FB2026_03 , released September 17, 2026
Human Disease Model Report: Townes-Brocks syndrome
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General Information
Name
Townes-Brocks syndrome
FlyBase ID
FBhh0000257
Disease Ontology Term
Parent Disease
Overview

This report describes Townes-Brocks syndrome (TBS), which is inherited as an autosomal dominant and is characterized by multiple morphological abnormalities, both external and internal (affecting anal opening, ears, thumbs, kidneys, heart, genitourinary structures, and others). The gene implicated in TBS is SALL1, a zinc-finger transcriptional repressor. There are two Drosophila orthologs, salm (spalt major) and salr (spalt-related), for which for which classical amorphic (for salm) and hypomorphic alleles, RNAi-targeting constructs, and alleles caused by insertional mutagenesis have been generated.

The human SALL1 gene has not been introduced into flies.

In order to create a fly model for this disease, animals that carried loss-of-function mutations in both Dmel\salm and Dmel\salr were generated. Since homozygous null mutations of Dmel\salm are embryonic lethals, null clones were generated using the FLP/FRT system. Loss of both salm and salr function results in morphological defects in the testes, genitalia, and the antenna. Electrophysiological analyses indicate that salm/salr mutant flies are deaf. Thus, multiple aspects of the human disease are recapitulated.

[updated Apr. 2016 by FlyBase; FBrf0222196]

Disease Summary Information
Disease Summary: Townes-Brocks syndrome
OMIM report

[TOWNES-BROCKS SYNDROME 1; TBS1](https://omim.org/entry/107480)

Human gene(s) implicated

[SAL-LIKE 1; SALL1](https://omim.org/entry/602218)

Symptoms and phenotype

The absence of the anal opening (imperforate anus) is the most common feature of TBS. Small ears and a folded rim of skin and cartilage around the outer ear are usually present; hand malformations that most often affect the thumb are common. Congenital sensorineural and/or conductive hearing loss can range from mild to severe and can be progressive. Malformations of the feet may be present; kidney abnormalities may be present. Mental retardation occurs in approximately 10% of affected individuals. [from NORD, Townes Brocks Syndrome; 2016.04.22]

Genetics

Variable expressivity is observed: features vary among affected individuals, even within the same family. [from Genetics Home Reference, Townes-Brocks Syndrome; 2016.04.22]

Townes-Brocks syndrome is caused by mutation in the gene encoding the SALL1 putative transcription factor; it is inherited as an autosomal dominant. [from MIM:107480; 2016.04.13]

Cellular phenotype and pathology
Molecular information

The SALL1 (Spalt-Like Transcription Factor 1) protein is a zinc finger transcriptional repressor and may be part of the NuRD histone deacetylase complex (HDAC). [from Gene Cards, SALL1; 2016.04.22]

External links
Disease synonyms
anus, imperforate, with hand, foot, and ear anomalies
deafness, sensorineural, with imperforate anus and thumb anomalies
REAR syndrome
renal-ear-anal-radial syndrome
TBS
Townes-Brocks-branchiootorenal-like syndrome
Ortholog Information
Human gene(s) in FlyBase
    Human gene (HGNC)
    D. melanogaster ortholog (based on DIOPT)
    Comments on ortholog(s)

    One to many: 1 human to 2 Drosophila.

    Other mammalian ortholog(s) used
      D. melanogaster Gene Information (2)
      Gene Snapshot
      spalt major (salm) encodes a zinc finger transcriptional repressor. It mediates most dpp functions during development of the central part of the wing through regulation of the products of kni and ara. The product of salm is required for cell specification during the development of the nervous system, muscle, eye or trachea. [Date last reviewed: 2019-03-14]
      Cellular component (GO)
      Gene Groups / Pathways
      Comments on ortholog(s)

      One of two Drosophila orthologs of human gene SALL1 (2 Drosophila to 1 human). Dmel\salm shares 27% identity and 40% similarity with human SALL1.

      Orthologs and Alignments from DRSC
      DIOPT - DRSC Integrative Ortholog Prediction Tool - Click the link below to search for orthologs in Humans
      Gene Snapshot
      spalt-related (salr) encodes a zinc finger transcriptional repressor that, together with the product of salm, mediates most dpp functions during development of the central part of the wing. It is repressed by the product of Ubx during haltere development. [Date last reviewed: 2019-03-14]
      Cellular component (GO)
      Gene Groups / Pathways
      Comments on ortholog(s)

      One of two Drosophila orthologs of human gene SALL1 (2 Drosophila to 1 human). Dmel\salr shares 29% identity and 41% similarity with human SALL1.

      Orthologs and Alignments from DRSC
      DIOPT - DRSC Integrative Ortholog Prediction Tool - Click the link below to search for orthologs in Humans
      Other Genes Used: Viral, Bacterial, Synthetic (0)
        Summary of Physical Interactions (13 groups)
        protein-protein
        Interacting group
        Assay
        References
        bimolecular fluorescence complementation, fluorescence microscopy
        bimolecular fluorescence complementation, fluorescence microscopy
        bimolecular fluorescence complementation, fluorescence microscopy
        bimolecular fluorescence complementation, fluorescence microscopy
        bimolecular fluorescence complementation, fluorescence microscopy
        Alleles Reported to Model Human Disease (Disease Ontology) (4 alleles)
        Models Based on Experimental Evidence ( 2 )
        Allele
        Disease
        Evidence
        References
        Modifiers Based on Experimental Evidence ( 1 )
        Allele
        Disease
        Interaction
        References
        model of  carcinoma
        is ameliorated by TimpUAS.cPa
        is ameliorated by bskK53R.UAS
        is ameliorated by pucUAS.cMa
        Models Based on Experimental Evidence ( 2 )
        Allele
        Disease
        Evidence
        References
        Modifiers Based on Experimental Evidence ( 1 )
        Allele
        Disease
        Interaction
        References
        model of  carcinoma
        is exacerbated by MycHMS01538
        is ameliorated by MycUAS.cZa
        Alleles Representing Disease-Implicated Variants
        Genetic Tools, Stocks and Reagents
        Sources of Stocks
        Contact lab of origin for a reagent not available from a public stock center.
        Bloomington Stock Center Disease Page
        Related mammalian, viral, bacterial, or synthetic transgenes
        Allele
        Transgene
        Publicly Available Stocks
        Selected Drosophila transgenes
        Allele
        Transgene
        Publicly Available Stocks
        RNAi constructs available
        Allele
        Transgene
        Publicly Available Stocks
        Selected Drosophila classical alleles
        Allele
        Allele class
        Mutagen
        Publicly Available Stocks
        amorphic allele - genetic evidence
        ethyl methanesulfonate
        loss of function allele
        ethyl methanesulfonate
        amorphic allele - genetic evidence
        ethyl methanesulfonate
        loss of function allele
        ethyl methanesulfonate
        loss of function allele
        ethyl methanesulfonate
        References (5)