SCN5A Variant N932I Detail

We estimate the penetrance of LQTS for SCN5A N932I around 23% and the Brugada syndrome penetrance around 24%. SCN5A N932I was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. N932I is not present in gnomAD. N932I has been functionally characterized in 0 papers. This residue is located in a Mild_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 (2 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 N932I around 23% (1/10) and the Brugada syndrome penetrance around 24% (2/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.927 29 28
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 1 2 - -
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.

N932I has 79 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
414 12 M414V,
939 11 L939F,
896 12 C896S,
404 12 L404V, L404Q,
937 10
895 11 L895F,
1765 13
839 14 L839P,
842 11
249 14 K249X,
894 15 I894M,
247 12 V247L,
1455 15
254 14
1771 13 I1771T,
401 13 S401P,
1461 15 T1461S,
926 8
1764 15 c.5290delG, V1764F,
371 14 Q371E,
250 11
409 5 L409P, L409V,
928 6 L928P,
925 11 I925F,
417 14
934 8
1458 13 S1458Y,
933 6
246 10
935 5 L935P,
412 6 V412D,
897 13 G897R, G897E,
924 10 V924I,
1470 13
1464 13 c.4389_4396delCCTCTTTA, L1464P,
927 6 N927S, N927K,
1466 10 c.4396_4397insG,
245 14 Q245K,
369 14 M369K,
845 14 c.2533delG,
244 15
1769 13
402 14 F402L,
415 11 A415T,
1768 10 I1768V,
940 14 S940N,
849 14
922 13 V922I,
405 8
938 10
241 15
843 14 T843A,
930 6 c.2787+17_2787+18insACACACACACACACACACACACA, c.2788-6C>T,
1459 10 c.4376_4379delTCTT,
1772 11 L1772V,
1460 14 F1460L,
239 13 I239V, I239V ,
410 9 A410V,
242 12 A242D,
929 6
416 11 Y416C,
413 8 A413E, A413T,
408 7
253 14
1462 13
941 15 S941F, S941N,
407 11
846 12 L846R,
936 7
1467 12
1775 14 p.F1775LfsX15, F1775V,
370 13 T370M,
923 11
406 9 N406K, N406S,
411 9 V411M,
243 11
932 0
931 5
1463 9 N1463Y,