A Hypomorphic PALB2 Allele Gives Rise to an Unusual Form of FA-N Associated with Lymphoid Tumour Development.

Patients with biallelic truncating mutations in PALB2 have a severe form of Fanconi anaemia (FA-N), with a predisposition for developing embryonal-type tumours in infancy. Here we describe two unusual patients from a single family, carrying biallelic PALB2 mutations, one truncating, c.1676_1677delAA...

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Main Authors: Philip J Byrd, Grant S Stewart, Anna Smith, Charlotte Eaton, Alexander J Taylor, Chloe Guy, Ieva Eringyte, Peggy Fooks, James I Last, Robert Horsley, Antony W Oliver, Dragana Janic, Lidija Dokmanovic, Tatjana Stankovic, A Malcolm R Taylor
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2016-03-01
Series:PLoS Genetics
Online Access:https://doi.org/10.1371/journal.pgen.1005945
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author Philip J Byrd
Grant S Stewart
Anna Smith
Charlotte Eaton
Alexander J Taylor
Chloe Guy
Ieva Eringyte
Peggy Fooks
James I Last
Robert Horsley
Antony W Oliver
Dragana Janic
Lidija Dokmanovic
Tatjana Stankovic
A Malcolm R Taylor
author_facet Philip J Byrd
Grant S Stewart
Anna Smith
Charlotte Eaton
Alexander J Taylor
Chloe Guy
Ieva Eringyte
Peggy Fooks
James I Last
Robert Horsley
Antony W Oliver
Dragana Janic
Lidija Dokmanovic
Tatjana Stankovic
A Malcolm R Taylor
author_sort Philip J Byrd
collection DOAJ
description Patients with biallelic truncating mutations in PALB2 have a severe form of Fanconi anaemia (FA-N), with a predisposition for developing embryonal-type tumours in infancy. Here we describe two unusual patients from a single family, carrying biallelic PALB2 mutations, one truncating, c.1676_1677delAAinsG;(p.Gln559ArgfsTer2), and the second, c.2586+1G>A; p.Thr839_Lys862del resulting in an in frame skip of exon 6 (24 amino acids). Strikingly, the affected individuals did not exhibit the severe developmental defects typical of FA-N patients and initially presented with B cell non-Hodgkin lymphoma. The expressed p.Thr839_Lys862del mutant PALB2 protein retained the ability to interact with BRCA2, previously unreported in FA-N patients. There was also a large increased chromosomal radiosensitivity following irradiation in G2 and increased sensitivity to mitomycin C. Although patient cells were unable to form Rad51 foci following exposure to either DNA damaging agent, U2OS cells, in which the mutant PALB2 with in frame skip of exon 6 was induced, did show recruitment of Rad51 to foci following damage. We conclude that a very mild form of FA-N exists arising from a hypomorphic PALB2 allele.
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spelling doaj-art-4ca4cfd430634bbbb739e182954dea882025-08-20T03:10:08ZengPublic Library of Science (PLoS)PLoS Genetics1553-73901553-74042016-03-01123e100594510.1371/journal.pgen.1005945A Hypomorphic PALB2 Allele Gives Rise to an Unusual Form of FA-N Associated with Lymphoid Tumour Development.Philip J ByrdGrant S StewartAnna SmithCharlotte EatonAlexander J TaylorChloe GuyIeva EringytePeggy FooksJames I LastRobert HorsleyAntony W OliverDragana JanicLidija DokmanovicTatjana StankovicA Malcolm R TaylorPatients with biallelic truncating mutations in PALB2 have a severe form of Fanconi anaemia (FA-N), with a predisposition for developing embryonal-type tumours in infancy. Here we describe two unusual patients from a single family, carrying biallelic PALB2 mutations, one truncating, c.1676_1677delAAinsG;(p.Gln559ArgfsTer2), and the second, c.2586+1G>A; p.Thr839_Lys862del resulting in an in frame skip of exon 6 (24 amino acids). Strikingly, the affected individuals did not exhibit the severe developmental defects typical of FA-N patients and initially presented with B cell non-Hodgkin lymphoma. The expressed p.Thr839_Lys862del mutant PALB2 protein retained the ability to interact with BRCA2, previously unreported in FA-N patients. There was also a large increased chromosomal radiosensitivity following irradiation in G2 and increased sensitivity to mitomycin C. Although patient cells were unable to form Rad51 foci following exposure to either DNA damaging agent, U2OS cells, in which the mutant PALB2 with in frame skip of exon 6 was induced, did show recruitment of Rad51 to foci following damage. We conclude that a very mild form of FA-N exists arising from a hypomorphic PALB2 allele.https://doi.org/10.1371/journal.pgen.1005945
spellingShingle Philip J Byrd
Grant S Stewart
Anna Smith
Charlotte Eaton
Alexander J Taylor
Chloe Guy
Ieva Eringyte
Peggy Fooks
James I Last
Robert Horsley
Antony W Oliver
Dragana Janic
Lidija Dokmanovic
Tatjana Stankovic
A Malcolm R Taylor
A Hypomorphic PALB2 Allele Gives Rise to an Unusual Form of FA-N Associated with Lymphoid Tumour Development.
PLoS Genetics
title A Hypomorphic PALB2 Allele Gives Rise to an Unusual Form of FA-N Associated with Lymphoid Tumour Development.
title_full A Hypomorphic PALB2 Allele Gives Rise to an Unusual Form of FA-N Associated with Lymphoid Tumour Development.
title_fullStr A Hypomorphic PALB2 Allele Gives Rise to an Unusual Form of FA-N Associated with Lymphoid Tumour Development.
title_full_unstemmed A Hypomorphic PALB2 Allele Gives Rise to an Unusual Form of FA-N Associated with Lymphoid Tumour Development.
title_short A Hypomorphic PALB2 Allele Gives Rise to an Unusual Form of FA-N Associated with Lymphoid Tumour Development.
title_sort hypomorphic palb2 allele gives rise to an unusual form of fa n associated with lymphoid tumour development
url https://doi.org/10.1371/journal.pgen.1005945
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