PALB2

gene
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Also known as FLJ21816FANCN

Summary

PALB2 (partner and localizer of BRCA2, HGNC:26144) is a protein-coding gene on chromosome 16p12.2, encoding Partner and localizer of BRCA2 (Q86YC2). Plays a critical role in homologous recombination repair (HRR) through its ability to recruit BRCA2 and RAD51 to DNA breaks. In precision oncology, PALB2 Mutation confers sensitivity to Olaparib in Castration-resistant Prostate Carcinoma (CIViC Level A); 6 further curated variant–drug associations are listed below. It is a selective cancer dependency (DepMap: 23.9% of cell lines) and haploinsufficient (ClinGen: sufficient evidence).

This gene encodes a protein that may function in tumor suppression. This protein binds to and colocalizes with the breast cancer 2 early onset protein (BRCA2) in nuclear foci and likely permits the stable intranuclear localization and accumulation of BRCA2.

Source: NCBI Gene 79728 — RefSeq curated summary.

At a glance

  • Gene–disease (curated): Fanconi anemia complementation group N (Definitive, ClinGen) — +4 more curated relationships
  • GWAS associations: 1
  • Clinical variants (ClinVar): 6,779 total — 1116 pathogenic, 196 likely-pathogenic
  • Phenotypes (HPO): 157
  • Precision-oncology evidence (CIViC): 7 curated variant–drug associations
  • Cancer driver (intOGen): loss-of-function (tumor-suppressor-like) across 1 cancer types
  • Cancer dependency (DepMap): dependent in 23.9% of screened cell lines
  • Dosage sensitivity (ClinGen): haploinsufficiency sufficient evidence, triplosensitivity no evidence
  • MANE Select transcript: NM_024675

Identifiers

Gene identifiers

FieldValue
HGNC IDHGNC:26144
Approved symbolPALB2
Namepartner and localizer of BRCA2
Location16p12.2
Locus typegene with protein product
StatusApproved
AliasesFLJ21816, FANCN
Ensembl geneENSG00000083093
Ensembl biotypeprotein_coding
OMIM610355
Entrez79728

Gene structure

Transcript identifiers

Ensembl transcripts: 23 — 14 protein_coding, 4 nonsense_mediated_decay, 3 protein_coding_CDS_not_defined, 2 retained_intron

ENST00000261584, ENST00000561514, ENST00000565038, ENST00000566069, ENST00000568219, ENST00000697374, ENST00000697375, ENST00000697376, ENST00000697377, ENST00000697378, ENST00000697379, ENST00000697380, ENST00000697381, ENST00000697382, ENST00000697383, ENST00000697384, ENST00000713772, ENST00000713773, ENST00000713774, ENST00000853528, ENST00000916249, ENST00000916250, ENST00000970391

RefSeq mRNA: 19 — MANE Select: NM_024675 NM_001407296, NM_001407297, NM_001407298, NM_001407299, NM_001407300, NM_001407301, NM_001407302, NM_001407304, NM_001407305, NM_001407306, NM_001407307, NM_001407308, NM_001407309, NM_001407310, NM_001407311, NM_001407312, NM_001407313, NM_001407314, NM_024675

CCDS: CCDS32406, CCDS92128

Canonical transcript exons

ENST00000261584 — 13 exons

ExonStartEnd
ENSE000012620982364111023641310
ENSE000026006632362136223621478
ENSE000026214502360316523603669
ENSE000035906842360786423608012
ENSE000036600582361400423614091
ENSE000040129512362920423629275
ENSE000040129532362400923624094
ENSE000040129542362296923623130
ENSE000040129552363785023637952
ENSE000040129602362964023630469
ENSE000040129622363807023638129
ENSE000040129632362623623626397
ENSE000040129642363486223636334

Expression profiles

Bgee: expression breadth ubiquitous, 232 present calls, max score 96.73.

FANTOM5 (CAGE): breadth ubiquitous, TPM avg 11.2268 / max 120.3700, expressed in 1790 samples.

FANTOM5 promoters (1 alternative TSS)

Promoter IDTPM avgSamples expressed
15678011.22681790

Top tissues by expression

273 total, by Bgee expression score (0-100, higher = more expressed):

TissueAnatomy IDExpression scoreQuality
secondary oocyteCL:000065596.73gold quality
buccal mucosa cellCL:000233694.81gold quality
oocyteCL:000002392.48gold quality
primordial germ cell in gonadCL:0000670 ∩ UBERON:000099189.75gold quality
male germ line stem cell (sensu Vertebrata) in testisCL:0000089 ∩ UBERON:000047387.90gold quality
esophagus squamous epitheliumUBERON:000692082.91gold quality
calcaneal tendonUBERON:000370181.95gold quality
ventricular zoneUBERON:000305381.79gold quality
cortical plateUBERON:000534381.67gold quality
squamous epitheliumUBERON:000691481.50gold quality
gingival epitheliumUBERON:000194981.42gold quality
ganglionic eminenceUBERON:000402381.25gold quality
amniotic fluidUBERON:000017380.98gold quality
gingivaUBERON:000182880.67gold quality
mucosa of transverse colonUBERON:000499180.47gold quality
epithelium of esophagusUBERON:000197680.38gold quality
esophagus mucosaUBERON:000246980.23gold quality
embryoUBERON:000092279.91gold quality
palpebral conjunctivaUBERON:000181279.89gold quality
lower esophagus mucosaUBERON:003583479.70gold quality
skin of abdomenUBERON:000141679.13gold quality
right lobe of liverUBERON:000111478.86gold quality
skin of legUBERON:000151178.75gold quality
cerebellar cortexUBERON:000212978.72gold quality
cerebellar hemisphereUBERON:000224578.72gold quality
jejunal mucosaUBERON:000039978.65gold quality
monocyteCL:000057678.45gold quality
zone of skinUBERON:000001478.40gold quality
right hemisphere of cerebellumUBERON:001489078.37gold quality
esophagusUBERON:000104378.27gold quality

Single-cell (SCXA)

Detected in 1 experiment(s), a significant marker in 0.

ExperimentMarker?Max mean expression
E-ANND-3no4.80

Regulation

Is transcription factor: no

miRNA regulators (miRDB)

18 targeting PALB2, top 30 by miRDB confidence (max_score; target_count = how many genes the miRNA targets in total — lower means more specific):

miRNAMax scoreAvg scoremiRNA target_count
HSA-MIR-4776-3P100.0068.731340
HSA-MIR-56899.9869.862084
HSA-LET-7C-3P99.9573.422862
HSA-MIR-6835-3P99.9370.492904
HSA-MIR-990299.8969.152250
HSA-MIR-548E-5P99.8972.734486
HSA-MIR-1212999.7267.451311
HSA-MIR-3942-3P99.5769.032854
HSA-MIR-519D-5P99.4169.302057
HSA-MIR-5589-3P99.2968.301443
HSA-MIR-397399.2069.191990
HSA-MIR-548AS-3P99.1269.122294
HSA-MIR-3145-5P98.5767.83900
HSA-MIR-5008-5P98.4265.871019
HSA-MIR-4638-3P97.9065.75905
HSA-MIR-127-5P97.7867.64869
HSA-MIR-299-3P97.7366.67773
HSA-MIR-5586-5P96.2968.02685

Functional genomics

ClinGen dosage: haploinsufficiency 3 (sufficient evidence), triplosensitivity 0 (no evidence). ClinGen Gene Dosage Map DepMap (CRISPR cell-line fitness): dependent in 23.9% of screened cell lines.

