SCN5A Variant S805T Detail

We estimate the penetrance of LQTS for SCN5A S805T around 7% and the Brugada syndrome penetrance around 13%. SCN5A S805T was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. S805T is not present in gnomAD. S805T has been functionally characterized in 0 papers. This residue is located in a Mild_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 S805T around 7% (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 0.823 9 5
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.

S805T has 39 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
1355 9
1357 13 A1357V,
811 10 R811H, c.2435_2436+3delTGGTAinsCGCCT, R811G,
808 7 R808P, R808C, R808H,
1352 12
1445 13 Y1445H,
1351 12 M1351V, M1351R,
1449 14 Y1449C, Y1449S,
812 13 L812Q,
1350 14 I1350T, I1350L,
792 13
791 12 L791F,
806 4 V806M,
800 14 R800L, R800C, R800H,
1353 13 V1353M,
797 12 G797V,
737 14
1433 14 G1433W, G1433R, G1433V,
801 13 M801V, p.801_803delMSN/insS,
805 0 S805L,
798 8
1359 14 K1359N, K1359M,
1356 13 c.4066_4068delTT,
1434 12 c.4299_4300insG, c.4300-1G>A, c.4299+1G>T, c.4299+2T>A, c.4299+1delG, c.4299+28C>T, c.4299delG, c.4300-2A>T, c.4299G>A, Y1434X,
810 9
734 15 M734V, c.2201dupT,
803 7
807 6
813 15 c.2437-5C>A, c.2436+12G>A,
1354 9
1446 12
809 8
1443 14 N1443S,
796 12
802 9
795 9
799 9
794 12
804 4