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Variant interpretation report

PALB2 c.1578T>C, p.(His526=)

NM_024675.4:c.1578T>C NP_078951.2:p.(His526=) View identifiers
Classification
Likely benign

Variant description:

No variant summary was recorded for this case.

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

Likely benign.A likely 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: 1 Benign evidence criteria: 2
Pathogenic criteria applied · 1
PM2Supporting
PM2 · supporting

This variant is absent from gnomAD v4.1 and gnomAD v2.1. The observed population frequency is therefore 0%, which is below the PALB2 PM2_Supporting threshold of 0.000333% (1 in 300,000).

Benign criteria applied · 2
BP4Supporting
BP4 · supporting

SpliceAI predicts no splice impact for this variant, with a maximum delta score of 0.00. This is below the PALB2 BP4 threshold of 0.1, supporting no computational evidence for abnormal splicing.

BP7Supporting
BP7 · supporting

This variant is a synonymous change, p.(His526=), and SpliceAI predicts no splice impact with a maximum delta score of 0.00. Under the PALB2 specification, this supports BP7 at Supporting strength.

Recorded classification: Likely benign

Richards et.al., 2015 - Combining rules v1.2.0 criteria-combination framework: matched Rule19 (Benign.Supporting >=2) with applied criteria: PM2 supporting, BP4 supporting, BP7 supporting; maps to Likely Benign.

02The sources

Evidence at a glance

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

SpliceAI score
0.000 maximum delta

Recorded SpliceAI maximum delta score: 0.000. Refer to the recorded PP3/BP4 rationale for interpretation.

ClinVar submissions
3 reported laboratory submissions

2 Likely benign · 1 Benign.

Context only ClinVar ↗
Functional evidence
Statement recorded

OncoKB identified curated literature and non-variant-specific oncogenicity context for review; listed oncogenicity label: Unknown Oncogenic Effect.

No listed criterion applied OncoKB ↗
COSMIC
Cancer Hotspots
Somatic evidence
No matching record reported

This variant has not previously been reported in somatic cancers (COSMIC).

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 · 4 not met · 6 not assessed · 15 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.1578T>C (p.His526=) variant has not been observed in somatic cancers in COSMIC and has been reported in ClinVar with benign or likely benign single-submitter classifications.

This variant is absent from gnomAD v2.1 and gnomAD v4.1, placing its observed population frequency at 0%, below the PALB2 PM2_Supporting threshold of 0.000333%.

In silico splice prediction shows no evidence of splice disruption, with a SpliceAI maximum delta score of 0.00; this is below the PALB2 BP4 threshold of 0.1 and well below the PP3 threshold of 0.2, supporting BP4 and BP7 rather than PP3.

Met · 3

PM2 SupportingThis variant is absent from gnomAD v4.1 and gnomAD v2.1. The observed population frequency is therefore 0%, which is below the PALB2 PM2_Supporting threshold of 0.000333% (1 in 300,000). Details ▾Hide ▴
Rule
Frequency ≤ 1/300,000 (0.000333%) in gnomAD v4 dataset
Evidence considered
  • Absent from gnomAD v4.1.
  • Absent from gnomAD v2.1.
  • PALB2 PM2 is applied at Supporting strength only when frequency is ≤0.000333% in gnomAD v4.
Sources
BP4 SupportingSpliceAI predicts no splice impact for this variant, with a maximum delta score of 0.00. This is below the PALB2 BP4 threshold of 0.1, supporting no computational evidence for abnormal splicing. Details ▾Hide ▴
Rule
Splicing: no predicted impact via splicing (SpliceAI ≤0.1). Do not apply for missense variants.
Evidence considered
  • SpliceAI max delta score is 0.00.
  • PALB2 BP4 for splicing is met when SpliceAI is ≤0.1.
Sources
BP7 SupportingThis variant is a synonymous change, p.(His526=), and SpliceAI predicts no splice impact with a maximum delta score of 0.00. Under the PALB2 specification, this supports BP7 at Supporting strength. Details ▾Hide ▴
Rule
Use for synonymous variants; BP7(RNA) may also be used for lack of aberrant RNA defect.
Evidence considered
  • The variant is synonymous: p.(His526=).
  • SpliceAI max delta score is 0.00.
  • PALB2 BP7 applies to synonymous variants and silent variants with no observed or predicted splice defect.
Sources