Literature-anchored findings (GeneRIF, showing 40)

  • FLJ21816 has been identified as a major binding protein of the breast cancer susceptibility protein BRCA2 and named “PALB2”. (PMID:16793542)
  • PALB2 colocalizes with BRCA2 in nuclear foci, promotes its localization and stability in key nuclear structures (e.g., chromatin and nuclear matrix), and enables its recombinational repair and checkpoint functions (PMID:16793542)
  • The results show that PALB2 is a breast cancer susceptibility gene and further demonstrate the close relationship of the Fanconi anemia-DNA repair pathway and breast cancer predisposition. (PMID:17200668)
  • We identified pathogenic mutations in PALB2 (also known as FANCN) in seven families affected with Fanconi anemia and cancer in early childhood, demonstrating that biallelic PALB2 mutations cause a new subtype of Fanconi anemia, FA-N. (PMID:17200671)
  • we show that a defect in the BRCA2-interacting protein PALB2 is associated with Fanconi anemia in an individual with a new subtype. (PMID:17200672)
  • results indicate that PALB2 is a breast cancer susceptibility gene that, in a suitably mutant form, may also contribute to familial prostate cancer development (PMID:17287723)
  • Some PALB2 mutations are associated with a substantially increased risk for breast cancer. (PMID:17420451)
  • PALB2 can be added to the list of breast cancer susceptibility genes for which founder mutations have been identified in the French-Canadian population. (PMID:18053174)
  • Quantitative real-time reverse transcription-PCR showed PALB2 expression to be reduced 28-fold in primary breast tumor with PALB2 promoter hypermethylation compared with matched normal breast tissue RNA. (PMID:18281473)
  • Deleterious PALB2 mutations are unlikely to play a significant role in hereditary prostate cancer. (PMID:18288683)
  • We report the first example of LOH occurring in a PALB2-associated tumor. PALB2 loss of function might also conform to the inactivation model of a classic tumor-suppressor gene (PMID:18302019)
  • PALB2 germline mutations may have a role in early onset breast cancer in BRCA1/BRCA2 negative Chinese women (PMID:18446436)
  • No large genomic rearrangements were identified in PALB2 in Finnish breast and/or ovarian cancer families (PMID:18501021)
  • analysis of how the breast cancer genes ATM, BRIP1, PALB2 and CHEK2 affect risk for women with strong family histories [review] (PMID:18557994)
  • may be appropriate to offer PALB2 c.1592delT mutation testing to Finnish women with breast cancer (PMID:18628482)
  • PALB2 appears not to be a significant factor in high-risk breast cancer families in Iceland and the 1592delT mutation is not seen to be associated with breast cancer in Iceland. (PMID:18637200)
  • Our data suggest that the variants of PALB2 confer low-penetrance breast cancer susceptibility in a Chinese population. (PMID:18794107)
  • no defect in FANCD2 ubiquitination, BRCA2 and FANCJ expression; absence of FANCN protein in three cell lines: HT, Sudhl4 and JEKO-1. (PMID:19011769)
  • a germline, truncating mutation in PALB2 that appeared responsible for the patient’s predisposition to pancreatic cancer was identified; analysis of 96 patients with familial pancreatic cancer revealed 3 protein-truncating mutations in the PALB2 gene (PMID:19264984)
  • BRCA1 is an upstream regulator of BRCA2 in the DNA-damage response, and PALB2 is the linker between BRCA1 and BRCA2 in breast and ovarian cancer. (PMID:19268590)
  • deleterious mutations in PALB2 account for approximately 2% (1/48) of South African early-onset breast cancer (PMID:19333784)
  • impaired homologous recombination repair is one of the fundamental causes for genomic instability and tumorigenesis observed in patients carrying BRCA1, BRCA2, or PALB2 mutations (PMID:19369211)
  • PALB2 1592delT is associated with an aggressive breast tumor phenotype. (PMID:19383810)
  • both PALB2 chromatin association and its oligomerization serve to secure the BRCA2 x RAD51 repair machinery at the sites of DNA damage (PMID:19423707)
  • Our results suggest that large genomic deletions in BRIP1/FANCJ, PALB2/FANCN, and FANCD2 do not contribute significantly to the familial breast cancer risk in the Dutch population (PMID:19504183)
  • MRG15 is a novel PALB2-interacting factor involved in homologous recombination (PMID:19553677)
  • Show here that PALB2 physically and functionally connects BRCA1 and BRCA2 into a DNA damage response network that also includes the RAD51 recombinase. (PMID:19584259)
  • structure explains the effects of both cancer-associated truncating mutants in PALB2 and missense mutations in the amino-terminal region of BRCA2. (PMID:19609323)
  • Recruitment of fanconi anemia and breast cancer proteins to DNA damage sites is differentially governed by replication. (PMID:19748364)
  • We found no evidence to suggest that PALB2 mutation is an important breast cancer predisposition gene in an Irish breast cancer cohort (PMID:19763819)
  • a predisposing mutation in PALB2,is present in approximately 6% of French-Canadian women with early-onset breast cancer (PMID:19863560)
  • our findings further verified that some common PALB2 polymorphisms may contribute to the etiology of breast cancer in Chinese women (PMID:19921424)
  • Though any of the detected PALB2 variants do not associate to prostate cancer in population level in Finland it cannot be ruled out that some of these variants contribute to cancer susceptibility at individual level. (PMID:20003494)
  • Our study provides no evidence that germline PALB2 mutations are associated with increased risk of male breast cancer (PMID:20091115)
  • A novel germline PALB2 deletion is asociated with breast and ovarian cancer patients. (PMID:20122277)
  • Known variants of PALB2 in BRCA1/2 negative Italian male breast cancer patients did not play a major role in susceptibility. A new variant I1180T occurs in the WD40-4 conserved domain that regulates PALB2 interaction with BRCA2 and may be deleterious. (PMID:20180015)
  • No 1592delT or 229delT mutations were found in any of the study cohort. These mutations are absent or rare in Korean patients who are negative for BRCA1 and BRCA2 mutations. (PMID:20213081)
  • PALB2 mutations might contribute to hereditary pancreatic cancer in a small subset of Europeans with an additional occurrence of breast cancer. (PMID:20412113)
  • germline mutations of PALB2 do not significantly contribute to cancer risk in non-BRCA1/2 cancer families with at least one patient with ovarian cancer, male breast cancer, and/or pancreatic cancer. (PMID:20582465)
  • CHEK2, STK11, and PALB2 mutations or large genomic rearrangements of either STK11 or PALB2 are rare, and do not contribute to a substantial fraction of breast cancer susceptibility in high-risk French Canadian breast cancer families. (PMID:20722467)

