SCN5A Variant P1039L Detail

We estimate the penetrance of LQTS for SCN5A P1039L around 5% and the Brugada syndrome penetrance around 8%. SCN5A P1039L was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. P1039L is not present in gnomAD. P1039L 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 P1039L around 5% (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 0.522 3 3
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.

P1039L 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
1024 15 K1024R,
1025 14 E1025A,
1026 14
1027 13 R1027P, R1027Q, R1027W,
1028 13
1029 12 E1029K,
1030 11
1031 11 p.G1031fsX27,
1032 10 E1032D, E1032K,
1033 9 Q1033R,
1034 8 P1034T,
1035 8 G1035V,
1036 7
1037 5
1038 4
1039 0
1040 4 G1040R,
1041 5 D1041N, D1041G,
1042 7
1043 8 E1043K,
1044 8
1045 9 V1045M,
1046 10
1047 11 c.3140_3141dupTG,
1048 11 p.P1048SfsX96, c.3142_3143insTG, P1048S,
1049 12
1050 13 A1050T, p.A1050CfsX9, p.A1050DfsX9,
1051 13 V1051A,
1052 14 p.A1052CfsX7, A1052D,
1053 14 E1053K,
1054 15