SCN5A Variant V751G Detail

We estimate the penetrance of LQTS for SCN5A V751G around 11% and the Brugada syndrome penetrance around 13%. SCN5A V751G was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. V751G is not present in gnomAD. V751G has been functionally characterized in 0 papers. This residue is located in a Non_Hotspot region for Brugada syndrome and a Non_Hotspot region for LQTS. In silico predictions, functional data (if available), and location in structure are equivalent to phenotyping 10 individuals for Brugada syndrome (1 diagnosed with Brugada syndrome) and 5 individuals for LQTS (0 with LQTS). These data combined with observations of carriers lead us to estimate the LQTS penetrance for SCN5A V751G around 11% (0/10) and the Brugada syndrome penetrance around 13% (1/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.926 9 10
PROVEAN scores less than -2 are considered deleterious. REVEL scores higher than 0.5 or 0.75 are considered likely pathogenic (higher sensitivity with the former cutoff, higher specificity with the latter cutoff). A PolyPhen-2 score of 0.85 or greater is considered likely pathogenic. BLAST-PSSM reflects the evolutionary conservation of residue substitutions, more negative numbers indicate fewer observations of the specific substitution than is expected. Penetrance Density is our previously published method to calculate the average BrS/LQTS probability density in a shell of residues surrounding a residue of interest (Kroncke et al. 2019).

Reported Carrier Data

PubMed ID Year Carriers Unaffected LQT3 BrS1 Other Other Disease
LITERATURE, COHORT, AND GNOMAD: - 0 0 0 0 -
VARIANT FEATURES ALONE: - 15 14 0 1 - -
Summary totals might not agree with the literature table because of duplicate patients, which were excluded from the total counts. We do not distinguish here between multiple missense codons. Missense variants are combined across degenerate codon substitutions since codon-level data were not consistently available for curation.

V751G has 37 previously observed neighbors within 15 angstroms

A residue within a folded protein on average has nearest neighbors that fall roughly into two shells: a "nearest" neighbor around 5-6 angstroms and a second shell around 11 angstroms. All variants shown in the rightmost column have been observed in at least one individual in the literature or gnomAD.

Neighbor Distance (Angstroms) Variants Observed in Individuals
758 11 G758E,
742 14 T742A,
811 13 c.2435_2436+3delTGGTAinsCGCCT, R811G, R811H,
733 9 F733L,
741 14 p.M741_T742delinsI ,
808 14 R808H, R808C, R808P,
745 11
746 10 E746K,
760 14 p.F760SfsX5,
759 12 I759V, p.I759FfsX6, c.2274delG,
792 14
755 6
731 15 T731I,
800 13 R800H, R800C, R800L,
754 5
726 13
737 14
750 5 Q750R,
749 7
743 12
747 6 E747A,
732 14
734 13 M734V, c.2201dupT,
756 8
814 15 R814Q,
757 10
744 12
752 4 G752R,
751 0 V751F, V751I,
796 12
736 14 L736P,
730 11 N730K,
753 6
729 12 p.L729del,
795 14
748 6 M748I,
799 14