SCN5A Variant V924G Detail

We estimate the penetrance of LQTS for SCN5A V924G around 5% and the Brugada syndrome penetrance around 13%. SCN5A V924G was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. V924G is not present in gnomAD. V924G has been functionally characterized in 0 papers. This residue is located in a Non_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 V924G around 5% (0/10) and the Brugada syndrome penetrance around 13% (1/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.916 8 1
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.

V924G has 65 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,
919 11
363 15
896 13 C896S,
404 12 L404V, L404Q,
895 10 L895F,
249 14 K249X,
894 10 I894M,
247 9 V247L,
254 9
372 14
401 14 S401P,
926 6
371 15 Q371E,
250 9
409 12 L409P, L409V,
928 5 L928P,
925 4 I925F,
366 10
933 12
258 14 V258A,
246 10
412 12 V412D,
897 11 G897R, G897E,
924 0 V924I,
927 7 N927S, N927K,
852 15
245 15 Q245K,
369 12 M369K,
845 15 c.2533delG,
244 13
849 11
898 15
921 6
922 6 V922I,
405 11
362 15
248 13
261 14
920 7
930 9 c.2787+17_2787+18insACACACACACACACACACACACA, c.2788-6C>T,
255 15
918 10
917 11 L917V, L917R,
251 12
916 12
410 14 A410V,
242 14 A242D,
929 6
408 9
253 12
407 13
846 13 L846R,
903 14 p.M903CfsX29,
853 11
370 11 T370M,
923 5
406 14 N406K, N406S,
899 11
850 13 V850M, c.2549_2550insTG,
411 13 V411M,
243 11
932 10
257 12
931 10