HOMOLOGOUS RECOMBINATION PATHWAY OF DOUBLE-STRAND BREAK REPAIR (PW:0000202)
Description
DNA lesions, particularly double-strand breaks (DSBs), can have severe genotoxic effects if not promptly handled. DSBs can be initiated by DNA damaging agents such as ionizing radiation or arise during replication through exposure to metabolites and are also physiological intermediates generated during V(D)J [variable (V), diversity (D) and the joining (J) recombination] and class switch recombination in lymphocytes of the immune system. The cells possess a robust response mechanism to DNA damage which triggers a range of signals to adequately handle the damage and maintain genomic integrity, collectively known as the DNA damage response (DDR). Central to mediating the response are the DDR kinases - ataxia telangiectasia-mutated (ATM), ATM and RAD3-related (ATR) and DNA-dependent protein kinase (DNA-PKcs). Of these, ATM plays a pivotal role - its signaling is activated by DSBs to promote the double-strand repair and prompt cell cycle checkpoint pathways, regulate cell fate decision (apoptosis or senescence), transcription and metabolic pathways. ATM, like the other DDR kinases, belongs to the phosphatidylinositol (PI) 3-kinase-like kinases (PIKK) family. It is a large serine/threonine kinase with an impressive repertoire of substrates, the size of which underlies the range of responses it can promote. As the name suggests, the human gene is mutated in the autosomal recessive condition associated with neurodegenerative and immunodeficiency phenotypes. A major function of ATM signaling is to activate the double-strand repair pathways. There are two principal DSB pathways: the non-homologous end-joining (NHEJ) and the homologous recombination (HR). The error-prone NHEJ which can be active throughout the cell cycle is the predominant one whereas the error-free HR is restricted to the S and G2 phases when sister chromatids are available to provide the necessary template. ATM signaling proceeds through several and overlapping layers, accompanied by activating positive feedback and regulatory negative inhibition loops. Two downstream sensors - Tp53bp1 and Brca1, prompt the unfolding of NHEJ or HR, respectively. Tp53bp1 opposes the resection reaction that is central to HR repair type, thus promoting NHEJ repair while Brca1 antagonizes Tp53bp1 to achieve the opposite effect, thus promoting the HR repair. The mechanisms by which the two proteins oppose each other to initiate the specific downstream repair route are incompletely understood. Although the exact molecular mechanisms of HR activation by Brca1 are incompletely understood, its interaction with several proteins appear to be important components. These include the interaction with Rbbpb, known as CtBP-interacting protein (Ctip) upon which the interaction with Nbs1 component of the MRN complex occurs. Both MRN complex and Ctip are components of the machinery involved in the end-resection step, essential for HR pathway. The end-resection step generates stretches of single-stranded DNA (ssDNA) from the damaged DNA that are going to be recognized/coated by the replication protein A (RPA) complex. The end-recession is a complex step that requires the presence of several elements that include the MRN complex and Ctip in addition to Bloom's syndrome helicase (Blm), exonuclease 1 (Exo1) and the DNA-replication ATP-dependent helicase (DNA2). RPA binding/coating precludes the formation of secondary structures in ssDNA. A key element of HR is Rad51 which displaces RPA to form a Rad51-ssDNA nucleofilament that will then perform homology searches and subsequent DNA-strand invasion generating the displacement loop, D-loop. However, the Rad51 filament formation requires the presence of Rad51 paralogs and the Brca2 mediator; their exact mechanisms and roles are not well understood. Brca2 is known to be an essential element of HR that can bind both DNA and Rad51 as well as other proteins but the role of the latter interactions remains to be established. Brca2 and Brca1 interact via the Partner and localizer of BRCA2 protein Palb2 (not shown). Rad54b enhances D-loop formation and promotes DNA synthesis. D-loop is also a branching point for the three types of HR that restore the DNA double strand (details not shown). These are the break-induced replication (BIR), double Holliday junction (dHJ) and synthesis-dependent strand annealing (SDSA). Components of the pathway are regulated at many levels.
