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2016 ; 35
(29
): 3796-806
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Heterozygous PALB2 c 1592delT mutation channels DNA double-strand break repair
into error-prone pathways in breast cancer patients
#MMPMID26640152
Obermeier K
; Sachsenweger J
; Friedl TW
; Pospiech H
; Winqvist R
; Wiesmüller L
Oncogene
2016[Jul]; 35
(29
): 3796-806
PMID26640152
show ga
Hereditary heterozygous mutations in a variety of DNA double-strand break (DSB)
repair genes have been associated with increased breast cancer risk. In the
Finnish population, PALB2 (partner and localizer of BRCA2) represents a major
susceptibility gene for female breast cancer, and so far, only one mutation has
been described, c.1592delT, which leads to a sixfold increased disease risk.
PALB2 is thought to participate in homologous recombination (HR). However, the
effect of the Finnish founder mutation on DSB repair has not been investigated.
In the current study, we used a panel of lymphoblastoid cell lines (LCLs) derived
from seven heterozygous female PALB2 c.1592delT mutation carriers with variable
health status and six wild-type matched controls. The results of our DSB repair
analysis showed that the PALB2 mutation causes specific changes in pathway usage,
namely increases in error-prone single-strand annealing (SSA) and
microhomology-mediated end-joining (MMEJ) compared with wild-type LCLs. These
data indicated haploinsufficiency regarding the suppression of error-prone DSB
repair in PALB2 mutation carriers. To the contrary, neither reduced HR
activities, nor impaired RAD51 filament assembly, nor sensitization to PARP
inhibition were consistently observed. Expression of truncated mutant versus
wild-type PALB2 verified a causal role of PALB2 c.1592delT in the shift to
error-prone repair. Discrimination between healthy and malignancy-presenting
PALB2 mutation carriers revealed a pathway shift particularly in the breast
cancer patients, suggesting interaction of PALB2 c.1592delT with additional
genomic lesions. Interestingly, the studied PALB2 mutation was associated with
53BP1 accumulation in the healthy mutation carriers but not the patients, and
53BP1 was limiting for error-prone MMEJ in patients but not in healthy carriers.
Our study identified a rise in error-prone DSB repair as a potential threat to
genomic integrity in heterozygous PALB2 mutation carriers. The used phenotypic
marker system has the capacity to capture dysfunction caused by polygenic
mechanisms and therefore offers new strategies of cancer risk prediction.