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 benign. Select a step to read what it means.
Benign.A benign 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.
No pathogenic criterion marked as applied in the recorded assessment.
The grpmax filtering allele frequency in gnomAD v4.1 is 0.58% (FAF 0.00582118), which exceeds the PALB2 VCEP BA1 threshold of >0.1%. This allele frequency is inconsistent with a highly penetrant pathogenic variant for PALB2-related cancer predisposition and meets stand-alone benign criteria.
The grpmax filtering allele frequency in gnomAD v4.1 is 0.58% (FAF 0.00582118), which far exceeds the PALB2 VCEP BS1 threshold of >0.01%. The variant is common in the African/African American population (AF 0.63%) with 3 homozygous individuals observed in gnomAD v4.1, providing strong evidence for a benign interpretation.
BP1 applies to all PALB2 missense variants per VCEP guidance: true missense pathogenic variants are thought to be exceedingly rare in PALB2, which has a low rate of non-functional missense variants in relevant assays. This variant is a missense change (p.Asn241Asp).
Expert panel ClinGen Hereditary Breast, Ovarian and Pancreatic Cancer Variant Curation Expert Panel, ClinGen classified as 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, BS1 strong benign, BP1 supporting benign, BP6 supporting benign; maps to Benign.
Evidence summaries and captured source records, where available. Missing entries should not be interpreted as negative findings.
gnomAD v4.1: 537 / 1,614,164 alleles. Recorded AF 0.00033268. Recorded homozygote count 3.
This variant is present in gnomAD v2.1 (AF= 0.000615807; MAF= 0.06158%, 174/282556 alleles, homozygotes = 2) and has highest observed frequency in the African/African American population (AF= 0.00652699; MAF= 0.65270%, 162/24820 alleles, homozygotes = 2); grpmax FAF= 0.00550914.
Recorded SpliceAI maximum delta score: 0.000. Refer to the recorded PP3/BP4 rationale for interpretation.
9 Benign · 8 Likely benign.
OncoKB identified variant-specific curated literature and context relevant to functional review; biological-effect context: Inconclusive; curated oncogenicity label: Inconclusive.
This variant has previously been reported in somatic cancers (COSMIC; COSV104552978, n = 1 times).
This variant does not lie in a statistically significant hotspot.
ACMG/AMP criteria under ClinGen PALB2 VCEP v1.2.0, with the data and sources behind each one.
26 criteria with recorded statuses: 4 met · 5 not met · 1 not assessed · 16 not applicable. Open any row for the full reasoning, the rule and the evidence behind it.
The PALB2 c.721A>G (p.Asn241Asp) missense variant has an allele frequency of 0.63% in the African/African American population in gnomAD v4.1 (472/75,032 alleles) with 3 homozygous individuals observed. The grpmax filtering allele frequency of 0.58% exceeds the PALB2 VCEP BA1 threshold of >0.1%, meeting stand-alone benign criteria.
The grpmax filtering allele frequency of 0.58% in gnomAD v4.1 far exceeds the PALB2 VCEP BS1 threshold of >0.01%, providing strong benign evidence. This allele frequency is inconsistent with a highly penetrant pathogenic variant for PALB2-related cancer predisposition.
BP1 (supporting benign) is met per PALB2 VCEP v1.2.0, which applies to all PALB2 missense variants given that true missense pathogenic variants are thought to be exceedingly rare in this gene based on published and unpublished functional studies.
This variant has been classified as Benign by the ClinGen Hereditary Breast, Ovarian and Pancreatic Cancer Variant Curation Expert Panel (expert panel review) and is reported as Benign by 9 clinical laboratories and Likely benign by 8 clinical laboratories in ClinVar (VariationID: 126765).
SpliceAI predicts no splice impact (max delta score 0.00). REVEL score is 0.013 and BayesDel score is -0.834, consistent with a benign in silico profile, though these predictors are not used for PALB2 missense variants per VCEP guidance.
PVS1, PS1, PS3, PM1, PP2, and PP3 are not applicable to this missense variant per PALB2 VCEP v1.2.0. PS4, PM2, PP1, and BS4 are not met due to absence of required evidence. Full-text verification of cited publications was attempted but the retrieved full-text files contained only Sci-Hub interface content rather than actual paper text; citation verification was limited to abstracts.
Applying the PALB2 VCEP v1.2.0 final classification rules: BA1 (stand-alone benign) is met, which alone satisfies Rule 17 (>=1 Stand Alone Benign) for a Benign classification. Additionally, BS1 (strong benign) and BP1 (supporting benign) are met, further supporting the benign interpretation.
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 |
|---|
| African/African American472 / 75,032 | 0.00633 hom |
| Remaining individuals33 / 62,508 | 0.00053 |
| Admixed American18 / 60,014 | 0.0003 |
| European (non-Finnish)14 / 1,180,034 | 1.2e-05 |
| African/African American162 / 24,820 | 0.00652 hom |
| Remaining individuals2 / 7,202 | 0.00028 |
| Admixed American9 / 35,436 | 0.00025 |
| European (non-Finnish)1 / 129,044 | 7.7e-06 |
This variant is present in gnomAD v4.1 (AF= 0.00033268; MAF= 0.03327%, 537/1614164 alleles, homozygotes = 3) and has highest observed frequency in the African/African American population (AF= 0.00629065; MAF= 0.62906%, 472/75032 alleles, homozygotes = 3); grpmax FAF= 0.00582118.
This variant is present in gnomAD v2.1 (AF= 0.000615807; MAF= 0.06158%, 174/282556 alleles, homozygotes = 2) and has highest observed frequency in the African/African American population (AF= 0.00652699; MAF= 0.65270%, 162/24820 alleles, homozygotes = 2); grpmax FAF= 0.00550914.
SpliceAI predicts no significant splice impact for this variant (max delta score = 0.00). REVEL score = 0.013. BayesDel score = -0.834201.
8 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.
This variant is present in gnomAD v4.1 (AF= 0.00033268; MAF= 0.03327%, 537/1614164 alleles, homozygotes = 3) and has highest observed frequency in the African/African American population (AF= 0.00629065; MAF= 0.62906%, 472/75032 alleles, homozygotes = 3); grpmax FAF= 0.00582118.
This variant is present in gnomAD v2.1 (AF= 0.000615807; MAF= 0.06158%, 174/282556 alleles, homozygotes = 2) and has highest observed frequency in the African/African American population (AF= 0.00652699; MAF= 0.65270%, 162/24820 alleles, homozygotes = 2); grpmax FAF= 0.00550914.
This variant has been reported in ClinVar as Benign (9 clinical laboratories) and as Likely benign (8 clinical laboratories) and as Benign by ClinGen Hereditary Breast, Ovarian and Pancreatic Cancer Variant Curation Expert Panel, ClinGen (expert panel). (ClinVarID = 126765)
SpliceAI predicts no significant splice impact for this variant (max delta score = 0.00). REVEL score = 0.013. BayesDel score = -0.834201.
OncoKB identified variant-specific curated literature and context relevant to functional review; biological-effect context: Inconclusive; curated oncogenicity label: Inconclusive.
This variant does not lie in a statistically significant hotspot. This variant has previously been reported in somatic cancers (COSMIC; COSV104552978, n = 1 times).
This variant does not lie in a statistically significant hotspot.