 homozygotes.
  • gnomAD v2.1 non-cancer exomes: AF=0.000335118, 79/235,738 alleles, 4 homozygotes; gnomAD v3.1 non-cancer genomes: AF=0.000372432, 55/147,678 alleles, 1 homozygote.
  • Generic PM2 supporting cutoff supplied for this case: <=0.0001 (ClinGen SVI recommendation, cited in the prompt with PMID:25741868).
Sources
PP5 ACMG_2015Not met: ClinVar has zero exact-variant expert-panel submissions, so laboratory and aggregate pathogenic labels cannot trigger PP5. Details ▾Hide ▴
Reasoning

The exact ClinVar record has pathogenic and likely pathogenic laboratory submissions, but the audit reports zero expert-panel submissions. Under the required generic rule, ordinary laboratory submissions, aggregate labels, and non-expert assertions cannot trigger PP5.

Rule
Reputable source recently reports variant as pathogenic, but the evidence is not available to the laboratory to perform an independent evaluation.
Evidence considered
  • ClinVar variation 14662 exact-match audit: pathogenic/likely pathogenic submissions are present, but expert_panel_submissions = 0; therefore no qualifying exact-variant ClinVar expert-panel classification is available.
Sources
BA1 ACMG_2015Not met: maximum observed allele frequency is 0.000746066 in Ashkenazi Jewish individuals, far below the 0.05 BA1 threshold. Details ▾Hide ▴
Reasoning

BA1 is not met. The highest relevant all-comers frequency is gnomAD v4.1 AF 0.00029329 (471/1,605,918 alleles), and the highest reported population frequency is Ashkenazi Jewish AF 0.000746066; both are far below the generic ACMG/AMP 5% threshold. The non-cancer subsets are also far below this threshold: gnomAD v2.1 non-cancer exomes AF 0.000335118 (79/235,738 alleles) and gnomAD v3.1 non-cancer genomes AF 0.000372432 (55/147,678 alleles).

Rule
Allele frequency is above 5% in Exome Sequencing Project, 1000 Genomes or Exome Aggregation Consortium.
Evidence considered
  • gnomAD v4.1 all-comers: AF=0.00029329, 471/1,605,918 alleles; highest population AF=0.000746066 in Ashkenazi Jewish individuals (22/29,488 alleles).
  • gnomAD v2.1 non-cancer exomes: AF=0.000335118, 79/235,738 alleles; gnomAD v3.1 non-cancer genomes: AF=0.000372432, 55/147,678 alleles.
  • Generic ACMG/AMP stand-alone benign frequency threshold supplied for this case: >=0.05 (ACMG/AMP 2015, PMID:25741868).
Sources
BS1 ACMG_2015Not met: highest observed population AF is 0.000746066, below the generic 0.01 BS1 default and not evidence of excessive frequency. Details ▾Hide ▴
Reasoning

BS1 is not met. The all-comers gnomAD v4.1 AF is 0.00029329 and the highest population AF is 0.000746066, while the generic default BS1 threshold is 0.01; the non-cancer frequencies are similarly low (v2.1 exomes 0.000335118; v3.1 genomes 0.000372432). These data do not show an allele frequency greater than expected for the relevant disorder, and no maximum-credible-frequency calculation is needed because the observed frequencies are well below the default threshold. The variant is a known somatic JAK2 V617F mutation, so germline disease-prevalence or penetrance assumptions should not be used to manufacture a stronger benign frequency claim.

Rule
Allele frequency is greater than expected for disorder.
Evidence considered
  • gnomAD v4.1 all-comers: AF=0.00029329; highest population AF=0.000746066 in Ashkenazi Jewish individuals.
  • gnomAD v2.1 non-cancer exomes: AF=0.000335118; gnomAD v3.1 non-cancer genomes: AF=0.000372432.
  • Generic SVI default supplied for BS1: >=0.01; the observed frequencies are below this default and no higher frequency-based benign evidence is established.
  • The case evidence identifies JAK2 V617F as an acquired/somatic mutation; population frequency is therefore not interpreted as a germline high-frequency benign allele without a disorder-specific maximum-credible-frequency model.
Sources
BS3 ACMG_2015Not met: no well-established assay shows absence of damaging effect; tested systems consistently show constitutive signaling and increased kinase activity. Details ▾Hide ▴
Reasoning

BS3 is not met. No reviewed well-established assay demonstrates that JAK2 p.Val617Phe has no damaging effect on protein function or splicing. Instead, the variant produces concordant constitutive signaling, increased catalytic activity, cytokine-independent growth or survival, altered hematopoietic behavior, and disease phenotypes across orthogonal cellular, biochemical, and in vivo models. The available functional evidence therefore contradicts a benign functional interpretation rather than satisfying BS3.

Rule
Well-established in vitro or in vivo functional studies show no damaging effect on protein function or splicing.
Evidence considered
  • The reviewed variant-specific studies do not report a normal or non-damaging JAK2 V617F functional result; instead, they report increased kinase activity or constitutive signaling in recombinant and cellular systems (PMID:21533163; PMID:19543316; PMID:15858187).
  • The in vivo and hematopoietic studies report erythrocytosis, altered differentiation, erythropoietin-independent colonies, or progressive myeloproliferative disease associated with JAK2 V617F rather than preserved normal function (PMID:15793561; PMID:15781101; PMID:29355841).
Sources
BP1 ACMG_2015Not met: JAK2 disease evidence centers on recurrent activating missense variants, not primarily truncating variants. Details ▾Hide ▴
Reasoning

BP1 is not supported because the supplied evidence demonstrates a recurrent activating missense mechanism for JAK2, including p.Val617Phe, rather than a gene for which disease is primarily caused by truncating variants.

