SCN5A Variant A1052T Detail

We estimate the penetrance of LQTS for SCN5A A1052T around 3% and the Brugada syndrome penetrance around 10%. SCN5A A1052T was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. A1052T is not present in gnomAD. A1052T 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 (1 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 A1052T around 3% (0/10) and the Brugada syndrome penetrance around 10% (1/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.695 6 1
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 0 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.

A1052T 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
1037 15
1038 14
1039 14
1040 13 G1040R,
1041 13 D1041N, D1041G,
1042 12
1043 11 E1043K,
1044 11
1045 10 V1045M,
1046 9
1047 8 c.3140_3141dupTG,
1048 8 p.P1048SfsX96, c.3142_3143insTG, P1048S,
1049 7
1050 5 A1050T, p.A1050CfsX9, p.A1050DfsX9,
1051 4 V1051A,
1052 0 p.A1052CfsX7, A1052D,
1053 4 E1053K,
1054 5
1055 7 D1055G,
1056 8 T1056A,
1057 8
1058 9 c.3171_3172delTGinsA,
1059 10 Q1059X,
1060 11
1061 11 E1061D,
1062 12 D1062H,
1063 13 E1063G,
1064 13 p.E1064del,
1065 14
1066 14 S1066G,
1067 15 L1067R,