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A case of premature ovarian insufficiency in Nijmegen breakage syndrome patient and review of literature. From gene mutation to clinical management
Published in Gynecological Endocrinology, 2019
Anna Szeliga, Aleksandra Zysnarska, Zuzanna Szklarska, Ewelina Truszkowska, Agnieszka Podfigurna, Adam Czyzyk, Andrea R. Genazzani, Krystyna Chrzanowska, Blazej Meczekalski
Nijmegen breakage syndrome (NBS) is an autosomal recessive disorder resulting from mutations in the NBN gene (8q21-q24). It most frequently occurs among Slavic populations due to the founder effect (1:177 newborns) [1]. However, it took its name from a Dutch city where the first known case was described [2]. The aforementioned NBN gene encodes nibrin, a protein involved in the repair of double-strand DNA breaks. The defective structure of nibrin, which leads to chromosomal instability, was found to be one of the underlying causes of frequent malignancies in NBS patients [3].