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RAG1, also known as recombination activating gene 1, is a protein encoded by the RAG1 gene located on chromosome 11p12 in humans, forming part of the RAG protein complex alongside RAG2 that is essential for initiating V(D)J recombination in developing B and T lymphocytes.[1][2][3] This process involves the precise rearrangement of variable (V), diversity (D), and joining (J) gene segments in the DNA, enabling the production of diverse antigen receptors that allow the adaptive immune system to recognize and respond to a wide array of pathogens.[1][2] The RAG1 protein contains a catalytic domain with an RNase H fold structure that recognizes specific recombination signal sequences (RSSs) flanking the V, D, and J segments, introducing double-strand DNA breaks necessary for recombination, while RAG2 stabilizes the complex and ensures cleavage occurs only at appropriate sites during lymphocyte development.[3][2]
Discovered in 1989 through studies on V(D)J recombination mechanisms, RAG1 and RAG2 were identified as key enzymes expressed exclusively in immature B and T cells, highlighting their specialized role in adaptive immunity.[3] The genes show high conservation across vertebrates, with human RAG1 sharing about 90% amino acid identity with its mouse counterpart, underscoring evolutionary importance for jawed vertebrate immunity originating from an ancient transposon insertion approximately 450 million years ago.[3] In healthy individuals, functional RAG1 activity is critical for generating a functional repertoire of T-cell receptors (TCRs) and B-cell immunoglobulins, without which the immune system cannot mount effective antigen-specific responses.[1]
Mutations in the RAG1 gene are a major cause of primary immunodeficiencies, particularly severe combined immunodeficiency (SCID), where complete loss of function leads to the absence of mature T and B cells, rendering infants highly susceptible to infections and often fatal within the first year of life without intervention such as hematopoietic stem cell transplantation or emerging gene therapies.[1][2][3][4] Hypomorphic (partial loss-of-function) mutations can result in less severe conditions, including Omenn syndrome—characterized by erythroderma, eosinophilia, and autoimmunity—or combined immunodeficiencies with granulomas and autoimmunity, affecting cellular and humoral immunity into later childhood.[1][3] Over 70 distinct RAG1 mutations have been linked to these disorders, emphasizing the gene's dosage sensitivity and the spectrum of phenotypes from complete to leaky SCID.[1][3]