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Síndrome de quebras de Nijmegen
ORPHA:647CID-10 · Q87.8CID-11 · 4A01.31OMIM 251260DOENÇA RARA

A síndrome de ruptura de Nijmegen é uma doença genética rara que se apresenta ao nascimento com microcefalia, características faciais dismórficas, tornando-se mais perceptíveis com a idade, atraso no crescimento e complicações de início tardio, como malignidades e infecções.

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Introdução

O que você precisa saber de cara

📋

A síndrome de ruptura de Nijmegen é uma doença genética rara que se apresenta ao nascimento com microcefalia, características faciais dismórficas, tornando-se mais perceptíveis com a idade, atraso no crescimento e complicações de início tardio, como malignidades e infecções.

Pesquisas ativas
2 ensaios
3 total registrados no ClinicalTrials.gov
Publicações científicas
628 artigos
Último publicado: 2026

Escala de raridade

CLASSIFICAÇÃO ORPHANET · BRASIL 2024
Unknown
Ultra-rara
<1/50k
Muito rara
1/20k
Rara
1/10k
Pouco freq.
1/5k
Incomum
1/2k
Prevalência
0.0
Worldwide
Início
Antenatal
+ infancy, neonatal
🏥
SUS: Cobertura mínimaScore: 15%
CID-10: Q87.8
🇧🇷Dados SUS / DATASUS
PROCEDIMENTOS SIGTAP (5)
0202010503
Cariótipo — bandas G, Q ou Rgenetic_test
0202010600
Pesquisa de microdeleções/microduplicações por FISHlab_test
0202010694
Sequenciamento completo do exoma (WES)rehabilitation
0202010260
Dosagem de alfa-fetoproteína
0301070040
Atendimento em reabilitação — doenças raras
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Entender a doença

Do básico ao detalhe, leia no seu ritmo

Preparando trilha educativa...

Sinais e sintomas

O que aparece no corpo e com que frequência cada sintoma acontece

Partes do corpo afetadas

😀
Face
15 sintomas
🫃
Digestivo
7 sintomas
🫁
Pulmão
6 sintomas
🩸
Sangue
6 sintomas
🧠
Neurológico
5 sintomas
💪
Músculos
4 sintomas

+ 25 sintomas em outras categorias

Características mais comuns

100%prev.
Micrognatia
Frequência: 11/11
100%prev.
Testa inclinada
Muito frequente (99-80%)
100%prev.
Fissura palpebral ascendente
Muito frequente (99-80%)
100%prev.
Macrotia
Muito frequente (99-80%)
100%prev.
Microcefalia
Muito frequente (99-80%)
90%prev.
Anemia hemolítica
Muito frequente (99-80%)
82sintomas
Muito frequente (30)
Frequente (7)
Ocasional (22)
Sem dados (23)

Os sintomas variam de pessoa para pessoa. Abaixo estão as 82 características clínicas mais associadas, ordenadas por frequência.

MicrognatiaMicrognathia
Frequência: 11/11100%
Testa inclinadaSloping forehead
Muito frequente (99-80%)100%
Fissura palpebral ascendenteUpslanted palpebral fissure
Muito frequente (99-80%)100%
Macrotia
Muito frequente (99-80%)100%
MicrocefaliaMicrocephaly
Muito frequente (99-80%)100%

Linha do tempo da pesquisa

Publicações por ano — veja quando o interesse científico cresceu
Anos de pesquisa1desde 2026
Total histórico628PubMed
Últimos 10 anos190publicações
Pico201723 papers
Linha do tempo
2026Hoje · 2026📈 2017Ano de pico🧪 2020Primeiro ensaio clínico
Publicações por ano (últimos 10 anos)

Encontrou um erro ou informação desatualizada? Sugira uma correção →

Genética e causas

O que está alterado no DNA e como passa nas famílias

Genes associados

1 gene identificado com associação a esta condição. Padrão de herança: Autosomal recessive.

NBNNibrinDisease-causing germline mutation(s) inTolerante
FUNÇÃO

Component of the MRN complex, which plays a central role in double-strand break (DSB) repair, DNA recombination, maintenance of telomere integrity and meiosis (PubMed:10888888, PubMed:15616588, PubMed:18411307, PubMed:18583988, PubMed:18678890, PubMed:19759395, PubMed:23115235, PubMed:28216226, PubMed:28867292, PubMed:9705271). The MRN complex is involved in the repair of DNA double-strand breaks (DSBs) via homologous recombination (HR), an error-free mechanism which primarily occurs during S an

LOCALIZAÇÃO

NucleusChromosomeNucleus, PML bodyChromosome, telomere

VIAS BIOLÓGICAS (1)
Sensing of DNA Double Strand Breaks
MECANISMO DE DOENÇA

Nijmegen breakage syndrome

A disorder characterized by chromosomal instability, radiation sensitivity, microcephaly, growth retardation, immunodeficiency and predisposition to cancer, particularly to lymphoid malignancies.

EXPRESSÃO TECIDUAL(Ubíquo)
Linfócitos
67.2 TPM
Esôfago - Muscular
38.3 TPM
Nervo tibial
37.1 TPM
Esôfago - Junção
36.3 TPM
Fibroblastos
35.1 TPM
OUTRAS DOENÇAS (5)
Nijmegen breakage syndromeaplastic anemialeukemia, acute lymphocytic, susceptibility to, 1prostate cancer, hereditary
HGNC:7652UniProt:O60934

Variantes genéticas (ClinVar)

991 variantes patogênicas registradas no ClinVar.

🧬 NBN: NM_002485.5(NBN):c.266_270dup (p.Leu91fs) ()
🧬 NBN: NM_002485.5(NBN):c.2192_2196del (p.Asn731fs) ()
🧬 NBN: NM_002485.5(NBN):c.348C>A (p.Cys116Ter) ()
🧬 NBN: NM_002485.5(NBN):c.1681G>T (p.Glu561Ter) ()
🧬 NBN: NM_002485.5(NBN):c.1166_1175del (p.Met389fs) ()
Ver todas no ClinVar

Classificação de variantes (ClinVar)

Distribuição de 415 variantes classificadas pelo ClinVar.