Cross-species orthologs

3 orthologs

OrganismSymbolGene ID
danio_reriopalb2ENSDARG00000076716
mus_musculusPalb2ENSMUSG00000044702
rattus_norvegicusPalb2ENSRNOG00000025126

Protein

Protein identifiers

Partner and localizer of BRCA2Q86YC2 (reviewed: Q86YC2)

All UniProt accessions (12): Q86YC2, A0A8V8TKZ4, A0A8V8TLC8, A0A8V8TMC9, A0A8V8TMK8, A0AA52I2C1, A0AAQ5BGU0, A0AAQ5BGW2, A0AAQ5BGY0, H3BN63, I3L1Z5, I3L2S5

UniProt curated annotations — full annotation on UniProt →

Function. Plays a critical role in homologous recombination repair (HRR) through its ability to recruit BRCA2 and RAD51 to DNA breaks. Strongly stimulates the DNA strand-invasion activity of RAD51, stabilizes the nucleoprotein filament against a disruptive BRC3-BRC4 polypeptide and helps RAD51 to overcome the suppressive effect of replication protein A (RPA). Functionally cooperates with RAD51AP1 in promoting of D-loop formation by RAD51. Serves as the molecular scaffold in the formation of the BRCA1-PALB2-BRCA2 complex which is essential for homologous recombination. Via its WD repeats is proposed to scaffold a HR complex containing RAD51C and BRCA2 which is thought to play a role in HR-mediated DNA repair. Essential partner of BRCA2 that promotes the localization and stability of BRCA2. Also enables its recombinational repair and checkpoint functions of BRCA2. May act by promoting stable association of BRCA2 with nuclear structures, allowing BRCA2 to escape the effects of proteasome-mediated degradation. Binds DNA with high affinity for D loop, which comprises single-stranded, double-stranded and branched DNA structures. May play a role in the extension step after strand invasion at replication-dependent DNA double-strand breaks; together with BRCA2 is involved in both POLH localization at collapsed replication forks and DNA polymerization activity.

Subunit / interactions. Homooligomer; dissociated upon DNA damage thus allowing association with BRCA1. Oligomerization is essential for its focal accumulation at DNA breaks. Part of a BRCA complex containing BRCA1, BRCA2 and PALB2. Interacts with BRCA1 and this interaction is essential for its function in HRR. Interacts with RAD51AP1 and MORF4L1/MRG15. Component of the homologous recombination repair (HR) complex composed of ERCC5/XPG, BRCA2, PALB2, DSS1 and RAD51. Within the complex, interacts with ERCC5/XPG and BRCA2. Interacts with BRCA2, RAD51C, RAD51 and XRCC3; the interactions are direct and it may serve as a scaffold for a HR complex containing PALB2, BRCA2, RAD51C, RAD51 and XRCC3. Interacts with POLH; the interaction is direct.

Subcellular location. Nucleus.

Disease relevance. Breast cancer (BC) [MIM:114480] A common malignancy originating from breast epithelial tissue. Breast neoplasms can be distinguished by their histologic pattern. Invasive ductal carcinoma is by far the most common type. Breast cancer is etiologically and genetically heterogeneous. Important genetic factors have been indicated by familial occurrence and bilateral involvement. Mutations at more than one locus can be involved in different families or even in the same case. Disease susceptibility is associated with variants affecting the gene represented in this entry. Breast cancer susceptibility is strongly associated with PALB2 truncating mutations. Conversely, rare missense mutations do not strongly influence breast cancer risk. Fanconi anemia complementation group N (FANCN) [MIM:610832] A disorder affecting all bone marrow elements and resulting in anemia, leukopenia and thrombopenia. It is associated with cardiac, renal and limb malformations, dermal pigmentary changes, and a predisposition to the development of malignancies. At the cellular level it is associated with hypersensitivity to DNA-damaging agents, chromosomal instability (increased chromosome breakage) and defective DNA repair. The disease is caused by variants affecting the gene represented in this entry. Pancreatic cancer 3 (PNCA3) [MIM:613348] A malignant neoplasm of the pancreas. Tumors can arise from both the exocrine and endocrine portions of the pancreas, but 95% of them develop from the exocrine portion, including the ductal epithelium, acinar cells, connective tissue, and lymphatic tissue. Disease susceptibility is associated with variants affecting the gene represented in this entry. Breast-ovarian cancer, familial, 5 (BROVCA5) [MIM:620442] A condition associated with familial predisposition to cancer of the breast and ovaries. Characteristic features in affected families are an early age of onset of breast cancer (often before age 50), increased chance of bilateral cancers (cancer that develop in both breasts, or both ovaries, independently), frequent occurrence of breast cancer among men, increased incidence of tumors of other specific organs, such as the prostate. Disease susceptibility is associated with variants affecting the gene represented in this entry.

Domain organisation. Interaction with BRCA2 occurs through a hydrophobic pocket at the crossover between WD repeats 4 and 5. The coiled coil domain mediates self-association. The chromatin-association motif (ChAM) mediates association with chromatin, probably through nucleosome core particles, independently from binding to D loop, ssDNA or dsDNA structures.

RefSeq proteins (19): NP_001394225, NP_001394226, NP_001394227, NP_001394228, NP_001394229, NP_001394230, NP_001394231, NP_001394233, NP_001394234, NP_001394235, NP_001394236, NP_001394237, NP_001394238, NP_001394239, NP_001394240, NP_001394241, NP_001394242, NP_001394243, NP_078951* (*=MANE)

Domains & families (InterPro)

IDNameType
IPR015943WD40/YVTN_repeat-like_dom_sfHomologous_superfamily
IPR031920PALB2_WD40Domain
IPR036322WD40_repeat_dom_sfHomologous_superfamily
IPR042417PALB2Family

Pfam: PF16756

UniProt features (111 total): sequence variant 37, strand 26, region of interest 14, modified residue 8, repeat 7, mutagenesis site 6, turn 4, compositionally biased region 4, helix 3, chain 1, coiled-coil region 1

Structure

Experimental structures (PDB)

4 structures.

PDBMethodResolution (Å)
2W18X-RAY DIFFRACTION1.9
3EU7X-RAY DIFFRACTION2.2
7S4AX-RAY DIFFRACTION2.69
8YAPSOLUTION NMR

Predicted structure (AlphaFold)

ModelpLDDTFraction very-high
AF-Q86YC2-F154.070.23

Functional residue map

Curated UniProt residues grouped by drug-discovery relevance — catalytic, ligand-binding, modification, and mutation-validated positions. Source: UniProtKB sequence features.