Rule
Missense variant in a gene for which primarily truncating variants are known to cause disease.
Evidence considered
  • James et al. 2005 (PMID:15781101), Results: recurrent JAK2 Val617Phe was associated with myeloproliferative disorders and dysregulated kinase activity.
  • Baxter et al. 2005 (PMID:15858187), Results and Figure 4: JAK2 V617F produced cytokine hypersensitivity, proliferation, survival, and STAT5 phosphorylation in functional assays.
  • Bandaranayake et al. 2012 (PMID:21533163), Results: JAK2 V617F increased catalytic activity by approximately threefold through partial release of JH2-mediated inhibition.
Sources
BP2 ACMG_2015Not met: the reported homozygosity reflects the same somatic JAK2 variant, with no distinct pathogenic variant documented in trans or cis. Details ▾Hide ▴
Reasoning

BP2 requires observation of the evaluated variant in trans with a pathogenic variant for a fully penetrant dominant disorder or in cis with a pathogenic variant in any inheritance pattern. PMID:15858187 reports JAK2 p.Val617Phe as a somatic mutation and describes homozygosity associated with 9p loss of heterozygosity, but does not report a distinct pathogenic variant in trans or a pathogenic variant in cis with p.Val617Phe. Homozygosity for the same somatic variant does not satisfy either BP2 path.

Rule
Observed in trans with a pathogenic variant for a fully penetrant dominant gene/disorder or observed in cis with a pathogenic variant in any inheritance pattern.
Evidence considered
  • PMID:15858187, A gain-of-function mutation of JAK2 in myeloproliferative disorders, reports that V617F is generally homozygous in patients with 9p loss of heterozygosity; the report does not document a distinct pathogenic variant in cis or in trans.
  • Direct quote: "V617F is a somatic mutation present in hematopoietic cells." Location: Abstract; Results sections on 9p loss of heterozygosity and identification of the somatic mutation.
Sources
BP4 ACMGNot met: REVEL 0.881 exceeds the <=0.29 BP4 supporting threshold, and the missense rule excludes SpliceAI as a substitute. Details ▾Hide ▴
Reasoning

The variant is a missense SNV, p.(Val617Phe), so the governing generic rule selects the REVEL path only and excludes SpliceAI from PP3/BP4. REVEL is 0.881, which does not meet the generic BP4 supporting threshold of <= 0.29; therefore BP4 is not met. The low SpliceAI max delta of 0.013 cannot substitute for the non-supportive REVEL result in a missense variant. The calibration threshold is from the ClinGen SVI REVEL calibration by Pejaver et al. 2022 (PMID:36413997).

Rule
Missense variant -> REVEL only. ... BP4 (supporting): <= 0.29 — ClinGen SVI REVEL calibration (Pejaver et al. 2022, Am J Hum Genet) (PMID:36413997)
Evidence considered
  • Variant consequence evidence identifies NM_004972.4:c.1849G>T as a missense SNV encoding NP_004963.1:p.(Val617Phe), so REVEL is the applicable computational path.
  • Local REVEL predictor lookup: REVEL score 0.881 for NM_004972.4:c.1849G>T.
  • ClinGen SVI REVEL calibration (Pejaver et al. 2022, PMID:36413997): generic BP4 supporting threshold is <= 0.29; REVEL 0.881 does not meet it.
  • SpliceAI max delta 0.013 was not used for BP4 because a missense variant is evaluated through the REVEL-only path.
Sources
revel
BP6 ACMG_2015Not met: no exact-variant ClinVar expert-panel benign or likely-benign classification is present to trigger BP6. Details ▾Hide ▴
Reasoning

The exact ClinVar record contains no qualifying expert-panel benign or likely-benign classification. Available submissions are pathogenic or likely pathogenic laboratory assertions, and ordinary laboratory submissions or aggregate labels cannot trigger BP6 under the required generic rule.

Rule
Reputable source recently reports variant as benign, but the evidence is not available to the laboratory to perform an independent evaluation.
Evidence considered
  • ClinVar variation 14662 exact-match audit: expert_panel_submissions = 0 and the recorded laboratory classifications are pathogenic or likely pathogenic; no qualifying benign expert-panel assertion exists.
Sources

Not assessed · 11 · no assessment recorded

PS1 ACMG_2015Not assessed: no documented pathogenic alternate-nucleotide variant producing the same p.Val617Phe amino-acid change. Details ▾Hide ▴
Reasoning

The case evidence establishes JAK2 p.Val617Phe itself, but does not document a previously established pathogenic variant producing the same amino-acid change through a different nucleotide change. The available evidence therefore cannot satisfy the specific PS1 comparator requirement.

Rule
Same amino acid change as a previously established pathogenic variant regardless of nucleotide change.
Evidence considered
  • Case normalization identifies NM_004972.4:c.1849G>T as NP_004963.1:p.(Val617Phe); no alternate-nucleotide p.Val617Phe comparator is present in the supplied evidence.
Still missing
  • A validated record of a different nucleotide change causing p.Val617Phe is required.
PS2 ACMG_2015Not assessed: no documented affected proband, family-history status, or confirmed maternity and paternity is available for this variant. Details ▾Hide ▴
Reasoning

PS2 cannot be assessed because the available evidence does not document a disease-affected proband with no family history, confirmed maternity, and confirmed paternity for this variant. The required trio and clinical-context information are absent.

