0%
Print report
Variant interpretation report

PALB2 c.2469C>G, p.(Leu823=)

NM_024675.4:c.2469C>G NP_078951.2:p.(Leu823=) 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: 0 Benign evidence criteria: 2
Pathogenic criteria applied · 0

No pathogenic criterion marked as applied in the recorded assessment.

Benign criteria applied · 2
BP4Supporting
BP4 · supporting

Computational splicing evidence supports no impact on splicing. SpliceAI predicts a maximum delta score of 0.00, which is below the PALB2 BP4 threshold of ≤0.1.

BP7Supporting
BP7 · supporting

This is a synonymous PALB2 variant, and available computational evidence does not suggest an RNA splice defect. SpliceAI predicts no significant splice impact, with a maximum delta score of 0.00.

Recorded classification: Likely benign

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

gnomAD v4.1
gnomAD v2.1
Population frequency
6 / 1,614,212 alleles

gnomAD v4.1: 6 / 1,614,212 alleles. Recorded AF 3.71698e-06. Recorded homozygote count 0.

gnomAD v2.1

Absent from gnomAD v2.1.

gnomAD-Canada

This variant is present in gnomAD-Canada v1.0 (AF= 0.000108601; MAF= 0.01086%, 2/18416 alleles, homozygotes = 0) and has highest observed frequency in the eas population (AF= 0.00149477; grpmax FAF95= 0.00026546).

SpliceAI score
0.000 maximum delta

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

ClinVar submissions
11 reported laboratory submissions

9 Likely benign · 1 Benign · 1 likely 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: 2 met · 5 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.2469C>G (p.Leu823=) variant has been reported in ClinVar predominantly as likely benign or benign, and no expert panel submission was identified.

In gnomAD v4.1, this variant is present at 6/1,614,212 alleles overall (0.00037%) with a highest observed population frequency of 5/62,506 alleles (0.00800%) in Remaining individuals; it is absent from gnomAD v2.1.

This synonymous variant is predicted to have no meaningful effect on splicing, with a SpliceAI maximum delta score of 0.00; under the PALB2 specification, this supports BP4 and is consistent with BP7.

Met · 2

BP4 SupportingComputational splicing evidence supports no impact on splicing. SpliceAI predicts a maximum delta score of 0.00, which is below the PALB2 BP4 threshold of ≤0.1. Details ▾Hide ▴
Rule
Splicing: no predicted impact via splicing, SpliceAI ≤ 0.1
Evidence considered
  • SpliceAI max delta score 0.00
Sources
BP7 SupportingThis is a synonymous PALB2 variant, and available computational evidence does not suggest an RNA splice defect. SpliceAI predicts no significant splice impact, with a maximum delta score of 0.00. Details ▾Hide ▴
Rule
Use for synonymous variants; BP7(RNA) may be weighted when lack of aberrant RNA defect is observed
Evidence considered
  • Protein consequence p.(Leu823=)
  • SpliceAI max delta score 0.00
Sources

Not met · 5 · evaluated, threshold not reached

PVS1 This synonymous variant does not fall into the PALB2 PVS1 loss-of-function categories, and available splicing evidence does not indicate an abnormal splice effect. SpliceAI shows a maximum delta score of 0.00. Details ▾Hide ▴
Rule
Use PALB2 PVS1 decision tree
Evidence considered
  • Protein consequence p.(Leu823=)
  • Generic PVS1 scaffold classified variant bucket as other
  • SpliceAI max delta score 0.00
Sources
cspec ↗pvs1_gene_contextpvs1_variant_assessmentspliceai ↗
PM2 This variant is not rare enough for PM2_Supporting under the PALB2 specification. In gnomAD v4.1, the overall frequency is 0.00037% (6/1,614,212), which is above the ≤0.000333% threshold, and the highest observed population frequency is 0.00800% (5/62,506). Details ▾Hide ▴
Rule
Frequency ≤ 1/300,000 (0.000333%) in gnomAD v4 dataset for PM2_Supporting
Evidence considered
  • gnomAD v4.1 total AF 0.00037% (6/1614212)
  • gnomAD v4.1 best observed population AF 0.00800% (5/62506)
Sources
PP3 Computational evidence does not support a splice-altering effect. SpliceAI predicts a maximum delta score of 0.00, which is below the PALB2 PP3 threshold of ≥0.2. Details ▾Hide ▴
Rule
Splicing: predicted impact via splicing, SpliceAI ≥ 0.2
Evidence considered
  • SpliceAI max delta score 0.00
  • No REVEL or BayesDel score was available for this synonymous variant
Sources
BA1 Population frequency is far below the PALB2 BA1 threshold. In gnomAD v4.1, the highest observed population frequency is 0.00800% (5/62,506), which is below the >0.1% threshold. Details ▾Hide ▴
Rule
Grpmax filtering AF > 0.1% in gnomAD v4 dataset
Evidence considered
  • gnomAD v4.1 best observed population AF 0.00800% (5/62506)
Sources
BS1 Population frequency does not reach the PALB2 BS1 threshold. In gnomAD v4.1, the highest observed population frequency is 0.00800% (5/62,506), which is below the >0.01% threshold. Details ▾Hide ▴
Rule
Grpmax filtering AF > 0.01% in gnomAD v4 dataset
Evidence considered
  • gnomAD v4.1 best observed population AF 0.00800% (5/62506)
Sources

