PALB2 was first identified as a partner of BRCA2 that mediates its recruitment to
sites of DNA damage. PALB2 was subsequently found as a tumor suppressor
gene. Inherited heterozygosity for this gene is associated with an increased risk of
cancer of the breast and other sites. Additionally, biallelic mutation of
PALB2 is linked to Fanconi anemia, which also has an increased risk of
developing malignant disease. Recent work has identified numerous interactions of PALB2,
suggesting that it functions in a network of proteins encoded by tumor suppressors.
Notably, many of these tumor suppressors are related to the cellular response to DNA
damage. The recruitment of PALB2 to DNA double-strand breaks at the head of this network
is via a ubiquitin-dependent signaling pathway that involves the RAP80, Abraxas and BRCA1
tumor suppressors. Next, PALB2 interacts with BRCA2, which is a tumor suppressor, and with
the RAD51 recombinase. These interactions promote DNA repair by homologous recombination
(HR). More recently, PALB2 has been found to bind the RAD51 paralog, RAD51C, as well as
the translesion polymerase pol η, both of which are tumor suppressors with
functions in HR. Further, an interaction with MRG15, which is related to chromatin
regulation, may facilitate DNA repair in damaged chromatin. Finally, PALB2 interacts with
KEAP1, a regulator of the response to oxidative stress. The PALB2 network appears to
mediate the maintenance of genome stability, may explain the association of many of the
corresponding genes with similar spectra of tumors, and could present novel therapeutic
opportunities.