270
145
Patogênica (65.1%)
VUS (34.9%)
VARIANTES MAIS SIGNIFICATIVAS
RAD50: NM_005732.4(RAD50):c.3744_3751dup (p.Glu1251fs) [Likely pathogenic]
RAD50: NM_005732.4(RAD50):c.2367_2375del (p.Asp791_Thr793del) [Likely pathogenic]
RAD50: NM_005732.4(RAD50):c.3564dup (p.Leu1189fs) [Likely pathogenic]
RAD50: NM_005732.4(RAD50):c.475C>T (p.Gln159Ter) [Pathogenic/Likely pathogenic]
RAD50: NM_005732.4(RAD50):c.304_307del (p.Cys102fs) [Likely pathogenic]

Diagnóstico

Os sinais que médicos procuram e os exames que confirmam

Carregando...

Tratamento e manejo

Remédios, cuidados de apoio e o que precisa acompanhar

Pipeline de tratamentos
Pipeline regulatório — de medicamentos já aprovados a drogas em pesquisa exploratória.
2Fase 23
Medicamentos catalogadosEnsaios clínicos· 0 medicamentos · 3 ensaios
Carregando informações de tratamento...

Onde tratar no SUS

Hospitais de referência no Brasil e o protocolo oficial do SUS (PCDT)

🇧🇷 Atendimento SUS — Síndrome de quebras de Nijmegen

🗺️

Selecione um estado ou use sua localização para ver resultados.

Dados de DATASUS/CNES, SBGM, ABNeuro e Ministério da Saúde. Sempre confirme a disponibilidade diretamente com o estabelecimento.

Pesquisa ativa

Ensaios clínicos abertos e novidades científicas recentes

🟢 Recrutando agora

1 pesquisa recrutando participantes. Converse com seu médico sobre a possibilidade de participar.

Outros ensaios clínicos

3 ensaios clínicos encontrados, 2 ativos.

Distribuição por fase
Ver todos no ClinicalTrials.gov
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Publicações mais relevantes

Timeline de publicações
149 papers (10 anos)
#1

G-quadruplex structures are key regulators of mammalian spermatogenesis.

Cellular &amp; molecular biology letters2026 Jan 03

Male infertility, impacting 8–12% of couples globally, often lacks clear etiology. G-quadruplexes (G4s), noncanonical DNA structures, are implicated in genomic regulation but remain underexplored in spermatogenesis. This study investigates G4 dynamics and their roles in male fertility. We employed antibody-based staining, cleavage under targets and tagmentation (CUT&Tag) sequencing, and a novel nanobody-based proximity labeling system (nanoG4BPL) to map G4 distribution and interacting proteins in mouse testicular cells. In vivo G4 stabilization with pyridostatin and clinical analysis of testicular tissues from patients with nonobstructive azoospermia (NOA) were conducted. G4 structures are enriched in testicular tissues, displaying stage-specific dynamics during spermatogonial differentiation, meiosis, and spermiogenesis. Genome-wide profiling revealed the dual roles of G4s in coordinating gene expression with active epigenetic marks and facilitating genome architecture via CTCF interactions. G4 stabilization disrupted double-strand break repair during meiosis, with nanoG4BPL identifying Nijmegen breakage syndrome 1 (NBS1) as a G4-interacting protein promoting phase separation for homologous recombination. Clinically, patients with NOA exhibited significantly elevated G4 levels in spermatocytes. G4 structures are critical regulators of spermatogenesis, orchestrating gene expression, chromatin remodeling, and meiotic fidelity. Their dysregulation, particularly in patients with NOA, suggests a mechanistic link to male infertility, providing novel insights into its pathogenesis and highlighting potential avenues for future diagnostic or therapeutic exploration. The online version contains supplementary material available at 10.1186/s11658-025-00839-y.

#2

Novel RAD50 variants lead to Nijmegen Breakage Syndrome-like disorder and unplanned recombinant human growth hormone treatment response.

Frontiers in endocrinology2026

Human RAD50 gene mutations cause Nijmegen Breakage Syndrome-like disease, characterized by severe prenatal and postpartum growth retardation and microcephaly. It is very rare (less than 5 cases) with limited clinical data and treatment experience. Clinical information was collected on a boy with microcephaly and severe growth restriction, including birth history, clinical features, unplanned response to recombinant human growth hormone treatment, and five-year follow-up after growth hormone discontinuation. The child underwent trio-based whole-exome sequencing and Sanger sequencing to validate the mutation. Constructed variant plasmids were used for in vitro functional experiments and Western blots to evaluate the potential impact of the variants. The boy was born at full term, with substantial growth retardation from infancy to early childhood. At the age of 4.5 years, the child with syndromic short stature was prescribed recombinant human growth hormone for height correction by junior resident physicians, with no genetic evaluation performed prior to treatment. After 5 years and 9 months of recombinant human growth hormone treatment, genetic analysis was done due to his evident microcephaly and distinctive facial features. Two novel variants (p.His1269Argfs2 and p.Ser844Asn) were identified in the RAD50 gene. Western blotting revealed the presence of the Flag-tag and EGFP in RAD50-wt, but not in RAD50-mut (p.His1269Argfs2), indicating the frameshift mutation may markedly impair RAD50 protein expression or stability. Although recombinant human growth hormone significantly improved the patient's growth rate (from -3.35 SD to -1.28 SD), these variants may serve as a potential molecular basis for Nijmegen Breakage Syndrome-like disease and could also increase the risk of tumor formation. Treatment with recombinant human growth hormone was discontinued when the patient was 10 years and 3 months old. A five-year follow-up showed no evidence of a tumor was observed; The 15-year-old patient's height ceased to increase and remained at 151.5 cm. In the current study, we identified and characterized a patient with two RAD50 mutations. This report expands the clinical and genetic scope of RAD50 mutations. For the first time, it describes the response to unplanned recombinant human growth hormone therapy and the risk of long-term tumors. This report is intended to raise clinical awareness of the risk-benefit balance of recombinant human growth hormone therapy for syndromic short stature.

