SCN5A Variant M907T Detail

We estimate the penetrance of LQTS for SCN5A M907T around 9% and the Brugada syndrome penetrance around 33%. SCN5A M907T was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. M907T is not present in gnomAD. M907T 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 M907T around 9% (0/10) and the Brugada syndrome penetrance around 33% (3/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.94 45 7
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.

M907T has 55 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
364 13
890 14 I890T,
901 11 S901L, E901K,
919 9
870 15
862 14
363 10
348 15 P348A,
360 9
894 14 I894M,
372 15
361 14
904 6 W904X,
366 14
864 12
871 13
354 14
909 8
857 14 G857D,
868 13 L868X, c.2602delC,
902 9
349 12 D349N,
881 13
357 15
921 14
922 15 V922I,
860 13 p.L860fsx89,
362 14
911 6 G911E,
920 11
900 9
918 10
917 10 L917V, L917R,
865 11
913 7
916 6
912 4 Q912R,
347 14
906 5
351 10 G351D, G351S, G351V, G351C,
910 7 S910L,
350 8 H350Q,
903 5 p.M903CfsX29,
367 13 R367C, R367L, R367H,
359 12 A359T, p.A359PfsX12,
877 14
905 7
352 7 Y352C,
915 5 C915R,
899 11
908 7
914 8
861 10 c.2582_2583delTT, p.F861WfsX90,
353 12 T353I,
907 0