Post-translational modifications (8): 172, 190, 285, 376, 387, 454, 660, 781

Mutagenesis-validated functional residues (6):

PositionPhenotype
14loss of interaction with brca1 but no effect on interaction with brca2.
21loss of interaction with brca1 but no effect on interaction with brca2.
28loss of interaction with brca1 but no effect on interaction with brca2.
35loss of interaction with brca1 but no effect on interaction with brca2.
42loss of interaction with brca1 but no effect on interaction with brca2.
1030unstable and promotes protein degradation; reduces interaction with rad51c and rad51.

Function

Pathways and Gene Ontology

Reactome pathways

10 pathways

IDPathway
R-HSA-5685942HDR through Homologous Recombination (HRR)
R-HSA-5693554Resolution of D-loop Structures through Synthesis-Dependent Strand Annealing (SDSA)
R-HSA-5693568Resolution of D-loop Structures through Holliday Junction Intermediates
R-HSA-5693579Homologous DNA Pairing and Strand Exchange
R-HSA-8951664Neddylation
R-HSA-9701192Defective homologous recombination repair (HRR) due to BRCA1 loss of function
R-HSA-9704331Defective HDR through Homologous Recombination Repair (HRR) due to PALB2 loss of BRCA1 binding function
R-HSA-9704646Defective HDR through Homologous Recombination Repair (HRR) due to PALB2 loss of BRCA2/RAD51/RAD51C binding function
R-HSA-9709603Impaired BRCA2 binding to PALB2
R-HSA-9755511KEAP1-NFE2L2 pathway

MSigDB gene sets: 448 (showing top): PID_FANCONI_PATHWAY, GOBP_EMBRYO_DEVELOPMENT_ENDING_IN_BIRTH_OR_EGG_HATCHING, GOBP_EPITHELIUM_DEVELOPMENT, TGCGCANK_UNKNOWN, GOBP_GROWTH, MITSIADES_RESPONSE_TO_APLIDIN_DN, GOBP_INNER_CELL_MASS_CELL_PROLIFERATION, GOBP_ANIMAL_ORGAN_MORPHOGENESIS, GOBP_IN_UTERO_EMBRYONIC_DEVELOPMENT, GOBP_ANTERIOR_POSTERIOR_PATTERN_SPECIFICATION, GOBP_SOMITOGENESIS, GOBP_MULTICELLULAR_ORGANISM_GROWTH, GOBP_BLASTOCYST_DEVELOPMENT, GOBP_SEGMENTATION, GOBP_DNA_DAMAGE_RESPONSE

GO Biological Process (14): double-strand break repair via homologous recombination (GO:0000724), somitogenesis (GO:0001756), inner cell mass cell proliferation (GO:0001833), apoptotic process (GO:0006915), mesoderm development (GO:0007498), animal organ morphogenesis (GO:0009887), multicellular organism growth (GO:0035264), post-anal tail morphogenesis (GO:0036342), negative regulation of apoptotic process (GO:0043066), embryonic organ development (GO:0048568), in utero embryonic development (GO:0001701), DNA repair (GO:0006281), DNA recombination (GO:0006310), DNA damage response (GO:0006974)

GO Molecular Function (2): DNA binding (GO:0003677), protein binding (GO:0005515)

GO Cellular Component (5): nucleus (GO:0005634), nucleoplasm (GO:0005654), nuclear speck (GO:0016607), protein-containing complex (GO:0032991), DNA repair complex (GO:1990391)

Reactome top-level categories

Rollup of top-8 pathways:

CategoryPathways
Resolution of D-Loop Structures2
Defective homologous recombination repair (HRR) due to PALB2 loss of function2
HDR through Homologous Recombination (HRR) or Single Strand Annealing (SSA)1
HDR through Homologous Recombination (HRR)1
Post-translational protein modification1
Diseases of DNA Double-Strand Break Repair1
Defective homologous recombination repair (HRR) due to BRCA2 loss of function1
Cellular response to chemical stress1

GO top-level categories

Rollup of top GO terms by namespace:

CategoryTerms
chordate embryonic development2
anatomical structure morphogenesis2
animal organ development2
DNA metabolic process2
recombinational repair1
double-strand break repair1
anterior/posterior pattern specification1
segmentation1
anatomical structure formation involved in morphogenesis1
somite development1
blastocyst growth1
cell population proliferation1
programmed cell death1
apoptotic signaling pathway1
execution phase of apoptosis1
tissue development1
multicellular organismal process1
developmental growth1
apoptotic process1
regulation of apoptotic process1
negative regulation of programmed cell death1
embryo development1
DNA damage response1
cellular response to stress1
nucleic acid binding1
binding1
intracellular membrane-bounded organelle1
nuclear lumen1
cellular anatomical structure1
nuclear ribonucleoprotein granule1
cellular_component1
catalytic complex1

Protein interactions and networks

STRING

5263 interactions, top by confidence (×1000):

Protein AProtein BPartner UniProtScore
PALB2BRCA1P38398999
PALB2BRCA2P51587999
PALB2RAD51Q06609997
PALB2RAD51CO43502996
PALB2FANCD2Q9BXW9981
PALB2BRIP1Q9BX63980
PALB2FANCIQ9NVI1973
PALB2BARD1Q99728967
PALB2KEAP1Q14145962
PALB2FANCMQ8IYD8934
PALB2CHEK2O96017919
PALB2K7EN88K7EN88897
PALB2RAD51DO75771897
PALB2RNF168Q8IYW5890
PALB2FANCCQ00597888

IntAct

129 interactions, top by confidence:

ABTypeScore
BRCA2RAD51psi-mi:“MI:0914”(association)0.980
PALB2BRCA2psi-mi:“MI:0915”(physical association)0.970
BRCA2PALB2psi-mi:“MI:0915”(physical association)0.970
PALB2BRCA2psi-mi:“MI:0914”(association)0.970
BRCA2PALB2psi-mi:“MI:0407”(direct interaction)0.970
BRCA2PALB2psi-mi:“MI:0914”(association)0.970
PALB2BRCA2psi-mi:“MI:0403”(colocalization)0.970
BRCA2PALB2psi-mi:“MI:0403”(colocalization)0.970
RAD51CRAD51Bpsi-mi:“MI:0914”(association)0.940
XRCC3RAD51Cpsi-mi:“MI:0914”(association)0.940
PALB2BRCA1psi-mi:“MI:0914”(association)0.910
PALB2BRCA1psi-mi:“MI:0915”(physical association)0.910

BioGRID (249): PALB2 (Affinity Capture-RNA), POLH (Affinity Capture-Western), PALB2 (Affinity Capture-Western), POLH (Reconstituted Complex), POLH (Co-localization), PALB2 (Affinity Capture-MS), PALB2 (Affinity Capture-MS), BRCA1 (Affinity Capture-Western), BRCA2 (Affinity Capture-Western), RAD51 (Affinity Capture-Western), MORF4L1 (Affinity Capture-Western), HIST1H3A (Affinity Capture-Western), HIST2H2BE (Affinity Capture-Western), PALB2 (Affinity Capture-Western), PALB2 (Affinity Capture-Western)

ESM2 similar proteins: A0A087WRU1, A0JNH1, A2RUB1, A6QNQ6, B0S6S9, B1WC58, D3Z987, D3ZJ47, E1BC15, O60673, P28358, P28359, P56716, P70347, Q0P5X5, Q0VAV2, Q0VBV7, Q15468, Q2M2Z5, Q3UXL4, Q3V089, Q49A88, Q569L8, Q5BQN8, Q5CZC0, Q5QGS0, Q5T1N1, Q5VWN6, Q60988, Q61493, Q62924, Q6ZP01, Q6ZU52, Q6ZVD7, Q80U59, Q80WQ8, Q86WS4, Q86YC2, Q8CB14, Q8IUR6

Diamond homologs: Q3U0P1, Q86YC2

SIGNOR signaling

6 interactions.