#3

First 2-year experience of nationwide newborn screening for severe forms of T and B cell immunodeficiency: 2.3 million newborns analyzed using TREC and KREC in Russia.

Frontiers in immunology2026

Here, we present the results of a nationwide newborn screening (NBS) program in Russia, covering over 2.3 million newborns and employing TREC and KREC quantification to improve the identification of severe forms of T and/or B cell immunodeficiencies and enable early treatment initiation. A two-tier PCR testing strategy was used to define the screen-positive cohort, followed by confirmatory flow cytometry and genetic diagnostics, including fluorescent in situ hybridization (FISH) and whole-exome sequencing (WES). A total of 191 patients were diagnosed with defined forms of primary immunodeficiencies (PID), encompassing several groups of inborn errors of immunity (IEI): severe combined immunodeficiency (SCID), agammaglobulinemia, combined immunodeficiency less severe than SCID, and syndromic forms of PID. The overall birth prevalence of severe forms of T and/or B cell immunodeficiencies was 1 in 12,298 live births (95%CI: 1:10,672-1:14,247), corresponding to 8.13 cases per 100,000 newborns (95%CI: 7.02-9.37). Although the positive predictive value of KREC-based screening was relatively low, its use enabled the detection of a substantial proportion of patients with syndromic forms of PID, including Nijmegen breakage syndrome and ataxia-telangiectasia, along with various forms of agammaglobulinemia. Interestingly, 16% of diagnosed newborns had a positive family history, often with previously undiagnosed affected siblings or parents. Additionally, a considerable number of newborns detected by NBS presented with syndromic disorders not currently classified as IEI, suggesting potential avenues for future expansion of the IEI list. Importantly, early diagnosis through NBS allowed for the timely initiation of disease-specific treatments, including hematopoietic stem cell transplantation (HSCT), immunoglobulin replacement therapy, and targeted immunosuppressive or supportive care strategies. Early intervention may reduce the risk of severe infections, improve neurodevelopmental outcomes, and prevent irreversible organ damage or malignancies in predisposed syndromes. Overall, our study demonstrates the effectiveness of large-scale implementation of TREC/KREC-based NBS in identifying a broad spectrum of immunodeficiencies and highlights future directions for improving NBS algorithms, follow-up protocols, and individualized medical management for affected infants.

#4

Malignancies in the context of Inborn errors of immunity: an immunologist's view.

Expert review of clinical immunology2026 Feb

Inborn errors of immunity (IEIs), also known as primary immunodeficiency diseases (PIDs) since 2017 Inborn Errors of Immunity Committee classification, comprise a heterogeneous group of genetic disorders resulting in impaired immune development and function. Malignancy is a major challenge in IEIs, particularly in those with defects in DNA repair, tumor suppression, immune surveillance, or chronic inflammatory control, highlighting the close interplay between immune dysfunction and oncogenesis. Hematologic malignancies, especially non-Hodgkin lymphomas, predominate in IEIs, though epithelial tumors also occur and present at younger ages with poorer outcomes. Both intrinsic factors - such as genomic instability and defective lymphocyte maturation - and extrinsic factors, including chronic inflammation, oncogenic viral infections, and iatrogenic exposures, contribute to cancer development. Subtypes such as ataxia-telangiectasia, Nijmegen breakage syndrome, Wiskott - Aldrich syndrome, and common variable immunodeficiency show particularly high malignancy rates. Defects in specific immune pathways, may predispose to organ-specific or virus-driven cancers. Although hematopoietic stem cell transplantation remains curative for selective IEIs, post-transplant malignancy risk persists. A deeper understanding of shared molecular pathways linking immunodeficiency and cancer is essential to refine early diagnosis, risk stratification, and targeted management in this vulnerable population.

#5

Expanding the mutational spectrum of RAD50: a case report of Nijmegen breakage syndrome-like disorder in a Chinese child.

Gene2026 Apr 15

Nijmegen breakage syndrome-like disorder (NBSLD) is a rare chromosomal instability syndrome caused by biallelic pathogenic variants in RAD50, which is a key component of the MRE11-RAD50-NBS1 (MRN) complex involved in DNA double-strand break repair. Merely few cases have been reported worldwide, and its phenotypic spectrum remains incompletely defined. We report a 6-year-old Chinese boy, who presented with bilateral cryptorchidism, severe microcephaly, growth retardation, multiple café-au-lait macules, brachydactyly, and distinctive craniofacial features, including a sloping forehead, midface prominence, and receding mandible. Mild intellectual impairment was confirmed on formal neurocognitive testing. The immunological assessment revealed borderline lymphopenia without overt immunodeficiency. Whole-exome sequencing (WES) identified compound heterozygosity for two variants in RAD50 (NM_005732.3): a paternally inherited frameshift variant c.2165_2166insT (p.Lys722Asnfs*6) and a maternally inherited splice-site variant c.3752 + 4_3752 + 7dup. The minigene splicing assay revealed that the latter disrupts normal splicing, leading to partial intron retention and a premature stop codon (p.Ile1252*). Based on the clinical features and molecular confirmation, the patient was diagnosed with NBSLD. Allogeneic hematopoietic stem cell transplantation (HSCT) has been proposed as a potential therapeutic option for DNA damage repair disorders. However, it is not presently required for this patient, who is managed with regular surveillance. The present case expands the clinical and mutational spectrum of RAD50-associated NBSLD. It emphasizes the importance of combining clinical assessment, genomic analysis, and functional assays for the accurate diagnosis of rare chromosomal breakage disorders.

Publicações recentes

Ver todas no PubMed

📚 EuropePMC257 artigos no totalmostrando 185

2026

Novel RAD50 variants lead to Nijmegen Breakage Syndrome-like disorder and unplanned recombinant human growth hormone treatment response.

Frontiers in endocrinology
2026

First 2-year experience of nationwide newborn screening for severe forms of T and B cell immunodeficiency: 2.3 million newborns analyzed using TREC and KREC in Russia.

Frontiers in immunology
2026

Malignancies in the context of Inborn errors of immunity: an immunologist's view.

Expert review of clinical immunology
2026

Expanding the mutational spectrum of RAD50: a case report of Nijmegen breakage syndrome-like disorder in a Chinese child.

