FANCB
protein-codingFA complementation group B, the group of FA complementation groups|FA core complex
Gene summary
This gene encodes a member of the Fanconi anemia complementation group B. This protein is assembled into a nucleoprotein complex that is involved in the repair of DNA lesions. Mutations in this gene can cause chromosome instability and VACTERL syndrome with hydrocephalus. [provided by RefSeq, Apr 2016]
MANE transcript
Inheritance
ClinVar variants
Top phenotype
gnomAD constraint
Max pathogenic AF
Genomic locus
External References & Databases
Transcript & Mutation Effects
hg38 • Region Span ~182.9 kbGenCC Phenotypes & Disease Associations
Curated gene-disease validity assertions and inheritance patterns
Inheritance Pattern: AR
Disease ID:MONDO:0010172
Submitter: Orphanet
Inheritance Pattern: AR
Disease ID:MONDO:0019391
Submitter: Orphanet
Inheritance Pattern: XLR
Disease ID:MONDO:0010351
Submitter: Natera
Inheritance Pattern: XL
Disease ID:MONDO:0010752
Submitter: Genomics England PanelApp
Inheritance Pattern: XL
Disease ID:MONDO:0010351
Submitter: G2P
Inheritance Pattern: XL
Disease ID:MONDO:0010351
Submitter: ClinGen
FANCB was first reported concerning Fanconi anemia complementation group B, with X-linked inheritance (OMIM:300514), in 2004 (Meetei et al., PMID: 15502827). Fanconi anemia (FA) is a clinically and genetically heterogeneous disorder that causes genomic instability. Characteristic clinical features include developmental abnormalities in major organ systems, early-onset bone marrow failure, and a high predisposition to cancer. The cellular hallmark of FA is hypersensitivity to DNA crosslinking agents and a high frequency of chromosomal aberrations pointing to a defect in DNA repair. Per criteria outlined by the ClinGen Lumping and Splitting Working Group, we found no difference in the molecular mechanism and inheritance pattern and phenotypic variability. Therefore, the following disease entities have been lumped, with Fanconi Anemia B, VACTERL association, X-linked, with or without hydrocephalus; VACTERLX (OMIM: 314390), VACTERL association with hydrocephalus (OMIM: 276950). Twelve variants (5 missense,1 in-frame indel, 1 nonsense, and 4 frameshift) have been reported in 12 probands in 3 publications (PMIDs: 15502827, 21910217, 23613520,) are included in this curation. More evidence is available in the literature, but the maximum score for genetic evidence (12 pts.) has been reached. The mechanism of pathogenicity appears to be loss of function (LOF). This gene-disease association is also supported by animal models and in vitro functional assays (5 points. PMIDs: 26123487, 26658157, 32106311). The Fancb-/Y male mice resemble the human phenotype of patients with pathogenic variants in FANCB related to Fanconi Anemia, such as hypogonadism, testicular failure and reduced fertility. The cells of the hematopoietic system of Fancb−/Y mice are hypersensitive to DNA cross-linking agent mitomycin C (MMC). In summary, FANCB is definitively associated with Fanconi anemia complementation group B, X-linked inheritance (HP:0001417) recessive (HP:0001419). This has been repeatedly demonstrated in both the research and clinical diagnostic settings and has been upheld over time.
Inheritance Pattern: XL
Disease ID:MONDO:0010351
Submitter: Labcorp Genetics (formerly Invitae)
Inheritance Pattern: XL
Disease ID:MONDO:0010351
Submitter: PanelApp Australia
Clinical Genomic Database (CGD)
Manifestation: Audiologic/Otolaryngologic; Allergy/Immunology/Infectious; Cardiovascular; Dermatologic; Gastrointestinal; Hematologic; Musculoskeletal; Neurologic; Oncologic; Ophthalmologic; Renal
Intervention: Allergy/Immunology/Infectious; Cardiovascular; Hematologic; Oncologic
Rationale: Specific treatments can help manifestations (eg, oral androgens for blood counts; G-CSF for neutrophil count); HSCT can be curative, but solid tumor risk may remain; Surveillance for complications such as bone marrow failure is recommended; Fanconi anemia can involve congenital cardiac (and other) anomalies, and awareness may allow early management
ClinVar Associated Diseases & Phenotypes
Reported disease conditions connected to FANCB variants in ClinVar
ClinVar Variants & Pathogenicity by Type
Statistics based on transcript NM_001018113.3. Only rare variants are included.
We include only reliable ClinVar variants with their consequences to MANE Select, MANE Plus Clinical transcripts, or transcripts with TSL equal to 1. Click a count to filter the variants table below.
