FB2026_01 , released March 12, 2026
FB2026_01 , released March 12, 2026
Human Disease Model Report: Birt-Hogg-Dube syndrome
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General Information
Name
Birt-Hogg-Dube syndrome
FlyBase ID
FBhh0001379
Disease Ontology Term
Parent Disease
Overview

This report describes Birt-Hogg-Dube syndrome (BHD); BHD exhibits autosomal dominant inheritance. The human gene implicated in this disease is FLCN, which encodes a GTPase-activating protein with roles in diverse metabolic pathways and cellular processes. There is a single orthologous gene in Drosophila, Dmel\BHD, for which an amorphic mutation, overexpression constructs, and RNAi targeting constructs have been generated.

A UAS construct of the human Hsap\FLCN has been introduced into flies; partial heterologous rescue (functional complementation) of Dmel\BHD loss-of-function phenotypes has been demonstrated.

Animals homozygous for a null mutation of Dmel\BHD typically die during the larval stage; larvae grow slowly and stop development before pupation, displaying various characteristics of malnutrition. Growth delay, but not viablity, can be rescued by high levels of yeast or supplementation with leucine (but not other amino acids). Work in Drosophila supports a role for FLCN in iron metabolism: partial rescue of the larval BHD null phenotypes is observed for larvae fed iron-rich food.

[updated Jul. 2021 by FlyBase; FBrf0222196]

Disease Summary Information
Disease Summary: Birt-Hogg-Dube syndrome
OMIM report

[BIRT-HOGG-DUBE SYNDROME 1; BHD1](https://omim.org/entry/135150)

Human gene(s) implicated

[FOLLICULIN; FLCN](https://omim.org/entry/607273)

Symptoms and phenotype

Birt-Hogg-Dube syndrome is a rare disorder that affects the skin and lungs and increases the risk of certain types of tumors. Its signs and symptoms vary among affected individuals. Birt-Hogg-Dube syndrome is characterized by multiple noncancerous skin tumors, particularly on the face, neck, and upper chest. These growths typically first appear in a person's twenties or thirties and become larger and more numerous over time. Affected individuals also have an increased chance of developing cysts in the lungs and an abnormal accumulation of air in the chest cavity (pneumothorax) that may result in the collapse of a lung. Additionally, Birt-Hogg-Dube syndrome is associated with an elevated risk of developing cancerous or noncancerous kidney tumors. [MedlinePlus, Birt-Hogg-Dube syndrome; 2021.07.18]

Birt-Hogg-Dube syndrome is characterized by hair follicle hamartomas, kidney tumors, and spontaneous pneumothorax (Nickerson et al., 2002; pubmed:12204536). Primary spontaneous pneumothorax (MIM:173600) is an allelic disorder that may represent a milder part of the clinical spectrum of the BHD syndrome. [from MIM:135150; 2021.07.18]

Genetics

Birt-Hogg-Dube syndrome (BHD) is caused by heterozygous mutation in the FLCN gene.[from MIM:135150; 2021.07.18]

Cellular phenotype and pathology
Molecular information

Functional studies support a role for FLCN in diverse metabolic pathways and cellular processes that include modulation of the mTOR pathway, regulation of PGC1α and mitochondrial biogenesis, cell-cell adhesion and RhoA signaling, control of TFE3/TFEB transcriptional activity, amino acid-dependent activation of mTORC1 on lysosomes through Rag GTPases, and regulation of autophagy (Schmidt and Linehan, 2018; pubmed:28970150).

External links
Disease synonyms
BHD
Hornstein-Knickenberg syndrome
multiple fibrofolliculomas
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
    Birt-Hogg-Dube (BHD) encodes a protein involved in the maintenance of germ-line stem cells and the regulation of nucleolar large rRNA transcription. [Date last reviewed: 2019-09-19]
    Molecular function (GO)
    Cellular component (GO)
    Gene Groups / Pathways
      Comments on ortholog(s)

      High-scoring ortholog of human FLCN (1 Drosophila to 1 human). Dmel\BHD shares 60% identity and 71% similarity with the human gene.

      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 (1 groups)
        protein-protein
        Interacting group
        Assay
        References
        anti tag coimmunoprecipitation, anti tag western blot, two hybrid
        Alleles Reported to Model Human Disease (Disease Ontology) (2 alleles)
        Models Based on Experimental Evidence ( 0 )
        Allele
        Disease
        Evidence
        References
        Modifiers Based on Experimental Evidence ( 1 )
        Allele
        Disease
        Interaction
        References
        Models Based on Experimental Evidence ( 1 )
        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 - molecular evidence
        ends-out gene targeting
        References (6)