Not assessed · 6 · no assessment recorded

PS1 No PALB2 PS1 splicing comparator evidence was identified to show that this variant produces the same established pathogenic splice effect as a known pathogenic variant. Details ▾Hide ▴
Rule
Use PALB2 PS1 splicing table
Evidence considered
  • PALB2 PS1 requires use of the PALB2 PS1 splicing table
  • SpliceAI max delta score 0.00
Still missing
  • Variant-specific PALB2 PS1 splicing table comparison or RNA comparator evidence
Sources
PS4 No qualifying PALB2 case-control study showing a significant enrichment of this variant in affected individuals was identified. Details ▾Hide ▴
Rule
p-value ≤ 0.05 and odds ratio, hazard ratio, or relative risk ≥ 3 or lower 95% CI ≥ 1.5
Evidence considered
  • ClinVar observations do not establish PALB2 PS4 case-control evidence
Still missing
  • Variant-specific case-control data meeting PALB2 PS4 thresholds
Sources
PM3 No Fanconi anemia proband data or confirmed in trans occurrences with a pathogenic PALB2 variant were identified, so PM3 cannot be scored. Details ▾Hide ▴
Rule
PM3_Supporting = 1 point; PM3 = 2 points; PM3_Strong ≥ 4 points; PM3_VeryStrong ≥ 8 points
Evidence considered
  • PALB2 PM3 uses a Fanconi-anemia-specific point system
Still missing
  • Recessive disease case data with phase information
  • PM3 point-based evidence
Sources
PP1 No segregation data were identified, so PP1 cannot be applied. Details ▾Hide ▴
Rule
AD: LOD ≥ 0.3 or Bayes Factor ≥ 2:1 for PP1_Supporting, with higher thresholds for moderate/strong
Evidence considered
  • PALB2 PP1 requires quantitative segregation evidence
Still missing
  • Family segregation data with LOD score or Bayes factor
Sources
BS2 No qualifying observations in unaffected adults with the required PALB2-specific point-based framework were identified, so BS2 cannot be applied. Details ▾Hide ▴
Rule
BS2_Supporting = 1 point; BS2_Moderate = 2 points; BS2 ≥ 4 points
Evidence considered
  • PALB2 BS2 uses a Fanconi-anemia-specific point system
Still missing
  • Qualified unaffected adult observations
  • BS2 point-based evidence
Sources
BS4 No quantitative non-segregation data were identified. The PALB2 specification requires LOD or likelihood ratio evidence to apply BS4. Details ▾Hide ▴
Rule
LOD ≤ -1.28 or Bayes Factor (LR) ≤ 0.053:1 for BS4_Strong, with lower thresholds for moderate/supporting
Evidence considered
  • PALB2 BS4 requires quantitative non-segregation evidence
Still missing
  • Family segregation data with LOD score or Bayes factor
Sources
Not applicable · 15· recorded as not applicable Show reasons ▾Hide reasons ▴
PS2 VCEPPS2 is not applied for PALB2 in this expert specification. Details ▾Hide ▴
Evidence considered
  • PALB2 PS2 marked not applicable by VCEP
Sources
PS3 VCEPPS3 is not used in this PALB2 expert specification for this context. Details ▾Hide ▴
Evidence considered
  • PALB2 PS3 marked not applicable by VCEP
Sources
PM1 VCEPPM1 is not used for PALB2 in this expert specification. Details ▾Hide ▴
VCEP rule
Do not use
Evidence considered
  • PALB2 PM1 marked not applicable by VCEP
Sources
PM4 VCEPThis is a synonymous substitution, and the PALB2 specification states that PM4 is not used for this variant type. Details ▾Hide ▴
VCEP rule
Do not use for in-frame insertions or deletions less than a single exon; use for stop-loss variants only
Evidence considered
