Abstract |
We report the findings in the first 30 patients with the Nijmegen Breakage Syndrome (NBS). All had microcephaly from birth, short stature and a 'bird-like' face. Most of them suffered from recurrent respiratory tract infections. Intelligence was normal in half of the patients. Serum immunoglobulins were disturbed in 22/25 patients investigated ( IgG deficiency, IgA deficiency, IgG2 and IgG4 deficiency) and T cell defects were found in 23/24 patients tested. The immunodeficiency appears to be more severe than in A-T. Chromosomal aberrations in cultured T lymphocytes occurred preferentially in chromosomes 7 and 14 and at the same breakpoints as in A-T. However, the percentage of chromosome 7 and/or 14 rearrangements was significantly higher in NBS patients than in A-T patients (p < 0.0005). Inv(7) was amongst the most frequently detected aberration in NBS cells as it is in A-T cells. Large clones of cells with rearrangements of chromosome 14 were rare in NBS. Of the first 19 reported patients eight have already developed a malignancy: seven a lymphoma and one a meningioma. It is noteworthy that both the tendency to express rearrangements of chromosomes 7 and 14 and the tendency to develop a malignancy is much higher in NBS than in A-T. Whether there is any causal relationship is as yet unknown.
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Authors | C M Weemaes, D F Smeets, C J van der Burgt |
Journal | International journal of radiation biology
(Int J Radiat Biol)
Vol. 66
Issue 6 Suppl
Pg. S185-8
(Dec 1994)
ISSN: 0955-3002 [Print] England |
PMID | 7836846
(Publication Type: Journal Article, Review)
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Topics |
- Adolescent
- Adult
- Ataxia Telangiectasia
(genetics, immunology, pathology)
- Child
- Child, Preschool
- Chromosome Aberrations
(genetics, immunology, pathology)
- Chromosome Disorders
- Genes, Recessive
- Humans
- Immunologic Deficiency Syndromes
(genetics, immunology, pathology)
- Infant
- Karyotyping
- Male
- Neoplasms
(etiology)
- Radiation Tolerance
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