Genetic Information

Gene & Transcript Details

Gene
PALB2
Transcript
NM_024675.4 MANE Select
Total Exons
Reference Sequence
NC_000016.9
Alternative Transcripts
IDStatusDetails
NM_024675.4 MANE Select 4008 nt | 154–3714
NM_024675.3 RefSeq Select 4069 nt | 201–3761

Variant Details

HGVS Notation
NM_024675.4:c.585A>T
Protein Change
I195=
Location
Exon 4 (Exon 4 of )
4
5'Exon Structure3'
Functional Consequence
Loss of Function
Alternate Identifiers

Clinical & Population Data

Population Frequency

gnomAD
Global Frequency
0.00159 in 100,000
Extremely Rare
ACMG Criteria Applied PM2
This variant is absent or extremely rare in population databases (PM2 criteria applies).

ClinVar

Open
Classification
Likely Benign
2 publications
Clinical Statement

"This variant has been reported in ClinVar as Likely benign (6 clinical laboratories) and as Benign (1 clinical laboratories)."

COSMIC Somatic Evidence

Open
COSMIC ID
Recurrence
0 occurrences
PM1 Criteria
Not Applied
COSMIC Database Preview
COSMIC Preview
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Functional Impact & Domains

Functional Domain

Hotspot Status
Not a hotspot
Domain Summary
This variant is not located in a mutational hotspot or critical domain.
Related Variants in This Domain
No evidence of other pathogenic variants at this position in gene PALB2.

Functional Studies & Therapeutic Relevance

Functional Summary

The variant has not been functionally characterized.

Database Previews
OncoKB
OncoKB Preview
JAX-CKB
JAX-CKB Preview

Click on previews to view full database entries. External databases may require institutional access.

Computational Analysis

Pathogenicity Predictions

SpliceAI
Predictor Consensus
Mixed/VUS
PP3 Applied
No
REVEL Score
0.0
Threshold: ≥0.75 = PP3 applied

SpliceAI Scores

Window: ±500bp
Effect Type Score Position
- Acceptor Loss (AL) 0.0 373 bp
- Donor Loss (DL) 0.0 -109 bp
+ Acceptor Gain (AG) 0.0 192 bp
+ Donor Gain (DG) 0.01 192 bp
High impact (≥0.5) Medium impact (0.2-0.49) Low impact (<0.2)

VCEP Guidelines

Applied ACMG/AMP Criteria (VCEP Specific)

Filter Criteria:
PVS1

PVS1 (Not Applied)

According to VCEP guidelines, the PVS1 rule uses the PALB2 PVS1 Decision Tree (Gene-specific,Strength). This variant is synonymous (no predicted protein truncation) and does not meet criteria for PVS1. Therefore, PVS1 is not applied.

PS1

PS1 (Not Applied)

According to VCEP guidelines, the PS1 rule refers to the PALB2 PS1 Splicing table (General recommendation). This variant does not create an amino acid change equivalent to a known pathogenic variant. Therefore, PS1 is not applied.

PS2

PS2 (Not Applied)

According to standard ACMG guidelines, PS2 requires confirmed de novo occurrence with paternity and maternity confirmed. No de novo evidence is available. Therefore, PS2 is not applied.

PS3

PS3 (Not Applied)

According to standard ACMG guidelines, PS3 requires well-established functional studies showing a damaging effect on the gene or gene product. No functional data are available. Therefore, PS3 is not applied.

PS4

PS4 (Not Applied)

According to VCEP guidelines, PS4 requires significant case-control data with OR ≥3 and lower 95% CI ≥1.5. No such data exist for this variant. Therefore, PS4 is not applied.

PM1

PM1 (Not Applied)

According to standard ACMG guidelines, PM1 applies to variants in mutational hotspots or functional domains without benign variation. This synonymous variant is not in a reported hotspot. Therefore, PM1 is not applied.

PM2

PM2 (Not Applied)

According to VCEP guidelines, PM2 Supporting strength applies to variants absent in gnomAD or present in ≤1/300,000 alleles. This variant is present in 4/251,432 alleles (>1 allele). Therefore, PM2 is not applied.

PM3

PM3 (Not Applied)

According to VCEP guidelines for Fanconi Anemia, PM3 applies to observed trans configuration with a pathogenic variant. No such data exist. Therefore, PM3 is not applied.