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Pathway Diagram:
Genes in Pathway:
G
Atm
ATM serine/threonine kinase
ISO
RGD
PMID:16498454
RGD:1578504
NCBI chr 8:53,828,741...53,932,773
Ensembl chr 8:53,831,093...53,932,437
G
Blm
BLM RecQ like helicase
ISO
RGD
PMID:20690856
RGD:8662366
NCBI chr 1:134,409,832...134,496,073
Ensembl chr 1:134,409,857...134,484,312
G
Brca1
BRCA1, DNA repair associated
ISS ISO
RGD
PMID:16498454 PMID:24326623
RGD:1578504 , RGD:8661237
NCBI chr10:86,417,441...86,477,762
Ensembl chr10:86,418,000...86,477,304
G
Brca2
BRCA2, DNA repair associated
IEA ISO
KEGG RGD
PMID:20690856
rno:03440, RGD:8662366
NCBI chr12:59,492...103,789
Ensembl chr12:59,819...100,567
G
Dna2
DNA replication helicase/nuclease 2
ISO
RGD
PMID:20690856
RGD:8662366
NCBI chr20:25,661,652...25,690,598
Ensembl chr20:25,662,055...25,716,319
G
Eme1
essential meiotic structure-specific endonuclease 1
IEA
KEGG
rno:03440
NCBI chr10:79,586,718...79,595,515
Ensembl chr10:79,586,729...79,595,435
G
Exo1
exonuclease 1
ISO
RGD
PMID:20690856
RGD:8662366
NCBI chr13:87,809,725...87,834,654
Ensembl chr13:87,809,810...87,834,654
G
Mre11
MRE11 homolog, double strand break repair nuclease
ISS IEA ISO
KEGG RGD
PMID:16498454 PMID:20690856
rno:03440, RGD:1578504 , RGD:8662366
NCBI chr 8:11,618,876...11,680,451
Ensembl chr 8:11,632,354...11,678,279
G
Mus81
MUS81 structure-specific endonuclease subunit
IEA
KEGG
rno:03440
NCBI chr 1:202,790,295...202,796,008
Ensembl chr 1:202,790,466...202,795,843
G
Nbn
nibrin
ISS IEA ISO
KEGG RGD
PMID:16498454 PMID:20690856
rno:03440, RGD:1578504 , RGD:8662366
NCBI chr 5:29,459,574...29,494,152
Ensembl chr 5:29,459,457...29,494,150
G
Pold1
DNA polymerase delta 1, catalytic subunit
IEA
KEGG
rno:03440
NCBI chr 1:95,025,462...95,041,559
Ensembl chr 1:95,025,499...95,036,465
G
Pold2
DNA polymerase delta 2, accessory subunit
IEA
KEGG
rno:03440
NCBI chr14:80,748,971...80,755,188
Ensembl chr14:80,748,974...80,755,160
G
Pold3
DNA polymerase delta 3, accessory subunit
IEA
KEGG
rno:03440
NCBI chr 1:154,417,893...154,456,687
Ensembl chr 1:154,418,084...154,456,665
G
Pold4
DNA polymerase delta 4, accessory subunit
IEA
KEGG
rno:03440
NCBI chr 1:201,526,591...201,528,406
Ensembl chr 1:201,526,665...201,528,401
G
Rad50
RAD50 double strand break repair protein
ISS IEA ISO
KEGG RGD
PMID:16498454 PMID:20690856
rno:03440, RGD:1578504 , RGD:8662366
NCBI chr10:37,809,353...37,861,309
Ensembl chr10:37,808,726...37,861,396
G
Rad51
RAD51 recombinase
IEA ISO
KEGG RGD
PMID:20690856
rno:03440, RGD:8662366
NCBI chr 3:106,099,753...106,125,038
Ensembl chr 3:106,100,381...106,125,035
G
Rad51b
RAD51 paralog B
ISO
RGD
PMID:20690856
RGD:8662366
NCBI chr 6:98,096,525...98,640,988
Ensembl chr 6:98,098,868...98,640,979
G
Rad51c
RAD51 paralog C
IEA ISO
KEGG RGD
PMID:20690856
rno:03440, RGD:8662366
NCBI chr10:72,205,032...72,231,643
Ensembl chr10:72,205,032...72,231,248
G
Rad51d
RAD51 paralog D
ISO
RGD
PMID:20690856
RGD:8662366
NCBI chr10:67,805,720...67,824,452
Ensembl chr10:67,740,712...67,824,434
G
Rad52
RAD52 homolog, DNA repair protein
IEA
KEGG
rno:03440
NCBI chr 4:153,106,062...153,128,598
Ensembl chr 4:153,106,062...153,128,207
G
Rad54b
RAD54 homolog B
IEA ISO
KEGG RGD
PMID:20690856
rno:03440, RGD:8662366
NCBI chr 5:25,032,112...25,104,630
Ensembl chr 5:25,032,066...25,104,616
G
Rad54l
RAD54 like
IEA
KEGG
rno:03440
NCBI chr 5:129,575,431...129,605,100
Ensembl chr 5:129,575,378...129,605,070
G
Rbbp8
RB binding protein 8, endonuclease
ISO
RGD
PMID:24326623
RGD:8661237
NCBI chr18:2,922,985...2,988,851
Ensembl chr18:2,921,286...2,988,846
G
Rpa1
replication protein A1
IEA
KEGG
rno:03440
NCBI chr10:60,148,869...60,199,970
Ensembl chr10:60,148,793...60,199,949
G
Rpa2
replication protein A2
IEA
KEGG
rno:03440
NCBI chr 5:144,976,789...144,989,445
Ensembl chr 5:144,976,748...144,987,350
G
Rpa3
replication protein A3
IEA
KEGG
rno:03440
NCBI chr 4:36,304,649...36,307,755
Ensembl chr 4:36,304,651...36,307,709
G
Sem1
SEM1 26S proteasome subunit
IEA
KEGG
rno:03440
NCBI chr 4:34,671,848...34,692,005
Ensembl chr 4:34,671,848...34,692,005
G
Ssbp1
single stranded DNA binding protein 1
IEA
KEGG
rno:03440
NCBI chr 4:69,266,024...69,276,135
Ensembl chr 4:69,266,102...69,276,135
G
Top3a
DNA topoisomerase III alpha
IEA
KEGG
rno:03440
NCBI chr10:45,419,219...45,457,356
Ensembl chr10:45,419,217...45,457,559
G
Top3b
DNA topoisomerase III beta
IEA
KEGG
rno:03440
NCBI chr11:84,097,018...84,125,474
Ensembl chr11:84,097,026...84,125,392
G
Xrcc2
