SCN5A Variant Q1000H Detail

We estimate the penetrance of LQTS for SCN5A Q1000H around 4% and the Brugada syndrome penetrance around 8%. SCN5A Q1000H was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. Q1000H is not present in gnomAD. Q1000H 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 (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 Q1000H around 4% (0/10) and the Brugada syndrome penetrance around 8% (0/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.498 4 2
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.

Q1000H has 31 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
985 15
986 14 R986L, R986W, R986Q,
987 14
988 13 R988Q, R988W,
989 13
990 12
991 11 K991E, K991T,
992 11
993 10 A993S, A993T,
994 9 A994T, A994V,
995 8 L995F,
996 8 A996T,
997 7 A997D, A997T, A997S,
998 5
999 4 G999D,
1000 0 Q1000L, Q1000X, p.Gln1000del,
1001 4
1002 5 c.3005-3012delCCAGCTGG, P1002S,
1003 7
1004 8 C1004R,
1005 8 I1005V, I1005T,
1006 9 A1006S,
1007 10 T1007N, T1007I,
1008 11 P1008S,
1009 11
1010 12
1011 13 P1011S, P1011L,
1012 13
1013 14
1014 14 P1014S,
1015 15 p.G1015DfsX14, E1015K,