Abstract

BackgroundThe PALB2 gene encodes a protein that plays a crucial role in maintaining genomic integrity. Germline inactivating mutations in PALB2 are associated with an increased risk of breast and ovarian cancer. The prevalence and spectrum of recurrent PALB2 germline mutations in breast and ovarian cancer patients from Poland is not clearly defined.MethodsPALB2 exons were amplified from 460 BRCA1/2-mutation negative women with familial breast and/or ovarian cancer and early-onset breast cancer using AmpliSeq technology and sequenced on an Ion Torrent PGM sequencer. In addition, eight selected variants were genotyped using TaqMan assays in 807 BRCA1/2-mutation negative breast cancer patients and 1690 healthy women.ResultsTwo recurrent PALB2 mutations, c.172_175delTTGT and c.509_510delGA, were identified, along with one novel mutation, c.347insT. In total, PALB2 pathogenic mutations were detected in 7/460 (1.5%) patients. Furthermore, in breast and/or ovarian cancer patients, several single nucleotide variants (SNVs) were detected in the PALB2 coding region. In an additional group of 807 patients, eight (1%) carriers of two pathogenic mutations, c.172_175delTTGT (0.5%) and c.509_510delGA (0.5%), were identified. The c.509_510delGA mutation was not identified in healthy controls, while c.172_175delTTGT was identified in 4/1690 (0.24%) of control women.ConclusionsGermline mutations in the PALB2 gene were observed at a frequency of approximately 1.5% in Polish breast and/or ovarian cancer patients. Our study confirms two recurrent PALB2 mutations; c.172_175delGA and c.509_510delGA.

Highlights

  • The PALB2 gene encodes a protein that plays a crucial role in maintaining genomic integrity

  • The aim of the present study was to investigate the contribution of PALB2 germline mutations in a group of 460 Breast cancer 1 (BRCA1)/2-mutation negative breast and/or ovarian cancer patients and identify the optimal panel of recurrent mutations for genetic screening of PALB2

  • Patients comprised a group of 460 BRCA1/2-mutation negative breast cancer patients and included 165, 103, and 192 women with hereditary breast cancer (HBC), hereditary breast and ovarian cancer (HBOC), and early-onset breast cancer (EOBC), respectively [29]

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Summary

Introduction

The PALB2 gene encodes a protein that plays a crucial role in maintaining genomic integrity. Germline inactivating mutations in PALB2 are associated with an increased risk of breast and ovarian cancer. The prevalence and spectrum of recurrent PALB2 germline mutations in breast and ovarian cancer patients from Poland is not clearly defined. Mutations in the two main susceptibility genes, BRCA1 and BRCA2, account for 20% of hereditary breast cancer (HBC) and 30% of hereditary breast and ovarian cancer (HBOC) [3]. The PALB2 protein interacts with both BRCA1 and BRCA2 through its N-terminal coiled-coil and Cterminal WD-40 domains, respectively. These three proteins form a “BRCA complex” in which PALB2 acts as a bridge between BRCA1 and BRCA2. The “BRCA complex” is crucial for initiating homologous recombination in the DNA-damage response [6,7,8]

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