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Nijmegen breakage syndrome-like disorder is a rare, genetic multiple congenital anomalies/dysmorphic syndrome characterized by growth retardation, short stature, developmental delay, intellectual disability, craniofacial dysmorphism (i.e. severe microcephaly, sloping forehead, prominent eyes, broad nasal ridge, hypoplastic nasal septum, epicanthal folds), spontaneous chromosomal instability, cellular hypersensitivity to ionizing radiation and radioresistant DNA synthesis, without severe infections, immunodeficiency or cancer predisposition. Additional reported features include mild spasticity, slight and nonprogressive ataxia, hyperopia, multiple pigmented nevi, widely spaced nipples, and clinodactyly.
Features include always present findings: Microcephaly, Hypermetropia, Short stature, and Bird-like facies and others. 10 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Brain and nerves | 3 | Ataxia, Spasticity, Intellectual disability |
RAD50 function has not been fully characterized.
Nijmegen breakage syndrome-like disorder is associated with mutations in the RAD50 gene on chromosome 5.
Genetic testing for RAD50 is available. Testing is considered confirmatory for diagnosis.
Phenotype severity distribution: 9 always present features.
Estimated prevalence: <1 in 1,000,000 (VERY_RARE).
No clinical trials have been registered for Nijmegen breakage syndrome-like disorder.
8 publications have been identified in PubMed for Nijmegen breakage syndrome-like disorder. Research spans Basic Science / Preclinical (63%), Case Report / Case Series (25%), and Review / Meta-Analysis (13%).
Gong Y (2026). [PMID: 41798197](https://pubmed.ncbi.nlm.nih.gov/41798197/). *Frontiers in endocrinology*. [Case Report / Case Series]
Sun H (2026). [PMID: 41655867](https://pubmed.ncbi.nlm.nih.gov/41655867/). *Gene*. [Case Report / Case Series]
Badakul G (2026). [PMID: 41959910](https://pubmed.ncbi.nlm.nih.gov/41959910/). *Front Oncol*. [Basic Science / Preclinical]
Redeker H (2025). [PMID: 41031707](https://pubmed.ncbi.nlm.nih.gov/41031707/). *FEBS letters*. [Basic Science / Preclinical]
Woodward BL (2025). [PMID: 40368919](https://pubmed.ncbi.nlm.nih.gov/40368919/). *Nature communications*. [Basic Science / Preclinical]
Data assembled from 6 of 12 sources · Last updated Sep 20, 2026, 6:52 AM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center
Common questions about Nijmegen breakage syndrome-like disorder
2 |
Short stature, Growth delay |
Head and neck | 1 | Microcephaly |
Age of onset: at birth.
Bousset K (2024). [PMID: 39666384](https://pubmed.ncbi.nlm.nih.gov/39666384/). *The Journal of clinical investigation*. [Basic Science / Preclinical]
Xu XH (2024). [PMID: 38686720](https://pubmed.ncbi.nlm.nih.gov/38686720/). *Zhongguo yi xue ke xue yuan xue bao. Acta Academiae Medicinae Sinicae*. [Review / Meta-Analysis]
AI-curated news mentioning Nijmegen breakage syndrome-like disorder
Updated Apr 27, 2026
derivation of homozygous nijmegen breakage syndrome induced pluripotent stem cell line munii019 a
A recent case report expands the mutational spectrum of RAD50, highlighting its role in Nijmegen breakage syndrome-like disorder in a Chinese child. This discovery may enhance understanding of the genetic underpinnings of this rare condition.