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 uncertain. Select a step to read what it means.
Uncertain.The recorded classification is uncertain significance.
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.
PALB2 VCEP BP1 specifies application to all missense variants in PALB2. Based on published and unpublished functional studies, PALB2 has a low rate of missense variants that are non-functional in relevant assays, and true pathogenic missense variants are thought to be exceedingly rare.
Richards et.al., 2015 - Combining rules v1.2.0 criteria-combination framework was evaluated deterministically with applied criteria: BP1 supporting benign; no rule matched the adjudicated criteria.
Evidence summaries and captured source records, where available. Missing entries should not be interpreted as negative findings.
gnomAD v4.1: 2 / 1,609,786 alleles. Recorded AF 1.2424e-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.
6 Uncertain significance · 2 Likely benign.
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 v1.2.0, with the data and sources behind each one.
26 criteria with recorded statuses: 1 met · 7 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.205C>T (p.His69Tyr) is a missense variant in PALB2 exon 3. Under the ClinGen Hereditary Breast, Ovarian and Pancreatic Cancer Expert Panel specification for PALB2 v1.2.0, missense variants are not a confirmed mechanism of disease.
BP1_Supporting is met: the VCEP applies BP1 to all PALB2 missense variants given the very low likelihood that missense variants are pathogenic.
PM2_Supporting is not applied: while the overall gnomAD v4.1 frequency (0.000124%) is below the VCEP threshold (≤0.000333%), the variant is observed in the East Asian subpopulation at 0.00223% (1/44,858 alleles), triggering the VCEP exception for under-represented sub-populations with frequency >0.0003%.
The variant is present in gnomAD v4.1 at extremely low frequency (2/1,609,786 alleles; 0 homozygotes). It is absent from gnomAD v2.1.
This variant has been reported in ClinVar (ID 245654) as Uncertain significance by 6 clinical laboratories and Likely benign by 2 clinical laboratories. No expert panel classification is available.
SpliceAI predicts no splicing impact (max delta score 0.00). REVEL (0.053) and BayesDel (-0.387659) are consistent with a benign computational prediction, though in silico predictors are not used for PALB2 missense variants under this VCEP.
Multiple criteria are not applicable under the PALB2 VCEP for missense variants: PVS1 (not a null variant), PS1 (missense excluded), PM1 (missense pathogenicity not confirmed), PM5 (missense excluded), PP2 (missense not confirmed), PP3 (missense excluded), BP4 (missense excluded), BP7 (missense excluded). PS2, PM6, PS3, BS3, PP4, PP5, BP2, BP5, BP6 are not applicable per VCEP specification.
No variant-specific functional, segregation, case-control, or Fanconi Anemia proband data were identified in the reviewed literature or databases.
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 |
|---|
| East Asian1 / 44,858 | 2.2e-05 |
| Admixed American1 / 60,014 | 1.7e-05 |
This variant is present in gnomAD v4.1 (AF= 1.2424e-06; MAF= 0.00012%, 2/1609786 alleles, homozygotes = 0) and has highest observed frequency in the East Asian population (AF= 2.22926e-05; MAF= 0.00223%, 1/44858 alleles, homozygotes = 0).
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 = 0.053. BayesDel score = -0.387659.
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= 1.2424e-06; MAF= 0.00012%, 2/1609786 alleles, homozygotes = 0) and has highest observed frequency in the East Asian population (AF= 2.22926e-05; MAF= 0.00223%, 1/44858 alleles, homozygotes = 0).
Absent from gnomAD v2.1.
Not available in gnomAD-Canada v1.0.
This variant has been reported in ClinVar as Uncertain significance (6 clinical laboratories) and as Likely benign (2 clinical laboratories). (ClinVarID = 245654)
SpliceAI predicts no significant splice impact for this variant (max delta score = 0.00). REVEL score = 0.053. BayesDel score = -0.387659.
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.