SCN5A Variant E1015V Detail

We estimate the penetrance of LQTS for SCN5A E1015V around 26% and the Brugada syndrome penetrance around 16%. SCN5A E1015V was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. E1015V is not present in gnomAD. E1015V 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 (1 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 E1015V around 26% (1/10) and the Brugada syndrome penetrance around 16% (1/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.587 17 33
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 13 1 1 - -
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.

E1015V 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
1000 15 Q1000L, Q1000X, p.Gln1000del,
1001 14
1002 14 c.3005-3012delCCAGCTGG, P1002S,
1003 13
1004 13 C1004R,
1005 12 I1005V, I1005T,
1006 11 A1006S,
1007 11 T1007N, T1007I,
1008 10 P1008S,
1009 9
1010 8
1011 8 P1011L, P1011S,
1012 7
1013 5
1014 4 P1014S,
1015 0 E1015K, p.G1015DfsX14,
1016 4 c.3045_3046delGA, T1016M,
1017 5
1018 7 K1018E,
1019 8
1020 8
1021 9 P1021S,
1022 10
1023 11 R1023C, R1023H, R1023P,
1024 11 K1024R,
1025 12 E1025A,
1026 13
1027 13 R1027Q, R1027W, R1027P,
1028 14
1029 14 E1029K,
1030 15