Slight differences between displayed counts and ClinVar may occur due to a different transcript/consequence chosen by our variant effect predictor, or because we classify Benign/Likely benign as Likely benign and Pathogenic/Likely pathogenic as Likely pathogenic.
| Effect | PathogenicP | Likely pathogenicLP | VUS | Likely benignLB | BenignB | Sum |
|---|---|---|---|---|---|---|
| synonymous | 16 | 175 | 16 | 207 | ||
| missense | 2 | 1 | 377 | 81 | 6 | 467 |
| nonsense | 4 | 2 | 7 | 13 | ||
| start loss | 0 | |||||
| frameshift | 14 | 3 | 2 | 19 | ||
| splice donor/acceptor (+/-2bp) | 2 | 3 | 12 | 17 | ||
| Total | 22 | 9 | 414 | 256 | 22 | 723 |
Highest pathogenic variant AF is 0.0000027300698
Transcript Catalog
Annotated transcript isoforms across RefSeq and Ensembl databases
| Transcript ID | Source | Protein ID | Coding Exons | MANE Status |
|---|---|---|---|---|
| RefSeq | NP_001018123.1 | 8 | MANE Select | |
| Ensembl | ENSP00000498215.1 | 8 | MANE Select | |
| RefSeq | NP_001311091.1 | 8 | Standard | |
| RefSeq | NP_001397693.1 | 11 | Standard |
Gene Ontology (GO) Annotations & Pathways
Biological processes, molecular functions, cellular components and pathways
Pathways ConsensusPathDB
- Fanconi anemia pathway - Homo sapiens (human)
- Fanconi Anemia Pathway
- DNA Repair
- Fanconi anemia pathway
Biological Process
- interstrand cross-link repair
- positive regulation of double-strand break repair via homologous recombination
- replication-born double-strand break repair via sister chromatid exchange
- negative regulation of double-strand break repair via homologous recombination
Molecular Function
- protein binding
Cellular Component
- nucleoplasm
- Fanconi anaemia nuclear complex
gnomAD Constraint
Source:
- Gene type
- protein_coding
- Transcript type
- protein_coding
- Transcript
- ENST00000398334
- Coding exons
- 8
- Length
- 29663
- Individuals with no LoFs
- 0
- Homozygous LoFs
- 0
- Heterozygous LoFs
- 0
- Defined
- 0
- p
- 0.00
| Z-Score | Observed | Expected | Observed/Expected | Mutation Rate | Total Possible | |
|---|---|---|---|---|---|---|
| Missense | -0.0417 | 294 | 292 | 1.01 | 0.0000205 | 5676 |
| Missense (PolyPhen) | 44 | 62.452 | 0.70455 | 1433 | ||
| Synonymous | 0.427 | 101 | 107 | 0.947 | 0.00000767 | 1596 |
| Loss of Function | 4.04 | 1 | 20.9 | 0.0478 | 0.00000137 | 475 |
Population LoF Frequency
| Population | CAF | p-value | Status |
|---|---|---|---|
| African | 0 | 0.0 | absent |
| Latino/Admixed American | 0 | 0.0 | absent |
| Ashkenazi Jewish | 0 | 0.0 | absent |
| East Asian | 0 | 0.0 | absent |
| Finnish | 0 | 0.0 | absent |
| European (Non-Finnish) | 0 | 0.0 | absent |
| South Asian | 0 | 0.0 | absent |
| Other | 0 | 0.0 | absent |
dbNSFP Gene Annotations
Source:
- Function
- FUNCTION: DNA repair protein required for FANCD2 ubiquitination. {ECO:0000269|PubMed:15502827}.;
- Disease
- DISEASE: Fanconi anemia complementation group B (FANCB) [MIM:300514]: A disorder affecting all bone marrow elements and resulting in anemia, leukopenia and thrombopenia. It is associated with cardiac, renal and limb malformations, dermal pigmentary changes, and a predisposition to the development of malignancies. At the cellular level it is associated with hypersensitivity to DNA-damaging agents, chromosomal instability (increased chromosome breakage) and defective DNA repair. Some severe FANCB cases manifest features of VACTERL syndrome with hydrocephalus. {ECO:0000269|PubMed:16679491}. Note=The disease is caused by mutations affecting the gene represented in this entry.;
Recessive Scores
- pRec
- 0.317
Intolerance Scores
- RVIS EVS
- -0.4
- RVIS percentile EVS
- 26.85
Essentials
- Essential (CRISPR)
- N
- Essential (CRISPR2)
- N
- Essential (gene trap)
- E
- Indispensability pred.
- E
- Indispensability score
- 0.811
Gene Damage Prediction
| All | Recessive | Dominant | |
|---|---|---|---|
| Mendelian | Medium | Medium | Medium |
| Primary Immunodeficiency | Medium | Medium | Medium |
| Cancer | Medium | Medium | Medium |