X-ray repair cross complementing 2
IEA ISO
KEGG RGD
PMID:20690856
rno:03440, RGD:8662366
NCBI chr 4:9,423,873...9,502,980
Ensembl chr 4:9,423,898...9,442,482
G
Xrcc3
X-ray repair cross complementing 3
ISO
RGD
PMID:20690856
RGD:8662366
NCBI chr 6:130,863,405...130,873,765
Ensembl chr 6:130,863,959...130,872,444
Pathway Gene Annotations
Disease Annotations Associated with Genes in the homologous recombination pathway of double-strand break repair
Atm Acute Liver Failure , adenocarcinoma , adenoid cystic carcinoma , adrenocortical carcinoma , Alzheimer's disease , Arenaviridae infectious disease , arteriosclerosis , astroblastoma, MN1-altered , ataxia telangiectasia , Ataxia-Telangiectasia Variant , B-Cell Chronic Lymphocytic Leukemia , beta-ketothiolase deficiency , bilateral breast cancer , bile duct cancer , brain cancer , Brain Neoplasms , breast cancer , Breast Cancer, Familial , breast carcinoma , Breast Neoplasms , cataract , cerebellar ataxia , chromosome 11 partial duplication syndrome , clear cell renal cell carcinoma , colon cancer , colon carcinoma , Colonic Neoplasms , colorectal cancer , dilated cardiomyopathy , disease of cellular proliferation , endometrial cancer , endometrial carcinoma , endometrial serous adenocarcinoma , esophagus squamous cell carcinoma , Experimental Colitis , Familial Pancreatic Carcinoma , Familial Prostate Cancer , female breast cancer , Fibrosis , Gastro-Enteropancreatic Neuroendocrine Tumor , glioblastoma , Helicobacter Infections , hepatoblastoma , hepatocellular carcinoma , hereditary breast ovarian cancer syndrome , Hereditary Neoplastic Syndromes , herpes simplex virus keratitis , Herpesviridae Infections , high grade glioma , human immunodeficiency virus infectious disease , Hypercholesterolemia , IDH-mutant anaplastic astrocytoma , infertility , influenza A , Insulin Resistance , intellectual disability , Kidney Reperfusion Injury , Koolen de Vries syndrome , leukemia , liver cancer , liver cirrhosis , lung cancer , lung non-small cell carcinoma , lung small cell carcinoma , lung squamous cell carcinoma , lymphoma , Lynch syndrome 1 , mantle cell lymphoma , melanoma , Metabolic Syndrome , microcephaly , multiple endocrine neoplasia type 1 , multiple myeloma , myocardial infarction , nasopharynx carcinoma , oral mucosa leukoplakia , oral squamous cell carcinoma , osteoporosis , Otorhinolaryngologic Neoplasms , ovarian cancer , ovarian carcinoma , Ovarian Neoplasms , pancreatic cancer , pancreatic carcinoma , papillary thyroid carcinoma , Parkinson's disease , peripheral T-cell lymphoma , Pneumococcal Meningitis , polycythemia vera , pre-malignant neoplasm , Prenatal Exposure Delayed Effects , primary cutaneous T-cell non-Hodgkin lymphoma , prostate cancer , prostate carcinoma in situ , Prostatic Neoplasms , Radiation Pneumonitis , renal cell carcinoma , Renal Cell Carcinoma 1 , Retroviridae Infections , Rhabdoviridae Infections , senile cataract , Sepsis , Spinal Cord Injuries , squamous cell carcinoma , status epilepticus , stomach cancer , Stomach Neoplasms , Streptococcus pneumonia , T-cell prolymphocytic leukemia , thyroid cancer , urinary bladder cancer , Urinary Bladder Neoplasm , uterine corpus cancer , Ventricular Dysfunction, Left , X-linked cardiac valvular dysplasia Blm Bloom syndrome , Breast Cancer, Familial , colorectal cancer , D-2-hydroxyglutaric aciduria 2 , genetic disease , hereditary breast ovarian cancer syndrome , Hereditary Neoplastic Syndromes , microcephaly , ovarian cancer Brca1 adenoid cystic carcinoma , Animal Mammary Neoplasms , bilateral breast cancer , breast adenocarcinoma , breast cancer , Breast Cancer, Familial , breast carcinoma , breast ductal carcinoma , Breast Neoplasms , Burkitt lymphoma , carcinoma , cervical cancer , cervix uteri carcinoma in situ , Chromosome Breakage , colon cancer , colon carcinoma , colorectal cancer , colorectal carcinoma , disease of cellular proliferation , ductal carcinoma in situ , dysgerminoma , endometrial carcinoma , esophagus squamous cell carcinoma , Experimental Mammary Neoplasms , Familial Prostate Cancer , Fanconi anemia complementation group A , Fanconi anemia complementation group S , hereditary breast ovarian cancer syndrome , hereditary mixed polyposis syndrome 1 , Hereditary Neoplastic Syndromes , Hyperplasia , hypertension , infant-type hemispheric glioma , invasive ductal carcinoma , lung cancer , lung non-small cell carcinoma , mouth disease , nasopharynx