UNASSIGNED: A 52-year-old female with triple-negative breast cancer was diagnosed with a novel PALB2 LGR. An efficient and accurate methodology was applied, combining long-read sequencing and transcript analysis for the rapid characterization of the duplication.
UNASSIGNED: Duplication of exons 5 and 6 of PALB2 was validated by transcript analysis. Long-read sequencing enabled the localization of breakpoints within Alu elements, providing insights into the mechanism of duplication via non-allelic homologous recombination.
UNASSIGNED: Using our combined methodology, we reclassified the PALB2 duplication as a pathogenic variant. This reclassification suggests a possible causative link between this specific genetic alteration and the aggressive phenotype of the patient.
■一名52岁女性患有三阴性乳腺癌,被诊断出患有新型PALB2LGR。采用了高效准确的方法,结合长读数测序和转录本分析,以快速表征重复。
■通过转录本分析验证了PALB2外显子5和6的重复。长读取测序能够在Alu元素中定位断点,通过非等位基因同源重组提供对复制机制的见解。
■使用我们的组合方法,我们将PALB2重复重新分类为致病变异.这种重新分类表明,这种特定的遗传改变与患者的侵袭性表型之间可能存在因果关系。