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Variant interpretation report

PALB2 c.2014G>C, p.(Glu672Gln)

NM_024675.3:c.2014G>C NP_078951.2:p.(Glu672Gln) View identifiers
Classification
Benign

Variant description:

No variant summary was recorded for this case.

Five-step scale from benign to pathogenic. This variant is benign. Select a step to read what it means.

Benign.A benign classification under the recorded framework.

In plain language

Gene-level background from the recorded interpretation.

About PALB2

No gene-level summary was recorded for this case.

LYFE Sciences is an AI system, and it can make mistakes. Criteria may be applied incorrectly, sources may be misread, and a confident-looking classification can still be wrong. Double-check every criterion and its underlying evidence before relying on any call.
01The reasoning

How it was classified

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.

Recorded applied criteria

The applied criteria and their strengths are shown as assessed under the stated framework.

Pathogenic evidence criteria: 0 Benign evidence criteria: 3
Pathogenic criteria applied · 0

No pathogenic criterion marked as applied in the recorded assessment.

Benign criteria applied · 3
BA1Stand alone
BA1 · stand alone

This variant meets BA1. In gnomAD v4.1, the grpmax filtering allele frequency is 5.70171%, which is well above the PALB2 BA1 threshold of >0.1%; the highest observed population frequency is 15.35088% in the Amish population, and 715 homozygotes are present.

BP1Supporting
BP1 · supporting

This variant meets BP1 because it is a missense substitution, and the PALB2 VCEP specification applies BP1 to all missense variants.

BP6Supporting
BP6 · supporting

Expert panel ClinGen Hereditary Breast, Ovarian and Pancreatic Cancer Variant Curation Expert Panel, ClinGen classified as Benign.

Recorded classification: Benign

Richards et.al., 2015 - Combining rules v1.2.0 criteria-combination framework: matched Rule17 (1 Benign.Stand Alone) with applied criteria: BA1 stand-alone benign, BP1 supporting, BP6 supporting benign; maps to Benign.

02The sources

Evidence at a glance

Evidence summaries and captured source records, where available. Missing entries should not be interpreted as negative findings.

gnomAD v4.1
gnomAD v2.1
Population frequency
43,792 / 1,614,144 alleles

gnomAD v4.1: 43,792 / 1,614,144 alleles. Recorded AF 0.0271302. Recorded homozygote count 715.

gnomAD v2.1

This variant is present in gnomAD v2.1 (AF= 0.0224066; MAF= 2.24066%, 6337/282818 alleles, homozygotes = 108) and has highest observed frequency in the Ashkenazi Jewish population (AF= 0.0350048; MAF= 3.50048%, 363/10370 alleles, homozygotes = 4); grpmax FAF= 0.0284581.

No screenshot for this evidence
Computational predictions
Not recorded

No SpliceAI or REVEL score is recorded in the fields used for this tile.

No listed criterion applied
Functional evidence
Statement recorded

OncoKB did not identify variant-specific reviewed functional evidence for this variant; gene-level curated context is available for reviewer follow-up. PALB2, a scaffolding protein involved in DNA repair, is altered in various cancers.

No listed criterion applied OncoKB ↗
COSMIC
Cancer Hotspots
Somatic evidence
Not assessed

No COSMIC evidence statement is recorded in this case.

Cancer Hotspots

This variant does not lie in a statistically significant hotspot.

For specialists

Technical detail

ACMG/AMP criteria under ClinGen PALB2 VCEP v1.2.0, with the data and sources behind each one.

28 criteria with recorded statuses: 3 met · 2 not met · 6 not assessed · 17 not applicable. Open any row for the full reasoning, the rule and the evidence behind it.

Met Not met Not assessed Not applicable

The PALB2 c.2014G>C (p.Glu672Gln; p.E672Q) variant has been reported in ClinVar as Benign by the ClinGen Hereditary Breast, Ovarian and Pancreatic Cancer Variant Curation Expert Panel, with additional benign and likely benign clinical laboratory submissions.

This variant is common in population databases; in gnomAD v4.1 the allele frequency is 2.71302% with a grpmax filtering allele frequency of 5.70171%, and the highest observed population frequency is 15.35088% in the Amish population, which is well above the PALB2 BA1 threshold of 0.1%.

Computational data do not support a deleterious effect: SpliceAI predicts no significant splice impact with a max delta score of 0.01, REVEL is 0.029, and BayesDel is -0.736359; however, the PALB2 VCEP specification does not apply PP3 or BP4 to missense variants.