PM4

PM4 (Not Applied)

According to standard ACMG guidelines, PM4 applies to protein length changes due to in-frame indels or stop-loss. This is a synonymous variant with no length change. Therefore, PM4 is not applied.

PM5

PM5 (Not Applied)

According to VCEP guidelines, PM5 Supporting applies to truncating variants upstream of known pathogenic variant p.Tyr1183. This variant is synonymous. Therefore, PM5 is not applied.

PM6

PM6 (Not Applied)

According to standard ACMG guidelines, PM6 applies to assumed de novo cases without confirmation. No de novo data are available. Therefore, PM6 is not applied.

PP1

PP1 (Not Applied)

According to VCEP guidelines, PP1 applies to segregation evidence with LOD or Bayes Factor thresholds. No segregation data are available. Therefore, PP1 is not applied.

PP2

PP2 (Not Applied)

According to standard ACMG guidelines, PP2 applies to missense variants in genes with low benign variation. This variant is synonymous. Therefore, PP2 is not applied.

PP3

PP3 (Not Applied)

According to standard ACMG guidelines, PP3 requires multiple in silico tools predicting a deleterious effect. SpliceAI predicts no impact (score 0.01), and other tools are mixed with benign lean. No evidence of deleterious impact. Therefore, PP3 is not applied.

PP4

PP4 (Not Applied)

According to standard ACMG guidelines, PP4 requires a patient phenotype specific for the gene. No phenotype data are provided. Therefore, PP4 is not applied.

PP5

PP5 (Not Applied)

According to standard ACMG guidelines, PP5 requires a reputable source reporting pathogenicity without available evidence. No such reports. Therefore, PP5 is not applied.

BA1

BA1 (Not Applied)

According to standard ACMG guidelines, BA1 requires allele frequency >0.1% in general population. This variant has MAF 0.00159%, below threshold. Therefore, BA1 is not applied.

BS1

BS1 (Not Applied)

According to VCEP guidelines, BS1 Strong applies to allele frequency >0.01%. This variant's frequency is 0.00159%, below threshold. Therefore, BS1 is not applied.

BS2

BS2 (Not Applied)

According to VCEP guidelines for Fanconi Anemia, BS2 applies to observation in healthy individuals. No such data. Therefore, BS2 is not applied.

BS3

BS3 (Not Applied)

According to standard ACMG guidelines, BS3 requires well-established functional studies showing no damaging effect. No functional data available. Therefore, BS3 is not applied.

BS4

BS4 (Not Applied)

According to VCEP guidelines, BS4 applies to lack of segregation with disease. No segregation data available. Therefore, BS4 is not applied.

BP1

BP1 (Not Applied)

According to VCEP guidelines, BP1 Supporting applies to all missense variants. This is synonymous. Therefore, BP1 is not applied.

BP2

BP2 (Not Applied)

According to standard ACMG guidelines, BP2 applies when occurring in trans with a pathogenic variant. No such data. Therefore, BP2 is not applied.

BP3

BP3 (Not Applied)

According to standard ACMG guidelines, BP3 applies to in-frame indels in repetitive regions. This is a SNV. Therefore, BP3 is not applied.

BP4

BP4 (Supporting)

According to VCEP guidelines, BP4 Supporting strength (RNA): "At least one well-established in silico predictor (e.g. SpliceAI) shows no impact on splicing." SpliceAI predicts minimal impact (max score 0.01). Therefore, BP4 is applied at Supporting strength because computational evidence indicates no splicing effect.

BP5

BP5 (Not Applied)

According to standard ACMG guidelines, BP5 applies when variant is found in a case with an alternate molecular cause. No such data. Therefore, BP5 is not applied.

BP6

BP6 (Supporting)

According to standard ACMG guidelines, BP6: "Reputable source reports variant as benign but evidence is not available to the laboratory for independent evaluation." ClinVar reports this variant as Likely benign (6 labs) and Benign (1 lab). Therefore, BP6 is applied at Supporting strength.

BP7

BP7 (Not Applied)

According to VCEP guidelines, BP7 requires observed lack of aberrant RNA in assays for silent substitutions. No RNA assay data are available. Therefore, BP7 is not applied.