SCN5A Variant S809T Detail

We estimate the penetrance of LQTS for SCN5A S809T around 7% and the Brugada syndrome penetrance around 32%. SCN5A S809T was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. S809T is not present in gnomAD. S809T 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 S809T around 7% (0/10) and the Brugada syndrome penetrance around 32% (3/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.793 44 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 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.

S809T has 51 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 10
1357 14 A1357V,
811 6 R811H, R811G, c.2435_2436+3delTGGTAinsCGCCT,
808 6 R808P, R808H, R808C,
1352 10
1351 7 M1351R, M1351V,
1449 11 Y1449S, Y1449C,
1452 13
812 6 L812Q,
1350 9 I1350L, I1350T,
792 10
791 9 L791F,
731 13 T731I,
806 5 V806M,
1353 11 V1353M,
797 14 G797V,
737 12
1348 11 F1348L,
1349 12
788 11 I788V,
1346 14 L1346P, L1346I,
805 8 S805L,
798 12
793 14 L793F,
1356 13 c.4066_4068delTT,
810 4
735 14 A735E, A735T, A735V,
734 10 c.2201dupT, M734V,
803 14
814 10 R814Q,
807 6
816 12 F816L, F816Y,
813 7 c.2436+12G>A, c.2437-5C>A,
757 15
1354 7
1446 13
1448 14 I1448L, I1448T,
809 0
815 11
790 14
784 14 F784L,
796 13
730 13 N730K,
789 14 V789I, V789A,
753 13
1347 10
795 9
799 13
787 13
794 12
804 11