Rule
De novo (both maternity and paternity confirmed) in a patient with the disease and no family history.
Evidence considered
  • No case evidence documents the proband's disease phenotype, family history, or confirmed parental testing needed to evaluate PS2.
Still missing
  • Disease phenotype and affected-proband status are not documented.
  • Family-history status is not documented.
  • Maternity and paternity confirmation and parental variant testing are not documented.
PM1 ACMG_2015Not assessed: p.Val617Phe is in the functional JH2 domain, but absence of benign variation in that domain is not established. Details ▾Hide ▴
Reasoning

JAK2 p.Val617Phe lies in the JH2 pseudokinase domain, and the literature establishes JH2 as a functionally important regulatory domain. However, vcep_materials.json has no JAK2 domain table, and the supplied evidence does not establish that the relevant domain lacks benign variation; the complete PM1 requirement therefore cannot be confirmed.

Rule
Located in a mutational hot spot and/or critical and well-established functional domain (e.g. active site of an enzyme) without benign variation.
Evidence considered
  • James et al. 2005 (PMID:15793561), Results and Figures 2–4: JAK2 Val617Phe is located in the JH2 pseudokinase domain and is associated with dysregulated kinase activity.
  • Bandaranayake et al. 2012 (PMID:21533163), Results and Discussion: recombinant JH1-JH2 V617F had approximately threefold higher catalytic activity than wild type, and the authors concluded that V617F partially relieves JH2-mediated inhibition.
  • Sondergaard et al. 2003 (PMID:12351625), Results and Discussion: the JH2 pseudokinase domain suppresses basal JAK2 activity and is required for regulated signaling, establishing functional importance of the domain.
  • The supplied vcep_materials.json contains domain_tables: {} for JAK2, so no authoritative VCEP domain-table entry is available; domain-wide absence of benign variation is not documented.
Still missing
  • Evidence that the JH2 domain has no relevant benign variation is required for the complete generic PM1 definition.
Sources
PM5 ACMG_2015Not assessed: no validated pathogenic different missense change at JAK2 residue 617 is established in the supplied evidence. Details ▾Hide ▴
Reasoning

The supplied evidence does not provide a validated, previously established pathogenic missense variant at JAK2 residue 617 that differs from p.Val617Phe. A literature title mentions V617I, but no corresponding extract or source-registry record establishes that comparator as pathogenic, so PM5 cannot be applied.

Rule
Novel missense change at an amino acid residue where a different missense change determined to be pathogenic has been seen before.
Evidence considered
  • The supplied evidence includes a title for a JAK2 V617I paper, but does not provide a source-registry key or extracted evidence establishing V617I as pathogenic.
Still missing
  • A source-backed pathogenic classification for a different missense substitution at residue 617 is required.
PM6 ACMG_2015Not assessed: no case-specific parental testing or documented assumed de novo occurrence is available for this variant. Details ▾Hide ▴
Reasoning

PM6 cannot be assessed because no case-specific evidence documents an assumed de novo occurrence or parental testing showing absence of the variant in either parent. The available literature describes population or disease cohorts rather than this variant's inheritance in a family.

Rule
Assumed de novo, but without confirmation of paternity and maternity.
Evidence considered
  • No case evidence documents parental genotypes or a case-specific assumed de novo occurrence for NM_004972.4:c.1849G>T.
Still missing
  • Parental genotypes are not documented.
  • A case-specific de novo observation is not documented.
PP1 ACMG_2015Not assessed: no affected relatives, informative meioses, or phenotype-consistent segregation data are documented for this variant. Details ▾Hide ▴
Reasoning

PP1 cannot be assessed because no affected family members, informative meioses, variant-positive relatives, or phenotype-consistent segregation data are documented for this variant. The available evidence does not provide a family segregation analysis.

Rule
Co-segregation with disease in multiple affected family members in a gene definitively known to cause the disease.
Evidence considered
  • No case evidence documents affected relatives, informative meioses, or segregation of NM_004972.4:c.1849G>T with disease.
Still missing
  • No affected family members are documented.
  • No informative meioses or variant results in relatives are documented.
  • No phenotype-consistent family segregation analysis is documented.
PP2 ACMG_2015Not assessed: activating JAK2 missense disease mechanism is shown, but low benign-missense rate is not established. Details ▾Hide ▴
Reasoning

The evidence supports a disease mechanism involving recurrent activating JAK2 missense variation, including p.Val617Phe, but it does not provide a gene-level assessment demonstrating both a low rate of benign missense variation and that missense variants are a common disease mechanism under the PP2 definition.

Rule
Missense variant in a gene that has a low rate of benign missense variation and where missense variants are a common mechanism of disease.
Evidence considered
  • James et al. 2005 (PMID:15781101), Table 1 and Results: JAK2 Val617Phe was found in 71/73 polycythaemia vera patients, 29/51 essential thrombocythaemia patients, and 8/16 idiopathic myelofibrosis patients.
  • Baxter et al. 2005 (PMID:15858187), Table 1 and Figure 4: JAK2 V617F was recurrent in myeloproliferative neoplasms and functional assays supported a gain-of-function effect.
  • No supplied source establishes the required low rate of benign JAK2 missense variation.
Still missing
  • A gene-level benign-missense constraint assessment and explicit evidence that missense variants commonly cause JAK2 disease are required together.
Sources
PP4 ACMG_2015Not assessed: no patient-specific phenotype or family history is available to determine whether it is highly specific for a single-gene disease. Details ▾Hide ▴
Reasoning

The available case evidence identifies the molecular variant but does not provide a patient-specific phenotype or family history that can be evaluated for high specificity to a single-gene disease. The criterion therefore cannot be assessed from the available evidence.