AEffectBMechanism
PALB2up-regulatesBRCA2binding
PALB2up-regulatesRAD51binding
PALB2up-regulatesPOLHbinding
PALB2“up-regulates activity”BRCA1binding
DNA_damage“up-regulates activity”PALB2
ATR“up-regulates activity”PALB2phosphorylation

Enriched among interaction partners

Reactome pathways and GO biological processes over-represented among this gene’s 62 IntAct physical interaction partners (hypergeometric vs the genome-wide background, BH-FDR, gene-set size 15–500, ranked by fold). A functional readout of the neighbourhood — distinct from this gene’s own memberships above, and biased toward well-studied / hub proteins, so read it as themes rather than proof.

Reactome pathways:

PathwayPartnersFoldFDR
Resolution of D-loop Structures through Synthesis-Dependent Strand Annealing (SDSA)759.9×2e-09
Impaired BRCA2 binding to PALB2659.6×3e-08
Homologous DNA Pairing and Strand Exchange757.9×2e-09
Defective homologous recombination repair (HRR) due to BRCA1 loss of function655.2×3e-08
Defective HDR through Homologous Recombination Repair (HRR) due to PALB2 loss of BRCA1 binding function655.2×3e-08
Defective HDR through Homologous Recombination Repair (HRR) due to PALB2 loss of BRCA2/RAD51/RAD51C binding function655.2×3e-08
Resolution of D-loop Structures through Holliday Junction Intermediates745.7×9e-09
HDR through Homologous Recombination (HRR)1041.4×8e-12

GO biological processes:

GO termPartnersFoldFDR
DNA recombination528.1×1e-04
double-strand break repair via homologous recombination1026.0×2e-09
double-strand break repair516.9×1e-03
DNA repair99.6×6e-05
DNA damage response87.1×1e-03

Disease & clinical

Cancer significance

From intOGen — cancer-driver classification: loss-of-function (tumor-suppressor-like) across 1 cancer types — OVT.

Clinical variants and AI predictions

ClinVar

6779 variants total. Per-class counts are floors (≥ shown; pagination cap):

ClassificationCount (floor)
Pathogenic1116
Likely pathogenic196
Uncertain significance2793
Likely benign956
Benign144

Top pathogenic / likely-pathogenic (30)

Variant IDHGVSClassification
1049345NM_024675.4(PALB2):c.3114-1_3201+2delPathogenic
1065552NM_024675.3:c.(3113+1_3114-1)_(3201+1_3202-1)dupPathogenic
1065553NM_024675.3:c.(1684+1_1685-1)_(2748+1_2749-1)dupPathogenic
1065554NM_024675.3:c.(3201+1_3202-1)_(3350+1_3351-1)dupPathogenic
1068533NM_024675.4(PALB2):c.3058C>T (p.Gln1020Ter)Pathogenic
1068558NM_024675.4(PALB2):c.887del (p.Met296fs)Pathogenic
1068690NM_024675.4(PALB2):c.1320dup (p.Lys441Ter)Pathogenic
1068800NM_024675.4(PALB2):c.2527_2548del (p.Ala842_Glu843insTer)Pathogenic
1068983NM_024675.4(PALB2):c.425del (p.Lys142fs)Pathogenic
1069151NM_024675.4(PALB2):c.173dup (p.Leu58fs)Pathogenic
1069812NC_000016.10:g.23608013delPathogenic
1070087NM_024675.4(PALB2):c.2966dup (p.Glu990fs)Pathogenic
1070435NM_024675.4(PALB2):c.1427dup (p.Thr477fs)Pathogenic
1070642NM_024675.4(PALB2):c.1342_1343insTAAAAATTTAAACCTTTCCAATGAGGAAACTGACCAAAGTGAAATTAGGATGTCTGGCACATGCACAGGACAACCAAGTTCAANNNNNNNNNAAAAAAAAAAAAAAAAAAAAAAATAAGGATGCAA (p.Ser448delinsIleLysIleTer)Pathogenic
1070669NM_024675.4(PALB2):c.2067_2068delinsTT (p.Gln690Ter)Pathogenic
1071186NC_000016.9:g.23641376_23641377insAluPathogenic
1071440NM_024675.4(PALB2):c.1065_1069del (p.Leu355fs)Pathogenic
1071480NM_024675.4(PALB2):c.24_25del (p.Leu9fs)Pathogenic
1071485NM_024675.4(PALB2):c.2630_2643dup (p.Cys882fs)Pathogenic
1071488NM_024675.4(PALB2):c.71_72insTTTTTTTTTTTTTTTTTTTTNNNNNNNNNNTAGAGATGGGGTTTCACCGTGTTAGCCAGGATGGTCTCGATCTCCTGACCTCGTGATCCACCCGCCTCGGCCTCCCAAAGTGCTGGGATTACAGGCGTGAGCCACCACGCCCGGCCGAAATTAGCATTCTT (p.Leu24delinsPhePhePhePhePhePhePheXaaXaaXaaXaaArgAspGlyValSerProCysTer)Pathogenic
1071545NM_024675.4(PALB2):c.3083_3084insGCTCTGCTTGGGTGCCGGCGAGCGCCGCCTGGGAGGCAGCGGCTGGAGGAGCGGACGGGCCCCGCGGGGCCCGAGGGCAAGGAGCAGCCGCCTGNNNNNNNNNNNNNNAAAAAAAAAAAAAAAAAAAAAAAA (p.Gly1028_Thr1029insLeuCysLeuGlyAlaGlyGluArgArgLeuGlyGlySerGlyTrpArgSerGlyArgAlaProArgGlyProArgAlaArgSerSerArgLeuXaaXaaXaaXaaXaaLysLysLysLysLysLysLysAsn)Pathogenic
1071843NM_024675.4(PALB2):c.3501_3502insTGGCCGGGCGCGGTGGCTCACGCCTGTAGTCCCAGCACTTTGGGAGGCCGAGGCGGGTGGATCATGAGGTCAGGAGATCGAGACCATCCTGGCTAACAAGGTGAAACCCCNNNNNNNNNNAAAAAAAAAAAAAAAAAAAAGAAATGGTCGGGTACA (p.Asp1168delinsTrpProGlyAlaValAlaHisAlaCysSerProSerThrLeuGlyGlyArgGlyGlyTrpIleMetArgSerGlyAspArgAspHisProGlyTer)Pathogenic
1072091NC_000016.9:g.(?23634280)(23641800_?)delPathogenic
1072092NC_000016.9:g.(?23632673)(23635425_?)delPathogenic
1072292NM_024675.4(PALB2):c.825del (p.His276fs)Pathogenic
1073140NM_024675.4(PALB2):c.1454_1458del (p.Thr485fs)Pathogenic
1073551NM_024675.4(PALB2):c.56_57insTTTTTTTTTTTTTTTTTTTTNNNNNNNNNNTAGAGATGGGGTTTCACCGTGTTAGCCAGGATGGTCTCGATCTCCTGACCTCGTGATCCACCCGCCTCGGCCTCCCAAAGTGCTGGGATTACAGGCGTGAGCCACCACGCCCGGCCGAAATTAGCATTCTT (p.Glu19delinsAspPhePhePhePhePhePheXaaXaaXaaXaaArgAspGlyValSerProCysTer)Pathogenic
1073846NC_000016.9:g.(?23614634)(23625422_?)delPathogenic
1073966NC_000016.9:g.(?23625315)(23634461_?)delPathogenic
1074035NM_024675.4(PALB2):c.1759del (p.Ala587fs)Pathogenic