  • PALB2 PM4 is reserved for stop-loss variants
Sources
PM5 N/APM5 is not applicable here because the PALB2 specification uses a truncation-cutoff PM5 rule rather than classic same-residue missense logic, and this variant is synonymous. Details ▾Hide ▴
Rule
Apply to frameshifting or truncating variants with premature termination codons upstream of p.Tyr1183, or qualifying NMD-prone splice variants with observed RNA effect
Evidence considered
  • PM5 candidate review marked classic same-residue PM5 as ineligible
  • Protein consequence p.(Leu823=)
Sources
cspec ↗pm5_candidates
PM6 VCEPPM6 is not applied for PALB2 in this expert specification. Details ▾Hide ▴
VCEP rule
Do not use for AD or AR disease
Evidence considered
  • PALB2 PM6 marked not applicable by VCEP
Sources
PP2 VCEPPP2 is not used for PALB2 in this expert specification. Details ▾Hide ▴
VCEP rule
Do not use
Evidence considered
  • PALB2 PP2 marked not applicable by VCEP
Sources
PP4 VCEPPP4 is not applied for PALB2-related cancer predisposition in this expert specification. Details ▾Hide ▴
VCEP rule
Do not use for AD disorder
Evidence considered
  • PALB2 PP4 marked not applicable by VCEP
Sources
PP5 VCEPPP5 is not used in this PALB2 expert specification. Details ▾Hide ▴
Evidence considered
  • PALB2 PP5 marked not applicable by VCEP
Sources
BS3 VCEPBS3 is not used in this PALB2 expert specification for this context. Details ▾Hide ▴
Evidence considered
  • PALB2 BS3 marked not applicable by VCEP
Sources
BP1 N/AThis variant is synonymous, not missense. The PALB2 specification applies BP1 to missense variants only. Details ▾Hide ▴
Rule
Apply to all missense variants
Evidence considered
  • Protein consequence p.(Leu823=)
Sources
BP2 VCEPBP2 is not applied for PALB2 in this expert specification. Details ▾Hide ▴
Evidence considered
  • PALB2 BP2 marked not applicable by VCEP
Sources
BP3 VCEPBP3 is not used for PALB2 in this expert specification. Details ▾Hide ▴
Evidence considered
  • PALB2 BP3 marked not applicable by VCEP
Sources
BP5 VCEPBP5 is not applied for PALB2 in this expert specification. Details ▾Hide ▴
VCEP rule
Do not use
Evidence considered
  • PALB2 BP5 marked not applicable by VCEP
Sources
BP6 VCEPBP6 is not used in this PALB2 expert specification. Details ▾Hide ▴
VCEP rule
This criterion is not for use as recommended by the ClinGen Sequence Variant Interpretation VCEP Review Committee
Evidence considered
  • PALB2 BP6 marked not applicable by VCEP
Sources

Identifiers

Gene
PALB2
Transcript
NM_024675.4
Coding (HGVS c.)
NM_024675.4:c.2469C>G
Protein (HGVS p.)
NP_078951.2:p.(Leu823=)
GRCh38
chr16:23629685 G>C
GRCh37
chr16:23641006 G>C
ClinVar
220617

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 6 / 1,614,212 alleles AF 3.72e-06 · 0 homozygotes
gnomAD v2.1 Allele count data not recorded
gnomAD-Canada v1.0 2 / 18,416 alleles AF 0.000109 · 0 homozygotes · FAF 0.000265

By genetic ancestry

gnomAD v4.1

AF 3.7e-06 · 6 / 1,614,212 alleles · 0 hom
Remaining individuals5 / 62,506 8e-05
European (non-Finnish)1 / 1,180,042 8.5e-07
0 alternate alleles recorded in 8 other groups: Admixed American, European (Finnish), Amish, East Asian, Middle Eastern, South Asian, Ashkenazi Jewish, African/African American.

gnomAD-Canada

AF 0.00011 · 2 / 18,416 alleles · 0 hom · FAF 0.00027
eas2 / 1,338 0.0015
0 alternate alleles recorded in 8 other groups: afr, amr, asj, fin, mid, nfe, oth, sas.