Rule
Patient’s phenotype or family history is highly specific for a disease with a single genetic etiology.
Still missing
  • A documented patient phenotype or family history with a disease-specific assessment is required.
BS2 ACMG_2015Not assessed: 17 gnomAD v4.1 homozygotes are unphenotyped and may reflect somatic clonal hematopoiesis, not healthy adults with constitutional homozygosity. Details ▾Hide ▴
Reasoning

BS2 is not assessed. gnomAD reports homozygotes (17 in v4.1 all-comers; 4 in v2.1 non-cancer exomes; 1 in v3.1 non-cancer genomes), but these databases do not establish that the individuals were healthy adults with a germline JAK2 V617F variant. JAK2 V617F is a recognized acquired somatic mutation, and the observed population calls may reflect clonal hematopoiesis or other somatic mosaicism rather than constitutional homozygosity. Therefore the available evidence cannot satisfy the BS2 requirement for observation in a healthy adult with full early-age penetrance expected.

Rule
BS2
Evidence considered
  • gnomAD v4.1 reports 17 homozygotes; gnomAD v2.1 non-cancer exomes report 4 homozygotes; gnomAD v3.1 non-cancer genomes report 1 homozygote.
  • The case literature describes JAK2 V617F as an acquired/somatic mutation, so unphenotyped population homozygote counts cannot be treated as verified constitutional healthy-adult observations.
  • No population record supplies individual-level phenotype, age, or germline-versus-somatic confirmation for these homozygote observations.
Still missing
  • No validated germline origin and healthy-adult phenotype are available for the reported homozygous population observations.
Sources
BS4 ACMG_2015Not assessed: no affected relatives with documented negative testing or family non-segregation analysis are available. Details ▾Hide ▴
Reasoning

BS4 cannot be assessed because no affected family members have documented negative testing for this variant. No family pedigree, phenotype assessment, or non-segregation analysis is available, so the phenocopy and multiple-pathogenic-variant caveats cannot be evaluated.

Rule
Lack of segregation in affected members of a family.
Evidence considered
  • No case evidence documents affected relatives who lack NM_004972.4:c.1849G>T or provides a family non-segregation analysis.
Still missing
  • Affected relatives and their clinical phenotypes are not documented.
  • Variant testing results for affected relatives are not documented.
  • Potential phenocopies or additional pathogenic variants cannot be evaluated.
BP5 ACMG_2015Not assessed: no patient-level evidence shows this exact variant in a case with an alternate molecular basis for disease. Details ▾Hide ▴
Reasoning

The available evidence does not document that this exact variant was found in a case with an alternate molecular basis for disease. No patient-level alternate molecular diagnosis is available for assessment of BP5.

Rule
Variant found in a case with an alternate molecular basis for disease.
Still missing
  • A case report or clinical record documenting an alternate molecular basis in the same patient is required.
Not applicable · 5· recorded as not applicable Show reasons ▾Hide reasons ▴
PVS1 N/ANot applicable: PVS1 requires a null variant (nonsense, frameshift, canonical splice, start-loss or stop-loss), and this is a missense variant. Details ▾Hide ▴
Reasoning

PVS1 (ClinGen SVI PVS1 recommendations, PMC6185798, pvs1_generic_framework) applies only to null variant classes — nonsense, frameshift, canonical ±1/2 splice-consensus, translation-initiation-codon loss, and stop-loss variants — each expected to trigger nonsense-mediated decay or otherwise abolish normal protein function. NM_004972.4:c.1849G>T in JAK2 is a missense substitution predicted to produce NP_004963.1:p.(Val617Phe). As a result, no null-variant mechanism (nonsense-mediated decay, truncation, or canonical splice disruption) is triggered by this variant class, so PVS1's structural prerequisite is not met by this variant class. No VCEP criteria specification covers PVS1 for JAK2, so the generic ACMG/AMP 2015 definition applies. This determination was made deterministically from the variant's consequence class, prior to LLM adjudication.

Rule
deterministic_prefilter: requires_null_variant_class
Evidence considered
  • Deterministic consequence classification: missense (prefetch.json normalized protein consequence)
  • VCEP criterion policy: absent
Sources
pvs1_generic_framework ↗generic_acmg_combination_rules
PM3 N/ANot applicable: JAK2 p.Val617Phe is reported as an acquired somatic mutation, not a recessive inherited allele requiring trans-phase evidence. Details ▾Hide ▴
Reasoning

PM3 is limited to recessive disorders and requires the evaluated variant to be detected in trans with a pathogenic variant, with phase established by parental or offspring testing. The available variant-specific literature identifies JAK2 p.Val617Phe as an acquired somatic mutation in myeloproliferative neoplasms, not as an allele causing a recessive inherited disorder; therefore PM3 is not applicable. The observed homozygosity in cells with 9p loss of heterozygosity reflects somatic clonal evolution and is not evidence for a recessive affected proband carrying this variant in trans with a pathogenic germline allele.

