SCN5A Variant S792R Detail

We estimate the penetrance of LQTS for SCN5A S792R around 6% and the Brugada syndrome penetrance around 10%. SCN5A S792R was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. S792R is not present in gnomAD. S792R 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 S792R around 6% (0/10) and the Brugada syndrome penetrance around 10% (1/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.866 4 3
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.

S792R has 54 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 9 G758E,
811 7 c.2435_2436+3delTGGTAinsCGCCT, R811G, R811H,
733 15 F733L,
808 10 R808C, R808P, R808H,
760 9 p.F760SfsX5,
765 14
812 12 L812Q,
759 12 p.I759FfsX6, c.2274delG, I759V,
792 0
764 12 M764K, M764R,
755 12
791 5 L791F,
731 15 T731I,
806 12 V806M,
800 11 R800L, R800H, R800C,
754 10
726 15
797 9 G797V,
750 12 Q750R,
788 6 I788V,
805 13 S805L,
798 10
793 4 L793F,
762 13
810 8
727 14
734 13 M734V, c.2201dupT,
756 11
814 8 R814Q,
807 8
816 15 F816Y, F816L,
813 10 c.2436+12G>A, c.2437-5C>A,
757 6
786 10
817 14 K817E,
761 9
752 12 G752R,
809 10
815 14
790 6
784 12 F784L,
763 14 E763D, E763K,
751 14 V751I, V751F,
796 6
785 11 D785N,
783 15 I783T,
730 12 N730K,
789 5 V789I, V789A,
753 9
795 6
799 11
787 9
794 6
804 14