Testing for the most common NBN (NBS1) gene mutation – Nijmegen breakage syndrome, primary microcephaly
Material:
Quick test description:
Test details:
The NBN gene encodes the nibrin protein, which is involved in repairing acquired DNA defects. Nibrin deficiency results in autosomal recessive hereditary Nijmegen breakage syndrome (NBS) characterised by congenital small head circumference (congenital microcephaly) with general growth retardation, immune deficiency, sensitivity to ionizing radiation and increased risk of tumours, which has also been shown in heterozygotes. The carrier of the mutation in this gene has an increased risk of developing cancers, especially breast cancer (female) and prostate cancer (male). Some studies also report a slightly increased risk of other cancers: melanoma, ovarian cancer and leukaemia or lymphoma. The literature does not specify a specific monitoring plan. For women, the recommended follow-up applies as for women at moderate risk of breast cancer or empirical risk based on family history (Claus model). For men, prostate cancer screening from the age of 45 is recommended. The use of antioxidants and protection from ionizing radiation (X-rays, UV) is also recommended. The most common mutations c.511A>G (p.Ile171Val), c.643C>T (p.Arg215Trp) and c.657_661delACAAA (p.Lys219Asnfs*16) in the NBN gene (NBS1) are detected by Sanger sequencing.