SpliceAI

2014 predictions. Top by Δscore:

VariantEffectΔscore
16:23603666:GAACC:Gacceptor_loss1.0000
16:23603678:A:Cacceptor_gain1.0000
16:23614093:T:Cacceptor_gain1.0000
16:23621355:AGCTT:Adonor_loss1.0000
16:23621356:GCTTA:Gdonor_loss1.0000
16:23621357:CTTA:Cdonor_loss1.0000
16:23621358:TTA:Tdonor_loss1.0000
16:23621359:T:TGdonor_loss1.0000
16:23621360:A:ACdonor_gain1.0000
16:23621360:A:AGdonor_loss1.0000
16:23621361:C:CCdonor_gain1.0000
16:23621477:CT:Cacceptor_gain1.0000
16:23621479:C:CCacceptor_gain1.0000
16:23630114:T:Adonor_gain1.0000
16:23636335:C:CCacceptor_gain1.0000
16:23637845:TTTAC:Tdonor_loss1.0000
16:23637848:A:AGdonor_loss1.0000
16:23637849:C:Adonor_loss1.0000
16:23637949:CACG:Cacceptor_gain1.0000
16:23637950:ACG:Aacceptor_gain1.0000
16:23637951:CG:Cacceptor_gain1.0000
16:23637951:CGC:Cacceptor_gain1.0000
16:23637952:GC:Gacceptor_loss1.0000
16:23637953:C:CCacceptor_gain1.0000
16:23637953:CTAGA:Cacceptor_loss1.0000
16:23641126:CAG:Cdonor_gain1.0000
16:23603670:C:CCacceptor_gain0.9900
16:23603677:CA:Cacceptor_gain0.9900
16:23603678:A:ACacceptor_gain0.9900
16:23614091:CCT:Cacceptor_gain0.9900

AlphaMissense

7820 scored. Top likely-pathogenic:

VariantProtein changeam_pathogenicity
16:23603602:A:GW1140R0.996
16:23603602:A:TW1140R0.996
16:23603530:A:GW1164R0.995
16:23603530:A:TW1164R0.995
16:23638107:A:GL24S0.993
16:23603502:G:TA1173D0.989
16:23603508:A:GL1171S0.989
16:23603600:C:AW1140C0.989
16:23603600:C:GW1140C0.989
16:23638077:C:GR34P0.988
16:23603473:A:CY1183D0.987
16:23603632:C:GA1130P0.987
16:23621363:A:GW1038R0.987
16:23621363:A:TW1038R0.987
16:23638074:A:GL35P0.987
16:23638116:A:GL21S0.987
16:23603528:C:AW1164C0.986
16:23603528:C:GW1164C0.986
16:23603545:A:GW1159R0.985
16:23603545:A:TW1159R0.985
16:23626300:A:TV895D0.985
16:23626292:A:GW898R0.984
16:23626292:A:TW898R0.984
16:23603601:C:GW1140S0.983
16:23623032:A:TV978D0.983
16:23637951:C:GR37P0.983
16:23603635:C:GA1129P0.982
16:23621398:A:GL1026P0.982
16:23626250:A:GW912R0.982
16:23626250:A:TW912R0.982

dbSNP variants (sampled 300 via entrez): RS1000092691 (16:23617507 T>C), RS1000118807 (16:23628139 G>A), RS1000181759 (16:23624198 G>T), RS1000210961 (16:23616491 C>G), RS1000255417 (16:23624519 AT>A,ATT), RS1000271570 (16:23606162 G>A,C), RS1000315590 (16:23616083 A>C), RS1000390154 (16:23641675 C>A,T), RS1000570210 (16:23637347 A>G), RS1000575618 (16:23627864 A>G), RS1000776908 (16:23642706 T>A,G), RS1000817358 (16:23612155 T>C), RS1000917121 (16:23623863 T>C), RS1000967610 (16:23623353 C>G,T), RS1001027183 (16:23618684 TAAAAA>T,TAAAA,TAAAAAA)

Disease associations

OMIM: gene MIM:610355 | disease phenotypes: MIM:114480, MIM:610832, MIM:613348, MIM:604370, MIM:620442, MIM:120435, MIM:189960, MIM:260350, MIM:613659, MIM:167000, MIM:114500, MIM:615067, MIM:612555, MIM:215400, MIM:211980, MIM:227650, MIM:176807

GenCC curated gene-disease

DiseaseClassificationInheritance
hereditary breast carcinomaDefinitiveAutosomal dominant
Fanconi anemia complementation group NDefinitiveAutosomal recessive
PALB2-related cancer predispositionDefinitiveAutosomal dominant
pancreatic cancer, susceptibility to, 3StrongAutosomal dominant
Fanconi anemiaSupportiveAutosomal recessive

ClinGen Gene-Disease Validity (2)

Expert-panel classifications — Definitive > Strong > Moderate > Limited > Disputed > Refuted.