Rule
For recessive disorders, detected in trans with a pathogenic variant ... Note: This requires testing of parents (or offspring) to determine phase.
Evidence considered
  • PMID:15858187, A gain-of-function mutation of JAK2 in myeloproliferative disorders, reports that V617F is a somatic mutation present in hematopoietic cells and is generally homozygous in patients with 9p loss of heterozygosity; this is somatic clonal evolution rather than recessive germline trans-phase evidence.
  • Direct quote: "V617F is a somatic mutation present in hematopoietic cells." Location: Abstract; Results sections on 9p loss of heterozygosity and identification of the somatic mutation.
Sources
PM4 N/ANot applicable: PM4 requires a protein-length change, and this is a missense variant. Details ▾Hide ▴
Reasoning

PM4 (Richards et al. 2015, PMID:25741868) applies to protein length changes: in-frame insertions/deletions in a non-repetitive region, or stop-loss variants that extend the protein past the reference stop codon. NM_004972.4:c.1849G>T in JAK2 is a missense substitution predicted to produce NP_004963.1:p.(Val617Phe). As a result, no change in protein length occurs, so there is nothing for this criterion to evaluate, so PM4's structural prerequisite is not met by this variant class. No VCEP criteria specification covers PM4 for JAK2, so the generic ACMG/AMP 2015 definition applies. This determination was made deterministically from the variant's consequence class, prior to LLM adjudication.

Rule
deterministic_prefilter: requires_stop_loss_or_nonrepeat_indel
Evidence considered
  • Deterministic consequence classification: missense (prefetch.json normalized protein consequence)
  • VCEP criterion policy: absent
Sources
pvs1_generic_framework ↗generic_acmg_combination_rules
BP3 N/ANot applicable: BP3 requires an in-frame indel in a repeat region, and this is a missense variant. Details ▾Hide ▴
Reasoning

BP3 (Richards et al. 2015, PMID:25741868) applies to in-frame insertions/deletions located in a repetitive region without a known function. NM_004972.4:c.1849G>T in JAK2 is a missense substitution predicted to produce NP_004963.1:p.(Val617Phe). As a result, the variant does not alter protein length within a repeat region, so there is nothing for this criterion to evaluate, so BP3's structural prerequisite is not met by this variant class. No VCEP criteria specification covers BP3 for JAK2, so the generic ACMG/AMP 2015 definition applies. This determination was made deterministically from the variant's consequence class, prior to LLM adjudication.

Rule
deterministic_prefilter: requires_repeat_region_indel
Evidence considered
  • Deterministic consequence classification: missense (prefetch.json normalized protein consequence)
  • VCEP criterion policy: absent
Sources
pvs1_generic_framework ↗generic_acmg_combination_rules
BP7 N/ANot applicable: BP7 requires a synonymous variant, and this is a missense variant. Details ▾Hide ▴
Reasoning

BP7 (Richards et al. 2015, PMID:25741868) is defined for a synonymous (silent) variant for which splicing prediction algorithms predict no impact to the splice consensus sequence and the nucleotide is not highly conserved. NM_004972.4:c.1849G>T in JAK2 is a missense substitution predicted to produce NP_004963.1:p.(Val617Phe). As a result, the encoded protein sequence is altered, so the criterion's silent-variant premise does not hold regardless of any splicing prediction, so BP7's structural prerequisite is not met by this variant class. No VCEP criteria specification covers BP7 for JAK2, so the generic ACMG/AMP 2015 definition applies. This determination was made deterministically from the variant's consequence class, prior to LLM adjudication.

Rule
deterministic_prefilter: requires_synonymous
Evidence considered
  • Deterministic consequence classification: missense (prefetch.json normalized protein consequence)
  • VCEP criterion policy: absent
Sources
generic_acmg_combination_rules

Identifiers

Gene
JAK2
Transcript
NM_004972.4
Coding (HGVS c.)
NM_004972.4:c.1849G>T
Protein (HGVS p.)
NP_004963.1:p.(Val617Phe)
GRCh38
chr9:5073770 G>T
GRCh37
chr9:5073770 G>T
Location and type
Exon 14 · missense
ClinVar
14662
COSMIC
COSV67569051

Gene diagram

Every interpreted variant in JAK2, mapped onto the exon structure of NM_004972.4. Select a row to find it on the plot.

JAK2NM_004972.4
Fetching transcript structure from UCSC…
gnomAD v4.1 471 / 1,605,918 alleles AF 0.000293 · 17 homozygotes · FAF 0.000277
gnomAD v2.1 97 / 281,626 alleles AF 0.000344 · 5 homozygotes · FAF 0.000305
gnomAD-Canada v1.0 Allele count data not recorded

By genetic ancestry

gnomAD v4.1

AF 0.00029 · 471 / 1,605,918 alleles · 17 hom · FAF 0.00028
Ashkenazi Jewish22 / 29,488 0.000751 hom
Middle Eastern3 / 6,062 0.00049
European (non-Finnish)356 / 1,173,540 0.000313 hom
European (Finnish)19 / 63,542 0.00032 hom
South Asian27 / 90,798 0.0003
African/African American19 / 74,656 0.000251 hom
Remaining individuals13 / 62,224 0.00021
Admixed American7 / 59,922 0.00012
East Asian5 / 44,774 0.00011
0 alternate alleles recorded in 1 other group: Amish.

gnomAD v2.1

AF 0.00034 · 97 / 281,626 alleles · 5 hom · FAF 0.00031
Ashkenazi Jewish6 / 10,346 0.00058
European (Finnish)14 / 24,872 0.000561 hom
European (non-Finnish)49 / 128,650 0.000383 hom
South Asian10 / 30,490 0.00033
African/African American8 / 24,896 0.000321 hom
Admixed American6 / 35,276 0.00017
East Asian3 / 19,928 0.00015
Remaining individuals1 / 7,168 0.00014

gnomAD-Canada

AF not recorded · ? / ? alleles

Statements

gnomAD v4.1

This variant is present in gnomAD v4.1 (AF= 0.00029329; MAF= 0.02933%, 471/1605918 alleles, homozygotes = 17) and has highest observed frequency in the Ashkenazi Jewish population (AF= 0.000746066; MAF= 0.07461%, 22/29488 alleles, homozygotes = 1); grpmax FAF= 0.0002771.