carcinoma , Neoplastic Cell Transformation , ovarian cancer , ovarian carcinoma , Ovarian Neoplasms , ovary serous adenocarcinoma , pancreatic cancer , pancreatic carcinoma , peritoneum cancer , periventricular nodular heterotopia , Premature Aging , prostate cancer , Prostatic Neoplasms , Pseudovaginal Perineoscrotal Hypospadias , punctate palmoplantar keratoderma type II , rhabdomyosarcoma , stomach cancer , stomach carcinoma , urinary bladder cancer , Urinary Bladder Neoplasm , uterine corpus cancer Brca2 atrophy of testis , bilateral breast cancer , breast cancer , Breast Cancer, Familial , breast carcinoma , breast ductal carcinoma , Breast Neoplasms , cancer , cataract , cerebral palsy , chordoma , colon carcinoma , colorectal cancer , colorectal carcinoma , COVID-19 , diffuse large B-cell lymphoma , diffuse pediatric-type high-grade glioma, H3-wildtype and IDH-wildtype , ductal carcinoma in situ , endometrial cancer , endometrial carcinoma , endometrial serous adenocarcinoma , esophageal atresia/tracheoesophageal fistula , esophageal cancer , esophageal carcinoma , esophagus squamous cell carcinoma , Fanconi anemia , Fanconi anemia complementation group D1 , focal epilepsy , Hearing Loss , hematopoietic system disease , hepatoblastoma , hereditary breast ovarian cancer syndrome , hereditary mixed polyposis syndrome 1 , Hereditary Neoplastic Syndromes , high grade glioma , ichthyosis vulgaris , infertility , intellectual disability , Invasive Breast Carcinoma , invasive ductal carcinoma , invasive lobular carcinoma , isolated growth hormone deficiency type IA , Kabuki Syndrome 1 , Lung Neoplasms , Lynch syndrome , male breast cancer , male breast carcinoma , Male Breast Neoplasms , medulloblastoma , melanoma , migraine , multiple myeloma , nephroblastoma , neuroblastoma , osteosarcoma , ovarian cancer , Ovarian Neoplasms , ovary serous adenocarcinoma , pancreatic cancer , pancreatic carcinoma , pancreatic endocrine carcinoma , polydactyly , primary ovarian insufficiency 16 , prostate cancer , prostate small cell carcinoma , Prostatic Neoplasms , rhabdomyosarcoma , skin melanoma , Spinal Cord Injuries , squamous cell neoplasm , stomach cancer , Tracheoesophageal Fistula , urinary bladder cancer , Urinary Bladder Neoplasm , uterine corpus cancer , uveal melanoma Dna2 isolated growth hormone deficiency type IA , mitochondrial myopathy Eme1 hereditary breast ovarian cancer syndrome , osteogenesis imperfecta type 1 , trichodontoosseous syndrome Exo1 Breast Neoplasms , Colorectal Neoplasms , COVID-19 , developmental and epileptic encephalopathy 54 , fumarase deficiency , gastrointestinal stromal tumor , hepatocellular carcinoma , hereditary breast ovarian cancer syndrome , Hereditary Leiomyomatosis and Renal Cell Cancer , Megalencephaly-Polymicrogyria-Polydactyly-Hydrocephalus Syndrome 2 , Neurodevelopmental Disorders , parathyroid carcinoma Mre11 Alzheimer's disease , Animal Disease Models , ataxia telangiectasia , Ataxia Telangiectasia Like Disorder , ataxia-telangiectasia-like disorder-1 , breast carcinoma , colon cancer , Colonic Neoplasms , dementia , depressive disorder , dystonia , eccrine porocarcinoma , endometrial cancer , hereditary breast ovarian cancer syndrome , Hereditary Neoplastic Syndromes , intellectual disability , lung adenocarcinoma , Lynch syndrome , malignant astrocytoma , Neurocutaneous Syndromes , ovarian cancer , Ovarian Neoplasms , Parkinsonism , primary ovarian insufficiency , Prostatic Neoplasms , rectum cancer , stomach carcinoma , Triple Negative Breast Neoplasms , urinary bladder cancer Mus81 Aicardi-Goutieres Syndrome 3 , arterial tortuosity syndrome , Autosomal Recessive Cutis Laxa , autosomal recessive cutis laxa type IA , autosomal recessive cutis laxa type IB , Bardet-Biedl syndrome , glycogen storage disease V , intellectual disability , Marfan syndrome , pulmonary emphysema , Recurrent Infections, with Encephalopathy, Hepatic Dysfunction, and Cardiovascular Malformations , thoracic aortic aneurysm Nbn acute lymphoblastic leukemia , Alzheimer's disease , aplastic anemia , breast cancer , Breast Cancer, Familial , breast carcinoma , colon carcinoma , COVID-19 , diffuse large B-cell lymphoma , disease of metabolism , hepatocellular carcinoma , hereditary breast ovarian cancer syndrome , Hereditary Neoplastic Syndromes , lissencephaly , microcephaly , Neoplasm Recurrence, Local , Nijmegen breakage syndrome , ovarian cancer , ovarian carcinoma , pancreatic