About PALB2
No gene-level summary was recorded for this case.
No variant summary was recorded for this case.
Five-step scale from benign to pathogenic. This variant is pathogenic. Select a step to read what it means.
Pathogenic.A pathogenic classification under the recorded framework.
Gene-level background from the recorded interpretation.
Words with a dotted underline have a short definition. Hover or tap them.No gene-level summary was recorded for this case.
The recorded framework is ClinGen PALB2 VCEP v1.2.0. The criteria and strengths shown below come from the saved assessment; this page does not recalculate the classification.
The applied criteria and their strengths are shown as assessed under the stated framework.
NM_024675.3:c.1684+1G>A is a canonical +1 donor splice site variant in PALB2, a gene for which loss of function is an established mechanism for hereditary breast, ovarian, and pancreatic cancer predisposition (monoallelic) and Fanconi anemia subtype FA-N (biallelic). The ClinGen PALB2 VCEP v1.2.0 PVS1 decision tree applies. RNA analysis of this variant has been performed and reported (Lopez-Perolio et al., 2019, PMID:30890586), confirming aberrant splicing. Under the PALB2 VCEP framework, PVS1_VeryStrong is assigned for a canonical splice site variant with observed RNA-level splice defect in a gene where LOF is a known disease mechanism.
NM_024675.3:c.1684+1G>A is absent from gnomAD v2.1 and v4.1. Under the PALB2 VCEP v1.2.0, PM2 is applied at Supporting strength (not Moderate) when the variant frequency is ≤0.000333% (1/300,000) in gnomAD v4. The variant meets this threshold as it is completely absent from both gnomAD datasets.
Under the PALB2 VCEP v1.2.0, PM5_Supporting is applied to splice variants with premature termination codons upstream of p.Tyr1183 when PVS1_VS(RNA) is applied based on high-quality observed splicing impact and the variant is NMD-prone. NM_024675.3:c.1684+1G>A is a canonical +1 splice site variant in intron 4 that has been shown to cause aberrant splicing by RNA analysis (PMID:30890586). The resulting transcript is predicted to introduce a premature termination codon far upstream of the p.Tyr1183 boundary and is expected to be NMD-prone, satisfying the VCEP PM5_Supporting conditions.
No benign criterion marked as applied in the recorded assessment.
Richards et.al., 2015 - Combining rules v1.2.0 criteria-combination framework: matched Rule4 (1 Pathogenic.Very Strong + Pathogenic.Supporting >=2) with applied criteria: PVS1 very strong, PM2 supporting, PM5 supporting; maps to Pathogenic.
Evidence summaries and captured source records, where available. Missing entries should not be interpreted as negative findings.
gnomAD v4.1 allele counts were not recorded for this variant.
Absent from gnomAD v2.1.
Recorded SpliceAI maximum delta score: 0.940. Refer to the recorded PP3/BP4 rationale for interpretation.
2 Likely pathogenic · 1 Pathogenic.
No standalone functional evidence summary is recorded in evidence_summary.functional.
This variant has not previously been reported in somatic cancers (COSMIC).
ACMG/AMP criteria under ClinGen PALB2 VCEP v1.2.0, with the data and sources behind each one.
29 criteria with recorded statuses: 3 met · 10 not met · 1 not assessed · 15 not applicable. Open any row for the full reasoning, the rule and the evidence behind it.
NM_024675.3:c.1684+1G>A is a canonical +1 donor splice site variant in intron 4 of PALB2, a gene for which loss of function is an established mechanism for hereditary breast, ovarian, and pancreatic cancer predisposition (ClinGen PALB2 VCEP v1.2.0).
This variant is absent from gnomAD v2.1 and v4.1 population databases, satisfying the PALB2 VCEP PM2_Supporting threshold of ≤0.000333% allele frequency (PM2_Supporting).
RNA analysis performed by Lopez-Perolio et al. (2019, PMID:30890586) confirmed aberrant splicing for c.1684+1G>A, supporting classification as a null variant under the PALB2 VCEP PVS1 decision tree at Very Strong strength (PVS1).
The variant introduces a premature termination codon upstream of p.Tyr1183 and is predicted to be NMD-prone; combined with RNA-confirmed splice defect, PM5_Supporting is applied per PALB2 VCEP rules (PM5_Supporting).
No benign criteria are met: the variant is not present at significant population frequency (BA1/BS1 not met), SpliceAI predicts a strong splice impact (BP4 not met), the variant is not at a position eligible for BP7, and no evidence of normal splicing or lack of segregation is available.
Applying the ACMG/AMP combination rules (Richards et al. 2015) as adopted by the PALB2 VCEP: 1 Pathogenic Very Strong (PVS1) + ≥2 Pathogenic Supporting (PM2_Supporting, PM5_Supporting) yields a classification of Pathogenic under Rule 4.
Note: The ClinGen Hereditary Breast, Ovarian and Pancreatic Cancer VCEP classifies this variant as Uncertain Significance (ClinVar ID 482029). The discrepancy between the automated adjudication (Pathogenic) and the expert panel classification (VUS) may reflect additional VCEP-specific PVS1 decision tree nuances, PS1 splicing table consultation, or clinical judgment not fully captured in the available evidence materials. Human review by a PALB2 VCEP curator is recommended.
No criteria match.
Every interpreted variant in PALB2, mapped onto the exon structure of NM_024675.3. Select a row to find it on the plot.
| Protein | Location | Classification | Link |
|---|
Absent from gnomAD v4.1.
Absent from gnomAD v2.1.
SpliceAI predicts possible splice impact for this variant (max delta score = 0.94). BayesDel score = 0.63.
9 paper records listed. No publication is explicitly linked to an applied criterion in the recorded metadata. None of the listed paper records explicitly indicates that the variant is named.
Screenshots represent source records captured during evidence collection. Select one to view the recorded source content.
The evidence statements recorded by the interpretation pipeline. They have not been reinterpreted by the page.
Absent from gnomAD v4.1.
Absent from gnomAD v2.1.
This variant has been reported in ClinVar as Likely pathogenic (2 clinical laboratories) and as Pathogenic (1 clinical laboratory) and as Uncertain Significance by ClinGen Hereditary Breast, Ovarian and Pancreatic Cancer Variant Curation Expert Panel, ClinGen (expert panel). (ClinVarID = 482029)
SpliceAI predicts possible splice impact for this variant (max delta score = 0.94). BayesDel score = 0.63.
This variant has not previously been reported in somatic cancers (COSMIC).