SCN5A Variant D1058E Detail

We estimate the penetrance of LQTS for SCN5A D1058E around 3% and the Brugada syndrome penetrance around 45%. SCN5A D1058E was found in a total of 0 carriers in 0 papers and/or in gnomAD: 0 had Brugada syndrome, 0 had LQTS. D1058E is not present in gnomAD. D1058E has been functionally characterized in 0 papers. This residue is located in a 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 (4 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 D1058E around 3% (0/10) and the Brugada syndrome penetrance around 45% (4/10).

In Silico Data

PROVEAN PolyPhen-2 BLAST-PSSM REVEL Penetrance Density BrS (%) Penetrance Density LQT3 (%)
NA NA NA 0.459 71 0
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 11 0 4 - -
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.

D1058E 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
1043 15 E1043K,
1044 14
1045 14 V1045M,
1046 13
1047 13 c.3140_3141dupTG,
1048 12 p.P1048SfsX96, c.3142_3143insTG, P1048S,
1049 11
1050 11 p.A1050CfsX9, p.A1050DfsX9, A1050T,
1051 10 V1051A,
1052 9 A1052D, p.A1052CfsX7,
1053 8 E1053K,
1054 8
1055 7 D1055G,
1056 5 T1056A,
1057 4
1058 0 c.3171_3172delTGinsA,
1059 4 Q1059X,
1060 5
1061 7 E1061D,
1062 8 D1062H,
1063 8 E1063G,
1064 9 p.E1064del,
1065 10
1066 11 S1066G,
1067 11 L1067R,
1068 12 G1068D, G1068A,
1069 13 T1069M,
1070 13
1071 14 E1071K, p.E1071GfsX76,
1072 14 p.E1072del,
1073 15