carcinoma , primary ovarian insufficiency , prostate cancer , Prostatic Neoplasms , rectum cancer , stomach cancer , stomatitis , T-cell acute lymphoblastic leukemia Pold1 bile duct cancer , breast cancer , colon cancer , colon carcinoma , colorectal cancer , Colorectal Cancer 10 , colorectal carcinoma , Colorectal Neoplasms , congenital myopathy 1A , Deafness , Drug-induced Neutropenia , endometrial carcinoma , Endometrial Neoplasms , extrahepatic bile duct carcinoma , familial adenomatous polyposis , Hereditary Neoplastic Syndromes , hypogonadism , intellectual disability , Jaw Abnormalities , lipodystrophy , lung adenocarcinoma , Mandibular Hypoplasia, Deafness, Progeroid Features, and Lipodystrophy Syndrome , Multiple Abnormalities , ovarian cancer , pancreatic carcinoma Pold2 pleomorphic xanthoastrocytoma Pold3 3-methylglutaconic aciduria type 7b , Colorectal Neoplasms , Immunodeficiency 122 , intellectual disability Pold4 Aicardi-Goutieres Syndrome 3 , intellectual disability , Recurrent Infections, with Encephalopathy, Hepatic Dysfunction, and Cardiovascular Malformations Rad50 asthma , breast cancer , Breast Cancer, Familial , breast carcinoma , Breast Neoplasms , familial adenomatous polyposis 1 , hepatocellular carcinoma , hereditary breast ovarian cancer syndrome , Hereditary Neoplastic Syndromes , invasive ductal carcinoma , liver cirrhosis , lung sarcomatoid carcinoma , myocardial infarction , myoepithelioma , Neurodevelopmental Disorders , Nijmegen Breakage Syndrome-Like Disorder , ovarian cancer , premature menopause , primary ovarian insufficiency , prostate cancer , transitional cell carcinoma Rad51 Bloom syndrome , breast cancer , Breast Cancer, Familial , Breast Neoplasms , cardiomyopathy , colorectal cancer , Experimental Liver Neoplasms , Fanconi anemia complementation group R , genetic disease , Genetic Predisposition to Disease , Head and Neck Neoplasms , hereditary breast ovarian cancer syndrome , Hereditary Neoplastic Syndromes , hypertension , Hypoxia , Micronuclei, Chromosome-Defective , Mirror Movements 2 , mosaic variegated aneuploidy syndrome 1 , ovarian cancer , ovary epithelial cancer , pancreatic cancer , Triple Negative Breast Neoplasms Rad51b Breast Cancer, Familial , Breast Neoplasms , hereditary breast ovarian cancer syndrome , Hereditary Neoplastic Syndromes , Leber congenital amaurosis 13 , Male Breast Neoplasms , substance-related disorder Rad51c breast cancer , Breast Cancer, Familial , breast carcinoma , Breast Neoplasms , colon carcinoma , endometrial carcinoma , familiar ovarian carcinoma , Fanconi anemia , Fanconi anemia complementation group O , hereditary breast ovarian cancer syndrome , Hereditary Neoplastic Syndromes , Joubert syndrome 1 , microcephaly , ovarian cancer , Ovarian Neoplasms , premature menopause , primary ovarian insufficiency , stomach cancer , uterine corpus cancer Rad51d breast cancer , Breast Cancer, Familial , breast carcinoma , Chromosome Deletion , colon carcinoma , colorectal cancer , hereditary breast ovarian cancer syndrome , Hereditary Neoplastic Syndromes , Lynch syndrome 1 , Neurodevelopmental Disorders , ovarian carcinoma , Ovarian Neoplasms , peroxisome biogenesis disorder 3A , stomach cancer Rad52 adrenocortical carcinoma , colon cancer , colorectal cancer , hepatocellular carcinoma , Hyperphosphatemic Familial Tumoral Calcinosis 1 , intestinal cancer , lung cancer , Lung Neoplasms , lung non-small cell carcinoma , lung small cell carcinoma , lung squamous cell carcinoma , mucoepidermoid carcinoma , nasopharynx carcinoma , Neoplasm Metastasis , nicotine dependence , salivary gland carcinoma , squamous cell carcinoma Rad54b colon carcinoma , colorectal cancer , Colorectal Neoplasms , non-Hodgkin lymphoma Rad54l breast cancer , Breast Cancer, Familial , breast ductal carcinoma , Breast Neoplasms , colon adenocarcinoma , disease of cellular proliferation , genetic disease , hepatocellular carcinoma , hereditary breast ovarian cancer syndrome , IDH-mutant anaplastic astrocytoma , invasive ductal carcinoma , non-Hodgkin lymphoma , pancreatic cancer , primary ovarian insufficiency , sclerocornea Rbbp8 COVID-19 , genetic disease , intellectual disability , microcephaly , Microcephaly with Mental Retardation and Digital Anomalies , multiple myeloma , Niemann-Pick disease type C1 , pancreatic carcinoma , Seckel syndrome , Seckel syndrome 2 Rpa1 Chloracne , Pulmonary Fibrosis and/or Bone Marrow Failure Syndrome, Telomere-Related, 