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. Select a step to read what it means.
Not classified yet.Select a step to read what it means.
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. 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.
This variant is extremely rare in population databases, with a total allele frequency of 4.96e-06 (0.00000050%) in gnomAD v4.1, well below the PALB2 VCEP PM2_Supporting threshold of ≤ 0.000333% (1/300,000). All 8 observed alleles are in the South Asian subpopulation (AF = 0.00878%), but the VCEP exception is for n=1 with frequency > 0.0003% and does not apply here.
The PALB2 VCEP explicitly applies BP1 at supporting level to all missense variants in PALB2. True missense pathogenic variants are thought to be exceedingly rare, and the gene has a low rate of missense variants that are non-functional in relevant assays. NM_024675.4:c.1096A>G (p.Asn366Asp) is a missense variant and therefore receives BP1.
ClinGen Hereditary Breast, Ovarian and Pancreatic Cancer Expert Panel Specifications to the ACMG/AMP Variant Interpretation Guidelines for PALB2 Version 1.2 v1.2 criteria-combination framework: matched Rule31 (Benign.Supporting >=1 + Pathogenic.Supporting >=1) with applied criteria: PM2 supporting, BP1 supporting benign; maps to Uncertain Significance - Conflicting Evidence.
Evidence summaries and captured source records, where available. Missing entries should not be interpreted as negative findings.
gnomAD v4.1: 8 / 1,614,152 alleles. Recorded AF 4.95616e-06. Recorded homozygote count 0.
Absent from gnomAD v2.1.
Not available in gnomAD-Canada v1.0.
Recorded SpliceAI maximum delta score: 0.000. Refer to the recorded PP3/BP4 rationale for interpretation.
5 Uncertain significance · 1 Likely benign. ClinVar API review status: criteria provided, conflicting classifications.
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.
This variant has not previously been reported in somatic cancers (COSMIC).
This variant does not lie in a statistically significant hotspot.
ACMG/AMP criteria under ClinGen PALB2 VCEP v1.2, with the data and sources behind each one.
26 criteria with recorded statuses: 2 met · 6 not met · 0 not assessed · 18 not applicable. Open any row for the full reasoning, the rule and the evidence behind it.
NM_024675.4:c.1096A>G (p.Asn366Asp) is a missense variant in PALB2 with an extremely low population frequency in gnomAD v4.1 (total AF = 4.96e-06, 8/1,614,152 alleles, 0 homozygotes), meeting PM2_Supporting under the PALB2 VCEP threshold of ≤ 0.000333%.
Under the PALB2 HBOP VCEP v1.2, BP1 is applied at supporting benign level to all PALB2 missense variants. Missense pathogenic variation in PALB2 is not yet confirmed as a mechanism of disease, and true missense pathogenic variants are thought to be exceedingly rare.
This variant has been reported in ClinVar as Uncertain significance by 5 clinical laboratories and Likely benign by 1 laboratory (VCV000188117), with an overall review status of 'criteria provided, single submitter.' No expert panel has reviewed this variant.
SpliceAI predicts no splicing impact (max delta = 0.00). In silico missense predictors (REVEL = 0.046, BayesDel = -0.707777) lean toward benign, but the PALB2 VCEP does not permit the use of PP3 or BP4 for missense variants.
The majority of ACMG criteria are not applicable under the PALB2 VCEP for missense variants: PVS1 (not a null variant), PS1/PS3/PM1/PP2 (missense pathogenic variation not confirmed), PS5 (not in VCEP), PM5 (truncation-only rule), PP3/BP4 (missense not used), PS2/PM6 (de novo not applicable), PP4/BP5 (not applicable per VCEP), BP7 (not synonymous), PP5/BP6 (not for use per VCEP).
With one pathogenic supporting criterion (PM2_Supporting) and one benign supporting criterion (BP1), the evidence is balanced and insufficient to classify this variant as pathogenic or benign. The variant is classified as Uncertain Significance under PALB2 VCEP v1.2 combination rules.
No criteria match.
Every interpreted variant in PALB2, mapped onto the exon structure of NM_024675.4. Select a row to find it on the plot.
| Protein | Location | Classification | Link |
|---|
| South Asian8 / 91,088 | 8.8e-05 |
This variant is present in gnomAD v4.1 (AF= 4.95616e-06; MAF= 0.00050%, 8/1614152 alleles, homozygotes = 0) and has highest observed frequency in the South Asian population (AF= 8.78272e-05; MAF= 0.00878%, 8/91088 alleles, homozygotes = 0); grpmax FAF= 4.368e-05.
Absent from gnomAD v2.1.
Not available in gnomAD-Canada v1.0.
SpliceAI predicts no significant splice impact for this variant (max delta score = 0.00). REVEL score = 0.046. BayesDel score = -0.707777.
6 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= 4.95616e-06; MAF= 0.00050%, 8/1614152 alleles, homozygotes = 0) and has highest observed frequency in the South Asian population (AF= 8.78272e-05; MAF= 0.00878%, 8/91088 alleles, homozygotes = 0); grpmax FAF= 4.368e-05.
Absent from gnomAD v2.1.
Not available in gnomAD-Canada v1.0.
This variant has been reported in ClinVar as Uncertain significance (5 clinical laboratories) and as Likely benign (1 clinical laboratory). (ClinVarID = 188117)
SpliceAI predicts no significant splice impact for this variant (max delta score = 0.00). REVEL score = 0.046. BayesDel score = -0.707777.
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.
This variant does not lie in a statistically significant hotspot. This variant has not previously been reported in somatic cancers (COSMIC).
This variant does not lie in a statistically significant hotspot.