LYFE Sciences · Project HERA
Variant Interpretation · Classification Report
Variant classification summary
NM_024675.4:c.2135C>T
PALB2
· NP_078951.2:p.(Ala712Val)
· NM_024675.4
GRCh37: chr16:23641340 G>A
·
GRCh38: chr16:23630019 G>A
Gene:
PALB2
Transcript:
NM_024675.4
Final call
Benign
BA1 stand-alone benign
BS1 strong
BP1 supporting
Variant details
Gene
PALB2
Transcript
NM_024675.4
Protein
NP_078951.2:p.(Ala712Val)
gnomAD AF
0.00019515446940907228 (v4.1)
ClinVar
Likely benign
OncoKB
Unknown Oncogenic Effect
Classification rationale
Interpretation summary
Generated evidence synthesis
1
Benign: BA1 is met because the gnomAD grpmax filtering frequency is 0.412487%, above the >0.1% threshold.
2
Benign: BS1 is met at strong strength because the gnomAD grpmax filtering frequency is 0.412487%, above the >0.01% threshold.
3
Benign: BP1 is met at supporting strength because c.2135C>T is a missense substitution.
Final determination:
PALB2 VCEP Rule17 is satisfied by one adjudicated Benign.Stand Alone criterion, BA1, so the final classification is Benign.
Criteria assessment
ACMG/AMP criteria review
Criteria shown when status is available
All criteria require review: For research and educational purposes only.
| Criterion | Status | Rationale | Evidence used |
|---|---|---|---|
| PVS1 | N/A | Not applicable: c.2135C>T produces the missense substitution p.Ala712Val, outside the PALB2 VCEP PVS1 null-variant scope. |
cspec
pvs1_variant_assessment
vcep_palb2_pvs1_v1_3
PMID:20589654
|
| PS1 | N/A | Not applicable: PALB2 VCEP PS1 excludes missense changes, and the PS1 table has no c.2135C>T, p.Ala712Val, or p.A712V entry. |
cspec
vcep_palb2_ps1_1_3
|
| PS2 | N/A | Not applicable: the PALB2 VCEP explicitly designates PS2 as not applicable. |
cspec
|
| PS3 | N/A | Not applicable: the PALB2 VCEP version 1.3 explicitly marks PS3 as not applicable, so no pathogenic functional-evidence strength is assigned. |
cspec
|
| PS4 | Not assessed | Not assessed: the variant was reported in one cohort, but no VCEP-required case-control p-value, effect estimate, or confidence interval is available. |
cspec
PMID:20589654
PMID:22241545
|
| PM1 | N/A | Not applicable: the PALB2 VCEP CSPEC explicitly marks PM1 as Not Applicable for this framework. |
cspec
|
| PM2 | Not met | Not met: the highest gnomAD v4.1 subpopulation AF is 0.560871%, above the VCEP PM2 threshold of 0.000333%. |
cspec
gnomad_v4
|
| PM3 | Not assessed | Not assessed: the exact variant lacks documented Fanconi Anemia phenotype, pathogenic variant in trans, homozygosity, or phase information required by the VCEP PM3 table. |
vcep_palb2_pm3_bs2_1_3
PMID:20589654
|
| PM4 | N/A | Not applicable: the PALB2 VCEP explicitly marks PM4 Not Applicable, and this variant is a protein-preserving missense SNV. |
cspec
pvs1_variant_assessment
|
| PM5 | N/A | Not applicable: PM5 is limited to NMD-prone truncating variants with PVS1 VeryStrong, whereas p.Ala712Val is missense. |
cspec
|
| PM6 | N/A | Not applicable: the PALB2 VCEP explicitly designates PM6 as not applicable. |
cspec
|
| PP1 | Not assessed | Not assessed: the exact-variant report provides one proband but no affected relatives, parental testing, segregation count, LOD, or LR threshold value. |
cspec
PMID:20589654
|
| PP2 | N/A | Not applicable: the PALB2 VCEP CSPEC explicitly marks PP2 as Not Applicable. |
cspec
|
| PP3 | Not met | Not met: SpliceAI maximum delta score 0.028 is below the VCEP PP3 threshold of ≥0.2 for predicted splice impact. |
cspec
spliceai
|
| PP4 | N/A | Not applicable: the VCEP excludes PP4 for dominant PALB2 cancer predisposition because breast-cancer phenotypes are not sufficiently specific. |
cspec
|
| PP5 | N/A | Not applicable: the PALB2 VCEP explicitly prohibits PP5, regardless of available external pathogenicity assertions. |
cspec
|
| BA1 | Met | Met: gnomAD v4.1 grpmax FAF is 0.412487%, exceeding the PALB2 VCEP BA1 threshold of >0.1%. |
cspec
gnomad_v4
|
| BS1 | Met | Met: gnomAD v4.1 grpmax FAF is 0.412487%, exceeding the PALB2 VCEP BS1 threshold of >0.01%. |
cspec
gnomad_v4
|
| BS2 | Not assessed | Not assessed: gnomAD reports homozygotes, but no Fanconi Anemia BS2 table points can be assigned without proband phenotype and age data. |
cspec
vcep_palb2_pm3_bs2_1_3
gnomad_v4
|
| BS3 | N/A | Not applicable: the PALB2 VCEP version 1.3 explicitly marks BS3 as not applicable, so no benign functional-evidence strength is assigned. |
cspec
|
| BS4 | Not assessed | Not assessed: no non-segregating relatives, informative meioses, LOD, or LR are reported for comparison with the VCEP BS4 thresholds. |
cspec
|
| BP1 | Met | Met, Supporting: BP1 applies to all missense variants, and NM_024675.4:c.2135C>T encodes missense p.Ala712Val. |
cspec
|
| BP2 | N/A | Not applicable: the PALB2 Version 1.3 VCEP explicitly marks BP2 as Not Applicable. |
cspec
|
| BP3 | N/A | Not applicable: the PALB2 VCEP explicitly marks BP3 Not Applicable, and c.2135C>T is a missense SNV. |
cspec
pvs1_variant_assessment
|
| BP4 | N/A | Not applicable: the VCEP BP4 rule excludes missense variants, including its splice-prediction path. |
cspec
|
| BP5 | N/A | Not applicable: the PALB2 VCEP prohibits BP5 because co-occurring pathogenic variants do not reliably distinguish the phenotype in moderate-penetrance PALB2 disease. |
cspec
|
| BP6 | N/A | Not applicable: the PALB2 VCEP explicitly prohibits BP6, regardless of available external benign or likely-benign reports. |
cspec
|
| BP7 | N/A | Not applicable: BP7 is limited by the VCEP to synonymous or deep intronic variants, not this missense substitution. |
cspec
|
Disclaimer:
The content and results provided by LYFE Sciences are for research and educational purposes only and must not be used as a substitute for professional medical judgment, diagnosis, or treatment. Always consult a qualified healthcare professional before making any clinical decisions.