Nijmegen Breakage Syndrome (NBS) Italian website

Cytogenetics and Cellular Phenotype
Cited literature

 

Disease Description



NBS cellular phenotype is characterised by:

- spontaneous chromosome instability
- radiosensitivity
- impaired cell cycle checkpoint control 


Spontaneous chromosome instability. Phytohemagglutinin (PHA)-stimulated lymphocytes of NBS patients show a high frequency (>10%) of chromosome breakages and rearrangements: chromosome (chrb) and chromatid (chtb) breaks, acentric fragments (ace), asymmetric multiradial configurations and sporadic or clonal translocations and inversions.
Translocations and inversions preferentially involve chromosomes 7 and 14 with breakpoints at bands
7p14, 7q35, 14q11 and 14q32, where immunoglobulin heavy-chain (IgH) and T-cell receptor (TCR) genes are located.
Inv(7)(p14;q35) is the most frequently detected aberration, followed by t(7;14)(p14;q11), t(7;14)(q35;q11), t(7;7)(p14;q35) and t(14;14)(q11;q32).


Click on the pictures below to see some examples of chromosome aberrations detected in lymphocytes of a NBS patient

                                
t(7;14)(q35;q11)                             
t(1;18)



                                
chtb                                                  multiple aberrations:
                                                            chtb;
                                                            inv(7)(p14;q35); 
                                                            t(4;17);
                                                            ace



Radiosensitivity. Chromosome instability can be further induced by exposure of cell lines to ionising radiation or radiomimetic chemicals. The frequency of induced chromosome aberrations is higher in NBS cells (both lymphocytes and fibroblasts) than in control cell lines. Radiosensitivity can also be assessed in a colony survival assay or as a decreased colony forming ability after irradiation.

 

 

Recently, the missense mutation R215W (643C>T) has been found at the compound heterozygous state with the classic 657del5 mutation in two monozygous twins with a clinically severe form of NBS with neurological abnormalities (Seemanova et al., 2006).
In the lymphocytes of the tested patient, no increase in the number of chromosome breaks was observed, and no translocations or inversions involving chromosomes 7 and 14 were detected.
Radiosensitivity (assessed by counting chromosome breaks in response to 0.5, 1.0, and 2.0 Gy radiation in lymphoblastoid cell lines of both twins) was not increased when compared to a control cell line, and lower than what observed in NBS lymphoblastoid cell lines.
The lymphoblastoid cell lines of the patients
were also tested for phosphorylation of nibrin by ATM, phosphorylation of ATM, and nibrin-promoted phosphorylation/stabilisation of p53 by ATM, after irradiation.
ATM phosphorylation was barely detectable at 2 Gy, suggesting that the nibrin-Trp215 is even less able to sustain ionizing radiation induced ATM activation than the 70 kDa carboxy terminal nibrin fragment synthesized from the 657del5 allele (as in 657del5 homozygous cells, ATM phosphorylation is detected at 2 Gy, indicating a fourfold reduction in ATM activation in these cells).
On the contrary, nibrin-Trp215 is itself efficiently phosphorylated by ATM.
Phosphorylation of a downstream target of ATM, p53, is promoted by nibrin. As in cells from patients homozygous for the 657del5 mutation, the 657del5/643C>T(R215W) compound heterozygous cells also phosphorylate p53 poorly, and this is accompanied by a failure to stabilise p53 after irradiation (see also Clinical Phenotype and Molecular Biology).




Radioresistant DNA synthesis and cell cycle checkpoint control.
NBS cells exhibit impaired cell cycle checkpoint control after DNA damage, i.e. irradiated NBS cells go through cell cycle with significantly reduced inhibition compared to control cells (which repair radiation-induced DNA damage before proceeding to the next phase of the cell cycle). A defect in the S-phase checkpoint was early recognised in NBS, as radioresistant DNA synthesis (RDS). It has now become clear that NBS cells not only  fail to suppress DNA synthesis after irradiation, but they also have impaired G1/S and G2/M transition checkpoints, being unable to stop entry in both S-phase and mitosis. These defects are partial and radiation-dose dependent, appearing after exposure to low but not high radiation doses.


Click on the picture below to see a schematic representation of the cell cycle and of NBS cell defects in checkpoint control.
(click here before opening the picture if you want to have a legend)




Other features.
NBS cells seem to be defective in telomere (distal end of the chromosomes) maintenance and degradation protection. This may lead to termino-terminal fusions and chromosome instability. On the contrary, in a pulsed field gel electrophoresis (PFGE) assay, NBS cells seem to rejoin DNA double strand breaks (DSBs) proficiently, even if more sensitive techniques might be needed to detect specific defects.


Page last updated on: 13th April 2006