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 applies to all missense variants in PALB2. The VCEP states: 'Based on published and unpublished functional studies, PALB2 has a low rate of missense variants that are non-functional in relevant assays. True missense pathogenic variants are not yet confirmed or refuted but are thought to be exceedingly rare.' NM_024675.4:c.3044C>T (p.Thr1015Ile) is a missense substitution and therefore BP1_Supporting is applied per VCEP rule.
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: 16 / 1,614,014 alleles. Recorded AF 9.91317e-06. Recorded homozygote count 0.
This variant is present in gnomAD v2.1 (AF= 1.1931e-05; MAF= 0.00119%, 3/251446 alleles, homozygotes = 0) and has highest observed frequency in the European (non-Finnish) population (AF= 2.63764e-05; MAF= 0.00264%, 3/113738 alleles, homozygotes = 0); grpmax FAF= 7.01e-06.
Absent from gnomAD-Canada v1.0.
Recorded SpliceAI maximum delta score: 0.000. Refer to the recorded PP3/BP4 rationale for interpretation.
6 Uncertain significance · 1 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.
27 criteria with recorded statuses: 1 met · 3 not met · 4 not assessed · 19 not applicable. Open any row for the full reasoning, the rule and the evidence behind it.
NM_024675.4:c.3044C>T (p.Thr1015Ile) is a missense variant in PALB2, a gene in which loss-of-function is an established mechanism for autosomal dominant hereditary breast, ovarian, and pancreatic cancer predisposition.
This variant is present in gnomAD v4.1 at a total allele frequency of 0.00099% (16/1,614,014 alleles; grpmax FAF 0.000803%), predominantly in the European (non-Finnish) subpopulation. It is also present in gnomAD v2.1 at 0.00119% (3/251,446 alleles) and is absent from gnomAD-Canada.
This variant has been reported in ClinVar as Uncertain significance by 6 clinical laboratories and as Likely benign by 1 laboratory (ClinVar Variation ID 141554). No expert panel classifications are available.
In silico predictors yield mixed results: REVEL score 0.238 (below the 0.5 threshold commonly used for deleterious prediction), BayesDel score -0.308 (below the 0.0 threshold for benign prediction), and SpliceAI max delta 0.00 (no predicted splicing impact).
PALB2 VCEP BP1_Supporting is met: this criterion applies to all missense variants in PALB2 because true pathogenic missense variants are thought to be exceedingly rare, per the ClinGen HBOP VCEP v1.2.0.
PALB2 VCEP PM2_Supporting is not met: the variant frequency in gnomAD v4 (0.00099%) exceeds the VCEP threshold of ≤0.000333%. BS1 and BA1 are also not met as the grpmax FAF (0.000803%) does not exceed either the BS1 (>0.01%) or BA1 (>0.1%) thresholds.
Multiple PALB2 VCEP criteria are not applicable to missense variants by explicit VCEP rule: PVS1 (not a null variant), PS1, PM1, PM5, PP2, PP3, BP4, BP7. Additionally, PS2, PS3, PM6, PP4, PP5, BP2, BP3, BP5, BP6 are not applicable per VCEP framework.
PS4, PP1, BS2, and BS4 could not be assessed due to absence of variant-specific case-control, segregation, or Fanconi Anemia proband data in the evidence reviewed.
No reviewed publication (10 PMIDs screened, 5 full-text papers read) mentioned NM_024675.4:c.3044C>T. None of the ClinVar-submitted PMIDs contained variant-specific evidence for this missense.
With only BP1_Supporting (supporting benign) met and no pathogenic criteria met, this variant is classified as Uncertain Significance (VUS) per ACMG/AMP 2015 combining rules. The single supporting benign criterion is insufficient for Likely Benign classification, which requires ≥2 supporting benign criteria or 1 strong benign + 1 supporting benign.
No criteria match.
No further detail was recorded.
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 |
|---|
| European (non-Finnish)16 / 1,180,006 | 1.4e-05 |
| European (non-Finnish)3 / 113,738 | 2.6e-05 |
This variant is present in gnomAD v4.1 (AF= 9.91317e-06; MAF= 0.00099%, 16/1614014 alleles, homozygotes = 0) and has highest observed frequency in the European (non-Finnish) population (AF= 1.35593e-05; MAF= 0.00136%, 16/1180006 alleles, homozygotes = 0); grpmax FAF= 8.03e-06.
This variant is present in gnomAD v2.1 (AF= 1.1931e-05; MAF= 0.00119%, 3/251446 alleles, homozygotes = 0) and has highest observed frequency in the European (non-Finnish) population (AF= 2.63764e-05; MAF= 0.00264%, 3/113738 alleles, homozygotes = 0); grpmax FAF= 7.01e-06.
Absent from gnomAD-Canada v1.0.
SpliceAI predicts no significant splice impact for this variant (max delta score = 0.00). REVEL score = 0.238. BayesDel score = -0.308316.
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= 9.91317e-06; MAF= 0.00099%, 16/1614014 alleles, homozygotes = 0) and has highest observed frequency in the European (non-Finnish) population (AF= 1.35593e-05; MAF= 0.00136%, 16/1180006 alleles, homozygotes = 0); grpmax FAF= 8.03e-06.
This variant is present in gnomAD v2.1 (AF= 1.1931e-05; MAF= 0.00119%, 3/251446 alleles, homozygotes = 0) and has highest observed frequency in the European (non-Finnish) population (AF= 2.63764e-05; MAF= 0.00264%, 3/113738 alleles, homozygotes = 0); grpmax FAF= 7.01e-06.
Absent from gnomAD-Canada v1.0.
This variant has been reported in ClinVar as Uncertain significance (6 clinical laboratories) and as Likely benign (1 clinical laboratory). (ClinVarID = 141554)
SpliceAI predicts no significant splice impact for this variant (max delta score = 0.00). REVEL score = 0.238. BayesDel score = -0.308316.
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.