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| Gene | PALB2 |
| Variant | S417Y |
| Impact List | missense |
| Protein Effect | no effect - predicted |
| Gene Variant Descriptions | PALB2 S417Y lies within the DNA-binding and chromatin-association motif regions of the Palb2 protein (UniProt.org). S417Y results in reduced chromatin interaction compared to wild-type Palb2 (PMID: 29387807, PMID: 32041954), however, demonstrates Rad51 foci formation and cell survival in response to genotoxic stress similar to wild-type in cultured cells (PMID: 29387807), and does not demonstrate reduced homology-directed DNA repair activity compared to wild-type in cultured cells lacking Tp53 (PMID: 31636395, PMID: 31757951), and therefore, is predicted to have no effect on Palb2 protein function. |
| Associated Drug Resistance | |
| Category Variants Paths |
PALB2 mutant PALB2 S417Y |
| Transcript | NM_024675.4 |
| gDNA | chr16:g.23635296G>T |
| cDNA | c.1250C>A |
| Protein | p.S417Y |
| Source Database | RefSeq |
| Genome Build | GRCh38/hg38 |
| Transcript | gDNA | cDNA | Protein | Source Database | Genome Build |
|---|---|---|---|---|---|
| XM_017023671 | chr16:g.23635302_23635303delCTinsTA | c.1249_1250delAGinsTA | p.S417Y | RefSeq | GRCh38/hg38 |
| XM_017023672.2 | chr16:g.23635296G>T | c.1250C>A | p.S417Y | RefSeq | GRCh38/hg38 |
| NM_001407298.1 | chr16:g.23635296G>T | c.1250C>A | p.S417Y | RefSeq | GRCh38/hg38 |
| NM_024675.4 | chr16:g.23635296G>T | c.1250C>A | p.S417Y | RefSeq | GRCh38/hg38 |
| XM_017023673.2 | chr16:g.23635296G>T | c.1250C>A | p.S417Y | RefSeq | GRCh38/hg38 |
| XM_017023671.1 | chr16:g.23635302_23635303delAGinsTA | c.1249_1250delAGinsTA | p.S417Y | RefSeq | GRCh38/hg38 |
| NM_001407300.1 | chr16:g.23635296G>T | c.1250C>A | p.S417Y | RefSeq | GRCh38/hg38 |
| XM_011545947 | chr16:g.23635302_23635303delCTinsTA | c.1249_1250delAGinsTA | p.S417Y | RefSeq | GRCh38/hg38 |
| XM_017023673 | chr16:g.23635296G>T | c.1250C>A | p.S417Y | RefSeq | GRCh38/hg38 |
| XM_017023672 | chr16:g.23635296G>T | c.1250C>A | p.S417Y | RefSeq | GRCh38/hg38 |
| XM_011545947.2 | chr16:g.23635302_23635303delAGinsTA | c.1249_1250delAGinsTA | p.S417Y | RefSeq | GRCh38/hg38 |
| NM_001407299.1 | chr16:g.23635296G>T | c.1250C>A | p.S417Y | RefSeq | GRCh38/hg38 |
| XM_011545946.2 | chr16:g.23635302_23635303delAGinsTA | c.1249_1250delAGinsTA | p.S417Y | RefSeq | GRCh38/hg38 |
| NM_024675 | chr16:g.23635296G>T | c.1250C>A | p.S417Y | RefSeq | GRCh38/hg38 |
| NM_001407302.1 | chr16:g.23635296G>T | c.1250C>A | p.S417Y | RefSeq | GRCh38/hg38 |
| NM_001407301.1 | chr16:g.23635296G>T | c.1250C>A | p.S417Y | RefSeq | GRCh38/hg38 |
| NM_024675.3 | chr16:g.23635296G>T | c.1250C>A | p.S417Y | RefSeq | GRCh38/hg38 |
| NM_001407297.1 | chr16:g.23635296G>T | c.1250C>A | p.S417Y | RefSeq | GRCh38/hg38 |
| XM_011545946 | chr16:g.23635302_23635303delCTinsTA | c.1249_1250delAGinsTA | p.S417Y | RefSeq | GRCh38/hg38 |
| Molecular Profile | Indication/Tumor Type | Response Type | Therapy Name | Approval Status | Evidence Type | Efficacy Evidence | References |
|---|---|---|---|---|---|---|---|
| PALB2 mutant | prostate cancer | not applicable | N/A | Guideline | Risk Factor | Germline PALB2 mutations are associated with increased risk of developing prostate cancer (NCCN.org). | detail... |
| PALB2 mutant | pancreatic cancer | predicted - sensitive | Talazoparib | Case Reports/Case Series | Actionable | In a Phase I trial, Talzenna (talazoparib) treatment resulted in an objective response rate of 20.0% (2/10, 2 partial responses) and a clinical benefit rate of 30.0% in patients with pancreatic cancer, including a partial response in one patient harboring a PALB2 mutation (PMID: 28242752; NCT01286987). | 28242752 |
| PALB2 mutant | pancreatic adenocarcinoma | sensitive | Rucaparib | Guideline | Actionable | Rubraca (rucaparib) is included in guidelines as maintenance therapy following prior platinum-based therapy for patients with metastatic pancreatic adenocarcinoma harboring germline or somatic PALB2 mutations (NCCN.org). | detail... |
| PALB2 mutant | pancreatic adenocarcinoma | sensitive | Cisplatin + Gemcitabine | Guideline | Actionable | Platinol (cisplatin) in combination with Gemzar (gemcitabine) is included in guidelines as a preferred neoadjuvant therapy for pancreatic adenocarcinoma patients harboring PALB2 mutations with resectable/borderline resectable disease, as a preferred first-line therapy in patients with locally advanced or metastatic disease with good performance status (ECOG 0 -1), and as subsequent therapy for patients with locally advanced, metastatic, or recurrent diseases (NCCN.org). | detail... |
| PALB2 mutant | ovarian cancer | not applicable | N/A | Guideline | Risk Factor | Germline PALB2 mutations are associated with increased risk of developing ovarian cancer (NCCN.org). | detail... |
| PALB2 mutant | pancreatic adenocarcinoma | sensitive | Fluorouracil + Irinotecan + Leucovorin + Oxaliplatin | Guideline | Actionable | FOLFIRINOX is included in guidelines as a preferred neoadjuvant therapy for pancreatic adenocarcinoma patients harboring PALB2 mutations with resectable/borderline resectable disease and as a preferred first-line therapy for patients with locally advanced or metastatic disease with good performance status (ECOG 0 -1) (NCCN.org). | detail... |
| PALB2 mutant | pancreatic cancer | not applicable | N/A | Guideline | Risk Factor | Germline PALB2 mutations are associated with increased pancreatic cancer susceptibility (NCCN.org). | detail... |
| PALB2 mutant | uveal melanoma | not applicable | N/A | Guideline | Risk Factor | Germline PALB2 mutations are associated with familial uveal melanoma and increased risk of developing uveal melanoma (NCCN.org). | detail... |
| PALB2 mutant | breast cancer | not applicable | N/A | Guideline | Risk Factor | Germline PALB2 mutations are associated with increased risk of developing breast cancer (NCCN.org). | detail... |