Gene
2026

G-quadruplex structures are key regulators of mammalian spermatogenesis.

Cellular &amp; molecular biology letters
2025

Newborn screening for SCID and severe T- and B-cell lymphopenia in Ukraine: the first analysis of the results, 2022-2025.

Frontiers in immunology
2025

Loss of Nuclear Profilin 1 Triggers Oncogenic Reprogramming of Mammary Epithelial Cells Through Dysregulated DNA Replication in Breast Cancer.

Journal of breast cancer
2025

Attenuated Form of Nijmegen Breakage Syndrome: Case Report of the Oldest Patient.

American journal of medical genetics. Part A
2025

Successful combined anti-CD19 immunotherapy of relapsed acute lymphoblastic leukaemia in a child with Nijmegen breakage syndrome.

British journal of haematology
2025

Investigating telomere length in progeroid syndromes: implications for aging disorders.

Aging
2025

Inherited deficiency of DIAPH1 identifies a DNA double strand break repair pathway regulated by γ-actin.

Nature communications
2025

NBS1 from Physcomitrium patens confers resistance against oxidative stress through the BRCA1 C-terminus (BRCT) domain, independent of the MRE11 interaction.

Plant physiology and biochemistry : PPB
2025

Mouse MRE11-RAD50-NBS1 is needed to start and extend meiotic DNA end resection.

Nature communications
2025

NBS1 facilitates preribosomal RNA biogenesis.

Proceedings of the National Academy of Sciences of the United States of America
2025

Genetic variants in NHEJ1 and related DNA repair disorders: insights into phenotypic heterogeneity and links to hypoplastic myelodysplastic syndromes and familial hematological malignancies susceptibility.

Annals of hematology
2025

RPUSD1 enhances the expression of eIF4E through RluA catalytic domain, activates PI3K/AKT signaling pathway, and promotes the cell proliferation and invasion in non-small cell lung cancer.

International journal of biological macromolecules
2024

The Significance of the Response: Beyond the Mechanics of DNA Damage and Repair-Physiological, Genetic, and Systemic Aspects of Radiosensitivity in Higher Organisms.

International journal of molecular sciences
2025

Neuroblastoma Occurring in Nijmegen Breakage Syndrome.

Journal of pediatric hematology/oncology
2025

NBS1 dePARylation by NUDT16 is critical for DNA double-strand break repair.

Molecular and cellular biochemistry
2024

Resolution of granulomatous lesions in a Nijmegen breakage syndrome patient with severe immunodeficiency after hematopoietic stem cell transplantation.

Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology
2024

Update on Recommendations for Cancer Screening and Surveillance in Children with Genomic Instability Disorders.

Clinical cancer research : an official journal of the American Association for Cancer Research
2024

Liver Transplantation for Nijmegen Breakage Syndrome With Hepatic Malignancy and Hepatopulmonary Syndrome After Bone Marrow Transplantation: A Case Report.

Pediatric transplantation
2024

Genetic hallmarks and clinical implications of chromothripsis in childhood T-cell acute lymphoblastic leukemia.

Leukemia
2024

Nijmegen breakage syndrome: 25-year experience of diagnosis and treatment in Ukraine.

Frontiers in immunology
2024

NBS1 lactylation is required for efficient DNA repair and chemotherapy resistance.

Nature
2024

MRE11 is essential for the long-term viability of undifferentiated spermatogonia.

Cell proliferation
2024

A Rare Case of Early T-Precursor Lymphoblastic Lymphoma (ETP-LBL) in a Child With Nijmegen Breakage Syndrome.

Pediatric and developmental pathology : the official journal of the Society for Pediatric Pathology and the Paediatric Pathology Society
2024

Radiosensitivity in a newborn with microcephalia: A case report of Nijmegen breakage syndrome.

Birth defects research
2024

[Research Progress in the Roles of MRE11-RAD50-NBS1 Complex and Human Diseases].

Zhongguo yi xue ke xue yuan xue bao. Acta Academiae Medicinae Sinicae
2024

Glucose control during pregnancy in patients with type 1 diabetes correlates with fetal hemodynamics: a prospective longitudinal study.

BMC pregnancy and childbirth
2024

Germ line genetic NBN variation and predisposition to B-cell acute lymphoblastic leukemia in children.

Blood
2024

Accuracy of unilateral and bilateral gait assessment using a mobile gait analysis system at different walking speeds.

Gait &amp; posture
2024

Time is the enemy: Negative symptoms are related to even slight differences in the duration of untreated psychosis.

Comprehensive psychiatry
2024

Suppression of NBS1 Upregulates CyclinB to Induce Olaparib Sensitivity in Ovarian Cancer.

Technology in cancer research &amp; treatment
2024

Neurological involvement in patients with primary immunodeficiency.

Allergologia et immunopathologia
2023

Metastasis of ovarian cancer to nasal skin and skin on the trunk: a rare case report.

Frontiers in oncology
2023

Phosphorylated Hsp27 promotes adriamycin resistance in breast cancer cells through regulating dual phosphorylation of c-Myc.

Cellular signalling
2023

Bone Marrow Failure and Immunodeficiency Associated with Human RAD50 Variants.

Journal of clinical immunology
2023

Plasma Circulating Cell-free DNA in Advanced Hepatocellular Carcinoma Patients Treated With Radiation Therapy.

In vivo (Athens, Greece)
2023

Germline Genetic NBN Variation and Predisposition to B-cell Acute Lymphoblastic Leukemia in Children.

Research square
2023

Dissection of DNA damage and repair pathways in live cells by femtosecond laser microirradiation and free-electron modeling.

Proceedings of the National Academy of Sciences of the United States of America
2023

An electrocardiographic score to predict pulmonary hypertension in children with atrial septal defect.

BMC pediatrics
2023

Simultaneous Nbs1 and p53 inactivation in neural progenitors triggers high-grade gliomas.

Neuropathology and applied neurobiology
2023

A rare case of primary gastric Hodgkin lymphoma in an adolescent with Nijmegen breakage syndrome.

BMC pediatrics
2023

Clinical and laboratory diversity of diffuse large B-cell lymphomas in children with Nijmegen breakage syndrome.