6 Sem1 pleomorphic xanthoastrocytoma , squamous cell carcinoma Ssbp1 Arsenic Poisoning , cone-rod dystrophy , genetic disease , Hereditary Pancreatitis , Optic Atrophy 13 , RASopathy , Sengers syndrome , skin disease Top3a autistic disorder , autosomal recessive progressive external ophthalmoplegia with mitochondrial DNA deletions 5 , Birt-Hogg-Dube syndrome , common variable immunodeficiency 2 , genetic disease , Joubert syndrome 1 , Microcephaly, Growth Restriction, and Increased Sister Chromatid Exchange 2 , mitochondrial metabolism disease , Potocki-Lupski syndrome , sensorineural hearing loss Top3b autistic disorder , chromosome 22q11.2 deletion syndrome, distal , DiGeorge syndrome , schizophrenia Xrcc2 autistic disorder , breast carcinoma , Breast Neoplasms , colon cancer , colorectal cancer , Fanconi anemia complementation group U , hereditary breast ovarian cancer syndrome , Hereditary Neoplastic Syndromes , lethal congenital glycogen storage disease of heart , long QT syndrome , pancreatic cancer , primary ovarian insufficiency 17 , SHORT STATURE, MICROCEPHALY, AND ENDOCRINE DYSFUNCTION , spermatogenic failure 50 Xrcc3 basal cell carcinoma , brain glioma , breast cancer , Breast Cancer, Familial , Breast Neoplasms , central nervous system cancer , Charcot-Marie-Tooth disease axonal type 2O , coronary artery disease , Esophageal Neoplasms , Experimental Mammary Neoplasms , familial melanoma , Genetic Predisposition to Disease , Head and Neck Neoplasms , Herpes Simplex Encephalitis 3 , high grade glioma , hypertension , Lead Poisoning , Left Ventricular Hypertrophy , melanoma , meningioma , Mesothelioma , multiple myeloma , myocardial infarction , Neoplasm Invasiveness , ovarian cancer , pancreatic cancer , Skin Neoplasms , Stomach Neoplasms
3-methylglutaconic aciduria type 7b Pold3 Acute Liver Failure Atm acute lymphoblastic leukemia Nbn adenocarcinoma Atm adenoid cystic carcinoma Atm , Brca1 adrenocortical carcinoma Atm , Rad52 Aicardi-Goutieres Syndrome 3 Mus81 , Pold4 Alzheimer's disease Atm , Mre11 , Nbn Animal Disease Models Mre11 Animal Mammary Neoplasms Brca1 aplastic anemia Nbn Arenaviridae infectious disease Atm Arsenic Poisoning Ssbp1 arterial tortuosity syndrome Mus81 arteriosclerosis Atm asthma Rad50 astroblastoma, MN1-altered Atm ataxia telangiectasia Atm , Mre11 Ataxia Telangiectasia Like Disorder Mre11 Ataxia-Telangiectasia Variant Atm ataxia-telangiectasia-like disorder-1 Mre11 atrophy of testis Brca2 autistic disorder Top3a , Top3b , Xrcc2 Autosomal Recessive Cutis Laxa Mus81 autosomal recessive cutis laxa type IA Mus81 autosomal recessive cutis laxa type IB Mus81 autosomal recessive progressive external ophthalmoplegia with mitochondrial DNA deletions 5 Top3a B-Cell Chronic Lymphocytic Leukemia Atm Bardet-Biedl syndrome Mus81 basal cell carcinoma Xrcc3 beta-ketothiolase deficiency Atm bilateral breast cancer Atm , Brca1 , Brca2 bile duct cancer Atm , Pold1 Birt-Hogg-Dube syndrome Top3a Bloom syndrome Blm , Rad51 brain cancer Atm brain glioma Xrcc3 Brain Neoplasms Atm breast adenocarcinoma Brca1 breast cancer Atm , Brca1 , Brca2 , Nbn , Pold1 , Rad50 , Rad51 , Rad51c , Rad51d , Rad54l , Xrcc3 Breast Cancer, Familial Atm , Blm , Brca1 , Brca2 , Nbn , Rad50 , Rad51 , Rad51b , Rad51c , Rad51d , Rad54l , Xrcc3 breast carcinoma Atm , Brca1 , Brca2 , Mre11 , Nbn , Rad50 , Rad51c , Rad51d , Xrcc2 breast ductal carcinoma Brca1 , Brca2 , Rad54l Breast Neoplasms Atm , Brca1 , Brca2 , Exo1 , Rad50 , Rad51 , Rad51b , Rad51c , Rad54l , Xrcc2 , Xrcc3 Burkitt lymphoma Brca1 cancer Brca2 carcinoma Brca1 cardiomyopathy Rad51 cataract Atm , Brca2 central nervous system cancer Xrcc3 cerebellar ataxia Atm cerebral palsy Brca2 cervical cancer Brca1 cervix uteri carcinoma in situ Brca1 Charcot-Marie-Tooth disease axonal type 2O Xrcc3 Chloracne Rpa1 chordoma Brca2 chromosome 11 partial duplication syndrome Atm chromosome 22q11.2 deletion syndrome, distal Top3b Chromosome Breakage Brca1 Chromosome Deletion Rad51d clear cell renal cell carcinoma Atm colon adenocarcinoma Rad54l colon cancer Atm , Brca1 , Mre11 , Pold1 , Rad52 , Xrcc2 colon carcinoma Atm , Brca1 , Brca2 , Nbn , Pold1 , Rad51c , Rad51d , Rad54b Colonic Neoplasms Atm , Mre11 colorectal cancer Atm , Blm , Brca1 , Brca2 , Pold1 , Rad51 , Rad51d , Rad52 , Rad54b , Xrcc2 Colorectal Cancer 10 Pold1 colorectal carcinoma Brca1 , Brca2 , Pold1 Colorectal Neoplasms Exo1 , Pold1 , Pold3 , Rad54b common variable immunodeficiency 