SCN5A Variant E1030A Detail

We estimate the penetrance of LQTS for SCN5A E1030A around 19% and the Brugada syndrome penetrance around 7%. SCN5A E1030A was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. E1030A is not present in gnomAD. E1030A 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 E1030A around 19% (0/10) 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 0.55 0 24
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.

E1030A 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
1015 15 p.G1015DfsX14, E1015K,
1016 14 T1016M, c.3045_3046delGA,
1017 14
1018 13 K1018E,
1019 13
1020 12
1021 11 P1021S,
1022 11
1023 10 R1023P, R1023C, R1023H,
1024 9 K1024R,
1025 8 E1025A,
1026 8
1027 7 R1027Q, R1027P, R1027W,
1028 5
1029 4 E1029K,
1030 0
1031 4 p.G1031fsX27,
1032 5 E1032D, E1032K,
1033 7 Q1033R,
1034 8 P1034T,
1035 8 G1035V,
1036 9
1037 10
1038 11
1039 11
1040 12 G1040R,
1041 13 D1041G, D1041N,
1042 13
1043 14 E1043K,
1044 14
1045 15 V1045M,