DEMO Diabetes neonatal onset

Gene: IL2RA

Red List (low evidence)

IL2RA (interleukin 2 receptor subunit alpha)
EnsemblGeneIds (GRCh38): ENSG00000134460
EnsemblGeneIds (GRCh37): ENSG00000134460
OMIM: 147730, Gene2Phenotype
IL2RA is in 10 panels

5 reviews

Ellen McDonagh (Genomics England Curator)

Comment when marking as ready: Reviewed and confirmed information
Created: 3 Dec 2019, 6:26 a.m. | Last Modified: 3 Dec 2019, 6:26 a.m.
Panel Version: 0.12
Comment on mode of pathogenicity: Gain of function
Created: 3 Dec 2019, 6:25 a.m. | Last Modified: 3 Dec 2019, 6:25 a.m.
Panel Version: 0.10
Comment on list classification: This gene-disease association has been refuted.
Created: 3 Dec 2019, 6:24 a.m. | Last Modified: 3 Dec 2019, 6:24 a.m.
Panel Version: 0.8

Ivone Leong (Genomics England Curator)

Green List (high evidence)

Initial gene list and info collated by Sian Ellard, University of Exeter Medical School, August 2018 on behalf of the GMS Endocrinology specialist test group. Gene Symbol submitted: IL2RA; Suggested intial gene rating: Green; Evidence for inclusion: none given; Evidence for exclusion: none given; Technical notes (e.g. non-coding/CNV mutations requiring coverage?): none given; Phenotypes: Neoantal diabetes, congenital hypothyrodism (multiple autoimmune) Recessive.
Created: 11 Jan 2019, 4:27 p.m.

Sian Ellard (University of Exeter Medical School)

Red List (low evidence)

Elisa De Franco (University of Exeter Medical School)

Green List (high evidence)

Neonatal diabetes has been reported in 1/4 patients with IL2RA mutations in the paper by Caudy et al 2007 J Allergy Clin Immunol. 119:482-7. We have also identified mutations in this gene in 2 additional unrelated patients referred to Exeter for neonatal diabetes testing.
Created: 29 May 2017, 8:34 a.m.

Publications

Rebecca Foulger (Genomics England curator)

Comment on list classification: Updated rating from Grey to Green. IL2RA gene added by Sian Ellard during panel review. PMID:17196245 (Caudy et al 2007) report 1 patient with neonatal diabetes and biallelic IL2RA mutations. Elisa De-Franco (University of Exeter Medical School) report 2 additional patients referred to Exeter for referred to Exeter for neonatal diabetes testing. Therefore 3 cases in total, plus part of Exeter neonatal diabetes screen.
Created: 30 May 2017, 3:30 p.m.
Comment when marking as ready: Marked as Ready: 29th May 2017.
Created: 29 May 2017, 7:53 a.m.
Comment on mode of inheritance: Biallelic mode of inheritance supported by patient reported in PMID:17196245 (Caudy et al., 2007).
Created: 25 May 2017, 8:44 a.m.
PMID:17196245 (Caudy et al., 2007) describe a patient with an IPEX-like syndrome (including insulin-dependent diabetes mellitus diagnosed at 6 weeks), and a deficiency in CD25 (IL2RA). He carries a single base pair insertion of one allele of his CD25 gene and a second allele with a substitution resulting in a stop codon. Paper was highlighted by Dr. Elisa De, Franco, University of Exeter Medical School.
Created: 25 May 2017, 8:43 a.m.

Details

Mode of Inheritance
BOTH monoallelic and biallelic, autosomal or pseudoautosomal
Sources
  • Expert Review Red
  • Expert Review
  • NHS GMS
  • NHS GMS
Phenotypes
  • Neoantal diabetes, congenital hypothyrodism (multiple autoimmune) Recessive
  • IPEX-like syndrome
  • insulin-dependent diabetes mellitus at 8-weeks
  • {Diabetes, mellitus, insulin-dependent, susceptibility to, 10}, 601942
  • neonatal diabetes
OMIM
147730
Clinvar variants
Variants in IL2RA
Penetrance
None
Publications
Mode of Pathogenicity
Loss-of-function variants (as defined in pop up message) DO NOT cause this phenotype - please provide details in the comments
Panels with this gene

History Filter Activity

3 Dec 2019, Gel status: 1

Entity classified by Genomics England curator

Ellen McDonagh (Genomics England Curator)

Gene: il2ra has been classified as Red List (Low Evidence).

3 Dec 2019, Gel status: 1

Set Phenotypes

Ellen McDonagh (Genomics England Curator)

Phenotypes for gene: IL2RA were changed from Neoantal diabetes, congenital hypothyrodism (multiple autoimmune) Recessive; IPEX-like syndrome; insulin-dependent diabetes mellitus at 8-weeks; {Diabetes, mellitus, insulin-dependent, susceptibility to, 10}, 601942; neonatal diabetes to Neoantal diabetes, congenital hypothyrodism (multiple autoimmune) Recessive; IPEX-like syndrome; insulin-dependent diabetes mellitus at 8-weeks; {Diabetes, mellitus, insulin-dependent, susceptibility to, 10}, 601942; neonatal diabetes

3 Dec 2019, Gel status: 1

Set publications

Ellen McDonagh (Genomics England Curator)

Publications for gene: IL2RA were set to 17196245; 12345; 678926

3 Dec 2019, Gel status: 1

Set mode of pathogenicity

Ellen McDonagh (Genomics England Curator)

Mode of pathogenicity for gene: IL2RA was changed from to Loss-of-function variants (as defined in pop up message) DO NOT cause this phenotype - please provide details in the comments

3 Dec 2019, Gel status: 1

Set mode of inheritance

Ellen McDonagh (Genomics England Curator)

Mode of inheritance for gene: IL2RA was changed from BIALLELIC, autosomal or pseudoautosomal to BOTH monoallelic and biallelic, autosomal or pseudoautosomal

3 Dec 2019, Gel status: 1

Entity classified by Genomics England curator

Ellen McDonagh (Genomics England Curator)

Gene: il2ra has been classified as Red List (Low Evidence).

3 Dec 2019, Gel status: 3

Set publications

Ellen McDonagh (Genomics England Curator)

Publications for gene: IL2RA were set to 17196245

2 Dec 2019, Gel status: 3

Created, Added New Source, Set mode of inheritance, Set publications, Set Phenotypes

Ellen McDonagh (Genomics England Curator)

gene: IL2RA was added gene: IL2RA was added to DEMO Diabetes - neonatal onset. Sources: Expert Review Green,NHS GMS,Expert Review Mode of inheritance for gene: IL2RA was set to BIALLELIC, autosomal or pseudoautosomal Publications for gene: IL2RA were set to 17196245 Phenotypes for gene: IL2RA were set to Neoantal diabetes, congenital hypothyrodism (multiple autoimmune) Recessive; IPEX-like syndrome; insulin-dependent diabetes mellitus at 8-weeks; {Diabetes, mellitus, insulin-dependent, susceptibility to, 10}, 601942; neonatal diabetes