SCN5A Variant S943I Detail

We estimate the penetrance of LQTS for SCN5A S943I around 15% and the Brugada syndrome penetrance around 9%. SCN5A S943I was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. S943I is not present in gnomAD. S943I has been functionally characterized in 0 papers. This residue is located in a Non_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 (0 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 S943I around 15% (0/10) and the Brugada syndrome penetrance around 9% (0/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.919 1 17
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 15 0 0 - -
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.

S943I has 45 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
939 7 L939F,
937 11
1773 14
943 0 S943N,
1472 11 p.N1472del, N1472S,
1487 12 M1487K, M1487L,
1333 13
417 11
934 15
1471 7
935 13 L935P,
1470 10
1464 12 c.4389_4396delCCTCTTTA, L1464P,
1466 13 c.4396_4397insG,
1478 14 K1478E,
944 4
830 13
833 15 G833R,
1769 15
940 6 S940N,
1473 14 F1473S, F1473C,
1468 9 V1468A, V1468F,
831 9
420 13
938 9
1474 11
942 6
834 12 N834D,
1772 15 L1772V,
827 12
1460 15 F1460L,
416 13 Y416C,
413 14 A413T, A413E,
941 6 S941F, S941N,
1337 15
936 11
1467 9
1484 15
421 14
1475 12 p.Q1475NfsX6, Q1475L,
1469 13 I1469V,
832 13
835 13 S835L, S835A,
828 13 L828V,
1489 14 E1489D,