Haematologica
2023

Infections in DNA Repair Defects.

Pathogens (Basel, Switzerland)
2023

The NBN founder mutation-Evidence for a country specific difference in age at cancer manifestation.

Cancer reports (Hoboken, N.J.)
2023

[Warsaw breakage syndrome: an etiology for congenital microcephaly and sensorineural deafness].

Revista de neurologia
2024

Safety and effectiveness of intravitreal dexamethasone implant in patients with ocular toxocariasis.

The British journal of ophthalmology
2023

Opening Pandora's box: abnormal genetic carrier screening and need for lifetime follow-up.

American journal of obstetrics &amp; gynecology MFM
2022

Prenatal polycyclic aromatic hydrocarbon (PAH) exposure in relation to placental corticotropin releasing hormone (pCRH) in the CANDLE pregnancy cohort.

Frontiers in endocrinology
2022

Newborn screening for severe combined immunodeficiency: The results of the first pilot TREC and KREC study in Ukraine with involving of 10,350 neonates.

Frontiers in immunology
2022

Early hyperdopaminergic state following sub-thalamic nucleus deep brain stimulation in Parkinson disease.

Revue neurologique
2022

Clinical characterisation of patients in the post-acute stage of anti-NMDA receptor encephalitis: a prospective cohort study and comparison with patients with schizophrenia spectrum disorders.

The Lancet. Neurology
2022

Maternal Predictors of Breast Milk Plasmalogens and Associations with Infant Body Composition and Neurodevelopment.

Clinical therapeutics
2024

[Effect of multimodal rheumatologic complex treatment in patients with axial spondylarthritis : A systematic evaluation with standardized outcome parameters, such as the ASAS Health Index].

Zeitschrift fur Rheumatologie
2023

Development of an Effective Immune Response in Adults With Down Syndrome After Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Vaccination.

Clinical infectious diseases : an official publication of the Infectious Diseases Society of America
2022

Impact of Covid-19 Pandemic on the Effectiveness of Outpatient Counseling in Childhood Obesity Management.

Frontiers in endocrinology
2022

A gene dosage-dependent effect unveils NBS1 as both a haploinsufficient tumour suppressor and an essential gene for SHH-medulloblastoma.

Neuropathology and applied neurobiology
2022

Diagnostic and therapeutic approach to children with Nijmegen breakage syndrome in relation to development of lymphoid malignancies.

Annals of agricultural and environmental medicine : AAEM
2022

Metabolic Slowing Vanished 5 Years After Sleeve Gastrectomy in Patients With Obesity and Prediabetes/Diabetes.

The Journal of clinical endocrinology and metabolism
2022

Radiotherapy and radiosensitivity syndromes in DNA repair gene mutations.

Klinicka onkologie : casopis Ceske a Slovenske onkologicke spolecnosti
2022

Consensus Recommendations for the Clinical Management of Hematological Malignancies in Patients with DNA Double Stranded Break Disorders.

Cancers
2022

Impact of Greater Occipital Nerve Block on Photophobia Levels in Migraine Patients.

Journal of neuro-ophthalmology : the official journal of the North American Neuro-Ophthalmology Society
2022

NBS1 protein from Physcomitrium patens confers protection against oxidative damage by limiting the accumulation of cellular reactive oxygen species.

Plant physiology and biochemistry : PPB
2022

Impaired p53-Mediated DNA Damage Response Contributes to Microcephaly in Nijmegen Breakage Syndrome Patient-Derived Cerebral Organoids.

Cells
2022

Subcutaneous injection of infliximab CT-P13 results in stable drug levels within 14-day treatment cycle in Crohn's disease.

Alimentary pharmacology &amp; therapeutics
2022

NBS1-CtIP-mediated DNA end resection suppresses cGAS binding to micronuclei.

Nucleic acids research
2021

The Essential DNA Damage Response Complex MRN Is Dispensable for the Survival and Function of Purkinje Neurons.

Frontiers in aging neuroscience
2023

An in-silico analysis to identify structural, functional and regulatory role of SNPs in hMRE11.

Journal of biomolecular structure &amp; dynamics
2021

GSTpi reduces DNA damage and cell death by regulating the ubiquitination and nuclear translocation of NBS1.

Cellular and molecular life sciences : CMLS
2022

Bilateral Ovarian Germ Cell Tumor in a 46,XX Female with Nijmegen Breakage Syndrome and Hypergonadotropic Hypogonadism.

Journal of clinical research in pediatric endocrinology
2021

Spectrum of hematological malignancies, clonal evolution and outcomes in 144 Mayo Clinic patients with germline predisposition syndromes.

American journal of hematology
2021

Protein Arginine Methyltransferase 1 Is Essential for the Meiosis of Male Germ Cells.

International journal of molecular sciences
2021

MRN Complex and Cancer Risk: Old Bottles, New Wine.

Clinical cancer research : an official journal of the American Association for Cancer Research
2021

MYC/NBS1-Mediated DNA Damage Response is Involved in the Inhibitory Effect of Hydroxysafflor Yellow A on Glioma Cells.

Drug design, development and therapy
2021

Nbs1-mediated DNA damage repair pathway regulates haematopoietic stem cell development and embryonic haematopoiesis.

Cell proliferation
2020

Geographical Distribution, Incidence, Malignancies, and Outcome of 136 Eastern Slavic Patients With Nijmegen Breakage Syndrome and NBN Founder Variant c.657_661del5.

Frontiers in immunology
2021

Impairment of sirtuin 1-mediated DNA repair is involved in bisphenol A-induced aggravation of macrophage inflammation and atherosclerosis.

Chemosphere
2020

DNA Repair Syndromes and Cancer: Insights Into Genetics and Phenotype Patterns.

Frontiers in pediatrics
2020

Newborn Screening for SCID and Other Severe Primary Immunodeficiency in the Polish-German Transborder Area: Experience From the First 14 Months of Collaboration.

Frontiers in immunology
2021

Hematopoietic Stem Cell Transplantation Positively Affects the Natural History of Cancer in Nijmegen Breakage Syndrome.