Not met · 4 · evaluated, threshold not reached

PVS1 This synonymous variant does not fall into the PALB2 loss-of-function or canonical splice categories used for PVS1, and SpliceAI predicts no splice disruption (max delta score 0.00). Details ▾Hide ▴
Rule
Use PALB2 PVS1 Decision Tree
Evidence considered
  • PALB2 has gene-level PVS1 eligibility in the CSPEC framework.
  • c.1578T>C is a synonymous change
  • p.(His526=).
  • Generic PVS1 scaffold does not place this variant in a null-variant bucket.
  • SpliceAI max delta score is 0.00.
Sources
cspec ↗pvs1_gene_contextpvs1_variant_assessmentspliceai ↗
PP3 SpliceAI predicts no splice impact for this variant, with a maximum delta score of 0.00. This is below the PALB2 PP3 threshold of 0.2, so computational evidence does not support a damaging splicing effect. Details ▾Hide ▴
Rule
Splicing: predicted impact via splicing (SpliceAI ≥0.2) for silent, missense/in-frame, and intronic variants outside ±1,2.
Evidence considered
  • SpliceAI DS_AG 0.0
  • DS_AL 0.0
  • DS_DG 0.0
  • DS_DL 0.0
  • max delta 0.00.
  • PALB2 PP3 for non-canonical splice-relevant variants requires SpliceAI ≥0.2.
Sources
BA1 This variant is absent from gnomAD v4.1, so its observed population frequency is 0%. This is below the PALB2 BA1 threshold of more than 0.1%, so BA1 is not met. Details ▾Hide ▴
Rule
Grpmax Filtering AF >0.1% in gnomAD v4 dataset
Evidence considered
  • Absent from gnomAD v4.1.
  • PALB2 BA1 requires grpmax filtering allele frequency >0.1% in gnomAD v4.
Sources
BS1 This variant is absent from gnomAD v4.1, so its observed population frequency is 0%. This is below the PALB2 BS1 threshold of more than 0.01%, so BS1 is not met. Details ▾Hide ▴
Rule
Grpmax Filtering AF >0.01% in gnomAD v4 dataset
Evidence considered
  • Absent from gnomAD v4.1.
  • PALB2 BS1 requires grpmax filtering allele frequency >0.01% in gnomAD v4.
Sources

