Classification rationale
1
The PALB2 c.2631G>C (p.Trp877Cys, p.W877C) variant has not been observed in COSMIC and has been reported in ClinVar as likely benign by a single clinical laboratory.
2
In population data, this variant is absent from gnomAD v2.1 and present in gnomAD v4.1 at 1/1,614,170 alleles (0.00006%), with a highest observed South Asian frequency of 1/91,090 alleles (0.00110%), which is below the PALB2 BS1 and BA1 thresholds but above the PALB2 PM2 under-represented subpopulation exception threshold for a singleton observation.
gnomad_v4 ↗3
In silico splice prediction does not support a clinically significant splice effect, with a SpliceAI maximum delta score of 0.17, which is below the PALB2 PP3 threshold of 0.2.
spliceai ↗