SCN5A Variant A944V Detail

We estimate the penetrance of LQTS for SCN5A A944V around 16% and the Brugada syndrome penetrance around 9%. SCN5A A944V was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. A944V is not present in gnomAD. A944V 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 A944V around 16% (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 0.791 3 18
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.

A944V 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 10 L939F,
937 14
943 4 S943N,
1340 15 V1340I,
1472 10 p.N1472del, N1472S,
1487 14 M1487K, M1487L,
1333 11
826 14 N826D,
825 14
1471 8
1470 12
1464 12 c.4389_4396delCCTCTTTA, L1464P,
1466 14 c.4396_4397insG,
944 0
830 11
833 15 G833R,
1329 14 G1329S,
940 10 S940N,
1334 14 I1334V,
1473 15 F1473S, F1473C,
1468 9 V1468A, V1468F,
831 9
938 11
1474 12
823 14 P823T,
942 7
834 13 N834D,
1330 13 A1330P, A1330D, A1330T,
827 9
1460 15 F1460L,
941 9 S941F, S941N,
1337 13
936 14
1332 14 P1332Q, P1332L,
1465 14 p.F1465_L1480dup,
1467 10
1484 15
1475 12 p.Q1475NfsX6, Q1475L,
1469 13 I1469V,
1336 12
824 12
829 14
832 13
835 14 S835L, S835A,
828 11 L828V,