Clinical cancer research : an official journal of the American Association for Cancer Research
2020

ROS-dependent DNA damage and repair during germination of NaCl primed seeds.

Journal of photochemistry and photobiology. B, Biology
2020

NBS1 interacts with Notch signaling in neuronal homeostasis.

Nucleic acids research
2020

Hepatitis B virus preS2Δ38-55 variants: A newly identified risk factor for hepatocellular carcinoma.

JHEP reports : innovation in hepatology
2020

Chromosomal instability associated with adverse outcome: a case report of patient with Nijmegen breakage syndrome and rapidly developed T-NHL with complex karyotype.

Molecular cytogenetics
2020

T Lymphocytes in Patients With Nijmegen Breakage Syndrome Demonstrate Features of Exhaustion and Senescence in Flow Cytometric Evaluation of Maturation Pathway.

Frontiers in immunology
2020

A Survey of Reported Disease-Related Mutations in the MRE11-RAD50-NBS1 Complex.

Cells
2020

Update on DNA-Double Strand Break Repair Defects in Combined Primary Immunodeficiency.

Current allergy and asthma reports
2020

Treosulfan-Based Conditioning Regimen in Haematopoietic Stem Cell Transplantation with TCRαβ/CD19 Depletion in Nijmegen Breakage Syndrome.

Journal of clinical immunology
2020

Telomere attrition and dysfunction: a potential trigger of the progeroid phenotype in nijmegen breakage syndrome.

Aging
2020

Nijmegen breakage syndrome: case report and review of literature.

The Pan African medical journal
2020

Evaluation of awareness about primary immunodeficiencies among physicians before and after implementation of the educational program: A longitudinal study.

PloS one
2020

Association of Nijmegen Breakage Syndrome 1 Genotypes With Bladder Cancer Risk.

Anticancer research
2020

Human RAD50 deficiency: Confirmation of a distinctive phenotype.

American journal of medical genetics. Part A
2020

Modeling cancer genomic data in yeast reveals selection against ATM function during tumorigenesis.

PLoS genetics
2020

Chromothripsis and DNA Repair Disorders.

Journal of clinical medicine
2019

Hematopoietic Stem Cell Transplantation for DNA Double Strand Breakage Repair Disorders.

Frontiers in pediatrics
2020

NBS1 is required for SPO11-linked DNA double-strand break repair in male meiosis.

Cell death and differentiation
2020

Nijmegen breakage syndrome in two half sibs with peripheral T-cell lymphoma and cortical T-cell acute lymphoid leukemia.

Central-European journal of immunology
2019

Complex profile of multiple hepatobiliary and gastrointestinal complications after hematopoietic stem cell transplantation in a child with Nijmegen breakage syndrome.

Central-European journal of immunology
2019

NBS1 interacts with HP1 to ensure genome integrity.

Cell death &amp; disease
2019

The Replisome Mediates A-NHEJ Repair of Telomeres Lacking POT1-TPP1 Independently of MRN Function.

Cell reports
2019

Chromosome Instability and Mosaic Aneuploidy in Neurodegenerative and Neurodevelopmental Disorders.

Frontiers in genetics
2020

DNA repair functional analyses of NBN hypomorphic variants associated with NBN-related infertility.

Human mutation
2019

E2F1 acetylation directs p300/CBP-mediated histone acetylation at DNA double-strand breaks to facilitate repair.

Nature communications
2019

Antioxidant Defense, Redox Homeostasis, and Oxidative Damage in Children With Ataxia Telangiectasia and Nijmegen Breakage Syndrome.

Frontiers in immunology
2019

Chromosome instability syndromes.

Nature reviews. Disease primers
2019

Nbn-Mre11 interaction is required for tumor suppression and genomic integrity.

Proceedings of the National Academy of Sciences of the United States of America
2019

Attenuating the DNA damage response to double-strand breaks restores function in models of CNS neurodegeneration.

Brain communications
2019

A case of premature ovarian insufficiency in Nijmegen breakage syndrome patient and review of literature. From gene mutation to clinical management.

Gynecological endocrinology : the official journal of the International Society of Gynecological Endocrinology
2019

Two novel variants in the ATM gene causing ataxia-telangiectasia, including a duplication of 90 kb: Utility of targeted next-generation sequencing in detection of copy number variation.

Annals of human genetics
2018

Non-Hodgkin Lymphoma Secondary to Hodgkin Lymphoma in an Adult Patient With Nijmegen Breakage Syndrome.

HemaSphere
2018

Association of Single-Nucleotide Polymorphisms in Monoubiquitinated FANCD2-DNA Damage Repair Pathway Genes With Breast Cancer in the Chinese Population.

Technology in cancer research &amp; treatment
2019

Fibroblast-derived integration-free iPSC line ISRM-NBS1 from an 18-year-old Nijmegen Breakage Syndrome patient carrying the homozygous NBN c.657_661del5 mutation.

Stem cell research
2019

Rubella Virus-Associated Cutaneous Granulomatous Disease: a Unique Complication in Immune-Deficient Patients, Not Limited to DNA Repair Disorders.

Journal of clinical immunology
2018

Nijmegen Breakage Syndrome Complicated With Primary Pulmonary Granulomas.

Pediatrics
2018

Case 1: Microcephaly, Skeletal Dysplasia, and Immunodeficiency in a Newborn.

Pediatrics in review
2018

Poly(ADP-ribose) polymerase-1 promotes recruitment of meiotic recombination-11 to chromatin and DNA double-strand break repair in Ku70-deficient breast cancer cells.

FASEB journal : official publication of the Federation of American Societies for Experimental Biology
2018

The Major Tegument Protein of Bovine Herpesvirus 1, VP8, Interacts with DNA Damage Response Proteins and Induces Apoptosis.

Journal of virology
2018

The MRE11-RAD50-NBS1 Complex Conducts the Orchestration of Damage Signaling and Outcomes to Stress in DNA Replication and Repair.

Annual review of biochemistry
2018

Identification of variants in pleiotropic genes causing "isolated" premature ovarian insufficiency: implications for medical practice.

European journal of human genetics : EJHG
2018

Interdependent and separable functions of Caenorhabditis elegans MRN-C complex members couple formation and repair of meiotic DSBs.

