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Fanconi anemia complementation group B
Description
Fanconi Anemia Complementation Group B (FANCB)
Fanconi anemia complementation group B, also known as FANCB, is a genetic disorder that affects the body's ability to repair DNA damage. This condition is characterized by genomic instability, bone marrow failure, and an increased risk of certain cancers.
Key Features:
- Genomic Instability: Individuals with FANCB have difficulty repairing DNA damage, leading to chromosomal instability.
- Bone Marrow Failure: People with this condition often experience bone marrow failure, which can lead to a decrease in blood cell production.
- Increased Cancer Risk: There is an increased risk of developing certain cancers, such as leukemia and other malignancies.
Causes:
FANCB is caused by mutations in the FANCB gene, which encodes a protein essential for DNA repair. These genetic mutations can lead to the accumulation of chromosomal abnormalities, contributing to the development of this condition.
References:
- [1] (8) - Fanconi anemia complementation group B; Genetic Testing Registry
- [9] - Fanconi anemia caused by mutations of the FANCB gene. This gene encodes the protein for complementation group B.
- [15] - The protein defective in individuals with Fanconi anemia belonging to complementation group B is an essential component of the nuclear protein 'core complex' responsible for monoubiquitination of FANCD2, a key event in the DNA-damage response pathway associated with Fanconi anemia and BRCA.
Signs and Symptoms
Fanconi anemia (FA) is a rare genetic disorder that affects the body's ability to produce new blood cells, leading to various physical and developmental abnormalities. The complementation group B (B) is one of the several subtypes of FA.
Common Signs and Symptoms:
- Physical abnormalities, present in approximately 75% of affected individuals, include:
- Short stature [1][10]
- Abnormal skin pigmentation [1][10]
- Skeletal malformations of the upper and/or lower limbs [1][10]
- Microcephaly (small head size) [1][10]
- Ophthalmic and genitourinary tract anomalies [1][10]
- Bone marrow failure, leading to:
- Anemia (low red blood cell count) [4][12]
- Frequent infections due to low white blood cell count [4][12]
- Low platelet count (thrombocytopenia) [15]
- Developmental and growth problems, including:
- Delayed growth and development [7]
- Short stature [9]
Additional Symptoms:
- Malformed thumbs or forearms [2][5]
- Other skeletal problems, such as short stature and malformed limbs [2][5]
- Developmental disabilities [7]
- Increased risk for malignancy (cancer) [1][10]
It's essential to note that not all individuals with Fanconi anemia complementation group B will exhibit all of these symptoms. The severity and presence of symptoms can vary greatly from person to person.
References:
[1] - Search result 1 [2] - Search result 5 [4] - Search result 4 [7] - Search result 7 [9] - Search result 9 [10] - Search result 10 [12] - Search result 12 [15] - Search result 15
Additional Symptoms
- Delayed growth and development
- Microcephaly (small head size)
- Abnormal skin pigmentation
- Anemia (low red blood cell count)
- Low platelet count (thrombocytopenia)
- Developmental disabilities
- or lower limbs
- Malformed thumbs or forearms
- Ophthalmic and genitourinary tract anomalies
- Other skeletal problems, such as short stature and malformed limbs
- Increased risk for malignancy (cancer)
- short stature
- low white blood cell count
Diagnostic Tests
Fanconi anemia complementation group B (FA-B) is a disorder characterized by genomic instability, bone marrow failure, and a high cancer risk. To diagnose FA-B, several diagnostic tests can be employed.
- Chromosome Breakage Test: This is the gold-standard test for diagnosing Fanconi anemia (FA), including FA-B. The test uses DNA crosslinking agents, specifically diepoxybutane (DEB), to induce chromosome breaks in lymphocytes or other cells. The presence of chromosomal instability and breaks can confirm a diagnosis of FA-B [7].
- Complementation Testing: This is usually done first to identify which FA gene is mutated. Sequence analysis of the appropriate gene, such as FANCB, can then be performed to confirm the mutation [3].
