SCN5A Variant E795D Detail

We estimate the penetrance of LQTS for SCN5A E795D around 17% and the Brugada syndrome penetrance around 9%. SCN5A E795D was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. E795D is not present in gnomAD. E795D has been functionally characterized in 0 papers. This residue is located in a Non_Hotspot region for Brugada syndrome and a Mild_Hotspot region for LQTS. In silico predictions, functional data (if available), and location in structure are equivalent to phenotyping 10 individuals for Brugada syndrome (0 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 E795D around 17% (0/10) and the Brugada syndrome penetrance around 9% (0/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.747 3 21
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 15 0 0 - -
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.

E795D has 46 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 13 G758E,
811 6 R811H, R811G, c.2435_2436+3delTGGTAinsCGCCT,
808 6 R808P, R808H, R808C,
1351 15 M1351R, M1351V,
760 13 p.F760SfsX5,
812 12 L812Q,
792 6
755 14
791 7 L791F,
806 9 V806M,
800 8 R800C, R800H, R800L,
754 10
797 6 G797V,
737 14
801 11 M801V, p.801_803delMSN/insS,
750 10 Q750R,
749 13
788 11 I788V,
805 9 S805L,
798 6
793 7 L793F,
810 8
734 13 c.2201dupT, M734V,
756 14
803 10
814 11 R814Q,
807 5
813 12 c.2436+12G>A, c.2437-5C>A,
757 9
786 15
1354 12
761 13
752 13 G752R,
809 9
790 10
751 14 V751F, V751I,
796 4
802 10
730 13 N730K,
789 11 V789I, V789A,
753 9
795 0
799 6
787 13
794 6
804 10