NIPBL

protein-coding

NIPBL cohesin loading factor, the group of Armadillo like helical domain containing

Gene summary

This gene encodes the homolog of the Drosophila melanogaster Nipped-B gene product and fungal Scc2-type sister chromatid cohesion proteins. The Drosophila protein facilitates enhancer-promoter communication of remote enhancers and plays a role in developmental regulation. It is also homologous to a family of chromosomal adherins with broad roles in sister chromatid cohesion, chromosome condensation, and DNA repair. The human protein has a bipartite nuclear targeting sequence and a putative HEAT repeat. Condensins, cohesins and other complexes with chromosome-related functions also contain HEAT repeats. Mutations in this gene result in Cornelia de Lange syndrome, a disorder characterized by dysmorphic facial features, growth delay, limb reduction defects, and cognitive disability. Two transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Jul 2008]

MANE transcript

NM_133433.4

Inheritance

AD

ClinVar variants

P:575U:857B:483

Top phenotype

Cornelia de Lange syndrome 1

gnomAD constraint

pLI —, LoF o/e 0.01

Max pathogenic AF

—

Genomic locus

chr5:36,876,769-37,066,413

External References & Databases

Transcript & Mutation Effects

hg38 • Region Span ~189.6 kb
Loading mutation effect viewer...

GenCC Phenotypes & Disease Associations

Curated gene-disease validity assertions and inheritance patterns

Cornelia de Lange syndrome 1DEFINITIVE

Inheritance Pattern: AD

Disease ID:MONDO:0007387

Submitter: G2P

Cornelia de Lange syndromeSUPPORTIVE

Inheritance Pattern: AD

Disease ID:MONDO:0016033

Submitter: Orphanet

Cornelia de Lange syndrome 1STRONG

Inheritance Pattern: AD

Disease ID:MONDO:0007387

Submitter: PanelApp Australia

Cornelia de Lange syndrome 1STRONG

Inheritance Pattern: AD

Disease ID:MONDO:0007387

Submitter: Labcorp Genetics (formerly Invitae)

Cornelia de Lange syndromeDEFINITIVE

Inheritance Pattern: AD

Disease ID:MONDO:0016033

Submitter: ClinGen

*NIPBL* was first reported in relation to autosomal dominant Cornelia de Lange syndrome (CdLS) in 2004 (Tonkin et al., PMID: 15146185; Krantz et al., PMID: 15146186). Thirteen variants (frameshift, nonsense, splice site, and missense) that have been reported in 13 probands in 2 publications (PMIDs: 15146185, 15146186) are included in this curation. More evidence is available in the literature, but the maximum score for genetic evidence (12 points) has been reached. Variants in this gene generally occur *de novo*. The mechanism of pathogenicity is known to be loss of function. A total of 243 unique variants have been classified as pathogenic in ClinVar, 193 of which are frameshift, nonsense or consensus splice changes. Classical CdLS features can be prenatally identified by fetal imaging; these include fetal growth restriction, limb reduction defects, hand anomalies including clinodactyly, oligodactyly, or ectrodactyly, diaphragmatic hernia, heart defects, microcephaly, and abnormal facial features including micrognathia, depressed nasal bridge, anteverted nares, long and smooth philtrum, thin upper lip and downturned corners of the mouth. Unusually long hair, synophrys with arched eyebrows and long eyelashes have been observed by two dimensional and three-dimensional ultrasound. CdLS can be prenatally suspected with any combination of fetal growth restriction, limb defects, facial abnormalities, heart defects, or diaphragmatic hernia (PMIDs: 19242925, 24218399, 24918291, 29995837, 30890023, 33478103, 33633789, 34394191, 35506482). Congenital heart disease is reported in about 30% of patients with CdLS, with pulmonic/peripheral pulmonic stenosis, ventricular septal defect and atrial septal defect being the most commonly found (PMID: 22965847). This gene-disease relationship is also supported by expression, protein interactions and animal models that recapitulate the human disease. In summary, there is definitive evidence supporting the relationship between *NIPBL* and autosomal dominant Cornelia de Lange syndrome. This has been repeatedly demonstrated in both the research and clinical diagnostic settings, and has been upheld over time. This relationship was evaluated by the Intellectual Disability and Autism Gene Curation Expert Panel on June 20, 2018 (SOP 5), the Prenatal Gene Curation Expert Panel on June 28, 2023 (SOP 9), and the Congenital Heart Disease Gene Curation Expert Panel on August 11, 2025 (SOP 11).

Clinical Genomic Database (CGD)

Cornelia de Lange syndrome 1AD

Manifestation: Audiologic/Otolaryngologic; Cardiovascular; Craniofacial; Gastrointestinal; Genitourinary; Hematologic; Musculoskeletal; Neurologic; Renal

Intervention: Cardiovascular

Rationale: The condition can involve congenital cardiac anomalies, and awareness may allow early management

Comments: Somatic mosaicism is relatively frequent

Refs: 2246693; 2333897; 8291513; 8281279; 8291537; 8291518; 9279756; 12784293; 15146185; 15146186; 15633188; 16236812; 16770807; 17661813; 20301283; 20358602; 20583156; 22241092; 22581668; 22676896; 22965847; 23254390; 23304577; 23313159; 23505322Source: CGD (NHGRI)

ClinVar Associated Diseases & Phenotypes

Reported disease conditions connected to NIPBL variants in ClinVar

38 Conditions Cataloged
Cornelia de Lange syndrome 1Total: 1659
not providedTotal: 551
Inborn genetic diseasesTotal: 353
not specifiedTotal: 158
NIPBL-related disorderTotal: 121
Intellectual disabilityTotal: 8
De Lange syndromeTotal: 5
See casesTotal: 3

ClinVar Variants & Pathogenicity by Type

Statistics based on transcript NM_133433.4. 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.