Statements

gnomAD v4.1

This variant is present in gnomAD v4.1 (AF= 3.71698e-06; MAF= 0.00037%, 6/1614212 alleles, homozygotes = 0) and has highest observed frequency in the Remaining individuals population (AF= 7.99923e-05; MAF= 0.00800%, 5/62506 alleles, homozygotes = 0).

gnomAD v2.1

Absent from gnomAD v2.1.

gnomAD-Canada

This variant is present in gnomAD-Canada v1.0 (AF= 0.000108601; MAF= 0.01086%, 2/18416 alleles, homozygotes = 0) and has highest observed frequency in the eas population (AF= 0.00149477; grpmax FAF95= 0.00026546).

Open the gnomAD-Canada detail page →

SpliceAI and Pangolin

SpliceAI acceptor lossat +499 bp
0.000
SpliceAI acceptor gainat +274 bp
0.000
SpliceAI donor lossat -151 bp
0.000
SpliceAI donor gainat -45 bp
0.000
Pangolin splice lossmagnitude shown
-0.000
Pangolin splice gain
0.030

Other predictors

REVEL
Not available
BayesDel
Not available

How the predictions were used

BP4 SupportingComputational splicing evidence supports no impact on splicing. SpliceAI predicts a maximum delta score of 0.00, which is below the PALB2 BP4 threshold of ≤0.1. Details ▾Hide ▴
Rule
Splicing: no predicted impact via splicing, SpliceAI ≤ 0.1
Evidence considered
  • SpliceAI max delta score 0.00
Sources
BP7 SupportingThis is a synonymous PALB2 variant, and available computational evidence does not suggest an RNA splice defect. SpliceAI predicts no significant splice impact, with a maximum delta score of 0.00. Details ▾Hide ▴
Rule
Use for synonymous variants; BP7(RNA) may be weighted when lack of aberrant RNA defect is observed
Evidence considered
  • Protein consequence p.(Leu823=)
  • SpliceAI max delta score 0.00
Sources
PP3 Computational evidence does not support a splice-altering effect. SpliceAI predicts a maximum delta score of 0.00, which is below the PALB2 PP3 threshold of ≥0.2. Details ▾Hide ▴
Rule
Splicing: predicted impact via splicing, SpliceAI ≥ 0.2
Evidence considered
  • SpliceAI max delta score 0.00
  • No REVEL or BayesDel score was available for this synonymous variant
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

  • Standards and guidelines for the interpretation of sequence variants: a joint consensus recommendation of the American College of Medical Genetics and Genomics and the Association for Molecular Pathology.
    No paper-specific finding is recorded.
    PMID 25741868 ↗
  • A Standardized DNA Variant Scoring System for Pathogenicity Assessments in Mendelian Disorders.
    No paper-specific finding is recorded.
    PMID 26467025 ↗
  • 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 ↗
  • 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

This variant is present in gnomAD v4.1 (AF= 3.71698e-06; MAF= 0.00037%, 6/1614212 alleles, homozygotes = 0) and has highest observed frequency in the Remaining individuals population (AF= 7.99923e-05; MAF= 0.00800%, 5/62506 alleles, homozygotes = 0).

gnomAD v2.1

Absent from gnomAD v2.1.

gnomAD-Canada

This variant is present in gnomAD-Canada v1.0 (AF= 0.000108601; MAF= 0.01086%, 2/18416 alleles, homozygotes = 0) and has highest observed frequency in the eas population (AF= 0.00149477; grpmax FAF95= 0.00026546).

ClinVar

This variant has been reported in ClinVar as Likely benign (9 clinical laboratories) and as Benign (1 clinical laboratory) and as likely benign (1 clinical laboratory). (ClinVarID = 220617)

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.