2 Top3a cone-rod dystrophy Ssbp1 congenital myopathy 1A Pold1 coronary artery disease Xrcc3 COVID-19 Brca2 , Exo1 , Nbn , Rbbp8 D-2-hydroxyglutaric aciduria 2 Blm Deafness Pold1 dementia Mre11 depressive disorder Mre11 developmental and epileptic encephalopathy 54 Exo1 diffuse large B-cell lymphoma Brca2 , Nbn diffuse pediatric-type high-grade glioma, H3-wildtype and IDH-wildtype Brca2 DiGeorge syndrome Top3b dilated cardiomyopathy Atm disease of cellular proliferation Atm , Brca1 , Rad54l disease of metabolism Nbn Drug-induced Neutropenia Pold1 ductal carcinoma in situ Brca1 , Brca2 dysgerminoma Brca1 dystonia Mre11 eccrine porocarcinoma Mre11 endometrial cancer Atm , Brca2 , Mre11 endometrial carcinoma Atm , Brca1 , Brca2 , Pold1 , Rad51c Endometrial Neoplasms Pold1 endometrial serous adenocarcinoma Atm , Brca2 esophageal atresia/tracheoesophageal fistula Brca2 esophageal cancer Brca2 esophageal carcinoma Brca2 Esophageal Neoplasms Xrcc3 esophagus squamous cell carcinoma Atm , Brca1 , Brca2 Experimental Colitis Atm Experimental Liver Neoplasms Rad51 Experimental Mammary Neoplasms Brca1 , Xrcc3 extrahepatic bile duct carcinoma Pold1 familial adenomatous polyposis Pold1 familial adenomatous polyposis 1 Rad50 familial melanoma Xrcc3 Familial Pancreatic Carcinoma Atm Familial Prostate Cancer Atm , Brca1 familiar ovarian carcinoma Rad51c Fanconi anemia Brca2 , Rad51c Fanconi anemia complementation group A Brca1 Fanconi anemia complementation group D1 Brca2 Fanconi anemia complementation group O Rad51c Fanconi anemia complementation group R Rad51 Fanconi anemia complementation group S Brca1 Fanconi anemia complementation group U Xrcc2 female breast cancer Atm Fibrosis Atm focal epilepsy Brca2 fumarase deficiency Exo1 Gastro-Enteropancreatic Neuroendocrine Tumor Atm gastrointestinal stromal tumor Exo1 genetic disease Blm , Rad51 , Rad54l , Rbbp8 , Ssbp1 , Top3a Genetic Predisposition to Disease Rad51 , Xrcc3 glioblastoma Atm glycogen storage disease V Mus81 Head and Neck Neoplasms Rad51 , Xrcc3 Hearing Loss Brca2 Helicobacter Infections Atm hematopoietic system disease Brca2 hepatoblastoma Atm , Brca2 hepatocellular carcinoma Atm , Exo1 , Nbn , Rad50 , Rad52 , Rad54l hereditary breast ovarian cancer syndrome Atm , Blm , Brca1 , Brca2 , Eme1 , Exo1 , Mre11 , Nbn , Rad50 , Rad51 , Rad51b , Rad51c , Rad51d , Rad54l , Xrcc2 Hereditary Leiomyomatosis and Renal Cell Cancer Exo1 hereditary mixed polyposis syndrome 1 Brca1 , Brca2 Hereditary Neoplastic Syndromes Atm , Blm , Brca1 , Brca2 , Mre11 , Nbn , Pold1 , Rad50 , Rad51 , Rad51b , Rad51c , Rad51d , Xrcc2 Hereditary Pancreatitis Ssbp1 Herpes Simplex Encephalitis 3 Xrcc3 herpes simplex virus keratitis Atm Herpesviridae Infections Atm high grade glioma Atm , Brca2 , Xrcc3 human immunodeficiency virus infectious disease Atm Hypercholesterolemia Atm Hyperphosphatemic Familial Tumoral Calcinosis 1 Rad52 Hyperplasia Brca1 hypertension Brca1 , Rad51 , Xrcc3 hypogonadism Pold1 Hypoxia Rad51 ichthyosis vulgaris Brca2 IDH-mutant anaplastic astrocytoma Atm , Rad54l Immunodeficiency 122 Pold3 infant-type hemispheric glioma Brca1 infertility Atm , Brca2 influenza A Atm Insulin Resistance Atm intellectual disability Atm , Brca2 , Mre11 , Mus81 , Pold1 , Pold3 , Pold4 , Rbbp8 intestinal cancer Rad52 Invasive Breast Carcinoma Brca2 invasive ductal carcinoma Brca1 , Brca2 , Rad50 , Rad54l invasive lobular carcinoma Brca2 isolated growth hormone deficiency type IA Brca2 , Dna2 Jaw Abnormalities Pold1 Joubert syndrome 1 Rad51c , Top3a Kabuki Syndrome 1 Brca2 Kidney Reperfusion Injury Atm Koolen de Vries syndrome Atm Lead Poisoning Xrcc3 Leber congenital amaurosis 13 Rad51b Left Ventricular Hypertrophy Xrcc3 lethal congenital glycogen storage disease of heart Xrcc2 leukemia Atm lipodystrophy Pold1 lissencephaly Nbn liver cancer Atm liver cirrhosis Atm , Rad50 long QT syndrome Xrcc2 lung adenocarcinoma Mre11 , Pold1 lung cancer Atm , Brca1 , Rad52 Lung Neoplasms Brca2 , Rad52 lung non-small cell carcinoma Atm , Brca1 , Rad52 lung sarcomatoid carcinoma Rad50 lung small cell carcinoma Atm , Rad52 lung squamous cell carcinoma Atm , Rad52 lymphoma Atm Lynch syndrome Brca2 , Mre11 Lynch syndrome 1 Atm , Rad51d male breast cancer Brca2 male breast carcinoma Brca2 Male Breast Neoplasms Brca2 , Rad51b malignant astrocytoma Mre11 Mandibular Hypoplasia, Deafness, Progeroid Features, and Lipodystrophy Syndrome Pold1 mantle cell lymphoma Atm Marfan syndrome Mus81 medulloblastoma