SCN5A Variant G911V Detail

We estimate the penetrance of LQTS for SCN5A G911V around 9% and the Brugada syndrome penetrance around 18%. SCN5A G911V was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. G911V is not present in gnomAD. G911V 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 G911V around 9% (0/10) and the Brugada syndrome penetrance around 18% (1/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.97 17 8
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.

G911V has 37 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
919 13
870 14
862 13
363 14
867 13 E867K, E867X, E867Q,
360 12
863 13
904 11 W904X,
864 9
871 14
909 7
857 14 G857D,
868 11 L868X, c.2602delC,
902 13
881 14
860 12 p.L860fsx89,
911 0 G911E,
900 15
918 13
917 12 L917V, L917R,
865 12
913 5
916 10
912 4 Q912R,
906 7
351 13 G351D, G351S, G351C, G351V,
910 4 S910L,
350 12 H350Q,
903 10 p.M903CfsX29,
359 14 A359T, p.A359PfsX12,
905 11
352 10 Y352C,
915 7 C915R,
908 8
914 8
861 10 p.F861WfsX90, c.2582_2583delTT,
907 6