RARE DISEASERESEARCH ATLAS

ORPHA:331206

T-B-NK+ severe combined immunodeficiency due to complete RAG1/2 deficiency

high confidenceDisorder

Also known as: T-B-NK+ SCID due to complete RAG1/2 deficiency

Query health: suspect — Only one of 3 strategies returned hits (phrase). Source fetch failed for trials.

Publications

10

23.5th percentile

Trials

Interventional, condition-specific

Researchers

104

Distinct authors in sample

Gene link

RAG1, RAG2

Strong

Readiness

2/6

Stages with a signal

Clinical definition (Orphanet)

Severe combined immunodeficiency due to complete RAG1/2 deficiency is a rare, genetic T-B- severe combined immunodeficiency disorder due to null mutations in recombination activating gene (RAG) 1 and/or RAG2 resulting in less than 1% of wild type V(D)J recombination activity. Patients present with onset of life-threatening, severe, recurrent infections by opportunistic fungal, viral and bacterial micro-organisms, as well as skin rashes, chronic diarrhea, and fever. Immunologic observations include profound T- and B-cell lymphopenia, normal NK counts and low or absent serum immunoglobulins; some patients may have eosinophilia.

How rare: 1-9 / 100 000 — about one to nine people per hundred thousand.

Orphanet entry

Cross-references

Joined from Mondo / Orphanet. MeSH labels may enter searches; UMLS / OMIM / NCIT are stored for reference.

Additional Mondo synonyms (3)

SCID due to complete RAG1/2 deficiency · severe combined immunodeficiency, B cell-negative · severe combined immunodeficiency, autosomal recessive, T cell-negative, B cell-negative, NK cell-positive

Research stages

Trial readiness signals

Where this condition sits on an open-data research pipeline — not how close a treatment is, and not medical advice. Empty stages often mean “not in these databases under this Mondo ID,” not “impossible.”

2/6 stages with a signal

Research-stage checklist from open sources (GenCC, literature, Monarch when enriched, ClinicalTrials.gov). Not a prognosis or care recommendation.

  1. Gene identifiedPresent

    Strong — RAG1, RAG2

  2. LiteraturePresent

    10 matched papers (7 in last 10 years) Source

  3. Phenotype characterisedNot checked

    Not yet enriched from Monarch / HPO

  4. Animal modelNot checked

    Not yet enriched from Monarch / Alliance

  5. Orphan designationNot checked

    FDA/EMA orphan-drug designation not enriched yet

  6. Interventional trialNot checked

    Trial fetch failed or incomplete

Biology

Genes and phenotypes

Gene–disease validity from GenCC, plus phenotypes and animal models joined from Monarch Initiative via Mondo ID — not a clinical diagnosis aid.

Do we know what causes it?

Yes — we know a specific gene responsible (RAG1, RAG2).

GenCC classification: Strong.

Phenotypes (Monarch / HPO)

Not enriched in this build — Monarch phenotype joins were not run for this record.

Animal models (Monarch / Alliance)

Not enriched in this build.

Literature

Is anyone studying this?

10

10 papers have ever been indexed under this name. For scale, breast cancer has over 700,000. Median papers in the last 10 years for a rare disease in this dataset (publications denominator n=5449) is 41.

10 papers since the earliest indexed year in this search — median last-10-year count for a rare disease in this dataset is 41 (publications denominator n=5449).

7 in the last 10 years · high confidence · 23.5th percentile (publications denominator)

Phrase hits: 10 · MeSH hits: 0

Open Europe PMC search

Who's working on it?

104

Distinct author names in 10 sampled papers — named people below.

Who's working on it?

People publishing on this condition (sampled Europe PMC records). Affiliation is the most recent found in that sample.

  1. 01
    Abdulwahab F1 paper · 2023

    Department of Translational Genomics, Center for Genomic Medicine, King Faisal Specialist Hospital and Research Center, MBC-26, PO Box 3354, Riyadh, 11211, Saudi Arabia.

    Papers in Europe PMC
  2. 02
    Abouelhoda M1 paper · 2023

    Department of Computational Science, Center for Genomic Medicine, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia. mabouelhoda@kfshrc.edu.sa.

    Papers in Europe PMC
  3. 03
    Abuyousef O1 paper · 2023

    Department of Translational Genomics, Center for Genomic Medicine, King Faisal Specialist Hospital and Research Center, MBC-26, PO Box 3354, Riyadh, 11211, Saudi Arabia.

    Papers in Europe PMC
  4. 04
    Al Alawi I1 paper · 2015

    National Genetic Center, Ministry of Health, Muscat, PC 111, Oman.

    Papers in Europe PMC
  5. 05
    Al Harasi S1 paper · 2015

    National Genetic Center, Ministry of Health, Muscat, PC 111, Oman.

    Papers in Europe PMC
  6. 06
    Al Lawati F1 paper · 2015

    National Genetic Center, Ministry of Health, Muscat, PC 111, Oman.

    Papers in Europe PMC
  7. 07
    Al Salmi Q1 paper · 2015

    Royal Hospital, Ministry of Health, Muscat, PC 111, Oman.

    Papers in Europe PMC
  8. 08
    Albreacan M1 paper · 2023

    Department of Clinical Genomics, Center for Genomic Medicine, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia.

    Papers in Europe PMC
  9. 09
    Alkuraya FS1 paper · 2023

    Department of Translational Genomics, Center for Genomic Medicine, King Faisal Specialist Hospital and Research Center, MBC-26, PO Box 3354, Riyadh, 11211, Saudi Arabia. falkuraya@kfshrc.edu.sa.