Not assessed · 6 · no assessment recorded

PS1 No evidence was identified that this variant matches a PALB2 PS1 splicing-table comparator with the same predicted or observed splice effect as an established pathogenic variant. Details ▾Hide ▴
Rule
Use PALB2 PS1 Splicing table
Evidence considered
  • PALB2 PS1 requires use of a gene-specific splicing table.
  • SpliceAI shows no predicted splice impact for this variant.
Still missing
  • No qualifying PALB2 PS1 splicing comparator was identified in the available evidence.
Sources
PS4 No case-control study or other quantitative enrichment data were identified showing that this variant is significantly more common in affected individuals than in controls. ClinVar contains benign or likely benign single-submitter assertions, but these do not satisfy the PALB2 PS4 requirement. 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
  • ClinVar includes 3 single-submitter benign/likely benign classifications.
  • No validated PS4-ready case-control evidence was identified.
Still missing
  • No qualifying case-control statistics meeting the PALB2 PS4 threshold were identified.
Sources
PM3 No observations were identified showing this variant in trans with a pathogenic PALB2 variant in an individual with Fanconi anemia, so PM3 cannot be assessed from the available evidence. Details ▾Hide ▴
Rule
Apply PM3 strength by Fanconi anemia point totals.
Evidence considered
  • PALB2 PM3 requires Fanconi anemia proband-based scoring.
Still missing
  • No phase-confirmed Fanconi anemia proband data were identified.
Sources
PP1 No segregation data were identified for this variant, so PALB2 PP1 cannot be assessed. Details ▾Hide ▴
Rule
AD: LOD ≥0.3 / 0.60 / 1.26 or LR ≥2:1 / 4:1 / 18:1 for Supporting/Moderate/Strong; AR: segregation in 1 / 2 / ≥3 affected relatives.
Evidence considered
  • PALB2 PP1 requires quantitative co-segregation analysis or qualifying affected-relative evidence.
Still missing
  • No family segregation data or quantitative co-segregation analysis were identified.
Sources
BS2 No qualifying observations were identified in unaffected individuals that would allow BS2 scoring under the PALB2 Fanconi anemia framework. Details ▾Hide ▴
Rule
Apply BS2 strength by Fanconi anemia point totals.
Evidence considered
  • PALB2 BS2 requires Fanconi anemia table-based point assignment and should not use population datasets such as gnomAD.
Still missing
  • No BS2 point-scoring observations in unaffected individuals were identified.
Sources
BS4 No quantitative non-segregation data were identified for this variant, so BS4 cannot be assessed. Details ▾Hide ▴
Rule
LOD ≤ -1.28 / -0.64 / -0.32 or LR ≤0.053:1 / 0.23 / 0.48 for Strong/Moderate/Supporting.
Evidence considered
  • PALB2 BS4 requires quantitative non-segregation evidence.
Still missing
  • No LOD score or Bayes factor showing lack of segregation was identified.
Sources
Not applicable · 15· recorded as not applicable Show reasons ▾Hide reasons ▴
PS2 VCEPThis criterion is not used for PALB2 in this framework. Details ▾Hide ▴
Evidence considered
  • PALB2 CSPEC marks PS2 as not applicable.
Sources
PS3 VCEPThis criterion is not used for PALB2 in this framework. Details ▾Hide ▴
Evidence considered
  • PALB2 CSPEC marks PS3 as not applicable.
Sources
PM1 VCEPThis criterion is not used for PALB2 because missense pathogenic variation is not established as a disease mechanism in this framework. Details ▾Hide ▴
Evidence considered
  • PALB2 CSPEC marks PM1 as not applicable.
Sources
PM4 VCEPThis criterion is not used for this PALB2 variant type in this framework. Details ▾Hide ▴
Evidence considered
  • PALB2 CSPEC limits PM4 to stop-loss use and otherwise marks it not applicable.
Sources
PM5 N/AFor PALB2, PM5 is a truncation-cutoff rule rather than a classic same-residue missense rule. This synonymous variant does not meet that framework-specific PM5 logic. Details ▾Hide ▴
Rule
Apply to frameshifting or truncating variants with premature termination codons upstream of p.Tyr1183, or qualifying RNA-proven splice variants predicted to trigger NMD upstream of p.Tyr1183.
Evidence considered
  • PM5 candidate review marked PALB2 PM5 as a truncation-cutoff/non-missense rule.
  • The variant is synonymous
  • p.(His526=).
Sources
cspec ↗pm5_candidates
PM6 VCEPThis criterion is not used for PALB2 in this framework. Details ▾Hide ▴
Evidence considered
  • PALB2 CSPEC marks PM6 as not applicable.
Sources
PP2 VCEPThis criterion is not used for PALB2 because missense variation is not an established mechanism in this framework. Details ▾Hide ▴
Evidence considered
  • PALB2 CSPEC marks PP2 as not applicable.
Sources
PP4 VCEPThis criterion is not used for PALB2-related cancer predisposition in this framework. Details ▾Hide ▴
Evidence considered
  • PALB2 CSPEC marks PP4 as not applicable.
Sources
PP5 VCEPThis criterion is not used in this framework. Details ▾Hide ▴
Evidence considered
  • PALB2 CSPEC marks PP5 as not applicable.
Sources
BS3 VCEPThis criterion is not used for PALB2 in this framework. Details ▾Hide ▴
Evidence considered
  • PALB2 CSPEC marks BS3 as not applicable and directs RNA evidence to BP7-based assessment.
Sources
BP1 N/AThis criterion applies to missense variants in PALB2. This variant is synonymous, not missense. Details ▾Hide ▴
Rule
Apply to all missense variants.
Evidence considered
  • PALB2 BP1 is restricted to missense variants.
  • The protein consequence is p.(His526=).
Sources
BP2 VCEPThis criterion is not used for PALB2 in this framework. Details ▾Hide ▴
Evidence considered
  • PALB2 CSPEC marks BP2 as not applicable.
Sources
BP3 VCEPThis criterion is not used for PALB2 in this framework. Details ▾Hide ▴
Evidence considered
  • PALB2 CSPEC marks BP3 as not applicable.
Sources
BP5 VCEPThis criterion is not used for PALB2 in this framework. Details ▾Hide ▴
Evidence considered
  • PALB2 CSPEC marks BP5 as not applicable.
Sources
BP6 VCEPThis criterion is not used in this framework. Details ▾Hide ▴
Evidence considered
  • PALB2 CSPEC marks BP6 as not applicable.
Sources

Identifiers

Gene
PALB2
Transcript
NM_024675.4
Coding (HGVS c.)
NM_024675.4:c.1578T>C
Protein (HGVS p.)
NP_078951.2:p.(His526=)
GRCh38
chr16:23634968 A>G
GRCh37
chr16:23646289 A>G
ClinVar
2816114, 795606

Gene diagram

Every interpreted variant in PALB2, mapped onto the exon structure of NM_024675.4. Select a row to find it on the plot.

PALB2NM_024675.4
Fetching transcript structure from UCSC…
gnomAD v4.1 Allele count data not recorded
gnomAD v2.1 Allele count data not recorded

Statements

gnomAD v4.1

Absent from gnomAD v4.1.

gnomAD v2.1

Absent from gnomAD v2.1.

