Curation JBS CBL

Gene CBL
Disease JBS
Inheritance AD
Score

12 + 2.5 = 14.5 / 18

Genetic + experimental = total
Classification
0
18
Refuted
Moderate
Definitive
Last Updated 08/12/2025
Pubs Reviewed 3
Publication Span 5.17 years
Publication Interval 5.17 years
Curator(s) Macayla, Laurel
Description

Jacobsen syndrome (JBS) is a contiguous-gene disorder caused by partial deletion of the distal long arm of chromosome 11. The FRA11B CCG repeat/fragile site at 11q23.3, located at the 5' end/immediately upstream of CBL/CBL2, has been implicated as a breakage-prone locus in a subset of JBS cases. The uploaded evidence supports a mechanism in which CCG repeat expansion and associated fragile-site instability can lead to downstream 11q deletion, rather than a CBL coding-variant mechanism.

Genetic evidence

Total: 12

Category
Type
Citation
Score
Details
Singular Evidence
Probands
6

PMID:7603564 reported two Jacobsen syndrome cases/families in which the deleted 11q chromosome derived from a chromosome carrying an expanded CBL2 p(CCG)n/FRA11B allele; the chromosome truncation occurred close to FRA11B.

Singular Evidence
Probands
6

PMID:7887422 studied 17 individuals with de novo terminal 11q deletions; eight patients with the largest 11q23.3-to-11qter deletions had breakpoints between D11S924 and D11S1341, a region related to FRA11B. PMID:10767345 collated deletion mapping from 24 Jacobsen patients and additional cases, showing non-random co-localization of mapped deletion breakpoints with CCG-repeat-containing YAC/PAC clones in distal 11q.

Experimental evidence

Total: 2.5

Category
Type
Citation
Score
Details
Function
Biochemical function
0.5

PMID:7603564 localized FRA11B to the CBL2 p(CCG)n repeat by FISH and Southern/PCR analyses, supporting a locus-specific fragile-site/chromosome-breakage mechanism rather than CBL protein biochemical function.

Function
Regulatory impact
1

PMID:7603564 showed expansion of the CBL2 p(CCG)n repeat in FRA11B-expressing chromosomes and methylation of the adjacent CBL2 CpG island when repeat length exceeded fragile-site thresholds. PMID:10767345 supports CCG-repeat expansion/hypermethylation and replication-delay/secondary-structure mechanisms as contributors to chromosome breakage.

Functional Alteration
Patient cells
1

PMID:7603564 used patient/family-derived blood lymphocytes and an EBV-transformed cell line from a FRA11B-expressing individual to demonstrate CBL2 p(CCG)n expansion, adjacent CpG methylation, and 11q deletion breakpoint localization near FRA11B; PMID:10767345 further mapped JBS breakpoints in patient-derived material to CCG-repeat-containing clones.

Maximum score caps apply at evidence type, category, and supercategory levels, so section totals may be lower than the raw sum of row scores.