Brca2 Megalencephaly-Polymicrogyria-Polydactyly-Hydrocephalus Syndrome 2 Exo1 melanoma Atm , Brca2 , Xrcc3 meningioma Xrcc3 Mesothelioma Xrcc3 Metabolic Syndrome Atm microcephaly Atm , Blm , Nbn , Rad51c , Rbbp8 Microcephaly with Mental Retardation and Digital Anomalies Rbbp8 Microcephaly, Growth Restriction, and Increased Sister Chromatid Exchange 2 Top3a Micronuclei, Chromosome-Defective Rad51 migraine Brca2 Mirror Movements 2 Rad51 mitochondrial metabolism disease Top3a mitochondrial myopathy Dna2 mosaic variegated aneuploidy syndrome 1 Rad51 mouth disease Brca1 mucoepidermoid carcinoma Rad52 Multiple Abnormalities Pold1 multiple endocrine neoplasia type 1 Atm multiple myeloma Atm , Brca2 , Rbbp8 , Xrcc3 myocardial infarction Atm , Rad50 , Xrcc3 myoepithelioma Rad50 nasopharynx carcinoma Atm , Brca1 , Rad52 Neoplasm Invasiveness Xrcc3 Neoplasm Metastasis Rad52 Neoplasm Recurrence, Local Nbn Neoplastic Cell Transformation Brca1 nephroblastoma Brca2 neuroblastoma Brca2 Neurocutaneous Syndromes Mre11 Neurodevelopmental Disorders Exo1 , Rad50 , Rad51d nicotine dependence Rad52 Niemann-Pick disease type C1 Rbbp8 Nijmegen breakage syndrome Nbn Nijmegen Breakage Syndrome-Like Disorder Rad50 non-Hodgkin lymphoma Rad54b , Rad54l Optic Atrophy 13 Ssbp1 oral mucosa leukoplakia Atm oral squamous cell carcinoma Atm osteogenesis imperfecta type 1 Eme1 osteoporosis Atm osteosarcoma Brca2 Otorhinolaryngologic Neoplasms Atm ovarian cancer Atm , Blm , Brca1 , Brca2 , Mre11 , Nbn , Pold1 , Rad50 , Rad51 , Rad51c , Xrcc3 ovarian carcinoma Atm , Brca1 , Nbn , Rad51d Ovarian Neoplasms Atm , Brca1 , Brca2 , Mre11 , Rad51c , Rad51d ovary epithelial cancer Rad51 ovary serous adenocarcinoma Brca1 , Brca2 pancreatic cancer Atm , Brca1 , Brca2 , Rad51 , Rad54l , Xrcc2 , Xrcc3 pancreatic carcinoma Atm , Brca1 , Brca2 , Nbn , Pold1 , Rbbp8 pancreatic endocrine carcinoma Brca2 papillary thyroid carcinoma Atm parathyroid carcinoma Exo1 Parkinson's disease Atm Parkinsonism Mre11 peripheral T-cell lymphoma Atm peritoneum cancer Brca1 periventricular nodular heterotopia Brca1 peroxisome biogenesis disorder 3A Rad51d pleomorphic xanthoastrocytoma Pold2 , Sem1 Pneumococcal Meningitis Atm polycythemia vera Atm polydactyly Brca2 Potocki-Lupski syndrome Top3a pre-malignant neoplasm Atm Premature Aging Brca1 premature menopause Rad50 , Rad51c Prenatal Exposure Delayed Effects Atm primary cutaneous T-cell non-Hodgkin lymphoma Atm primary ovarian insufficiency Mre11 , Nbn , Rad50 , Rad51c , Rad54l primary ovarian insufficiency 16 Brca2 primary ovarian insufficiency 17 Xrcc2 prostate cancer Atm , Brca1 , Brca2 , Nbn , Rad50 prostate carcinoma in situ Atm prostate small cell carcinoma Brca2 Prostatic Neoplasms Atm , Brca1 , Brca2 , Mre11 , Nbn Pseudovaginal Perineoscrotal Hypospadias Brca1 pulmonary emphysema Mus81 Pulmonary Fibrosis and/or Bone Marrow Failure Syndrome, Telomere-Related, 6 Rpa1 punctate palmoplantar keratoderma type II Brca1 Radiation Pneumonitis Atm RASopathy Ssbp1 rectum cancer Mre11 , Nbn Recurrent Infections, with Encephalopathy, Hepatic Dysfunction, and Cardiovascular Malformations Mus81 , Pold4 renal cell carcinoma Atm Renal Cell Carcinoma 1 Atm Retroviridae Infections Atm rhabdomyosarcoma Brca1 , Brca2 Rhabdoviridae Infections Atm salivary gland carcinoma Rad52 schizophrenia Top3b sclerocornea Rad54l Seckel syndrome Rbbp8 Seckel syndrome 2 Rbbp8 Sengers syndrome Ssbp1 senile cataract Atm sensorineural hearing loss Top3a Sepsis Atm SHORT STATURE, MICROCEPHALY, AND ENDOCRINE DYSFUNCTION Xrcc2 skin disease Ssbp1 skin melanoma Brca2 Skin Neoplasms Xrcc3 spermatogenic failure 50 Xrcc2 Spinal Cord Injuries Atm , Brca2 squamous cell carcinoma Atm , Rad52 , Sem1 squamous cell neoplasm Brca2 status epilepticus Atm stomach cancer Atm , Brca1 , Brca2 , Nbn , Rad51c , Rad51d stomach carcinoma Brca1 , Mre11 Stomach Neoplasms Atm , Xrcc3 stomatitis Nbn Streptococcus pneumonia Atm substance-related disorder Rad51b T-cell acute lymphoblastic leukemia Nbn T-cell prolymphocytic leukemia Atm thoracic aortic aneurysm Mus81 thyroid cancer Atm Tracheoesophageal Fistula Brca2 transitional cell carcinoma Rad50 trichodontoosseous syndrome Eme1 Triple Negative Breast Neoplasms Mre11 , Rad51 urinary bladder cancer Atm , Brca1 , Brca2 , Mre11 Urinary Bladder Neoplasm Atm , Brca1 , Brca2 uterine corpus cancer Atm , Brca1 , Brca2 , Rad51c uveal melanoma Brca2 Ventricular Dysfunction, Left Atm X-linked cardiac valvular dysplasia Atm