SCN5A Variant P1008L Detail

We estimate the penetrance of LQTS for SCN5A P1008L around 24% and the Brugada syndrome penetrance around 7%. SCN5A P1008L was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. P1008L is not present in gnomAD. P1008L 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 (1 with LQTS). These data combined with observations of carriers lead us to estimate the LQTS penetrance for SCN5A P1008L around 24% (1/10) and the Brugada syndrome penetrance around 7% (0/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.416 2 32
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 1 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.

P1008L 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
993 15 A993T, A993S,
994 14 A994T, A994V,
995 14 L995F,
996 13 A996T,
997 13 A997S, A997T, A997D,
998 12
999 11 G999D,
1000 11 Q1000X, p.Gln1000del, Q1000L,
1001 10
1002 9 c.3005-3012delCCAGCTGG, P1002S,
1003 8
1004 8 C1004R,
1005 7 I1005T, I1005V,
1006 5 A1006S,
1007 4 T1007I, T1007N,
1008 0 P1008S,
1009 4
1010 5
1011 7 P1011L, P1011S,
1012 8
1013 8
1014 9 P1014S,
1015 10 p.G1015DfsX14, E1015K,
1016 11 T1016M, c.3045_3046delGA,
1017 11
1018 12 K1018E,
1019 13
1020 13
1021 14 P1021S,
1022 14
1023 15 R1023P, R1023C, R1023H,