Met · 3

BA1 Stand aloneThis variant meets BA1. In gnomAD v4.1, the grpmax filtering allele frequency is 5.70171%, which is well above the PALB2 BA1 threshold of >0.1%; the highest observed population frequency is 15.35088% in the Amish population, and 715 homozygotes are present. Details ▾Hide ▴
Rule
Grpmax Filtering AF >.1% in gnomAD v4 dataset
Evidence considered
  • PALB2 BA1 threshold is grpmax filtering AF >0.1% in gnomAD v4
  • Observed gnomAD v4 frequency is markedly above threshold
Sources
BP1 SupportingThis variant meets BP1 because it is a missense substitution, and the PALB2 VCEP specification applies BP1 to all missense variants. Details ▾Hide ▴
Rule
Apply to all missense variants.
Evidence considered
  • PALB2 VCEP instructs BP1 for all missense variants
Sources
BP6 SupportingExpert panel ClinGen Hereditary Breast, Ovarian and Pancreatic Cancer Variant Curation Expert Panel, ClinGen classified as Benign. Details ▾Hide ▴
Evidence considered
  • PALB2 VCEP marks BP6 not applicable
  • ClinVar expert panel classification
Sources

Not met · 2 · evaluated, threshold not reached

PVS1 This variant is a missense substitution, c.2014G>C (p.Glu672Gln; p.E672Q), and does not fall into the PALB2 loss-of-function variant categories used for PVS1. Available evidence supports PALB2 loss of function as a disease mechanism, but this specific variant is not a null variant and does not meet PVS1. Details ▾Hide ▴
Rule
Use PALB2 PVS1 Decision Tree
Evidence considered
  • PALB2 VCEP includes PVS1 guidance
  • Generic PVS1 scaffold does not place this variant in a nonsense
  • frameshift
  • or canonical splice bucket
Sources
cspec ↗pvs1_gene_contextpvs1_variant_assessment
PM2 This variant is far more common than the PALB2 PM2 threshold. In gnomAD v4.1, the allele frequency is 2.71302% with grpmax filtering allele frequency 5.70171%, which is well above the PM2 threshold of ≤0.000333%. Details ▾Hide ▴
Rule
Frequency ≤ 1/300,000 (0.000333%) in gnomAD v4 dataset
Evidence considered
  • PALB2 PM2_Supporting threshold is frequency ≤1/300
  • 000 in gnomAD v4
  • Observed gnomAD v4 frequency greatly exceeds threshold
Sources

