Sunday, November 6, 2022

Palb2 : Ashley’s Details info vs. Czech/Slovak Study



Palb2 Ashley with POG vs Czech/Slovak Study 


Ashley’s PALB2 from POG at BC Cancer Agency - Vancouver, BC


https://open.library.ubc.ca/media/download/pdf/24/1.0394119/4


https://www.nature.com/articles/s41436-020-0880-8.pdf


Ashley is Case 13 in links above. Top PDF doc pages 96, 103, 200


NM_024675.3(PALB2):c.2835- 282_3113+1377del

   PALB2 exons 9-10 pathogenic deletion (PVS1, PM2)

  moderate-penetrance breast cancer susceptibility

deletion of 3423 bp


16p12: 23,631,306 - 23,634,733 (DELLY)

16p12: 23,631,313 - 23,634,736 (Manta)



Potential: 16: 23621352-23623140 (GRCh38) GRCh38 UCSC 

16: 23632673-23634461 (GRCh37) GRCh37 UCSC


Mentioned from Invitae: 


https://www.ncbi.nlm.nih.gov/clinvar/variation/417514/?new_evidence=false#id_first


https://www.ncbi.nlm.nih.gov/clinvar/variation/652951/?new_evidence=false#id_first


December 8, 2021 

 

Dear Brian Shirts,

Further to the email I just sent that is below… 


This is what Color sent me when I asked in 2020 for ClinVar info… documented in 2016 submitted by Invitae:


https://www.ncbi.nlm.nih.gov/clinvar/variation/417514/?new_evidence=false#id_first


And then the one you shared on my Connect my Variant page which was input onto ClinVar in Feb 2020 as a case through Invitae: 


https://www.ncbi.nlm.nih.gov/clinvar/variation/652951/?new_evidence=false#id_first


I find it interesting that the base points affected are so much smaller when mine and the Prague journal documents it so much larger at 3423 and 3424bp. 


So why the heck would Invitae document this but not Color? It drives me nuts that my variant is not on there. 


Ash 

(Note: Ashley matched the Slovak but the ones listed below could be variants of this original mutation to others from what is listed above. Brian regards below and confirms the Prage/Czech version matches with Ashley/me) 


Hi Ashley,


Thanks for sending this. I will update the ConnectMyVariant page with the breakpoints. 

It took me a little digging, but as far as I can tell these are the same thing. It looks to me like the reason the breakpoints are listed different is that the Czech/Slovak paper lists a C>G change 2 bp after the deletion. I bet that the people working on your deletion included that base pair in the deletion. Usually one assumes that two changes so close together are part of the same large deletion and lists it as one event. There are alternative ways to list this, such as an indel with 3428 bp deleted and one or two inserted. Sometimes the sequence is not entirely clear due to read mapping issues, so researchers do the best that they can. So, I can’t with absolute certainty that these are the same thing without seeing the sequences from both papers, but all things considered it really looks like the same deletion with different people annotating it differently.

The interview went well. I will let you know when they tell me it is coming out. Thanks for the permission to tell your story. I think that it is a compelling story. Hopefully it will help us find your relatives and motivate others to follow your example in advocating for cancer prevention. I’ll continue to share your story in hopes that someone with your variant will come out of the woodwork.

Best regards,

Brian





VS





Czech/Slovak Study: 

https://databases.lovd.nl/shared/variants/0000080196#00015623 

c.2835-281_3113+1374del 

With help from Marc Tischkowitz 

Listed by three family in total. This is one.


https://cebp.aacrjournals.org/content/22/12/2323


p.A946_W1038del

A deletion comprising exons 9–10 (Fig. 2B) was identified in an HBC family (#1507) with three cases of breast cancer. With PCR primers located in introns 7 and 11 (Supplementary Table S1), an extra fragment of 6779 bp was amplified from the patient’s DNA but not from control DNA. The sequencing of this PCR product dem- onstrated a deletion of 3424 bp and a substitution of C to G at position the g.26372 of intron 10 (g.22947_26370del3424, 26372C>G). Breakpoints were located in a sequence containing 16 identical nucleotides within AluSx3 and AluSz6 repeats in intron 8 and 10, respectively. Although the deletion of exons 9–10 maintains the PALB2 reading frame, an elimination of the gene region coding for 93 amino acids (p.A946_W1038del) that interfere with WD- 40 domains essential for BRCA2 binding (residues 850– 1186; ref. 49) may be considered pathogenic. 



––––

CLICK Images for screenshots from Czech as well as POG/UBC of Ashley’s mutation from links listed above:










CLICK images From Czech/Slovak Study:








Palb2 : Ashley’s Original Exon 9 & 10 + More



 

IN APRIL 2018 Ashley found out she is PALB2+:  PALB2 hereditary genetic mutation exon 9 and 10 deleted. Through BC Cancer agency and Color dot com. Then cleaned further. Her Dad has it and it’s found in Prague with three related women as well. 99.9% related. Couldn’t find them. 


Brian Shirts updated and Confirmed. 


PALB2 exon 9 and 10 deleted + 

PALB2 c.2835-282_3113+1377del

Gene:     PALB2

Coding Change (c.) 

c.2835-282_3113+1377del


Protein Change (p.) 

p.Ala946_Trp1038del


ClinVar Name 

NC_000016.10:g.(?_23621352)_(23623140_?) del 


ClinVar Number 

652951


Variant Forum 

https://messageboard.facingourrisk.org/t/palb2-exon-9-10-del-r-2835-3113del-p-ala946-trp1038del/4626


Notes 

There is Czech/Slovak paper where the same mutation is listed with three women from the same family all DX with breast cancer, Granda, Mother, Grand-daughter.



Other Names

Exon 9-10 Deletion 


_____

Email: to confirm from website above

Brian Shirts, MD, PhD
Associate Professor, Department of Laboratory Medicine and Pathology
University of Washington
shirtsb@uw.edu


PALB2 c.2835-282_3113+1377del 


––––



OLD -October 2021 

coding change (c.)
c.2835-?_3113+?del
protein change (p.)
p.Ala946_Trp1038del
ClinVar Name
NC_000016.10:g.(?_23621352)_(23623140_?)del
ClinVarID
652951
Genomic Coordinates
16:?_23632673-23634461_? (GRCh37)                                                                                                                
Forum Url
https://messageboard.facingourrisk.org/t/palb2-exon-9-10-del-r-2835-3113del-p-ala946-trp1038del/4626    
Notes
There is Czech/Slovak paper where the same mutation is listed with three women from the same family all DX with breast cancer, Grandma, Mother, Grand-daughter.