gnomAD v2.1

This variant is present in gnomAD v2.1 (AF= 0.000344428; MAF= 0.03444%, 97/281626 alleles, homozygotes = 5) and has highest observed frequency in the Ashkenazi Jewish population (AF= 0.000579934; MAF= 0.05799%, 6/10346 alleles, homozygotes = 0); grpmax FAF= 0.00030518.

gnomAD-Canada

This variant is present in gnomAD-Canada v1.0 (AF= 0.0005979560774081322, 11/18396 alleles, homozygotes = 0).

Open the gnomAD-Canada detail page →

SpliceAI and Pangolin

SpliceAI acceptor lossat -72 bp
0.013
SpliceAI acceptor gainat -59 bp
0.000
SpliceAI donor lossat +15 bp
0.010
SpliceAI donor gainat +19 bp
0.000
Pangolin splice lossmagnitude shown
-0.058
Pangolin splice gain
0.002

Other predictors

REVEL
0.881
BayesDel
0.359

How the predictions were used

PP3 ModerateACMGMet at moderate strength: REVEL 0.881 meets the >=0.773 PP3 moderate threshold but remains below the >=0.932 strong threshold. Details ▾Hide ▴
Reasoning

The variant is a missense SNV, p.(Val617Phe), so the governing generic rule selects the REVEL path only and excludes SpliceAI from PP3/BP4. REVEL is 0.881, meeting the generic PP3 moderate threshold of >= 0.773 but not the strong threshold of >= 0.932. This supports PP3 at moderate strength. The calibration threshold is from the ClinGen SVI REVEL calibration by Pejaver et al. 2022 (PMID:36413997).

Rule
Missense variant -> REVEL only. ... PP3 (moderate): >= 0.773 — ClinGen SVI REVEL calibration (Pejaver et al. 2022, Am J Hum Genet) (PMID:36413997)
Evidence considered
  • Variant consequence evidence identifies NM_004972.4:c.1849G>T as a missense SNV encoding NP_004963.1:p.(Val617Phe), so REVEL is the applicable computational path.
  • Local REVEL predictor lookup: REVEL score 0.881 for NM_004972.4:c.1849G>T.
  • ClinGen SVI REVEL calibration (Pejaver et al. 2022, PMID:36413997): generic PP3 moderate threshold is >= 0.773 and strong threshold is >= 0.932; 0.881 therefore supports PP3 at moderate strength.
  • SpliceAI max delta 0.013 was not used for PP3 because the governing generic rule assigns missense variants to the REVEL-only path.
Sources
revel
BP4 ACMGNot met: REVEL 0.881 exceeds the <=0.29 BP4 supporting threshold, and the missense rule excludes SpliceAI as a substitute. Details ▾Hide ▴
Reasoning

The variant is a missense SNV, p.(Val617Phe), so the governing generic rule selects the REVEL path only and excludes SpliceAI from PP3/BP4. REVEL is 0.881, which does not meet the generic BP4 supporting threshold of <= 0.29; therefore BP4 is not met. The low SpliceAI max delta of 0.013 cannot substitute for the non-supportive REVEL result in a missense variant. The calibration threshold is from the ClinGen SVI REVEL calibration by Pejaver et al. 2022 (PMID:36413997).

Rule
Missense variant -> REVEL only. ... BP4 (supporting): <= 0.29 — ClinGen SVI REVEL calibration (Pejaver et al. 2022, Am J Hum Genet) (PMID:36413997)
Evidence considered
  • Variant consequence evidence identifies NM_004972.4:c.1849G>T as a missense SNV encoding NP_004963.1:p.(Val617Phe), so REVEL is the applicable computational path.
  • Local REVEL predictor lookup: REVEL score 0.881 for NM_004972.4:c.1849G>T.
  • ClinGen SVI REVEL calibration (Pejaver et al. 2022, PMID:36413997): generic BP4 supporting threshold is <= 0.29; REVEL 0.881 does not meet it.
  • SpliceAI max delta 0.013 was not used for BP4 because a missense variant is evaluated through the REVEL-only path.
Sources
revel
BP7 N/ANot applicable: BP7 requires a synonymous variant, and this is a missense variant. Details ▾Hide ▴
Reasoning

BP7 (Richards et al. 2015, PMID:25741868) is defined for a synonymous (silent) variant for which splicing prediction algorithms predict no impact to the splice consensus sequence and the nucleotide is not highly conserved. NM_004972.4:c.1849G>T in JAK2 is a missense substitution predicted to produce NP_004963.1:p.(Val617Phe). As a result, the encoded protein sequence is altered, so the criterion's silent-variant premise does not hold regardless of any splicing prediction, so BP7's structural prerequisite is not met by this variant class. No VCEP criteria specification covers BP7 for JAK2, so the generic ACMG/AMP 2015 definition applies. This determination was made deterministically from the variant's consequence class, prior to LLM adjudication.

Rule
deterministic_prefilter: requires_synonymous
Evidence considered
  • Deterministic consequence classification: missense (prefetch.json normalized protein consequence)
  • VCEP criterion policy: absent
Sources
generic_acmg_combination_rules

Statement

In silico

SpliceAI predicts no significant splice impact for this variant (max delta score = 0.01). REVEL score = 0.881. BayesDel score = 0.35869.