DiseaseClassificationInheritance
Fanconi anemia complementation group NDefinitiveAR
PALB2-related cancer predispositionDefinitiveAD

Mondo (45): hereditary neoplastic syndrome (MONDO:0015356), hereditary breast carcinoma (MONDO:0016419), colon carcinoma (MONDO:0002032), Fanconi anemia complementation group N (MONDO:0012565), pancreatic cancer, susceptibility to, 3 (MONDO:0013236), breast-ovarian cancer, familial, susceptibility to, 1 (MONDO:0011450), breast cancer (MONDO:0007254), breast-ovarian cancer, familial, susceptibility to, 5 (MONDO:0957530), endometrial carcinoma (MONDO:0002447), hereditary breast ovarian cancer syndrome (MONDO:0003582), breast carcinoma (MONDO:0004989), PALB2-related cancer predisposition (MONDO:0700272), ovarian carcinoma (MONDO:0005140), Lynch syndrome 1 (MONDO:0007356), esophageal atresia/tracheoesophageal fistula (MONDO:0008586)

Orphanet (20): Inherited cancer-predisposing syndrome (Orphanet:140162), Hereditary breast cancer (Orphanet:227535), Familial pancreatic carcinoma (Orphanet:1333), Fanconi anemia (Orphanet:84), Hereditary breast and/or ovarian cancer syndrome (Orphanet:145), Lynch syndrome (Orphanet:144), Esophageal atresia (Orphanet:1199), Rare ovarian cancer (Orphanet:213500), Anaplastic ependymoma (Orphanet:251646), Rare carcinoma of pancreas (Orphanet:217074), Primary ciliary dyskinesia (Orphanet:244), Precursor B-cell acute lymphoblastic leukemia (Orphanet:99860), Chordoma (Orphanet:178), Retinoblastoma (Orphanet:790), Pilocytic astrocytoma (Orphanet:251612)

HPO phenotypes

157 total (30 of 157 shown, HPO-id order):

HPOTerm
HP:0000006Autosomal dominant inheritance
HP:0000007Autosomal recessive inheritance
HP:0000010Recurrent urinary tract infections
HP:0000027Azoospermia
HP:0000028Cryptorchidism
HP:0000035Abnormal testis morphology
HP:0000047Hypospadias
HP:0000072Hydroureter
HP:0000079Abnormality of the urinary system
HP:0000083Renal insufficiency
HP:0000085Horseshoe kidney
HP:0000086Ectopic kidney
HP:0000122Unilateral renal agenesis
HP:0000125Pelvic kidney
HP:0000130Abnormality of the uterus
HP:0000135Hypogonadism
HP:0000175Cleft palate
HP:0000218High palate
HP:0000238Hydrocephalus
HP:0000252Microcephaly
HP:0000268Dolichocephaly
HP:0000286Epicanthus
HP:0000316Hypertelorism
HP:0000324Facial asymmetry
HP:0000340Sloping forehead
HP:0000347Micrognathia
HP:0000364Hearing abnormality
HP:0000365Hearing impairment
HP:0000377Abnormal pinna morphology
HP:0000453Choanal atresia

GWAS associations

1 associations (top):

StudyTraitp-value
GCST000044_5Bipolar disorder6.000000e-08

MeSH disease descriptors (15)

DescriptorNameTree numbers
D001943Breast NeoplasmsC04.588.180; C17.800.090.500
D002280Carcinoma, Basal CellC04.557.470.200.165; C04.557.470.565.165
D002817ChordomaC04.557.465.220
D003110Colonic NeoplasmsC04.588.274.476.411.307.180; C06.301.371.411.307.180; C06.405.249.411.307.180; C06.405.469.158.356.180; C06.405.469.491.307.180
D005199Fanconi AnemiaC15.378.050.085.080.280; C15.378.190.223.500.500.280; C16.320.077.280; C18.452.284.280
D061325Hereditary Breast and Ovarian Cancer SyndromeC04.588.180.483; C04.588.322.455.431; C04.700.517; C12.050.351.500.056.630.705.431; C12.050.351.937.418.685.431; C12.100.250.056.630.705.431; C12.900.418.685.431; C16.320.700.517; C17.800.090.500.483; C19.344.410.431; C19.391.630.705.431
D009386Neoplastic Syndromes, HereditaryC04.700; C16.320.700
D010051Ovarian NeoplasmsC04.588.322.455; C12.050.351.500.056.630.705; C12.050.351.937.418.685; C12.100.250.056.630.705; C12.900.418.685; C19.344.410; C19.391.630.705
D012175RetinoblastomaC04.557.465.625.600.725; C04.557.470.670.725; C04.557.580.625.600.725; C04.588.364.818.760; C11.270.862; C11.319.475.760; C11.768.717.760
C562840Breast Cancer, Familial (supp.)
C531835Esophageal atresia with or without tracheoesophageal fistula (supp.)
C563657Fanconi Anemia, Complementation Group N (supp.)
C537261Lynch syndrome I (site-specific colonic cancer) (supp.)
C535837Pancreatic carcinoma, familial (supp.)
C537243Prostate cancer, familial (supp.)

Drugs & pharmacology

Drug and pharmacology data

Is drug target: no

Clinical evidence (CIViC)

Drug × variant × indication: 7 predictive associations from 7 curated evidence items; also 1 diagnostic, 1 prognostic.

VariantTherapyIndicationEffectLevelCIViC
PALB2 MutationOlaparibCastration-resistant Prostate CarcinomaSensitivity/ResponseCIViC AEID8504
PALB2 MutationRucaparibBreast CancerSensitivity/ResponseCIViC BEID7460
PALB2 MutationOlaparibProstate CancerSensitivity/ResponseCIViC BEID7474
PALB2 MutationRucaparibPancreatic CancerSensitivity/ResponseCIViC BEID9294
PALB2 Biallelic InactivationMitomycinPancreatic CancerSensitivity/ResponseCIViC CEID1305
PALB2 Biallelic InactivationOlaparibProstate CancerSensitivity/ResponseCIViC CEID1963
PALB2 MutationTalazoparibPancreatic Ductal AdenocarcinomaSensitivity/ResponseCIViC CEID10835

PharmGKB: 1 entry (VIP=true, CPIC=false)

CTD chemical–gene interactions

35 total (human), top 30 by PubMed support.

ChemicalActions (top 5)PubMed papers
Air Pollutantsincreases abundance, decreases expression2
Ethyl Methanesulfonatedecreases expression, increases expression2
Formaldehydedecreases expression, increases expression2
3-((6-(2-methoxyphenyl)pyrimidin-4-yl)amino)phenyl)methane sulfonamidedecreases expression1
FR900359affects phosphorylation1
triphenyl phosphateaffects expression1
bisphenol Aincreases methylation1
sodium arsenitedecreases expression1
ferrous chloridedecreases expression1
aflatoxin B2increases methylation1
Sunitinibincreases expression1
Acetaminophendecreases expression1
Adeninedecreases expression1
Asbestosaffects response to substance1
Benzo(a)pyreneaffects methylation1
Caffeineaffects phosphorylation1
Cisplatindecreases expression1
Coaldecreases expression, increases abundance1
Colchicinedecreases expression1
Doxorubicindecreases expression1
Etoposidedecreases expression1
Methyl Methanesulfonateincreases expression1
Silverdecreases expression1
Smokedecreases expression, increases abundance1
Tetrachlorodibenzodioxinaffects expression1
Tobacco Smoke Pollutiondecreases expression1
Tretinoindecreases expression1
Urethanedecreases expression1
Valproic Acidaffects expression1
Zincdecreases expression1

Cellosaurus cell lines

16 cell lines: 11 cancer cell line, 4 transformed cell line, 1 induced pluripotent stem cell

First 10 cell lines (id-ordered, not curated):

CellosaurusNameCategorySex
CVCL_3509ES-2Cancer cell lineFemale
CVCL_A2WTIFAR-847Transformed cell line
CVCL_A2WUIFAR-849Transformed cell line
CVCL_B8LZAbcam HCT 116 PALB2 KOCancer cell lineMale
CVCL_B8ZVAbcam MCF-7 PALB2 KOCancer cell lineFemale
CVCL_B9P5Abcam A-549 PALB2 KOCancer cell lineMale
CVCL_CZ94ES-2/T80Cancer cell lineFemale
CVCL_CZ95ES-2/TxT50Cancer cell lineFemale
CVCL_D6JASYSUSHi001-AInduced pluripotent stem cellMale
CVCL_D7EGEUFA1341Transformed cell lineFemale

Clinical trials (associated diseases)

384 trials via MONDO — disease-level, not drug-specific.

