SCN5A Variant H880L Detail

We estimate the penetrance of LQTS for SCN5A H880L around 4% and the Brugada syndrome penetrance around 57%. SCN5A H880L was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. H880L is not present in gnomAD. H880L 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 (5 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 H880L around 4% (0/10) and the Brugada syndrome penetrance around 57% (5/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.966 87 0
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 10 0 5 - -
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.

H880L has 60 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 12 I891T, I891N,
880 0
888 12
856 14 V856L,
890 8 I890T,
901 12 E901K, S901L,
919 14
870 15
862 9
867 13 E867X, E867Q, E867K,
859 14
1430 15 D1430N,
1426 12
894 14 I894M,
1447 13
1444 11 L1444I,
1440 9 W1440X,
863 12
1429 13
1442 15 Y1442N, Y1442C,
887 7
864 11
886 5 H886Q, H886P,
871 13
909 12
854 12 c.2559delT,
876 6
1422 13 M1422R,
857 11 G857D,
868 13 L868X, c.2602delC,
902 10
882 5
892 14 F892I,
881 6
893 12 R893C, R893H,
860 14 p.L860fsx89,
889 9
858 10 M858L,
855 14
1425 13
865 6
884 11
906 11
866 10 S866L, S866P,
874 12 G874D,
910 14 S910L,
878 9 R878L, R878C, R878H,
885 10
903 15 p.M903CfsX29,
1441 10 E1441Q,
152 12 D152N,
877 5
879 7 W879R,
869 12 R869S,
883 6
905 10
915 14 C915R,
875 10
908 13
861 11 p.F861WfsX90, c.2582_2583delTT,