Not assessed · 6 · no assessment recorded

PS4 Available evidence does not identify a qualifying case-control study for this exact variant showing a significant enrichment in affected individuals at the PALB2 VCEP threshold of p≤0.05 with odds ratio, hazard ratio, or relative risk ≥3 or lower 95% confidence interval ≥1.5. Details ▾Hide ▴
Rule
Case-control studies; p-value ≤0.05 AND (Odds ratio, hazard ratio, or relative risk ≥3 OR lower 95% CI ≥1.5).
Evidence considered
  • PALB2 PS4 requires case-control statistics at the stated threshold
  • Reviewed literature triage did not provide qualifying variant-specific enrichment data
Still missing
  • No qualifying variant-specific case-control statistics were identified
Sources
PM3 No data were identified showing this variant in trans with a pathogenic PALB2 variant in probands meeting the Fanconi anemia point-based PM3 framework. Details ▾Hide ▴
Rule
See Fanconi Anemia PM3 tables for approach to assign points per proband.
Evidence considered
  • PALB2 PM3 requires Fanconi anemia point-based evidence
  • No qualifying phase-confirmed proband data were identified
Still missing
  • No qualifying in-trans Fanconi anemia observations were identified
Sources
PP1 No segregation data were identified that meet the PALB2 VCEP quantitative thresholds for PP1. Details ▾Hide ▴
Rule
AD: LOD ≥0.3 / 0.60 / 1.26 or Bayes Factor ≥2:1 / 4:1 / 18:1; AR: segregation in 1 / 2 / ≥3 affected relatives
Evidence considered
  • PALB2 PP1 requires quantitative segregation evidence
  • No qualifying segregation dataset was identified
Still missing
  • No qualifying segregation or Bayes factor data were identified
Sources
BS1 The population frequency also exceeds the PALB2 BS1 threshold of >0.01% in gnomAD v4.1, but BA1 is already met at a much higher frequency threshold, so BS1 was not additionally counted as separate benign evidence. Details ▾Hide ▴
Rule
Grpmax Filtering AF >.01% in gnomAD v4 dataset
Evidence considered
  • Observed gnomAD v4 frequency exceeds both BS1 and BA1 thresholds
  • BA1 supersedes the need to count BS1 separately
Sources
BS2 No qualifying PALB2 Fanconi anemia BS2 point-based data were identified. Although this variant is seen in many gnomAD individuals, including homozygotes, the reviewed materials do not provide the phenotyped proband-level evidence required for BS2 under the PALB2 specification. Details ▾Hide ▴
Rule
See Fanconi Anemia BS2 tables for approach to assign points per proband.
Evidence considered
  • PALB2 BS2 uses a point-based Fanconi anemia framework
  • Population homozygote counts alone do not satisfy the specified BS2 framework here
Still missing
  • No qualifying phenotyped proband data meeting PALB2 BS2 point rules were identified
Sources
BS4 No quantitative non-segregation data were identified that meet the PALB2 VCEP BS4 thresholds. Details ▾Hide ▴
Rule
LOD ≤ -1.28 or Bayes Factor (LR) ≤0.053:1; lower thresholds for Moderate and Supporting
Evidence considered
  • PALB2 BS4 requires quantitative non-segregation evidence
Still missing
  • No qualifying LOD score or Bayes factor data for non-segregation were identified
Sources
Not applicable · 17· recorded as not applicable Show reasons ▾Hide reasons ▴
PS1 N/APALB2 VCEP PS1 guidance is directed to the PALB2 PS1 splicing table. This missense substitution does not have evidence here supporting a same-splice-effect PS1 application. Details ▾Hide ▴
Rule
Use PALB2 PS1 Splicing table
Evidence considered
  • PALB2 PS1 specification is splicing-table based
  • SpliceAI predicts no meaningful splice effect
Sources
PS2 N/AThis criterion is not applicable in the PALB2 VCEP specification for this context. Details ▾Hide ▴
Evidence considered
  • PALB2 VCEP marks PS2 not applicable
Sources
PS3 N/AThis criterion is not applicable in the PALB2 VCEP specification. No qualifying PALB2 VCEP functional framework for PS3 use was identified for this missense variant in the reviewed materials. Details ▾Hide ▴
Evidence considered
  • PALB2 VCEP marks PS3 not applicable
  • OncoKB did not identify variant-specific reviewed functional evidence
Sources
PM1 N/AThis criterion is not applicable in the PALB2 VCEP specification. Details ▾Hide ▴
Evidence considered
  • PALB2 VCEP marks PM1 not applicable
Sources
PM4 N/APALB2 VCEP does not apply PM4 to missense variants. This variant is not a stop-loss variant. Details ▾Hide ▴
Evidence considered
  • PALB2 PM4 is reserved for stop-loss variants
Sources
PM5 N/APALB2 VCEP PM5 applies to truncating or qualifying splice variants predicted to cause loss of function upstream of p.Tyr1183. This missense substitution does not meet that variant-type requirement. Details ▾Hide ▴
Rule
Apply to frameshifting or truncating variants with premature termination codons upstream of p.Tyr1183; apply to qualifying splice variants similarly.
Evidence considered
  • PALB2 PM5 is restricted to truncating or qualifying splice loss-of-function events
  • This variant is a missense substitution
Sources
cspec ↗pvs1_variant_assessment
PM6 N/AThis criterion is not applicable in the PALB2 VCEP specification for this context. Details ▾Hide ▴
Evidence considered
  • PALB2 VCEP marks PM6 not applicable
Sources
PP2 N/AThis criterion is not applicable in the PALB2 VCEP specification. Details ▾Hide ▴
Evidence considered
  • PALB2 VCEP marks PP2 not applicable
Sources
PP3 N/APALB2 VCEP does not use PP3 for missense variants. Although SpliceAI shows no predicted splice effect (max delta score 0.01), and REVEL 0.029 and BayesDel -0.736359 do not suggest a damaging effect, the PALB2 VCEP specification states that missense PP3 should not be applied. Details ▾Hide ▴
Rule
Missense: Do not use. Splicing: Predicted impact via splicing (SpliceAI ≥0.2) for silent, missense/in-frame and intronic variants outside donor and acceptor 1,2 sites.
Evidence considered
  • PP3 is restricted to splicing predictions outside canonical splice sites in this PALB2 specification
  • Missense PP3 is explicitly disallowed
  • Available computational results do not show a splice-damaging pattern
Sources
PP4 N/AThis criterion is not applicable in the PALB2 VCEP specification. Details ▾Hide ▴
Evidence considered
  • PALB2 VCEP marks PP4 not applicable
Sources
PP5 N/AThis criterion is not applicable in the PALB2 VCEP specification. Details ▾Hide ▴
Evidence considered
  • PALB2 VCEP marks PP5 not applicable
Sources
BS3 N/AThis criterion is not applicable in the PALB2 VCEP specification. Details ▾Hide ▴
Evidence considered
  • PALB2 VCEP marks BS3 not applicable
  • No variant-specific reviewed functional evidence was identified
Sources
BP2 N/AThis criterion is not applicable in the PALB2 VCEP specification. Details ▾Hide ▴
Evidence considered
  • PALB2 VCEP marks BP2 not applicable
Sources
BP3 N/AThis criterion is not applicable in the PALB2 VCEP specification. Details ▾Hide ▴
Evidence considered
  • PALB2 VCEP marks BP3 not applicable
Sources
BP4 N/APALB2 VCEP does not use BP4 for missense variants. SpliceAI predicts no significant splice impact with a max delta score of 0.01, and REVEL 0.029 and BayesDel -0.736359 are consistent with a benign computational profile, but the PALB2 VCEP specification states that missense BP4 should not be applied. Details ▾Hide ▴
Rule
Missense: Do not use. Splicing: No predicted impact via splicing (SpliceAI ≤0.1). Do not apply for missense variants.
Evidence considered
  • BP4 is limited to splicing prediction for non-missense use in this PALB2 specification
  • Missense BP4 is explicitly disallowed
  • Available computational results do not suggest splice disruption
Sources
BP5 N/AThis criterion is not applicable in the PALB2 VCEP specification. Details ▾Hide ▴
Evidence considered
  • PALB2 VCEP marks BP5 not applicable
Sources
BP7 N/ABP7 is intended for synonymous and deep intronic variants, or for RNA evidence showing no aberrant splicing in those variant classes. This variant is a missense substitution and does not meet the PALB2 BP7 variant-type requirements. Details ▾Hide ▴
Rule
Use for synonymous and deep intronic variants; RNA-based BP7 may be applied for observed lack of aberrant RNA defect.
Evidence considered
  • PALB2 BP7 is restricted to synonymous and deep intronic settings
  • This variant is missense
Sources

