SCN5A Variant V789G Detail

We estimate the penetrance of LQTS for SCN5A V789G around 4% and the Brugada syndrome penetrance around 11%. SCN5A V789G was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. V789G is not present in gnomAD. V789G 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 V789G around 4% (0/10) and the Brugada syndrome penetrance around 11% (1/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.98 5 1
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.

V789G has 55 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 13 I723V,
766 13
758 9 G758E,
811 11 R811H, c.2435_2436+3delTGGTAinsCGCCT, R811G,
808 15 R808P, R808C, R808H,
769 15
773 15 P773S,
760 7 p.F760SfsX5,
780 14
776 12 p.Y776del,
765 9
812 14 L812Q,
759 10 p.I759FfsX6, c.2274delG, I759V,
792 5
764 7 M764K, M764R,
755 13
777 12 F777L,
791 7 L791F,
754 13
726 14
797 13 G797V,
781 14 W781X,
788 5 I788V,
798 14
782 11 N782T,
793 6 L793F,
762 9
810 11
727 13
767 12
756 12
814 8 R814Q,
807 12
816 14 F816Y, F816L,
813 10 c.2437-5C>A, c.2436+12G>A,
757 7
768 11
786 5
817 12 K817E,
761 6
752 15 G752R,
809 14
815 14
790 5
784 9 F784L,
763 10 E763D, E763K,
796 10
785 7 D785N,
783 11 I783T,
730 13 N730K,
789 0 V789I, V789A,
753 13
795 11
787 7
794 9