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A BRCA1 Coiled-Coil Domain Variant Disrupting PALB2 Interaction Promotes the Development of Mammary Tumors and Confers a Targetable Defect in Homologous Recombination Repair

Cancer Research, vol. 81, pp. 6171–6182

Abstract

Abstract The BRCA1 tumor suppressor gene encodes a multidomain protein for which several functions have been described. These include a key role in homologous recombination repair (HRR) of DNA double-strand breaks, which is shared with two other high-risk hereditary breast cancer suppressors, BRCA2 and PALB2. Although both BRCA1 and BRCA2 interact with PALB2, BRCA1 missense variants affecting its PALB2-interacting coiled-coil domain are considered variants of uncertain clinical significance (VUS). Using genetically engineered mice, we show here that a BRCA1 coiled-coil domain VUS, Brca1 p.L1363P, disrupts the interaction with PALB2 and leads to embryonic lethality. Brca1 p.L1363P led to a similar acceleration in the development of Trp53-deficient mammary tumors as Brca1 loss, but the tumors showed distinct histopathologic features, with more stable DNA copy number profiles in Brca1 p.L1363P tumors. Nevertheless, Brca1 p.L1363P mammary tumors were HRR incompetent and responsive to cisplatin and PARP inhibition. Overall, these results provide the first direct evidence that a BRCA1 missense variant outside of the RING and BRCT domains increases the risk of breast cancer. Significance: These findings reveal the importance of a patient-derived BRCA1 coiled-coil domain sequence variant in embryonic development, mammary tumor suppression, and therapy response. See related commentary by Mishra et al., p. 6080

Authors 24

  1. The Netherlands Cancer Institute

    Affiliation as printed

    1Oncode Institute and Division of Molecular Pathology, The Netherlands Cancer Institute, Amsterdam, the Netherlands

  2. Erasmus MC · Erasmus MC Cancer Institute

    Affiliation as printed

    2Department of Molecular Genetics, Erasmus MC Cancer Institute, Erasmus University Medical Center, Rotterdam, the Netherlands

  3. Erasmus MC · Erasmus MC Cancer Institute

    Affiliation as printed

    2Department of Molecular Genetics, Erasmus MC Cancer Institute, Erasmus University Medical Center, Rotterdam, the Netherlands

  4. Erasmus MC · Erasmus MC Cancer Institute · Erasmus University Rotterdam

    Affiliation as printed

    2Department of Molecular Genetics, Erasmus MC Cancer Institute, Erasmus University Medical Center, Rotterdam, the Netherlands

    3Department of Radiology and Nuclear Medicine, Erasmus University Medical Center, Rotterdam, the Netherlands

  5. Leiden University Medical Center

    Affiliation as printed

    4Department of Human Genetics, Leiden University Medical Center, Leiden, the Netherlands

  6. The Netherlands Cancer Institute

    Affiliation as printed

    1Oncode Institute and Division of Molecular Pathology, The Netherlands Cancer Institute, Amsterdam, the Netherlands

  7. The Netherlands Cancer Institute

    Affiliation as printed

    1Oncode Institute and Division of Molecular Pathology, The Netherlands Cancer Institute, Amsterdam, the Netherlands

    5Oncode Institute and Division of Molecular Carcinogenesis, The Netherlands Cancer Institute, Amsterdam, the Netherlands

  8. The Netherlands Cancer Institute

    Affiliation as printed

    1Oncode Institute and Division of Molecular Pathology, The Netherlands Cancer Institute, Amsterdam, the Netherlands

  9. The Netherlands Cancer Institute

    Affiliation as printed

    1Oncode Institute and Division of Molecular Pathology, The Netherlands Cancer Institute, Amsterdam, the Netherlands

  10. The Netherlands Cancer Institute

    Affiliation as printed

    1Oncode Institute and Division of Molecular Pathology, The Netherlands Cancer Institute, Amsterdam, the Netherlands

  11. Erasmus MC · Erasmus MC Cancer Institute

    Affiliation as printed

    2Department of Molecular Genetics, Erasmus MC Cancer Institute, Erasmus University Medical Center, Rotterdam, the Netherlands

  12. The Netherlands Cancer Institute

    Affiliation as printed

    1Oncode Institute and Division of Molecular Pathology, The Netherlands Cancer Institute, Amsterdam, the Netherlands

  13. The Netherlands Cancer Institute

    Affiliation as printed

    6Experimental Animal Pathology, The Netherlands Cancer Institute, Amsterdam, the Netherlands

  14. The Netherlands Cancer Institute

    Affiliation as printed

    7Preclinical Intervention Unit, Mouse Clinic for Cancer and Aging (MCCA), The Netherlands Cancer Institute, Amsterdam, the Netherlands

  15. The Netherlands Cancer Institute

    Affiliation as printed

    7Preclinical Intervention Unit, Mouse Clinic for Cancer and Aging (MCCA), The Netherlands Cancer Institute, Amsterdam, the Netherlands

  16. The Netherlands Cancer Institute

    Affiliation as printed

    8Transgenic Core Facility, Mouse Clinic for Cancer and Aging (MCCA), The Netherlands Cancer Institute, Amsterdam, the Netherlands

  17. The Netherlands Cancer Institute

    Affiliation as printed

    8Transgenic Core Facility, Mouse Clinic for Cancer and Aging (MCCA), The Netherlands Cancer Institute, Amsterdam, the Netherlands

  18. Rutgers Cancer Institute

    Affiliation as printed

    9Department of Radiation Oncology, Rutgers Cancer Institute of New Jersey, New Brunswick, New Jersey

  19. Erasmus MC · Erasmus MC Cancer Institute

    Affiliation as printed

    2Department of Molecular Genetics, Erasmus MC Cancer Institute, Erasmus University Medical Center, Rotterdam, the Netherlands

  20. Erasmus MC · Erasmus MC Cancer Institute · Erasmus University Rotterdam

    Affiliation as printed

    10Department of Radiation Oncology, Department of Vascular Surgery, Erasmus University Medical Center, Rotterdam, the Netherlands

    2Department of Molecular Genetics, Erasmus MC Cancer Institute, Erasmus University Medical Center, Rotterdam, the Netherlands

  21. Leiden University Medical Center

    Affiliation as printed

    4Department of Human Genetics, Leiden University Medical Center, Leiden, the Netherlands

  22. Erasmus MC · Erasmus MC Cancer Institute

    Affiliation as printed

    2Department of Molecular Genetics, Erasmus MC Cancer Institute, Erasmus University Medical Center, Rotterdam, the Netherlands

  23. Peter Bouwman corresponding

    The Netherlands Cancer Institute

    Affiliation as printed

    1Oncode Institute and Division of Molecular Pathology, The Netherlands Cancer Institute, Amsterdam, the Netherlands

  24. Jos Jonkers corresponding

    The Netherlands Cancer Institute

    Affiliation as printed

    1Oncode Institute and Division of Molecular Pathology, The Netherlands Cancer Institute, Amsterdam, the Netherlands

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References 47