SCN5A Variant I852V Detail

We estimate the penetrance of LQTS for SCN5A I852V around 27% and the Brugada syndrome penetrance around 32%. SCN5A I852V was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. I852V is not present in gnomAD. I852V has been functionally characterized in 0 papers. This residue is located in a 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 (3 diagnosed with Brugada syndrome) and 5 individuals for LQTS (1 with LQTS). These data combined with observations of carriers lead us to estimate the LQTS penetrance for SCN5A I852V around 27% (1/10) 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 0.862 43 34
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 11 1 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.

I852V has 67 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
891 10 I891T, I891N,
888 11
848 6 I848F,
223 5 V223L,
856 6 V856L,
890 13 I890T,
919 13
859 12
895 13 L895F,
894 14 I894M,
240 15 V240M,
231 15 c.692_693delCA,
149 13
147 15
193 14 W193R, W193X,
926 12
228 12 K228R,
925 11 I925F,
227 7 L227P,
887 11
142 13
229 10
851 5 F851L, c.2550_2551dupGT, p.F851CfsX19, c.2552_2553dupGT,
221 10
196 12
924 15 V924I,
852 0
854 6 c.2559delT,
222 11 R222X, R222Q, R222L,
224 6 L224F,
845 10 c.2533delG,
857 9 G857D,
892 14 F892I,
881 13
849 6
226 6 A226G, A226V,
921 12
922 11 V922I,
860 12 p.L860fsx89,
889 15
843 14 T843A,
930 14 c.2788-6C>T, c.2787+17_2787+18insACACACACACACACACACACACA,
858 11 M858L,
144 12
217 14
918 11
855 6
230 11 I230V, I230M, I230T,
148 10
884 11
885 15
847 8
146 13 V146M, V146A,
203 15
846 10 L846R,
141 12 I141N, I141V,
853 5
219 14 c.656_657insATTCA, R219C, p.R219HfsX11, R219H,
225 11 R225W, R225Q,
151 14
844 13 L844RfsX3,
850 6 c.2549_2550insTG, V850M,
243 15
200 12
145 9
861 14 c.2582_2583delTT, p.F861WfsX90,
220 10 T220I,