Ambry’s Contributions to MAVEs Support Thousands of Patient Reclassifications and Expand to New Genes
New study published in
PALB2 is one of the most clinically important genes associated with hereditary breast and pancreatic cancer. However, many PALB2 missense variants have remained difficult to interpret due to limited evidence and lack of support for missense variation as a mechanism of disease. This newly published study helps address these challenges by using MAVEs — ultra-high-throughput functional screens that evaluate thousands of variants— to reveal how variants influence clinically relevant functions.
Researchers assayed 84% of all possible missense variants across 11 PALB2 exons, generating functional data for 6,718 variants. The results reflected 3,904 variants as functionally normal (58%), 2,422 as intermediate (36%), and 392 as functionally abnormal (6%) based on PARP inhibitor sensitivity, a measure of homologous recombination. These findings pave the way for improved variant interpretation, clinical management, and personalized treatment strategies for individuals carrying PALB2variants.
“This study represents a major step forward in our ability to interpret PALB2 variants at scale,” said
The PALB2 findings build on Ambry’s earlier contributions to MAVEs to evaluating BRCA2 and MUTYH led by teams at the
The Nature study used CRISPR/Cas9 gene editing to functionally assess nearly 7,000 BRCA2 variants. Findings were integrated into the ClinGen/ACMG/AMP framework, resulting in a 91% theoretical classification rate—marking a major step forward in the future of hereditary cancer and demonstrating the potential of these studies to resolve VUS and improve clinical decision-making. 2
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“At Ambry, we’re committed to advancing the clinical utility of genomic data. Our work with researchers conducting MAVEs validates high-throughput functional analysis of genetic variants, transforming large-scale sequencing data into clinically actionable insights that support more precise risk assessment and patient care,” said
Ambry has validated and implemented eight cancer-focused MAVE studies into reporting workflows, including comprehensive reclassification efforts for the following genes: TP53, BRCA1, MSH2, BRCA2, MUTYH, RAD51C, PTEN. PALB2 is the newest gene to undergo comprehensive MAVE-based evaluation, contributing to thousands of patient variant reclassifications to date. Additional MAVE studies focused on oncology and rare disease genes are already underway. Large-scale reclassification efforts, such as those supported by MAVEs, are increasingly recognized as a powerful tool in clinical genomics, supporting more confident variant classifications and accelerating diagnoses.
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1 Hemker SL, Marsh A, Hernandez F, et al. Saturation mapping of MUTYH variant effects using DNA repair reporters. Am J Hum Genet. 2025;112(9):2010-2026. doi:10.1016/j.ajhg.2025.07.005 |
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2 Huang H, Hu C, Na J, et al. Functional evaluation and clinical classification of BRCA2 variants. Nature. 2025;638(8050):528-537. doi:10.1038/s41586-024-08388-8 |
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