TrialPhaseStatusTitle
NCT01169220PHASE4COMPLETEDBowel Preparation for Inpatient Colonoscopy
NCT01170754PHASE4COMPLETEDMiralax (PEG 3350) vs. Golytely as Bowel Preparation for Screening Colonoscopy
NCT02052557PHASE4COMPLETEDThe Effect of Exparel on Post Operative Pain and Narcotic Use After Colon Surgery
NCT02078726PHASE4COMPLETEDGlucagon Use in Colonoscopies
NCT02231203PHASE4COMPLETEDEffect of Omega-3 Fatty Acids on the Perioperative Immune Response and Erythrocyte Function
NCT02314871PHASE4COMPLETEDEffects of Different Types of Perioperative Analgesia on Minimal Residual Disease Development After Colon Cancer Surgery
NCT02746432PHASE4UNKNOWNInsulin Therapy Reduce Post-Operative Inflammatory Response After Curative Colorectal Cancer Resection: Randomization Controlled Trial
NCT02887365PHASE4UNKNOWNA Phase II Study of Tegafur-Uracil as Maintenance Chemotherapy in Patients With Stage II of Colon Cancer
NCT02937506PHASE4COMPLETEDPatient Satisfaction With Propofol for Out Patient Colonoscopy
NCT02958566PHASE4UNKNOWNMultimodal Narcotic Limited Perioperative Pain Control With Colorectal Surgery
NCT04269369PHASE4UNKNOWNImplementation of Pre-emptive Geno- and Phenotyping in 5-Fluorouracil- or Capecitabine-treated Patients
NCT04311099PHASE4COMPLETEDOptimal Peripheral Nerve Block After Minimally Invasive Colon Surgery
NCT04709770PHASE4UNKNOWNLow-volume vs High-volume Polyethylene Glycol Based Bowel Preparation for Colonoscopy in People Receiving Hemodialysis
NCT05250648PHASE4RECRUITINGClinical Trial on HIPEC With Mitomycin C in Colon Cancer Peritoneal Metastases (GECOP-MMC)
NCT06519786PHASE3UNKNOWNSafety and Efficacy of Metformin for Treatment of Cytopenia in Children and Adolescents With Fanconi Anemia
NCT00002968PHASE3COMPLETEDEdrecolomab in Treating Patients With Stage II Colon Cancer
NCT00003835PHASE3COMPLETEDCombination Chemotherapy in Treating Patients With Stage III Colon Cancer
NCT00003873PHASE3COMPLETEDFluorouracil With or Without Eniluracil in Treating Patients With Advanced Colorectal Cancer
NCT00004931PHASE3COMPLETEDFluorouracil Plus Leucovorin With or Without Oxaliplatin in Treating Patients With Stage II or Stage III Colon Cancer
NCT00005036PHASE3COMPLETEDIrinotecan Compared With Combination Chemotherapy in Treating Patients With Advanced Colorectal Cancer
NCT00005094PHASE3COMPLETEDCelecoxib to Prevent Colorectal Cancer in Patients Who Have Undergone Surgery to Remove Polyps
NCT00025337PHASE3COMPLETEDCombination Chemotherapy With or Without Bevacizumab Compared With Bevacizumab Alone in Treating Patients With Advanced or Metastatic Colorectal Cancer That Has Been Previously Treated
NCT00070122PHASE3TERMINATEDCombination Chemotherapy and Bevacizumab in Treating Patients With Locally Advanced, Metastatic, or Recurrent Colorectal Cancer
NCT00079274PHASE3COMPLETEDComparison of Combination Chemotherapy Regimens With or Without Cetuximab in Treating Patients Who Have Undergone Surgery For Stage III Colon Cancer
NCT00096278PHASE3COMPLETEDFluorouracil, Leucovorin, and Oxaliplatin With or Without Bevacizumab in Treating Patients Who Have Undergone Surgery for Stage II or Stage III Colon Cancer
NCT00188305PHASE3COMPLETEDA Randomized Trial of Cancer Risk and Health Education in Relatives of Colorectal Cancer Patients
NCT00195585PHASE3COMPLETEDStudy Evaluating Isovorin in Colon Cancer
NCT00217737PHASE3ACTIVE_NOT_RECRUITINGOxaliplatin, Leucovorin, and Fluorouracil With or Without Bevacizumab in Treating Patients Who Have Undergone Surgery for Stage II Colon Cancer
NCT00230646PHASE3COMPLETEDPromoting Physical Activity After Colorectal Cancer
NCT00309530PHASE3COMPLETEDRandomized Study on Adjuvant Chemotherapy and Adjuvant Chemo-Immunotherapy in Colon Carcinoma Dukes C
NCT00309543PHASE3COMPLETEDRandomized Trial on Adjuvant Chemotherapy in Colon Carcinoma Dukes B
NCT00337389PHASE3UNKNOWNPhase III Randomized Study of 5-FU, CoFactor, and Avastin vs. 5-FU, LV and Avastin for First-Line Colorectal Cancer.
NCT00467922PHASE3COMPLETEDAn Assessment of Goal-Directed Intraoperative Fluid Management in Hand Assisted Laparoscopic Colectomy
NCT00499369PHASE3TERMINATEDIrinotecan and Cetuximab With or Without Bevacizumab in Treating Patients With Metastatic Colorectal Cancer That Progressed During First-Line Therapy
NCT00509444PHASE3COMPLETEDCancer Prevention and Treatment Among African American Older Adults: Treatment Trial
NCT00646607PHASE3COMPLETEDFOLFOX-4 3months Versus 6 Months and Bevacizumab as Adjuvant Therapy for Patients With Stage II/III Colon Cancer
NCT00687830PHASE3COMPLETEDEfficacy of Morning-only Bowel Preparation for Afternoon Colonoscopy.
NCT00756548PHASE3COMPLETEDBLI850-302: BLI850 vs an Approved Active Control Bowel Preparation in Adult Subjects Undergoing Colonoscopy
NCT00756977PHASE3COMPLETEDBLI850 vs an Active Control Bowel Preparation in Adult Subjects Undergoing Colonoscopy
NCT00894725PHASE3COMPLETEDLaparoscopic Versus Open Left Colonic Resection