    Papers in Europe PMC
  10. 10
    Alsohime F1 paper · 2023

    Department of Pediatrics, Pediatric Critical Care Unit, King Khalid University Hospital and College of Medicine, King Saud University, Riyadh, Saudi Arabia.

    Papers in Europe PMC

Clinical research

Is a treatment being tested?

interventional trials for this specific condition

We could not load trial data for this condition right now.

Data as of 27 July 2026

high confidence

Recruiting interventional trials

From the matched ClinicalTrials.gov set

Trial data could not be loaded for this build. This is not the same as finding zero interventional trials.

Where to find support

We do not yet link condition-specific patient organisations. These umbrella groups support undiagnosed and ultra-rare families:

India — NPRD

Last verified 2026-07-26

Likely covered — the policy lists Severe combined immunodeficiency (SCID) as a category (Group 1), and this condition is a form of it. Confirm eligibility with a Centre of Excellence.

Group 1 — one-time curative treatment

Up to ₹50 lakh per patient

Financial support for treatment at notified Centres of Excellence (figures evolved from the original ₹20 lakh Group-1 ceiling).

Policy figures change. Verify current MoHFW / CoE guidance before relying on any amount. Verify

Centres of Excellence (15)
  • All India Institute of Medical Sciences (AIIMS)New Delhi, Delhi
  • Maulana Azad Medical CollegeNew Delhi, Delhi
  • Sanjay Gandhi Post Graduate Institute of Medical SciencesLucknow, Uttar Pradesh
  • Post Graduate Institute of Medical Education and Research (PGIMER)Chandigarh, Chandigarh
  • Centre for DNA Fingerprinting & Diagnostics with Nizam’s Institute of Medical SciencesHyderabad, Telangana
  • King Edward Memorial HospitalMumbai, Maharashtra
  • Institute of Post-Graduate Medical Education and Research (IPGMER)Kolkata, West Bengal
  • Centre for Human Genetics with Indira Gandhi HospitalBengaluru, Karnataka
  • Institute of Child Health and Hospital for Children (ICH & HC)Chennai, Tamil Nadu
  • All India Institute of Medical Sciences (AIIMS)Jodhpur, Rajasthan
  • Sree Avittam Thirunal Hospital (SAT), Government Medical CollegeThiruvananthapuram, Kerala
  • All India Institute of Medical Sciences (AIIMS)Bhopal, Madhya Pradesh
  • Regional Institute of Medical Sciences (RIMS)Imphal, Manipur
  • All India Institute of Medical Sciences (AIIMS)Patna, Bihar
  • Assam Medical College & HospitalDibrugarh, Assam

Voluntary contributions / crowdfunding (separate from CoE funding): https://rarediseases.mohfw.gov.in/

Hand-curated for this project. ORPHAcode mappings are best-effort and may be incomplete or imprecise for umbrella categories. Parent (Mondo) matches mean the policy lists a broader category — confirm eligibility with a Centre of Excellence. Financial entitlements summarised from public policy statements and may change. This is not official government guidance.

How we counted this

Europe PMC query (preferred label + any corrected label + Orphanet and Mondo exact synonyms, stoplisted; unioned with resolved MeSH labels when available). UMLS / OMIM / NCIT cross-references are stored on the overview but are not added to the query string.

"T-B-NK+  severe combined immunodeficiency due to complete RAG1/2 deficiency" OR "T-B-NK+ SCID due to complete RAG1/2 deficiency" OR "SCID due to complete RAG1/2 deficiency" OR "severe combined immunodeficiency, B cell-negative" OR "severe combined immunodeficiency, autosomal recessive, T cell-negative, B cell-negative, NK cell-positive"

Run this search on Europe PMC

MeSH descriptor terms unioned into the query: Severe Combined Immunodeficiency, Autosomal Recessive, T Cell-Negative, B Cell-Negative, NK Cell-Positive

ClinicalTrials.gov query (quoted phrases + MeSH via query.cond, plus recall-expansion terms when used):

(empty)

Recall-expansion terms: RAG1, RAG2, T-B- severe combined immunodeficiency, familial severe combined immunodeficiency

Query health: suspect — strategies attempted: phrase, mesh, recall-expansion; with hits: phrase

Source errors: trials: Error: HTTP 400 for https://clinicaltrials.gov/api/v2/studies?query.cond=%22T-B-NK%2B%20%20severe%20combined%20immunodeficiency%20due%20to%20complete%20RAG1%2F2%20deficiency%22%20OR%20%22T-B-NK%2B%20SCID%20due%20to%20complete%20RAG1%2F2%20deficiency%22%20OR%20%22SCID%20due%20to%20complete%20RAG1%2F2%20deficiency%22%20OR%20%22severe%20combined%20immunodeficiency%2C%20B%20cell-negative%22%20OR%20%22severe%20combined%20immunodeficiency%2C%20autosomal%20recessive%2C%20T%20cell-negative%2C%20B%20cell-negative%2C%20NK%20cell-positive%22%20OR%20%22RAG1%22%20OR%20%22RAG2%22%20OR%20%22T-B-%20severe%20combined%20immunodeficiency%22%20OR%20%22familial%20severe%20combined%20immunodeficiency%22&format=json&pageSize=100&countTotal=true

Confidence reasoning

  • Preferred label is multi-word and distinctive
  • No synonyms dropped by stoplist
  • No label/synonym collisions with other diseases in this corpus

Ingested 2026-07-27T14:08:53.768Z