- Exome Sequencing: A study has shown that exome sequencing and CBA (complementation group analysis) on peripheral blood cells could diagnose 97% and 91.5% of FA cases, respectively [9]. This test is useful for identifying mutations in the FANCB gene.
- Flow Cytometry: This test can also be used to diagnose FA-B by analyzing the cell cycle and DNA content of lymphocytes or other cells.
It's worth noting that a diagnosis of FA-B can be confirmed through a combination of these tests, and may involve consultation with a geneticist or other specialist.
Treatment
Treatment Options for Fanconi Anemia Complementation Group B
Fanconi anemia complementation group B (FANCB) is a rare genetic disorder that affects the body's ability to produce blood cells. While there is no cure for FANCB, various treatment options are available to manage its symptoms and
Recommended Medications
- chemotherapy
- growth hormone therapy
- bone marrow transplantation
💊 Drug information is sourced from ChEBI (Chemical Entities of Biological Interest) database. Always consult with a healthcare professional before starting any medication. Click on any medication name for detailed information.
Differential Diagnosis
Fanconi anemia complementation group B (FANCB) is a rare genetic disorder characterized by genomic instability, bone marrow failure, and a high cancer risk. When considering the differential diagnosis of FANCB, several other conditions should be taken into account.
Conditions to consider:
- Ataxia-telangiectasia: This is another autosomal recessive disorder that affects the nervous system, immune system, and other bodily systems. It can present with similar symptoms to FANCB, such as bone marrow failure and increased cancer risk.
- Nijmegen breakage syndrome: This is a rare genetic disorder that affects the body's ability to repair DNA damage. Like FANCB, it can lead to bone marrow failure and an increased risk of cancer.
- Esophageal atresia with or without tracheoesophageal fistula: This is a congenital defect in which the esophagus does not properly connect to the stomach. While this condition is distinct from FANCB, its symptoms may overlap in some cases.
Key differences:
- Genetic mutations: FANCB is caused by mutations in the FANCB gene, whereas ataxia-telangiectasia and Nijmegen breakage syndrome are caused by mutations in different genes (ATM and NBN, respectively).
- Clinical presentation: While all three conditions can present with bone marrow failure and increased cancer risk, FANCB is more likely to be associated with physical abnormalities, such as short stature and abnormal skin pigmentation.
- Differential diagnosis: A thorough medical history, physical examination, and genetic testing are essential for differentiating between these conditions.
References:
- [7] Zwaan M, Ling C, Rooimans MA, Bier P, Hoatlin M, Pals G, et al: X-linked inheritance of Fanconi anemia complementation group B. Nat Genet. 36:1219–1224. 2004.
- [14] Fanconi anemia, complementation group B (FANCB), is a disorder characterized by genomic instability, bone marrow failure, and a high cancer risk.
Note: The above information is based on the search results provided within the context.
Additional Differential Diagnoses
- Ataxia-telangiectasia
- Esophageal atresia with or without tracheoesophageal fistula
- Nijmegen breakage syndrome
Additional Information
- oboInOwl#hasOBONamespace
- disease_ontology
- oboInOwl#id
- DOID:0111098
- core#notation
- DOID:0111098
- oboInOwl#hasDbXref
- MIM:300514
- IAO_0000115
- A Fanconi anemia that has_material_basis_in mutation in the FANCB gene on chromosome Xp22.
- oboInOwl#hasExactSynonym
- Fanconi pancytopenia type 2
- rdf-schema#label
- Fanconi anemia complementation group B
- rdf-schema#subClassOf
- t375336
- IDO_0000664
- http://purl.obolibrary.org/obo/GENO_0000149
- 22-rdf-syntax-ns#type
- http://www.w3.org/2002/07/owl#Class
- rdf-schema#domain
- https://w3id.org/def/predibionto#has_symptom_5433
- owl#annotatedSource
- t374965
- 22-rdf-syntax-ns#first
- t4027581
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