SCN5A Variant G752V Detail

We estimate the penetrance of LQTS for SCN5A G752V around 9% and the Brugada syndrome penetrance around 34%. SCN5A G752V was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. G752V is not present in gnomAD. G752V has been functionally characterized in 0 papers. This residue is located in a 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 (3 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 G752V around 9% (0/10) and the Brugada syndrome penetrance around 34% (3/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.945 47 8
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 12 0 3 - -
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.

G752V has 45 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
723 14 I723V,
758 10 G758E,
811 10 R811G, c.2435_2436+3delTGGTAinsCGCCT, R811H,
733 6 F733L,
741 14 p.M741_T742delinsI ,
808 13 R808P, R808H, R808C,
745 11
746 12 E746K,
760 11 p.F760SfsX5,
759 10 c.2274delG, I759V, p.I759FfsX6,
792 12
755 5
731 11 T731I,
800 15 R800C, R800H, R800L,
754 5
726 10
737 12
750 6 Q750R,
749 6
743 14
793 14 L793F,
728 13 V728I,
762 15
747 9 E747A,
727 12
735 13 A735V, A735T, A735E,
732 11
734 10 M734V, c.2201dupT,
756 5
814 11 R814Q,
757 8
761 13
744 14
752 0 G752R,
725 14
751 4 V751I, V751F,
796 11
736 12 L736P,
730 7 N730K,
789 15 V789A, V789I,
753 4
729 9 p.L729del,
795 13
748 7 M748I,
799 14