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Exomic Sequencing Identifies PALB2 as a Pancreatic Cancer Susceptibility Gene
Open accessAbstract
Through complete sequencing of the protein-coding genes in a patient with familial pancreatic cancer, we identified a germline, truncating mutation in PALB2 that appeared responsible for this patient's predisposition to the disease. Analysis of 96 additional patients with familial pancreatic cancer revealed three distinct protein-truncating mutations, thereby validating the role of PALB2 as a susceptibility gene for pancreatic cancer. PALB2 mutations have been previously reported in patients with familial breast cancer, and the PALB2 protein is a binding partner for BRCA2. These results illustrate that complete, unbiased sequencing of protein-coding genes can lead to the identification of a gene responsible for a hereditary disease.
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“Pancreatic surveillance is recommended for carriers of germline deleterious variants in cancer susceptibility gene,22–26: BRCA2, ATM, BRCA1, PALB2, CDKN2A, STK11, MLH1 and MSH2.”
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“The next-generation sequencing (NGS) technique can identify a series of somatic mutations, such as fusions (ALK, NRG1, NTRK, and ROS1), mutations (BRAF, BRCA1/2, HER2, KRAS, and PALB2 [24]), and mismatch repair (MMR) genes (MLH1, MSH2, MSH6, and PMS2 [25]) in patients.”
BackgroundInfluentialGermline mutations in a DNA repair pathway are associated with familial colorectal cancer
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“Through complete exomic genome sequencing in a patient with familial pancreatic cancer, a germline, truncating mutation in PALB2, a partner and localizer of BRCA2 to DNA, was found to be responsible for this patient’s predisposition to the disease (Jones et al. 2009).”
BackgroundAdvances in Hereditary Colorectal and Pancreatic Cancers
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“For example, the combined FOLFIRINOX regimen increases survival in patients with molecular alterations in BRAC1, BRAC2 or PALB2, present in the unstable subtype of the Waddell et al. classification [12].”
BackgroundInfluentialModels of pancreatic ductal adenocarcinoma
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Impact of the next generation DNA sequencers.
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“PALB2 should be included in the screening process, because in theory tumors mutated in PALB2 will be sensitive to a targeted therapeutic strategy.”
BackgroundInfluentialGenetic Epidemiology of Cigarette Smoke–Induced Lung Disease
Schwartz, A. G. (2012) · Proceedings of the American Thoracic Society · doi:10.1513/pats.201106-037ms · Cited by 15
“The most powerful way to conduct these studies is by enriching the sample for extreme phenotypes, such as individuals with a family history (80), as has been done successfully for other familial cancers, such as hereditary pancreatic (81) and breast (82) cancers.”
BackgroundThe c.657del5 variant in the NBN gene predisposes to pancreatic cancer
Borecká, M., Zemánková, P., Lhota, F., Soukupová, J., Kleiblová, P., Vočka, M., Souček, P., Tichá, I., Kleibl, Z., & Janatová, M. (2016) · Gene · doi:10.1016/j.gene.2016.04.056 · Cited by 15
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“While the genetic mutations responsible for the majority of the clustering of pancreatic cancer in families have yet to be identified, several pancreatic cancer genes have been established, including both high-penetrance genes such as BRCA2 [57], STK11 [58], p16/CDKN2 [59] and PALB2 [60] and low-penetrance genes such…”
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“…CHEK2, BARD1, BRCA1, and BRCA2 [57], the DNA mismatch repair (MMR) genes MLH1, MSH2, MSH6, and PMS2 [58], and CDKN2A, NBN, SMAD4, ATM [59], PALB2 [60] STK11 [61], TP53, and MUTYH/MYH [62] are some of the genes associated with PC. Based on genomic analysis, KRAS, CHEK2, BARD1, BRCA1, and BRCA2…”
BackgroundResearch and clinical applications of cancer genome sequencing
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“Recently the PALB2 gene, partner and localizer of breast cancer 2 gene, was identified as a FPC susceptibility gene by sequencing of all protein-coding genes in a single FPC patient and their cancer [99].”
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“This selection appears to preferentially act upon gross rearrangements, for wholeexomic and whole-genomic sequencing of human cancers (including ours) [19] has not found sub-exonic subtle mutations of this gene such as missense or nonsense mutations.”
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Self-citationRs488087 single nucleotide polymorphism as predictive risk factor for pancreatic cancers
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“Individuals that belong to families in which two”
BackgroundMeta‐analysis of breast cancer risk for individuals with PALB2 pathogenic variants
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“[1] [2] We present the case of a newborn child with an intraductal papillary”
BackgroundSelf-citationEmerging frontiers in pancreatic cancer research
Kumar‐Sinha, C., Wei, I. H., & Simeone, D. M. (2012) · Current Opinion in Gastroenterology · doi:10.1097/mog.0b013e3283567f69 · Cited by 14
“Through exome sequencing of familial pancreatic cancer patients, a truncating mutation in the BRCA2-interacting protein, PALB2 (partner and localizer of BRCA2), was identified as a pancreatic cancer susceptibility gene [10].”
BackgroundScreening of Patients at Risk for Familial Pancreatic Cancer
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“1% (4 out of 96) of patients with familial pancreatic cancer.(27) In a subsequent European study, PALB2 mutations were identified in 3.”
BackgroundAdaniel, C., Salinas, F., Donaire, J. M., Bravo, M. E., Peralta, O., Paredes, H. R., Nuvia Aliaga, M., Sola, A., Neira, P., Behnke, C., et al. (2019) · Journal of Global Oncology · doi:10.1200/jgo.18.00163 · Cited by 13
Biomarkers for personalized medicine in GI cancers
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“Studies have shown that familial pancreatic cancer may be closely associated with mutations in the PALB2 gene with a prevalence of approximately 3% (Jones et al., 2009; Slater et al., 2010).”