Proceedings of the National Academy of Sciences of the United States of America
2018

Genetic testing for hereditary prostate cancer: Current status and limitations.

Cancer
2017

Comparison of Selected Parameters of Redox Homeostasis in Patients with Ataxia-Telangiectasia and Nijmegen Breakage Syndrome.

Oxidative medicine and cellular longevity
2018

Evidence for a pre-malignant cell line in a skin biopsy from a patient with Nijmegen breakage syndrome.

Molecular cytogenetics
2018

NBS1 rs2735383 polymorphism is associated with an increased risk of laryngeal carcinoma.

BMC cancer
2018

A non-synonymous polymorphism in NBS1 is associated with progression from chronic hepatitis B virus infection to hepatocellular carcinoma in a Chinese population.

OncoTargets and therapy
2018

Inactivation of ribosomal protein S27-like confers radiosensitivity via the Mdm2-p53 and Mdm2-MRN-ATM axes.

Cell death &amp; disease
2017

Damage-induced lncRNAs control the DNA damage response through interaction with DDRNAs at individual double-strand breaks.

Nature cell biology
2017

Reversible Hypogammaglobulinemia in 2 Pediatric Patients With Primary Immunodeficiency.

Journal of investigational allergology &amp; clinical immunology
2017

CTCF prevents genomic instability by promoting homologous recombination-directed DNA double-strand break repair.

Proceedings of the National Academy of Sciences of the United States of America
2017

Clinical Report: Warsaw Breakage Syndrome with small radii and fibulae.

American journal of medical genetics. Part A
2017

MRE11 Promotes Tumorigenesis by Facilitating Resistance to Oncogene-Induced Replication Stress.

Cancer research
2017

Prospective Study of a Cohort of Russian Nijmegen Breakage Syndrome Patients Demonstrating Predictive Value of Low Kappa-Deleting Recombination Excision Circle (KREC) Numbers and Beneficial Effect of Hematopoietic Stem Cell Transplantation (HSCT).

Frontiers in immunology
2017

Nijmegen Breakage Syndrome fibroblasts and iPSCs: cellular models for uncovering disease-associated signaling pathways and establishing a screening platform for anti-oxidants.

Scientific reports
2017

Effects of Pulsed Electromagnetic Fields on Breast Cancer Cell Line MCF 7 Using Absorption Spectroscopy.

Anticancer research
2017

Hsp90α regulates ATM and NBN functions in sensing and repair of DNA double-strand breaks.

The FEBS journal
2017

Recommendations for Childhood Cancer Screening and Surveillance in DNA Repair Disorders.

Clinical cancer research : an official journal of the American Association for Cancer Research
2017

DNA Damage Response in Human Stem Cells and Neural Descendants.

Methods in molecular biology (Clifton, N.J.)
2017

Contribution of Double-strand Break Repair Gene Nijmegen Breakage Syndrome 1 Genotypes, Gender Difference and Smoking Status to Taiwanese Lung Cancer.

Anticancer research
2017

Parkin regulates translesion DNA synthesis in response to UV radiation.

Oncotarget
2018

Outcome of hematopoietic cell transplantation for DNA double-strand break repair disorders.

The Journal of allergy and clinical immunology
2017

NBS1 is regulated by two kind of mechanisms: ATM-dependent complex formation with MRE11 and RAD50, and cell cycle-dependent degradation of protein.

Journal of radiation research
2017

Stimulation of lactate receptor (HCAR1) affects cellular DNA repair capacity.

DNA repair
2017

NBS1 Phosphorylation Status Dictates Repair Choice of Dysfunctional Telomeres.

Molecular cell
2017

Case report: rapid and durable response to PDGFR targeted therapy in a child with refractory multiple infantile myofibromatosis and a heterozygous germline mutation of the PDGFRB gene.

BMC cancer
2017

An Approach to Elucidate NBS1 Function in DNA Repair Using Frequent Nonsynonymous Polymorphism in Wild Medaka (Oryzias latipes) Populations.

PloS one
2017

The Mre11-Nbs1 Interface Is Essential for Viability and Tumor Suppression.

Cell reports
2017

Oxidative stress, mitochondrial abnormalities and antioxidant defense in Ataxia-telangiectasia, Bloom syndrome and Nijmegen breakage syndrome.

Redox biology
2017

Circulating T Cells of Patients with Nijmegen Breakage Syndrome Show Signs of Senescence.

Journal of clinical immunology
2016

The Slavic NBN Founder Mutation: A Role for Reproductive Fitness?

PloS one
2017

Identification of a rare germline NBN gene mutation by whole exome sequencing in a lung-cancer survivor from a large family with various types of cancer.

Familial cancer
2016

High Expression of MRE11-RAD50-NBS1 Is Associated with Poor Prognosis and Chemoresistance in Gastric Cancer.

Anticancer research
2016

T-lymphoblastic leukemia/lymphoma in macedonian patients with Nijmegen breakage syndrome.

Balkan journal of medical genetics : BJMG
2016

Chromosomal Instability and Molecular Defects in Induced Pluripotent Stem Cells from Nijmegen Breakage Syndrome Patients.

Cell reports
2016

Non-Hodgkin lymphoma and pre-existing conditions: spectrum, clinical characteristics and outcome in 213 children and adolescents.

Haematologica
2016

NBS1 and multiple regulations of DNA damage response.

Journal of radiation research
2016

Epidermal Nbn deletion causes premature hair loss and a phenotype resembling psoriasiform dermatitis.

Oncotarget
2016

The MRX Complex Ensures NHEJ Fidelity through Multiple Pathways Including Xrs2-FHA-Dependent Tel1 Activation.

PLoS genetics
2015

Generation of iPSC lines from a Nijmegen Breakage Syndrome patient.

Stem cell research
2016

Severe mitochondrial damage associated with low-dose radiation sensitivity in ATM- and NBS1-deficient cells.

Cell cycle (Georgetown, Tex.)
2016

Clinical course and therapeutic implications for lymphoid malignancies in Nijmegen breakage syndrome.

