A novel compound heterozygous NBAS variant with HLH and multisystem involvement: expanding the clinical spectrum and literature review - Scorecard - MDSpire

A novel compound heterozygous NBAS variant with HLH and multisystem involvement: expanding the clinical spectrum and literature review

  • By

  • Xiaozhen Gong

  • Ye Feng

  • Qianlu Zhang

  • Lin Tong

  • Zijuan Feng

  • Xiaodong Zhao

  • Lina Zhou

  • Ying Dou

  • June 1, 2026

  • 0 min

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Clinical Scorecard: Identification of a new compound heterozygous variant in the NBAS gene associated with HLH and multisystem manifestations: a review of clinical implications and literature

At a Glance

CategoryDetail
Condition
Key MechanismsInvolvement of NBAS protein in nonsense-mediated decay and Golgi-to-ER retrograde transport (source needed).
Target Population
Care Setting

Key Highlights

  • Novel compound heterozygous variants in the NBAS gene identified in a patient (source needed).
  • Clinical manifestations include HLH, short stature, and ILFS-2 (source needed).
  • Pancytopenia and HLH may indicate severe immune dysregulation (remove unless sourced).
  • Genotype-phenotype correlations expanded through review of 322 patients (source needed).
  • HLH associated with rapid clinical deterioration and high mortality risk (remove unless sourced).

Guideline-Based Recommendations

Diagnosis

  • Genetic testing for biallelic variants in the NBAS gene (source needed).

Management

  • Timely intervention for HLH and associated complications (remove unless sourced).

Monitoring & Follow-up

  • Regular assessment of hematologic parameters and immune function (source needed).

Risks

  • High risk of mortality associated with HLH in NBAS deficiency (remove unless sourced).

Patient & Prescribing Data

Pediatric patients with NBAS variants

Focus on managing HLH and associated multisystem manifestations

Clinical Best Practices

  • Early recognition of HLH in patients with NBAS deficiency (remove unless sourced).
  • Comprehensive genetic and functional analysis of identified variants (source needed).
  • Multidisciplinary approach for managing complex clinical presentations (remove unless sourced).

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Original Source(s)

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