Naevoid basal cell carcinoma syndrome (NBCS)

1997-09-01   Jean-Loup Huret 

Genetics, Dept Medical Information, University of Poitiers, CHU Poitiers Hospital, F-86021 Poitiers, France

Identity

Name

Naevoid basal cell carcinoma syndrome (NBCS)

Alias

Gorlin syndrome , Gorlin-Goltz syndrome , Multiple basal cell nevi, odontogenic keratocysts, skeletal anomalies , Fifth phacomatosis , Hydrocephalus, costovertebral dysplasia, sprengel anomaly

Inheritance

autosomal dominant with complete penetrance, but variable expressivity; 40% are de novo mutations; frequency is about 2\/105 newborns

Omim

109400

Mesh

D001478

Orphanet

377 Gorlin syndrome

Umls

C0004779

Clinics

Note

NBCS is an hamartoneoplastic syndrome; it is also a chromosome instability syndrome; hamartomas are localized tissue proliferations with faulty differenciation and mixture of component tissues; they are heritable malformations that have a potential towards neoplasia

Phenotype and clinics

  • multiple basal cell carcinomas, appearing as early as 15 yrs
  • jaw keratocysts
  • dyskeratotic palmar\/plantar pits
  • skeletal malformations (of ribs, spina bifida occulta, ...)
  • soft tissue calcifications (falx cerebri, ovarian fibroma, diaphragma sellae, ...)
  • facial dysmorphia
  • Neoplastic risk

  • mainly multiple basal cell carcinomas; other proliferations (see below) in 60% of patients
  • other malignancies: medulloblastoma, ovarian fibrosarcoma
  • benign proliferations: ovarian fibroma, meningioma, rhabdomyoma, cardiac fibroma.
  • Treatment

    tumour exereses

    Evolution

    extensive number of basal cell carcinomas

    Prognosis

    according to the tumours (basal cell carcinomas are not life threatening, but may be devastating)

    Cytogenetics

    Inborn condition

    - spontaneous and induced chromosome instability
    - delay in the cell cycle
    - NBCS is therefore a chromosome instability syndrome

    Cancer cytog

    poorly documented

    Genes involved and Proteins

    Complementation groups

    none so far

    Alias

    PTC

    Description

    glycoprotein with transmembrane domains, extra cellular loops,and intracellular domains

    Localisation

    transmembrane protein

    Function

    part of a signalling pathway; probable cell to cell adhesion role; may have a repressive activity on cell proliferation; as NBCS syndrome is a chromosome instability syndrome, this protein may have a role in DNA maintenance, repair and\/or replication

    Germinal

    most germ-line mutations in NBCS patients lead to protein truncation, which suggests that developmental anomalies seen in NBCS may be due to haplo-insufficiency; no obvious genotype-phenotype correlations

    Somatic

    mutation and allele loss events in basal cell carcinoma, in NBCS and in sporadic basal cell carcinoma are, so far, in accordance with the two-hit model for neoplasia, as is found in retinoblastoma.

    To be noted

    Hgmd

    119447

    Databases

    http:\/\/www.stepstn.com\/cgi-win\/nord.exe?proc=GetDocument&rectype=0&recnum=681 NORD: Nevoid Basal Cell Carcinoma Syndrome

    Associations

    http:\/\/www.bccns.org BNCC Life Support Network

    Bibliography

    Pubmed IDLast YearTitleAuthors
    81458181994Compartment boundaries and the control of Drosophila limb pattern by hedgehog protein.Basler K et al
    83069731994The Drosophila segment polarity gene patched interacts with decapentaplegic in wing development.Capdevila J et al
    83264881993Complications of the naevoid basal cell carcinoma syndrome: results of a population based study.Evans DG et al
    87828231996The role of the human homologue of Drosophila patched in sporadic basal cell carcinomas.Gailani MR et al
    86478011996A mammalian patched homolog is expressed in target tissues of sonic hedgehog and maps to a region associated with developmental abnormalities.Hahn H et al
    86813791996Mutations of the human homolog of Drosophila patched in the nevoid basal cell carcinoma syndrome.Hahn H et al
    86581451996Human homolog of patched, a candidate gene for the basal cell nevus syndrome.Johnson RL et al
    95416541998The naevoid basal-cell carcinoma syndrome (Gorlin syndrome) is a chromosomal instability syndrome.Shafei-Benaissa E et al
    13404741992The Drosophila hedgehog gene is expressed specifically in posterior compartment cells and is a target of engrailed regulation.Tabata T et al
    89819431997Most germ-line mutations in the nevoid basal cell carcinoma syndrome lead to a premature termination of the PATCHED protein, and no genotype-phenotype correlations are evident.Wicking C et al

    External Links