7 paper records listed. 6 cited in the classification.

Cited in the classification

  • Acquired mutation of the tyrosine kinase JAK2 in human myeloproliferative disorders.
    The paper identified the JAK2 Val617Phe substitution, corresponding to the JAK2 c.1849G>T / NP_004963.1:p.(V617F) variant, as an acquired mutation in 71 of 73 patients with polycythaemia vera (97%), 29 of 51 with essential thrombocythaemia (57%), and 8 of 16 with idiopathic myelofibrosis (50%), but not in 90 controls. The mutation occurred in the JH2 pseudokinase domain, affected a highly conserved valine, was associated with dysregulated kinase activity, and was present in erythroid and granulocyte-macrophage colonies; it was present in all erythropoietin-independent erythroid colonies examined.
    → PS3 · strong → PS4 · strong Names this variant
    PMID 15781101 ↗
    Source detail
    A single point mutation (Val617Phe) was identified in JAK2 in 71 (97%) of 73 patients with polycythaemia vera, 29 (57%) of 51 with essential thrombocythaemia, and eight (50%) of 16 with idiopathic myelofibrosis.

    Location Summary, Findings; Results, paragraphs 1–3; Table 1; Table 2

    Context Cohort of 140 patients with myeloproliferative disorders and 90 controls; bidirectional sequencing of JAK2 coding exons, allele-specific PCR, loss-of-heterozygosity analysis, FISH, SNP-array analysis, and mutation testing of individual haematopoietic colonies.

  • A unique clonal JAK2 mutation leading to constitutive signalling causes polycythaemia vera.
    James C et al. · 2005 Apr 28
    The paper explicitly identifies JAK2 c.1849G>T (V617F) as an acquired mutation in exon 12. It was detected in 40 of 45 patients with polycythaemia vera, but in none of 15 controls or 35 patients with secondary erythrocytosis. The mutation was found in granulocytes, erythroblasts, and platelets but not T cells. In cell-based assays, V617F JAK2 activated STAT5 without erythropoietin, induced constitutive JAK2/STAT5 signalling, growth-factor-independent growth, and erythropoietin hypersensitivity. In a mouse transplantation model, expression of V617F JAK2 produced erythrocytosis.
    → PS3 · strong → PS4 · strong Names this variant
    PMID 15793561 ↗
    Source detail
    the V617F substitution was found in 40 out of 45 polycythaemia vera patients, but not in the 15 controls.

    Location Results, paragraphs describing sequencing and cell-lineage analysis; Figures 2–4

    Context Sequencing of JAK2 exon 12 in polycythaemia vera, control, and secondary erythrocytosis cohorts; lineage-specific DNA analysis; STAT5 luciferase assay in JAK2-deficient gamma-2A cells; retroviral JAK2 expression in factor-dependent cell lines; mouse bone-marrow transplantation model.

  • A gain-of-function mutation of JAK2 in myeloproliferative disorders.
    The paper identified the JAK2 c.1849G>T (V617F) substitution as a recurrent somatic mutation in hematopoietic cells from patients with myeloproliferative disorders. It was present in 117 of 244 patients overall: 83 of 128 with polycythemia vera, 21 of 93 with essential thrombocythemia, and 13 of 23 with idiopathic myelofibrosis; it was absent from healthy controls, patients with secondary erythrocytosis, and patients with chronic myelogenous leukemia. In patients with 9p loss of heterozygosity, the mutation was generally homozygous and associated with mitotic recombination. In BaF3 and UT-7/TPO cell assays, JAK2 V617F increased cytokine hypersensitivity, proliferation, survival, and STAT5 phosphorylation, including survival and growth without interleukin-3, supporting a gain-of-function effect.
    → PS3 · strong → PS4 · strong Names this variant
    PMID 15858187 ↗
    Source detail
    V617F is a somatic mutation present in hematopoietic cells.

    Location Abstract; Results sections “9pLOH and a G→T mutation in the coding region of JAK2,” “Identification of a somatic mutation in myeloproliferative disorders,” and “Proliferative and survival advantage afforded by V617F”; Table 1; Figure 4

    Context Cohort of 244 patients with myeloproliferative disorders, including 128 with polycythemia vera, 93 with essential thrombocythemia, and 23 with idiopathic myelofibrosis; sequencing of JAK2 cDNA and genomic DNA from hematopoietic and nonhematopoietic tissues; functional assays in JAK2-transfected BaF3 and UT-7/TPO cells measuring proliferation, viability, and JAK2/STAT5 phosphorylation.

  • SOCS-mediated downregulation of mutant Jak2 (V617F, T875N and K539L) counteracts cytokine-independent signaling.
    The paper explicitly studies JAK2 V617F. Patient-derived HEL cells homozygous for V617F and SET2 cells heterozygous for V617F showed constitutive phosphorylation of STAT5, STAT3, STAT1, ERK1/2, and p38; inducible HEK models showed constitutive signaling and activity-dependent SOCS regulation and proteasomal degradation.
    → PS3 · strong Names this variant
    PMID 19543316 ↗
    Source detail
    In HEL cells, patient-derived leukemia cells naturally carrying the Jak2-V617F mutation, constitutive phosphorylation of STAT5, STAT3, STAT1, Erk1/2 and p38 can also be observed.

    Location Results, section "Constitutively active Jak2 mutants show a reduced expression," paragraph discussing HEL cells

    Context Patient-derived HEL and SET2 leukemia cell lines, inducible HEK-cell JAK2 expression models, western blotting, quantitative PCR, co-immunoprecipitation, confocal microscopy, ubiquitination and proteasome-inhibition assays, and SOCS1/SOCS3 siRNA experiments.