SpliceAI and Pangolin

SpliceAI acceptor lossat -45 bp
0.000
SpliceAI acceptor gainat -486 bp
0.000
SpliceAI donor lossat -106 bp
0.000
SpliceAI donor gainat -1 bp
0.000
Pangolin splice lossmagnitude shown
-0.010
Pangolin splice gain
0.000

Other predictors

REVEL
Not available
BayesDel
Not available

How the predictions were used

BP4 SupportingSpliceAI predicts no splice impact for this variant, with a maximum delta score of 0.00. This is below the PALB2 BP4 threshold of 0.1, supporting no computational evidence for abnormal splicing. Details ▾Hide ▴
Rule
Splicing: no predicted impact via splicing (SpliceAI ≤0.1). Do not apply for missense variants.
Evidence considered
  • SpliceAI max delta score is 0.00.
  • PALB2 BP4 for splicing is met when SpliceAI is ≤0.1.
Sources
BP7 SupportingThis variant is a synonymous change, p.(His526=), and SpliceAI predicts no splice impact with a maximum delta score of 0.00. Under the PALB2 specification, this supports BP7 at Supporting strength. Details ▾Hide ▴
Rule
Use for synonymous variants; BP7(RNA) may also be used for lack of aberrant RNA defect.
Evidence considered
  • The variant is synonymous: p.(His526=).
  • SpliceAI max delta score is 0.00.
  • PALB2 BP7 applies to synonymous variants and silent variants with no observed or predicted splice defect.
Sources
PP3 SpliceAI predicts no splice impact for this variant, with a maximum delta score of 0.00. This is below the PALB2 PP3 threshold of 0.2, so computational evidence does not support a damaging splicing effect. Details ▾Hide ▴
Rule
Splicing: predicted impact via splicing (SpliceAI ≥0.2) for silent, missense/in-frame, and intronic variants outside ±1,2.
Evidence considered
  • SpliceAI DS_AG 0.0
  • DS_AL 0.0
  • DS_DG 0.0
  • DS_DL 0.0
  • max delta 0.00.
  • PALB2 PP3 for non-canonical splice-relevant variants requires SpliceAI ≥0.2.
Sources

Statement

In silico

SpliceAI predicts no significant splice impact for this variant (max delta score = 0.00).

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.

Recorded publications

  • Customizing local and systemic therapies for women with early breast cancer: the St. Gallen International Consensus Guidelines for treatment of early breast cancer 2021.
    No paper-specific finding is recorded.
    PMID 34242744 ↗
  • Genetic cancer risk assessment and counseling: recommendations of the national society of genetic counselors.
    Trepanier A et al. · 2004
    No paper-specific finding is recorded.
    PMID 15604628 ↗
  • Risk assessment and genetic counseling for hereditary breast and ovarian cancer: recommendations of the National Society of Genetic Counselors.
    Berliner JL et al. · 2007
    No paper-specific finding is recorded.
    PMID 17508274 ↗
  • The emerging landscape of breast cancer susceptibility.
    Stratton MR et al. · 2008
    No paper-specific finding is recorded.
    PMID 18163131 ↗
  • BRCA1- and BRCA2-Associated Hereditary Breast and Ovarian Cancer.
    Adam MP et al. · 1993
    No paper-specific finding is recorded.
    PMID 20301425 ↗
  • Risk assessment, genetic counseling, and genetic testing for BRCA-related cancer in women: U.S. Preventive Services Task Force recommendation statement.
    Moyer VA et al. · 2014
    No paper-specific finding is recorded.
    PMID 24366376 ↗
  • Summaries for patients. Assessing the genetic risk for BRCA-related breast or ovarian cancer in women: recommendations from the U.S. Preventive Services Task Force.
    2014
    No paper-specific finding is recorded.
    PMID 24366402 ↗
  • PMID:24432435
    Nelson HD et al. · 2013
    No paper-specific finding is recorded.
    PMID 24432435 ↗
  • Sherloc: a comprehensive refinement of the ACMG-AMP variant classification criteria.
    No paper-specific finding is recorded.
    PMID 28492532 ↗

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

Absent from gnomAD v4.1.

gnomAD v2.1

Absent from gnomAD v2.1.

ClinVar

This variant has been reported in ClinVar as Likely benign (2 clinical laboratories) and as Benign (1 clinical laboratory). (ClinVarID = 795606)

In silico

SpliceAI predicts no significant splice impact for this variant (max delta score = 0.00).

Functional

OncoKB identified curated literature and non-variant-specific oncogenicity context for review; listed oncogenicity label: Unknown Oncogenic Effect.

Somatic

This variant does not lie in a statistically significant hotspot. This variant has not previously been reported in somatic cancers (COSMIC).

Cancer Hotspots

This variant does not lie in a statistically significant hotspot.