European journal of medical genetics
2016

Preexisting conditions in pediatric ALL patients: Spectrum, frequency and clinical impact.

European journal of medical genetics
2016

Deletion of NAD(P)H:quinone oxidoreductase 1 represses Mre11-Rad50-Nbs1 complex protein expression in cisplatin-induced nephrotoxicity.

Toxicology letters
2016

β-Lapachone enhances Mre11-Rad50-Nbs1 complex expression in cisplatin-induced nephrotoxicity.

Pharmacological reports : PR
2015

DNA Repair Cofactors ATMIN and NBS1 Are Required to Suppress T Cell Activation.

PLoS genetics
2016

Defining ATM-Independent Functions of the Mre11 Complex with a Novel Mouse Model.

Molecular cancer research : MCR
2015

OGT mediated histone H2B S112 GlcNAcylation regulates DNA damage response.

Journal of genetics and genomics = Yi chuan xue bao
2015

NBS1 is required for macrophage homeostasis and functional activity in mice.

Blood
2015

Functional Role of NBS1 in Radiation Damage Response and Translesion DNA Synthesis.

Biomolecules
2015

Nijmegen Breakage Syndrome: Clinical and Immunological Features, Long-Term Outcome and Treatment Options - a Retrospective Analysis.

Journal of clinical immunology
2016

Directed Alternative Splicing in Nijmegen Breakage Syndrome: Proof of Principle Concerning Its Therapeutical Application.

Molecular therapy : the journal of the American Society of Gene Therapy
2015

Nbs1 ChIP-Seq Identifies Off-Target DNA Double-Strand Breaks Induced by AID in Activated Splenic B Cells.

PLoS genetics
2015

MCM8-9 complex promotes resection of double-strand break ends by MRE11-RAD50-NBS1 complex.

Nature communications
2015

EXO1 is critical for embryogenesis and the DNA damage response in mice with a hypomorphic Nbs1 allele.

Nucleic acids research
2015

Nijmegen breakage syndrome protein 1 (NBS1) modulates hypoxia inducible factor-1α (HIF-1α) stability and promotes in vitro migration and invasion under ionizing radiation.

The international journal of biochemistry &amp; cell biology
2015

Repair versus Checkpoint Functions of BRCA1 Are Differentially Regulated by Site of Chromatin Binding.

Cancer research
2015

Hepatitis B virus pre-S2 mutant large surface protein inhibits DNA double-strand break repair and leads to genome instability in hepatocarcinogenesis.

The Journal of pathology
2015

Identification and characterization of a novel gene encoding the NBS1 protein in Pyricularia oryzae.

Bioscience, biotechnology, and biochemistry
2014

Deficiency of the DNA repair protein nibrin increases the basal but not the radiation induced mutation frequency in vivo.

Mutation research
2015

The ATM signaling cascade promotes recombination-dependent pachytene arrest in mouse spermatocytes.

PLoS genetics
2015

Stemness factor Sall4 is required for DNA damage response in embryonic stem cells.

The Journal of cell biology
2014

[Smart choice between two DNA double-strand break repair mechanisms].

Igaku butsuri : Nihon Igaku Butsuri Gakkai kikanshi = Japanese journal of medical physics : an official journal of Japan Society of Medical Physics
2015

Nijmegen breakage syndrome detected by newborn screening for T cell receptor excision circles (TRECs).

Journal of clinical immunology
Ver todos os 257 no EuropePMC

Associações

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Comunidades

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Doenças relacionadas

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Referências e fontes

Bases de dados externas citadas neste artigo

Publicações científicas

Artigos indexados no PubMed ligados a esta doença no grafo RarasNet — título, periódico e PMID direto da fonte, sem intermediação de IA.

  1. G-quadruplex structures are key regulators of mammalian spermatogenesis.
    Cellular &amp; molecular biology letters· 2026· PMID 41484991mais citado
  2. Novel RAD50 variants lead to Nijmegen Breakage Syndrome-like disorder and unplanned recombinant human growth hormone treatment response.
    Frontiers in endocrinology· 2026· PMID 41798197mais citado
  3. First 2-year experience of nationwide newborn screening for severe forms of T and B cell immunodeficiency: 2.3 million newborns analyzed using TREC and KREC in Russia.
    Frontiers in immunology· 2026· PMID 41727503mais citado
  4. Malignancies in the context of Inborn errors of immunity: an immunologist's view.
    Expert review of clinical immunology· 2026· PMID 41693687mais citado
  5. Expanding the mutational spectrum of RAD50: a case report of Nijmegen breakage syndrome-like disorder in a Chinese child.
    Gene· 2026· PMID 41655867mais citado
  6. Generation of NBS1 knockout in Chinese hamster cells revealed ATR role for radiation and etoposide induced DNA damage in absence of NBS1 proteins.
    Front Oncol· 2026· PMID 41959910recente

Bases de dados e fontes oficiais

Identificadores e referências canônicas usadas para montar este verbete.

  1. ORPHA:647(Orphanet)
  2. OMIM OMIM:251260(OMIM)
  3. MONDO:0009623(MONDO)
  4. GARD:3904(GARD (NIH))
  5. Variantes catalogadas(ClinVar)
  6. Busca completa no PubMed(PubMed)
  7. Q1250362(Wikidata)

Dados compilados pelo RarasNet a partir de fontes abertas (Orphanet, OMIM, MONDO, PubMed/EuropePMC, ClinicalTrials.gov, DATASUS, PCDT/MS). Este conteúdo é informativo e não substitui avaliação médica.

Conteúdo mantido por Agente Raras · Médicos e pesquisadores podem colaborar

Síndrome de quebras de Nijmegen
Compêndio · Raras BR

Síndrome de quebras de Nijmegen

ORPHA:647 · MONDO:0009623
Prevalência
Unknown
Herança
Autosomal recessive
CID-10
Q87.8 · Outras síndromes com malformações congênitas especificadas, não classificadas em outra parte
CID-11
Ensaios
2 ativos
Início
Antenatal, Infancy, Neonatal
Prevalência
0.0 (Worldwide)
MedGen
UMLS
C0398791
EuropePMC
Wikidata
Papers 10a
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