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Germline mutations in the PALB2 gene are population specific and occur with low frequencies in familial breast cancer
Authors:Hellebrand Heide  Sutter Christian  Honisch Ellen  Gross Eva  Wappenschmidt Barbara  Schem Christian  Deissler Helmut  Ditsch Nina  Gress Verena  Kiechle Marion  Bartram Claus R  Schmutzler Rita K  Niederacher Dieter  Arnold Norbert  Meindl Alfons
Affiliation:1. Clinic of Gynaecology and Obstetrics, Division of Tumor Genetics, Technische Universit?t München, Munich, Germany;2. Institute of Human Genetics, University of Heidelberg, Germany;3. Department of Obstetrics and Gynaecology, Heinrich Heine Universit?t, Düsseldorf, Germany;4. Department of Obstetrics and Gynaecology, Division of Molecular Gynaeco‐Oncology, University of Cologne, Germany;5. UKSH Campus Kiel, Department of Obstetrics and Gynaecology, University of Kiel, Germany;6. Department of Obstetrics and Gynaecology, University of Ulm, Germany;7. Department of Obstetrics and Gynaecology, Ludwig‐Maximilians‐Universit?t München, Munich, Germany
Abstract:The Partner and Localizer of BRCA2 (PALB2) protein has been linked to Fanconi anemia and breast cancer predisposition. Here we present data of a comprehensive mutation screening of the PALB2 gene in 818 familial cases of breast cancer from Germany. By analyzing the entire coding region of PALB2, we found seven truncating mutations (six of them novel) in families tested negative for BRCA1/2-mutations. In addition, two novel potentially disease causing missense mutations were found. Remarkably, only one mutation reported previously in other populations, was also identified in the German population. No PALB2 mutation carriers were identified in 450 unaffected controls. Thus, our observations indicate a low prevalence of deleterious PALB2 mutations and a specific mutation profile within the German population. As PALB2-deficient tumors were shown to be sensitive to Poly(ADP-ribose) Polymerase (PARP) inhibitors, our study has implications for newly developed, favorable treatment options in familial breast cancer.
Keywords:Breast cancer  DNA repair  PALB2  Population Genetics
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