Identifiers

Gene
PALB2
Transcript
NM_024675.3
Coding (HGVS c.)
NM_024675.3:c.2014G>C
Protein (HGVS p.)
NP_078951.2:p.(Glu672Gln)
GRCh38
chr16:23630140 C>G
GRCh37
chr16:23641461 C>G

Gene diagram

Every interpreted variant in PALB2, mapped onto the exon structure of NM_024675.3. Select a row to find it on the plot.

PALB2NM_024675.3
Fetching transcript structure from UCSC…
gnomAD v4.1 43,792 / 1,614,144 alleles AF 0.0271 · 715 homozygotes · FAF 0.057
gnomAD v2.1 6,337 / 282,818 alleles AF 0.0224 · 108 homozygotes · FAF 0.0285

By genetic ancestry

gnomAD v4.1

AF 0.027 · 43792 / 1,614,144 alleles · 715 hom · FAF 0.057
Amish140 / 912 0.1512 hom
Middle Eastern377 / 6,062 0.06218 hom
Ashkenazi Jewish1093 / 29,600 0.03722 hom
European (non-Finnish)35343 / 1,180,024 0.03536 hom
Remaining individuals1708 / 62,502 0.02733 hom
South Asian2345 / 91,080 0.02670 hom
European (Finnish)1237 / 64,026 0.01910 hom
Admixed American1125 / 60,006 0.01912 hom
African/African American416 / 75,050 0.00552 hom
East Asian8 / 44,882 0.00018

gnomAD v2.1

AF 0.022 · 6337 / 282,818 alleles · 108 hom · FAF 0.028
Ashkenazi Jewish363 / 10,370 0.0354 hom
European (non-Finnish)3773 / 129,156 0.02970 hom
Remaining individuals197 / 7,220 0.0274 hom
South Asian813 / 30,616 0.02721 hom
European (Finnish)500 / 25,110 0.022 hom
Admixed American553 / 35,434 0.0166 hom
African/African American136 / 24,960 0.00541 hom
East Asian2 / 19,952 0.0001

Statements

gnomAD v4.1

This variant is present in gnomAD v4.1 (AF= 0.0271302; MAF= 2.71302%, 43792/1614144 alleles, homozygotes = 715) and has highest observed frequency in the Amish population (AF= 0.153509; MAF= 15.35088%, 140/912 alleles, homozygotes = 12); grpmax FAF= 0.0570171.

gnomAD v2.1

This variant is present in gnomAD v2.1 (AF= 0.0224066; MAF= 2.24066%, 6337/282818 alleles, homozygotes = 108) and has highest observed frequency in the Ashkenazi Jewish population (AF= 0.0350048; MAF= 3.50048%, 363/10370 alleles, homozygotes = 4); grpmax FAF= 0.0284581.