  • Analysis of Jak2 catalytic function by peptide microarrays: the role of the JH2 domain and V617F mutation.
    The paper explicitly studies the JAK2 V617F variant in the JH2 pseudokinase domain using recombinant JAK2 JH1-JH2 proteins and PamChip tyrosine-peptide microarrays. Compared with JH1-JH2 wild type, JH1-JH2 V617F showed approximately threefold higher catalytic activity (493±19 versus 150±9 relative activity per pmol protein), while the mutation had little or no effect on ATP Km or substrate preference. The authors conclude that V617F partially releases JH2-mediated inhibition and increases JAK2 kinase activity without detectable alteration of substrate specificity.
    → PS3 · strong Names this variant
    PMID 21533163 ↗
    Source detail
    mutation V617F partially relieves the inhibition of the JH2 domain on catalytic activity but has limited effect on substrate preference

    Location Results, “Activity of the proteins”; Results, “Catalytic efficiency of JAK2 kinase domain”; Discussion and Conclusion

    Context Recombinant HIS-tagged JAK2 JH1-JH2 wild-type, JH1-JH2 V617F, and JH1 proteins expressed in Sf9 cells; activity and substrate preference measured using PamChip tyrosine-kinase peptide microarrays with 144 peptides and custom peptide arrays.

  • JAK2/IDH-mutant-driven myeloproliferative neoplasm is sensitive to combined targeted inhibition.
    The paper studies JAK2V617F in combination with IDH1/IDH2 mutations using murine MPN models and patient-derived samples. Concurrent mutations drove progressive lethal MPN with impaired differentiation, expansion of blasts and stem/progenitor populations, and adverse disease features; the exact cDNA notation was not explicitly given.
    → PS3 · strong Does not name this variant
    PMID 29355841 ↗
    Source detail
    These data indicate that concurrent JAK2 and IDH1/2 mutations cooperate to drive a lethal, transplantable MPN with impaired differentiation in vivo.

    Location Results, "JAK2V617F and neomorphic IDH1/IDH2 mutations cooperate in vivo to drive progressive MPN," final sentence of the paragraph

    Context Conditional murine Jak2V617F models combined with IDH1R132H or Idh2R140Q alleles, hematopoietic stem/progenitor-cell transplantation studies, inhibitor treatment assays, RNA sequencing, metabolomic analysis, and methylcellulose assays using patient-derived JAK2V617F/IDH2R140Q samples.

Other recorded publications

  • The pseudokinase domain is required for suppression of basal activity of Jak2 and Jak3 tyrosine kinases and for cytokine-inducible activation of signal transduction.
    The paper does not mention JAK2 c.1849G>T or NP_004963.1:p.(V617F). Using murine Jak2 constructs, it reports that the JH2 pseudokinase domain suppresses basal Jak2 tyrosine phosphorylation and downstream STAT activation, while remaining necessary for cytokine-induced Jak2 activation and STAT1 signaling. Deletion of JH2 produced constitutive Jak2 phosphorylation and STAT1 activation that did not increase after IFN-α stimulation. A chimeric Jak2 containing the Jak3 JH2 domain retained low basal activity and responded to IFN-α, indicating functional conservation between the Jak2 and Jak3 JH2 domains.
    Does not name this variant
    PMID 12351625 ↗
    Quoted passage
    JH2Δ-Jak2 induced significantly increased, constitutive activation of STAT1 in the absence of IFN-α, and this activity was not further increased by IFN-α stimulation.

    Results, Fig. 6B; Results, Fig. 7; Discussion

Screenshots represent source records captured during evidence collection. Select one to view the recorded source content.

All source links

Statements for reports

The evidence statements recorded by the interpretation pipeline. They have not been reinterpreted by the page.

gnomAD v4.1

This variant is present in gnomAD v4.1 (AF= 0.00029329; MAF= 0.02933%, 471/1605918 alleles, homozygotes = 17) and has highest observed frequency in the Ashkenazi Jewish population (AF= 0.000746066; MAF= 0.07461%, 22/29488 alleles, homozygotes = 1); grpmax FAF= 0.0002771.

gnomAD v2.1

This variant is present in gnomAD v2.1 (AF= 0.000344428; MAF= 0.03444%, 97/281626 alleles, homozygotes = 5) and has highest observed frequency in the Ashkenazi Jewish population (AF= 0.000579934; MAF= 0.05799%, 6/10346 alleles, homozygotes = 0); grpmax FAF= 0.00030518.

gnomAD-Canada

This variant is present in gnomAD-Canada v1.0 (AF= 0.0005979560774081322, 11/18396 alleles, homozygotes = 0).

ClinVar

This variant has been reported in ClinVar as Pathogenic (17 clinical laboratories) and as Likely pathogenic (4 clinical laboratories) and as pathogenic (1 clinical laboratory). (ClinVarID = 14662)

In silico

SpliceAI predicts no significant splice impact for this variant (max delta score = 0.01). REVEL score = 0.881. BayesDel score = 0.35869.

Functional

OncoKB identified variant-specific curated literature and context relevant to functional review; biological-effect context: Gain-of-function; curated oncogenicity label: Oncogenic.

Somatic

This variant does not lie in a statistically significant hotspot. This variant has previously been reported in somatic cancers (COSMIC; COSV67569051, n = 42916 times).

Cancer Hotspots

This variant does not lie in a statistically significant hotspot.