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Primary immunodeficiency or monogenic inflammatory bowel disease v9.111 ATRIP Ida Ertmanska Classified gene: ATRIP as Amber List (moderate evidence)
Primary immunodeficiency or monogenic inflammatory bowel disease v9.111 ATRIP Ida Ertmanska Added comment: Comment on list classification: There are now 3 unrelated probands reported in literature with primary immunodeficiency (neutropenia, lymphopenia, recurrent infections), habrouring homozygous variants in ATRIP. Hence, ATRIP can be promoted to Green on this panel.
Primary immunodeficiency or monogenic inflammatory bowel disease v9.111 ATRIP Ida Ertmanska Gene: atrip has been classified as Amber List (Moderate Evidence).
Primary immunodeficiency or monogenic inflammatory bowel disease v9.110 ATRIP Ida Ertmanska gene: ATRIP was added
gene: ATRIP was added to Primary immunodeficiency or monogenic inflammatory bowel disease. Sources: Literature
Q4_26_promote_green tags were added to gene: ATRIP.
Mode of inheritance for gene: ATRIP was set to BIALLELIC, autosomal or pseudoautosomal
Publications for gene: ATRIP were set to 23144622; 35568357; 40029331
Phenotypes for gene: ATRIP were set to Seckel syndrome, MONDO:0019342; Recurrent infections, HP:0002719
Review for gene: ATRIP was set to GREEN
Added comment: PMID: 40029331 Duthoo et al., 2025
Study identified homozygous splice ATRIP variants in two patients of independent ancestry with microcephaly, primordial dwarfism, and recurrent infections.
Patient F1Pt: female with severe microcephaly, developmental delay, dysmorphic features, growth retardation, grossly normal skeletal development, and a mild ID. She had recurrent respiratory tract infections. Lab investigations showed lymphopenia and intermittent neutropenia. WES revealed a homozygous c.829+5G>T variant in ATRIP. Based on figure S1, severity of microcephaly was close to -6 SD below mean for OFC.
Second patient, F46.1, was previously reported in PMID: 35568357.

PMID: 35568357 Masih et al., 2022
Report of 87 Indian families with microcephaly.
P F46.1 - 5yo male - presented with microcephaly OFC 38cm (Z score − 9.4), moderate ID/DD, febrile seizures, facial dysmorphism, dry skin, recurrent respiratory tract infections, clubbing of digits, short stature, speech delay. CT was normal. He was diagnosed with Seckel syndrome. Proband harboured a homozygous ATRIP variant: c.829+2T>G. Method: exome seq.

PMID: 23144622 Ogi et al., 2012
Report of a patient, born of consanguineous Gujarati-Indian parents, with Seckel syndrome. Proband harboured comp het ATRIP variants: c.2278C-T, p.Arg760Ter and a splicing defect c.248-14A<G. Parents confirmed het for a variant each and unaffected. The patient had severe microcephaly (-10 SD), micrognathia, dental crowding, small earlobes, delayed bone age, and symmetric dwarfism.
Reappraisal of patient CV1720’s clinical status in PMID: 40029331 revealed a phenotype of late-onset lymphopenia and intermittent neutropenia.

ATRIP is not yet associated with a disease entity in OMIM. ClinGen and G2P only list AD associations with breast cancer susceptibility. Resources accessed 27th Oct 2026.
Sources: Literature