Other predictors

REVEL
Not available
BayesDel
Not available

How the predictions were used

PP3 N/APALB2 VCEP does not use PP3 for missense variants. Although SpliceAI shows no predicted splice effect (max delta score 0.01), and REVEL 0.029 and BayesDel -0.736359 do not suggest a damaging effect, the PALB2 VCEP specification states that missense PP3 should not be applied. Details ▾Hide ▴
Rule
Missense: Do not use. Splicing: Predicted impact via splicing (SpliceAI ≥0.2) for silent, missense/in-frame and intronic variants outside donor and acceptor 1,2 sites.
Evidence considered
  • PP3 is restricted to splicing predictions outside canonical splice sites in this PALB2 specification
  • Missense PP3 is explicitly disallowed
  • Available computational results do not show a splice-damaging pattern
Sources
BP4 N/APALB2 VCEP does not use BP4 for missense variants. SpliceAI predicts no significant splice impact with a max delta score of 0.01, and REVEL 0.029 and BayesDel -0.736359 are consistent with a benign computational profile, but the PALB2 VCEP specification states that missense BP4 should not be applied. Details ▾Hide ▴
Rule
Missense: Do not use. Splicing: No predicted impact via splicing (SpliceAI ≤0.1). Do not apply for missense variants.
Evidence considered
  • BP4 is limited to splicing prediction for non-missense use in this PALB2 specification
  • Missense BP4 is explicitly disallowed
  • Available computational results do not suggest splice disruption
Sources
BP7 N/ABP7 is intended for synonymous and deep intronic variants, or for RNA evidence showing no aberrant splicing in those variant classes. This variant is a missense substitution and does not meet the PALB2 BP7 variant-type requirements. Details ▾Hide ▴
Rule
Use for synonymous and deep intronic variants; RNA-based BP7 may be applied for observed lack of aberrant RNA defect.
Evidence considered
  • PALB2 BP7 is restricted to synonymous and deep intronic settings
  • This variant is missense
Sources

Statement

In silico

SpliceAI predicts no significant splice impact for this variant (max delta score = 0.01). REVEL score = 0.029. BayesDel score = -0.736359.

0 paper records listed. No publication is explicitly linked to an applied criterion in the recorded metadata.

Screenshots represent source records captured during evidence collection. Select one to view the recorded source content.

All source links

Statements for reports

The evidence statements recorded by the interpretation pipeline. They have not been reinterpreted by the page.

gnomAD v4.1

This variant is present in gnomAD v4.1 (AF= 0.0271302; MAF= 2.71302%, 43792/1614144 alleles, homozygotes = 715) and has highest observed frequency in the Amish population (AF= 0.153509; MAF= 15.35088%, 140/912 alleles, homozygotes = 12); grpmax FAF= 0.0570171.

gnomAD v2.1

This variant is present in gnomAD v2.1 (AF= 0.0224066; MAF= 2.24066%, 6337/282818 alleles, homozygotes = 108) and has highest observed frequency in the Ashkenazi Jewish population (AF= 0.0350048; MAF= 3.50048%, 363/10370 alleles, homozygotes = 4); grpmax FAF= 0.0284581.

ClinVar

This variant has been reported in ClinVar as Benign (22 clinical laboratories) and as Likely benign (4 clinical laboratories) and as Benign by ClinGen Hereditary Breast, Ovarian and Pancreatic Cancer Variant Curation Expert Panel, ClinGen (expert panel).

In silico

SpliceAI predicts no significant splice impact for this variant (max delta score = 0.01). REVEL score = 0.029. BayesDel score = -0.736359.

Functional

OncoKB did not identify variant-specific reviewed functional evidence for this variant; gene-level curated context is available for reviewer follow-up. PALB2, a scaffolding protein involved in DNA repair, is altered in various cancers.

Somatic

This variant does not lie in a statistically significant hotspot. This variant has previously been reported in somatic cancers (COSMIC; COSV55161919, n = 30 times).

Cancer Hotspots

This variant does not lie in a statistically significant hotspot.