FB2026_03 , released September 17, 2026
Human Disease Model Report: Nijmegen breakage syndrome
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General Information
Name
Nijmegen breakage syndrome
FlyBase ID
FBhh0001172
Disease Ontology Term
Parent Disease
Overview

This report describes Nijmegen breakage syndrome, which shows autosomal recessive inheritance. The human gene implicated in this disease is NBN (also known as NBS1), a DNA repair protein that is also associated with aplastic anemia (MIM:609135) and acute lymphoblastic leukemia (MIM:613065). There is a single high-ranking ortholog of NBN in Drosophila, nbs. Several alleles have been generated for nbs, including amorphs and hypomorphs, RNAi targeting constructs, and other alleles generated by insertional mutagenesis.

The human gene NBN has not been introduced into flies.

Homozygous nbs hypomorphs have an increased rate of double-stranded DNA breaks and telomeric fusions. In nbs mutants, over-expression of Su(var)205 (the Drosophila ortholog of the heterochromatin maintenance protein HP1) can decrease the frequency of double-stranded breaks.

[updated Jan 2020 by FlyBase; FBrf0222196]

Disease Summary Information
Disease Summary: Nijmegen breakage syndrome
OMIM report

[NIJMEGEN BREAKAGE SYNDROME; NBS](https://omim.org/entry/251260)

Human gene(s) implicated

[NIBRIN; NBN](https://omim.org/entry/602667)

Symptoms and phenotype

The principal clinical manifestations of Nijmegen breakage syndrome are: microcephaly, present at birth and progressive with age, dysmorphic facial features, mild growth retardation, mild-to-moderate intellectual disability, and, in females, hypergonadotropic hypogonadism. Combined cellular and humoral immunodeficiency with recurrent sinopulmonary infections, a strong predisposition to develop malignancies (predominantly of lymphoid origin) and radiosensitivity are other integral manifestations of the syndrome. (Chrzanowska et al. 2012, pubmed:22373003.)

Nijmegen breakage syndrome and the phenotypically indistinguishable Berlin breakage syndrome are autosomal recessive chromosomal instability syndromes characterized by microcephaly, growth retardation, immunodeficiency, and predisposition to cancer. [from MIM:251260, 2020.01.24]

Genetics

The first NBS patients were described in Nijmegen in 1981 by Weemaes et al. (pubmed:7315300) and the genetic background of this disease was discovered by Varon et al. 1998 (pubmed:9590180) and Gorski et al. 2003 (pubmed:12845677). They cloned a gene encoding a novel protein, nibrin (NBN gene), containing two modules found in cell cycle checkpoint proteins, a forkhead-associated domain adjacent to a breast cancer carboxy-terminal domain. A truncating 5 bp deletion (c.657_661del5, pK219fsX19) was identified in the majority of NBS patients. In the original report, more than 200 NBS cases were described, the majority among Slavic populations and with a founder mutation in the NBN gene (c.657_661del5). The prevalence of this mutation in the Slavic countries (Poland, Ukraine, Czech Republic) was subsequently analyzed, revealing unexpectedly high (1/177) carrier frequency of the founder mutation (Varon et al. 2000, pubmed:11093281). (Adapted from Pastorczak et al. 2016 and references therein, pubmed:26826318.)

Ataxia-telangiectasia variant-1 is the designation applied to the Nijmegen breakage syndrome and AT variant-2 is the designation for the Berlin breakage syndrome, which differ only in complementation studies. [from MIM:251260, 2020.01.24]

Cellular phenotype and pathology

Patients with AT variant-1 are clinically indistinguishable from those with AT variant-2. These patients share mitogenic features with AT, such as spontaneous chromosomal instability, clonal occurrence of rearrangements involving, in particular, chromosomes 7 and 14, chromosomal and cellular hypersensitivity to irradiation, and radioresistant DNA synthesis. (Wegner et al. 1998 pubmed:3277755; Saar et al 1997 pubmed:9042920.) [from MIM:251260, 2020.01.24]

Molecular information

The NBN gene codes for nibrin which, as part of a DNA repair complex, plays a critical nuclear role wherever double-stranded DNA ends occur, either physiologically or as a result of mutagenic exposure. (Chrzanowska et al. 2012, pubmed:22373003.)

External links
Disease synonyms
ataxia-telangiectasia variant V1; AT-V1
ataxia-telangiectasia variant V2
Berlin breakage syndrome
immunodeficiency, microcephaly, and chromosomal instability
microcephaly with normal intelligence, immunodeficiency, and lymphoreticular malignancies
nonsyndromal microcephaly, autosomal recessive, with normal intelligence
Seemanova syndrome
Seemanova syndrome II
Ortholog Information
Human gene(s) in FlyBase
    Human gene (HGNC)
    Symbol / Name
    D. melanogaster ortholog (based on DIOPT)
    Comments on ortholog(s)

    One to one: 1 human gene to 1 Drosophila gene.

    Other mammalian ortholog(s) used
      D. melanogaster Gene Information (1)
      Gene Snapshot
      nbs (nbs) encodes a component of the conserved MRN complex, which plays an important role in the repair of DNA double strand breaks. The product of nbs is required to prevent chromosome breakage, interacts with the telomere capping complex and prevents telomeric fusions. [Date last reviewed: 2019-02-28]
      Molecular function (GO)
      Cellular component (GO)
      Gene Groups / Pathways
      Comments on ortholog(s)

      Single, high-ranking ortholog of human NBN.

      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 (6 groups)
        protein-protein
        Interacting group
        Assay
        References
        anti tag coimmunoprecipitation, anti tag western blot
        anti bait coimmunoprecipitation, western blot, anti tag coimmunoprecipitation, anti tag western blot
        pull down, western blot
        anti bait coimmunoprecipitation, western blot
        anti tag coimmunoprecipitation, western blot, pull down
        Alleles Reported to Model Human Disease (Disease Ontology) (1 alleles)
        Models Based on Experimental Evidence ( 0 )
        Allele
        Disease
        Evidence
        References
        Modifiers Based on Experimental Evidence ( 1 )
        Allele
        Disease
        Interaction
        References
        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
        amorphic allele - molecular evidence
        phiC31 integrase
        References (4)