Opportunities for translation: Targeting DNA repair pathways in pancreatic cancer
Maginn, E. N., de Sousa, C. H., Wasan, H. S., & Stronach, E. A. (2014) · Biochimica et Biophysica Acta (BBA) - Reviews on Cancer · doi:10.1016/j.bbcan.2014.04.002 · Cited by 14
DNA Repair and Chromosomal Translocations
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Epidemiology of Pancreatic Cancer
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Mutational spectrum of DNA damage and mismatch repair genes in prostate cancer
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“, 2007), although heterozygous LoF mutations have been associated with hereditary breast cancer and pancreatic cancer (Jones et al., 2009; Antoniou et al., 2014).”
Identification and analysis of pancreatic intraepithelial neoplasia: opportunities and challenges
Pian, L.-L., Song, M.-H., Wang, T., Qi, L., Peng, T.-L., & Xie, K.-P. (2025) · Frontiers in Endocrinology · doi:10.3389/fendo.2024.1401829 · Cited by 15
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A New Frontier in Personalized Cancer Therapy: Mapping Molecular Changes
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“Recently, variants of genes functioning in the homologous recombination (HR) pathway have been considered not only in terms of surveillance, but also as they relate to treatments [41]: ATM (variant rate: 2–4%) [42,43], BRCA1 (0–7%) [44,45], BRCA2 (4–17%) [15,43,46], CHEK2 (1–6%) [47], PALB2 (1–4%) [43,48,49], and RAD5…”
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“The first large GWAS studies done for pancreatic cancer used exomic sequencing; hence, only areas of genes that were translated into proteins were examined.(36,37) The rs1800843 SNP characterized in our studywould not have been identified inwhole exome analysis because it is located within an intron.”
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Establishing a Clinic-Based Pancreatic Cancer and Periampullary Tumour Research Registry in Quebec
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“PDX models are being used for pancreatic cancer research in a series of studies (2,7,34,35), while NGS technologies contribute to the translational research of pancreatic cancer (36-38).”
MethodThe role of pancreatic and duodenal homeobox 1 as a therapeutic target in pancreatic cancer
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“More recently, genomic studies have identified new unanticipated pathways contributing to pancreatic cancer, including mutations in axonal guidance pathways [5], ubiquitin system components [6], Wnt signaling [7] and other common signaling pathways [8,9].”
BackgroundLack of association between the pancreatitis risk allele CEL-HYB and pancreatic cancer
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“Recently, next-generation sequencing was used to identify PALB2 as a pancreatic cancer susceptibility gene (2), and in this issue of Cancer Discovery, wholegenome and exome sequencing revealed pathogenic ATM mutations in patients with pancreatic cancer (3).”
MethodScreening for Pancreatic Cancer in High-risk Populations
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“Heterozygous PALB2mutations have also been associated with pancreatic cancer as a result of an exome sequencing study [115].”
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Metadata
- Authors
- Jones, S., Hruban, R. H., Kamiyama, M., Borges, M., Zhang, X., Parsons, D. W., Lin, J. C.-H., Palmisano, E., Brune, K., Jaffee, E. M., Iacobuzio-Donahue, C. A., Maitra, A., Parmigiani, G., Kern, S. E., Velculescu, V. E., Kinzler, K. W., Vogelstein, B., Eshleman, J. R., Goggins, M., & Klein, A. P.
- Affiliations
- Ludwig Center for Cancer Genetics and Therapeutics and Howard Hughes Medical Institute, Baltimore, MD 21231, USA.
- Howard Hughes Medical Institute (US)
- Corresponding author
- Eshleman, James R.
- Goggins, Michael
- Klein, Alison P.
- ORCID
- Venue
- Science
- Published
- 2009-04-10
- Volume
- 324
- Issue
- 5924
- Pages
- 217-217
- ISSN
- 0036-8075 (ISSN-L)
- 1095-9203
- PMC
- PMC2684332
- OpenAlex
- W2140872369
- Cited by
- 826
- References
- 10
- Citations by year
- 2026: 13 · 2025: 7 · 2024: 18 · 2023: 19 · 2022: 66 · 2021: 43 · 2020: 34 · 2019: 53 · 2018: 48 · 2017: 50 · 2016: 50 · 2015: 69 · 2014: 81 · 2013: 53 · 2012: 67
- FWCI
- 42.27
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Science (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (5r01ca121113-15)
- National Cancer Institute (R01CA-97075, CA123483, R01CA123483, R01-CA121113, R37CA043460, P50CA102701, R01CA097075, P50CA062924, R37CA057345, CA 62924)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › BRCA gene mutations in cancer
- Health Sciences › Medicine › Oncology › Pancreatic and Hepatic Oncology Research
- Health Sciences › Medicine › Pathology and Forensic Medicine › Genetic factors in colorectal cancer
- Keywords
- PALB2, pancreatic cancer, hereditary cancer predisposition, germline mutations, truncating mutations, familial pancreatic cancer, BRCA2, exome sequencing
- MeSH terms
- Fanconi Anemia Complementation Group N Protein, Breast Neoplasms, Female, Humans, Male, Nuclear Proteins, Pancreatic Neoplasms, Pedigree, Sequence Deletion, Sequence Analysis, DNA, Germ-Line Mutation, Codon, Terminator, Genetic Predisposition to Disease, Tumor Suppressor Proteins
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