EffectPLPVUSLBBSum
synonymous
1
clinvar
4
clinvar
35
clinvar
319
clinvar
12
clinvar
371
missense
31
clinvar
88
clinvar
803
clinvar
145
clinvar
4
clinvar
1071
nonsense
116
clinvar
17
clinvar
3
clinvar
136
start loss
1
clinvar
1
clinvar
2
frameshift
215
clinvar
32
clinvar
3
clinvar
250
splice donor/acceptor (+/-2bp)
46
clinvar
23
clinvar
13
clinvar
3
clinvar
85
Total410165857467161915

Highest pathogenic variant AF is 0.0000020524974

Loading ClinVar variants...

Transcript Catalog

Annotated transcript isoforms across RefSeq and Ensembl databases

Showing 4 of 20 transcripts
Transcript IDSourceProtein IDCoding ExonsMANE Status
NM_133433.4RefSeqNP_597677.246MANE Select
ENST00000282516.13EnsemblENSP00000282516.846MANE Select
NM_001438586.1RefSeqNP_001425515.146Standard
NM_015384.5RefSeqNP_056199.245Standard

Model Organisms & Knockout Phenotypes

Observed phenotypic effects in mouse and zebrafish models

Gene / ModelOrganismObserved Phenotype
nipblaDanio rerio

Structure: post-vent region

Quality: decreased length

abnormal

Gene Ontology (GO) Annotations & Pathways

Biological processes, molecular functions, cellular components and pathways

Pathways ConsensusPathDB

  • Cohesin Loading onto Chromatin
  • Mitotic Telophase/Cytokinesis
  • M Phase
  • Cell Cycle
  • Cell Cycle, Mitotic

Biological Process

  • negative regulation of transcription by RNA polymerase II
  • metanephros development
  • heart morphogenesis
  • outflow tract morphogenesis
  • double-strand break repair

Molecular Function

  • chromatin binding
  • protein binding
  • protein C-terminus binding
  • mediator complex binding
  • histone deacetylase binding

Cellular Component

  • nuclear chromosome
  • chromatin
  • nuclear chromatin
  • nucleus
  • nucleoplasm

gnomAD Constraint

Source: gnomAD

Gene type
protein_coding
Transcript type
protein_coding
Transcript
ENST00000282516
Coding exons
46
Length
189655
Individuals with no LoFs
125693
Homozygous LoFs
0
Heterozygous LoFs
3
Defined
125696
p
0.0000119
Z-ScoreObservedExpectedObserved/ExpectedMutation RateTotal Possible
Missense5.578461.44e+30.5870.000073818540
Missense (PolyPhen)158543.10.290927135
Synonymous-0.03514964951.000.00002495211
Loss of Function11.311500.006650.000009421781

Population LoF Frequency

PopulationCAFp-valueStatus
African00.0absent
Latino/Admixed American00.0absent
Ashkenazi Jewish0.0000990.000099rare
East Asian00.0absent
Finnish00.0absent
European (Non-Finnish)00.0absent
South Asian0.0000650.000065rare
Other00.0absent

dbNSFP Gene Annotations

Source: dbNSFP

Function
FUNCTION: Plays an important role in the loading of the cohesin complex on to DNA. Forms a heterodimeric complex (also known as cohesin loading complex) with MAU2/SCC4 which mediates the loading of the cohesin complex onto chromatin (PubMed:22628566, PubMed:28914604). Plays a role in cohesin loading at sites of DNA damage. Its recruitement to double-strand breaks (DSBs) sites occurs in a CBX3-, RNF8- and RNF168-dependent manner whereas its recruitement to UV irradiation-induced DNA damage sites occurs in a ATM-, ATR-, RNF8- and RNF168-dependent manner (PubMed:28167679). Along with ZNF609, promotes cortical neuron migration during brain development by regulating the transcription of crucial genes in this process. Preferentially binds promoters containing paused RNA polymerase II. Up-regulates the expression of SEMA3A, NRP1, PLXND1 and GABBR2 genes, among others (By similarity). {ECO:0000250|UniProtKB:Q6KCD5, ECO:0000269|PubMed:22628566, ECO:0000269|PubMed:28167679, ECO:0000269|PubMed:28914604}.;
Disease
DISEASE: Cornelia de Lange syndrome 1 (CDLS1) [MIM:122470]: A form of Cornelia de Lange syndrome, a clinically heterogeneous developmental disorder associated with malformations affecting multiple systems. Characterized by facial dysmorphisms, abnormal hands and feet, growth delay, cognitive retardation, hirsutism, gastroesophageal dysfunction and cardiac, ophthalmologic and genitourinary anomalies. {ECO:0000269|PubMed:15146185, ECO:0000269|PubMed:15146186, ECO:0000269|PubMed:15318302, ECO:0000269|PubMed:20124326, ECO:0000269|PubMed:20358602, ECO:0000269|PubMed:21934712, ECO:0000269|PubMed:23254390, ECO:0000269|PubMed:25447906, ECO:0000269|PubMed:28167679}. Note=The disease is caused by mutations affecting the gene represented in this entry.;

Recessive Scores

pRec
0.105

Intolerance Scores

LoFtool
0.0000689
RVIS EVS
-2.45
RVIS percentile EVS
1.01

Essentials

Essential (CRISPR)
E
Essential (CRISPR2)
S
Essential (gene trap)
E
Indispensability pred.
E
Indispensability score
0.992

Gene Damage Prediction

AllRecessiveDominant
MendelianMediumMediumMedium
Primary ImmunodeficiencyMediumMediumMedium
CancerMediumMediumMedium
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